GRADED A+
1. A patient who is scheduled for a right ANS: C
breast biopsy asks the nurse the dif-
ference between a benign tumor and The major difference between be-
a malignant tumor. Which answer by nign and malignant tumors is that
the nurse is correct? malignant tumors invade adjacent
tissues and spread to distant tissues
a. "Benign tumors do not cause dam- and benign tumors never metasta-
age to other tissues." size. The other statements are in-
accurate. Both types of tumors may
b. "Benign tumors are likely to recur cause damage to adjacent tissues.
in the same location." Malignant cells do not reproduce
more rapidly than normal cells. Be-
c. "Malignant tumors may spread to nign tumors do not usually recur.
other tissues or organs."
DIF: Cognitive Level: Understand
d. "Malignant cells reproduce more (comprehension) REF: 253
rapidly than normal cells."
TOP: Nursing Process: Implemen-
tation MSC: NCLEX: Physiological
Integrity
2. During a routine health examination, ANS: C
a 40-year-old patient tells the nurse
about a family history of colon cancer. The patient may be at increased
Which action should the nurse take risk for colon cancer, but the nurse's
next? first action should be further assess-
ment. The other actions may be ap-
a. Teach the patient about the need for propriate, depending on the infor-
a colonoscopy at age 50. mation that is obtained from the pa-
tient with further questioning.
b. Teach the patient how to do home
testing for fecal occult blood. DIF: Cognitive Level: Apply (applica-
tion) REF: 255-256
c. Obtain more information from the
patient about the family history. TOP: Nursing Process: Implementa-
tion MSC: NCLEX: Health Promo-
d. Schedule a sigmoidoscopy to pro- tion and Maintenance
vide baseline data about the patient.
, CANCER NCLEX QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
3. A patient who is diagnosed with cer- ANS: A
vical cancer that is classified as Tis,
N0, M0 asks the nurse what the letters Cancer in situ indicates that the can-
and numbers mean. Which response cer is localized to the cervix and is
by the nurse is most appropriate? not invasive at this time. Cell differ-
entiation is not indicated by clinical
a. "The cancer involves only the staging. Because the cancer is in
cervix." situ, the origin is the cervix. Further
testing is not indicated given that the
b. "The cancer cells look almost like cancer has not spread.
normal cells."
DIF: Cognitive Level: Apply (applica-
c. "Further testing is needed to deter- tion) REF: 254
mine the spread of the cancer."
TOP: Nursing Process: Implemen-
d. "It is difficult to determine the origi- tation MSC: NCLEX: Physiological
nal site of the cervical cancer." Integrity
4. The nurse teaches a patient who is ANS: C
scheduled for a prostate needle biop-
sy about the procedure. Which state- A biopsy is used to determine
ment, if made by the patient, indicateswhether the prostate enlargement
that teaching was effective? is benign or malignant, and deter-
mines the type of treatment that
a. "The biopsy will remove the cancer will be needed. A biopsy does not
in my prostate gland." give information about metastasis,
life expectancy, or the impact of can-
b. "The biopsy will determine how cer on the patient's life.
much longer I have to live."
DIF: Cognitive Level: Apply (applica-
c. "The biopsy will help decide the tion) REF: 256
treatment for my enlarged prostate."
TOP: Nursing Process: Evaluation
d. "The biopsy will indicate whether MSC: NCLEX: Physiological Integri-
the cancer has spread to other or- ty
gans."
5. The nurse teaches a postmenopausal ANS: D
patient with stage III breast cancer