NP4 DRILL 1: ONCO QUESTIONS WITH COMPLETE
SOLUTIONS
1. "I will have to take Vitamin B12 tablets for lifetime." Correct
Answers The client who had undergone gastric surgery
developed pernicious anemia. Which of the following statements
when made by the client indicates the need for further teaching?
1. "I will have to take Vitamin B12 tablets for lifetime."
2. "I will need to have vitamin B12 injections for lifetime,"
3. "I will need to undergo physical examination every six
months."
4. "I will have blood transfusions as necessary."
1. "I'll avoid lying down after meal." Correct Answers The
nursing instructs the client on health maintenance activities to
help control symptoms from her hiatal hernia. Which of the
following statements would indicate that the client has
understood the instruction?
1. "I'll avoid lying down after meal."
2. "I can still enjoy my potato chips and cola at bedtime."
3. "I wish I didn't have to give up swimming."
4. "If I wear a girdle, I'll have more support for my stomach."
1. Administering a laxative Correct Answers The client is
scheduled to have an upper gastrointestinal tract series. Which
of the following treatments should the nurse anticipate after the
examinations?
1. Administering a laxative
,2. Placing the client on a clear liquid diet
3. Giving the client a tap water enema.
4. Starting an intravenous infusion.
1. APTT twice the normal value Correct Answers A client with
MI is receiving Heparin. If the anticoagulant therapy is
effective, the nurse would expect:
1. APTT twice the normal value
2. An absense of ecchymotic areas.
3. A decreased viscosity of the blood.
4. A reduction of confusion and weakness.
1. Ascites, edema, fatigue Correct Answers When taking an
admission history of a client with right ventricular heart failure
the nurse would expect the client to complain of:
1. Ascites, edema, fatigue
2. Fatigue, vertigo, headache
3. Weakness, palpitations, nausea
4. Orthopnea, hemoptysis, rales in apices of the lungs
1. Atropine sulfate Correct Answers While a pacemaker
catheter is being inserted, the client heart rate drops to 45, the
drug the nurse should expect the physician to order is:
1. Atropine sulfate
2. Digoxin (Lanoxin)
3. Lidocaine (Xylocaine)
4. Procainamide (Pronestyl)
,1. Being a woman over age 60 Correct Answers While
discussing risk factors for breast cancer with a group of women,
the nurse stresses that the greatest known factor for breast cancer
is:
1. Being a woman over age 60
2. Experiencing menstruation for 40 years or more
3. Using estrogen replacement therapy during menopause
4. Having paternal grandmother with post-menopausal breast
cancer.
1. Crossing the legs while sitting down Correct Answers A
client with a hip fracture has undergone surgery for insertion of
a femoral head prosthesis. Which of the following activities
would the nurse instruct the client to avoid?
1. Crossing the legs while sitting down
2. Sitting on a rise commode seat
3. Using an abductor splint while lying on the side.
4. Rising straight from a chair to standing position.
1. Impaired physical mobility related to back pain. Correct
Answers After a bilateral lumbar Iaminectomy at L5-S1, which
of the following is a priority nursing diagnosis for the client in
immediate postoperative phase?
1. Impaired physical mobility related to back pain.
2. Imbalanced Nutrition: Less Than Body Requirement related
to
postoperative status.
3. Bowel incontinence related to decreased physical activity.
, 4. Disturbed body image related to fear of disfiguring surgical
scars.
1. Make upward spider-like movement of finger on the wall.
Correct Answers Which of the following postoperative
exercises will the patient need to practice if she has an axillary
lymph node dissection?
1. Make upward spider-like movement of finger on the wall.
2. Do push-up exercises on the floor.
3. Use weights like dumb bells when doing flexion-extension
exercises of the arms.
4. Blowing bubbles in the air.
1. Provide warm saline mouth rinses every 2 hours. Correct
Answers The patient receiving chemotherapy experiences
stomatitis. Which of the following nursing measures SHOULD
BE INCLUDED in the nursing careplan?
1. Provide warm saline mouth rinses every 2 hours.
2. Provide sweeet candies to increase salivation.
3. Rinse the mount with astringent mouthwash.
4. Provide citrus fruit juices to drink.
1. Psyllium hydrophillic mucilloid (Metamucil) Correct
Answers Which of the following medications would the nurse
anticipate administering to a client with diverticular disease.
1. Psyllium hydrophillic mucilloid (Metamucil)
2. Diphenoxylate with atropine sulfate (Lomotil)
3. Diazepam (Valium)
SOLUTIONS
1. "I will have to take Vitamin B12 tablets for lifetime." Correct
Answers The client who had undergone gastric surgery
developed pernicious anemia. Which of the following statements
when made by the client indicates the need for further teaching?
1. "I will have to take Vitamin B12 tablets for lifetime."
2. "I will need to have vitamin B12 injections for lifetime,"
3. "I will need to undergo physical examination every six
months."
4. "I will have blood transfusions as necessary."
1. "I'll avoid lying down after meal." Correct Answers The
nursing instructs the client on health maintenance activities to
help control symptoms from her hiatal hernia. Which of the
following statements would indicate that the client has
understood the instruction?
1. "I'll avoid lying down after meal."
2. "I can still enjoy my potato chips and cola at bedtime."
3. "I wish I didn't have to give up swimming."
4. "If I wear a girdle, I'll have more support for my stomach."
1. Administering a laxative Correct Answers The client is
scheduled to have an upper gastrointestinal tract series. Which
of the following treatments should the nurse anticipate after the
examinations?
1. Administering a laxative
,2. Placing the client on a clear liquid diet
3. Giving the client a tap water enema.
4. Starting an intravenous infusion.
1. APTT twice the normal value Correct Answers A client with
MI is receiving Heparin. If the anticoagulant therapy is
effective, the nurse would expect:
1. APTT twice the normal value
2. An absense of ecchymotic areas.
3. A decreased viscosity of the blood.
4. A reduction of confusion and weakness.
1. Ascites, edema, fatigue Correct Answers When taking an
admission history of a client with right ventricular heart failure
the nurse would expect the client to complain of:
1. Ascites, edema, fatigue
2. Fatigue, vertigo, headache
3. Weakness, palpitations, nausea
4. Orthopnea, hemoptysis, rales in apices of the lungs
1. Atropine sulfate Correct Answers While a pacemaker
catheter is being inserted, the client heart rate drops to 45, the
drug the nurse should expect the physician to order is:
1. Atropine sulfate
2. Digoxin (Lanoxin)
3. Lidocaine (Xylocaine)
4. Procainamide (Pronestyl)
,1. Being a woman over age 60 Correct Answers While
discussing risk factors for breast cancer with a group of women,
the nurse stresses that the greatest known factor for breast cancer
is:
1. Being a woman over age 60
2. Experiencing menstruation for 40 years or more
3. Using estrogen replacement therapy during menopause
4. Having paternal grandmother with post-menopausal breast
cancer.
1. Crossing the legs while sitting down Correct Answers A
client with a hip fracture has undergone surgery for insertion of
a femoral head prosthesis. Which of the following activities
would the nurse instruct the client to avoid?
1. Crossing the legs while sitting down
2. Sitting on a rise commode seat
3. Using an abductor splint while lying on the side.
4. Rising straight from a chair to standing position.
1. Impaired physical mobility related to back pain. Correct
Answers After a bilateral lumbar Iaminectomy at L5-S1, which
of the following is a priority nursing diagnosis for the client in
immediate postoperative phase?
1. Impaired physical mobility related to back pain.
2. Imbalanced Nutrition: Less Than Body Requirement related
to
postoperative status.
3. Bowel incontinence related to decreased physical activity.
, 4. Disturbed body image related to fear of disfiguring surgical
scars.
1. Make upward spider-like movement of finger on the wall.
Correct Answers Which of the following postoperative
exercises will the patient need to practice if she has an axillary
lymph node dissection?
1. Make upward spider-like movement of finger on the wall.
2. Do push-up exercises on the floor.
3. Use weights like dumb bells when doing flexion-extension
exercises of the arms.
4. Blowing bubbles in the air.
1. Provide warm saline mouth rinses every 2 hours. Correct
Answers The patient receiving chemotherapy experiences
stomatitis. Which of the following nursing measures SHOULD
BE INCLUDED in the nursing careplan?
1. Provide warm saline mouth rinses every 2 hours.
2. Provide sweeet candies to increase salivation.
3. Rinse the mount with astringent mouthwash.
4. Provide citrus fruit juices to drink.
1. Psyllium hydrophillic mucilloid (Metamucil) Correct
Answers Which of the following medications would the nurse
anticipate administering to a client with diverticular disease.
1. Psyllium hydrophillic mucilloid (Metamucil)
2. Diphenoxylate with atropine sulfate (Lomotil)
3. Diazepam (Valium)
