Exam 4-NUR 311 Questions With Complete
Solutions
A 3-year-old child is scheduled for surgery to
remove a Wilms tumor from one kidney. The
parents ask the nurse about what treatments, if
any, will be necessary after recovery from surgery.
What would be the most appropriate response from
the nurse?
"Radiation therapy may be necessary."
"A kidney transplant will be planned."
"No additional treatments are usually necessary."
"Chemotherapy with or without radiation therapy is
indicated." Correct Answers "Chemotherapy with
or without radiation therapy is indicated."
This determination will be made on the basis of the
histologic pattern of the tumor. Chemotherapy with
or without radiation therapy is usually indicated.
Radiation therapy may be necessary, but
chemotherapy is first. Most children with Wilms
tumor do not require renal transplants. Additional
therapy is indicated after the tumor is removed.
A 4-year-old preschooler with a low platelet count
received intravenous immunoglobulin (IVIG). What
,part of routine health maintenance would the nurse
explain to the parents should be delayed?
The administration of live-virus vaccines
The yearly routine dental examination
Assessing the child blood pressure
Checking the child's visual acuity Correct Answers
The administration of live-virus vaccines
The American Academy of Pediatrics (AAP)
recommends delaying the administration of routine
measles immunization for a minimum of 8 to 10
months after a child receives an immune globulin
preparation because it may block the replication of
live-virus vaccine. The yearly routine dental
examination can be performed. Assessing the
child's blood pressure is appropriate. Checking the
child's visual acuity is fine.
A 40-year-old man who has a mother who was
diagnosed with breast cancer at age 45, a father
who was diagnosed with smoking-related lung
cancer at age 55, a 33-year-old sister with breast
cancer, and a 38-year-old sister with ovarian
cancer, asks if he should be concerned for his
cancer risk. What is the nurse's best response?
,"Your risk is not affected by this family history
because most of the cancers arose in female sex-
associated tissues."
"You have two first-degree relatives and two
second-degree relatives with cancer, which
increases your general risk for cancer."
"Your risk for breast cancer is increased; however,
your risk for lung cancer is not affected by this
history."
"Your risk for cancer is affected by your parents'
cancer development; your sisters' cancers have no
bearing on your risk." Correct Answers "Your risk
for breast cancer is increased; however, your risk
for lung cancer is not affected by this history."
This man has four first-degree relatives with
cancer, three of whom have cancers that are
associated with a genetic risk. The fact that the
sisters and mother were diagnosed at relatively
young ages increases the likelihood of a genetic
predisposition. The genetic association with these
cancers also increases the risk for male members
of the family. Lung cancer has not been found to
have a genetic association.
A 74-year-old client recovering from lung cancer
surgery tells the nurse, "I don't understand why I
, have lung cancer. I have never even touched a
cigarette." Which factor may explain the cause?
A diagnosis of diabetes
Advancing age
A history of cardiac disease
A history of military service Correct Answers
Advancing age
Advancing age is the single most important risk
factor for cancer. As a person ages, immune
protection decreases and therefore risk for
overgrowth of cancer cells increases.Diabetes is
not known to cause lung cancer. A history of
cardiac disease does not predispose a person to
lung cancer, nor does a history of military service.
A child has been given too much opioid pain
medications and now requires a reversal agent.
Which medication should the nurse expect to
administer?
Naproxen
Naloxone
Neurontin
Nortriptyline Correct Answers Naloxone
Naloxone (Narcan) will reverse opioid-related
analgesia and respiratory depression. Neurontin is
Solutions
A 3-year-old child is scheduled for surgery to
remove a Wilms tumor from one kidney. The
parents ask the nurse about what treatments, if
any, will be necessary after recovery from surgery.
What would be the most appropriate response from
the nurse?
"Radiation therapy may be necessary."
"A kidney transplant will be planned."
"No additional treatments are usually necessary."
"Chemotherapy with or without radiation therapy is
indicated." Correct Answers "Chemotherapy with
or without radiation therapy is indicated."
This determination will be made on the basis of the
histologic pattern of the tumor. Chemotherapy with
or without radiation therapy is usually indicated.
Radiation therapy may be necessary, but
chemotherapy is first. Most children with Wilms
tumor do not require renal transplants. Additional
therapy is indicated after the tumor is removed.
A 4-year-old preschooler with a low platelet count
received intravenous immunoglobulin (IVIG). What
,part of routine health maintenance would the nurse
explain to the parents should be delayed?
The administration of live-virus vaccines
The yearly routine dental examination
Assessing the child blood pressure
Checking the child's visual acuity Correct Answers
The administration of live-virus vaccines
The American Academy of Pediatrics (AAP)
recommends delaying the administration of routine
measles immunization for a minimum of 8 to 10
months after a child receives an immune globulin
preparation because it may block the replication of
live-virus vaccine. The yearly routine dental
examination can be performed. Assessing the
child's blood pressure is appropriate. Checking the
child's visual acuity is fine.
A 40-year-old man who has a mother who was
diagnosed with breast cancer at age 45, a father
who was diagnosed with smoking-related lung
cancer at age 55, a 33-year-old sister with breast
cancer, and a 38-year-old sister with ovarian
cancer, asks if he should be concerned for his
cancer risk. What is the nurse's best response?
,"Your risk is not affected by this family history
because most of the cancers arose in female sex-
associated tissues."
"You have two first-degree relatives and two
second-degree relatives with cancer, which
increases your general risk for cancer."
"Your risk for breast cancer is increased; however,
your risk for lung cancer is not affected by this
history."
"Your risk for cancer is affected by your parents'
cancer development; your sisters' cancers have no
bearing on your risk." Correct Answers "Your risk
for breast cancer is increased; however, your risk
for lung cancer is not affected by this history."
This man has four first-degree relatives with
cancer, three of whom have cancers that are
associated with a genetic risk. The fact that the
sisters and mother were diagnosed at relatively
young ages increases the likelihood of a genetic
predisposition. The genetic association with these
cancers also increases the risk for male members
of the family. Lung cancer has not been found to
have a genetic association.
A 74-year-old client recovering from lung cancer
surgery tells the nurse, "I don't understand why I
, have lung cancer. I have never even touched a
cigarette." Which factor may explain the cause?
A diagnosis of diabetes
Advancing age
A history of cardiac disease
A history of military service Correct Answers
Advancing age
Advancing age is the single most important risk
factor for cancer. As a person ages, immune
protection decreases and therefore risk for
overgrowth of cancer cells increases.Diabetes is
not known to cause lung cancer. A history of
cardiac disease does not predispose a person to
lung cancer, nor does a history of military service.
A child has been given too much opioid pain
medications and now requires a reversal agent.
Which medication should the nurse expect to
administer?
Naproxen
Naloxone
Neurontin
Nortriptyline Correct Answers Naloxone
Naloxone (Narcan) will reverse opioid-related
analgesia and respiratory depression. Neurontin is
