Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
Chapter 15: Cancer
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. A patient who is scheduled for a breast biopsy asks the nurse the difference between a benign
tumor and a malignant tumor. Which answer by the nurse is accurate?
a. “Benign tumors do not cause damage to other tissues.”
b. “Benign tumors are likely to recur in the same location.”
c. “Malignant tumors may spread to other tissues or organs.”
d. “Malignant cells reproduce more rapidly than normal cells.”
ANS: C
The major difference between benign and malignant tumors is that malignant tumors invade
adjacent tissues and spread to distant tissues and benign tumors do not metastasize. The other
statements are inaccurate. Both types of tumors may cause damage to adjacent tissues.
Malignant cells do not reproduce more rapidly than normal cells. Benign tumors do not
usually recur.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse
should monitor for which adverse effect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS: C
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, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
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The adverse effects of intravesical chemotherapy are confined to the bladder. The other
adverse effects are associated with systemic chemotherapy.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
3. The nurse is caring for a patient who smokes 2 packs/day. Which action by the nurse could
help reduce the patient’s risk of lung cancer?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient’s carcinoembryonic antigen (CEA) level.
c. Teach the patient about annual chest x-rays for lung cancer screening.
d. Discuss risks associated with cigarettes during each patient encounter.
ANS: D
Teaching about the risks associated with cigarette smoking is recommended at every patient
encounter because cigarette smoking is associated with multiple health problems. The other
options may detect lung cancer that is already present but do not reduce the risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
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, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
4. The nurse should suggest which food choice for a patient scheduled to receive external-beam
radiation for abdominal cancer?
a. Fruit salad
b. Baked chicken
c. Creamed broccoli
d. Toasted wheat bread
ANS: B
Protein is needed for wound healing. To minimize the diarrhea that is associated with bowel
radiation, the patient should avoid foods high in roughage, such as fruits and whole grains.
Lactose intolerance may develop secondary to radiation, so dairy products should also be
avoided.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
5. During a routine health examination, a 40-yr-old patient tells the nurse about a family history
of colon cancer. Which action should the nurse take next?
a. Schedule a sigmoidoscopy to provide baseline data.
b. Obtain more information about the patient’s relatives.
c. Teach the patient about the need for a colonoscopy at age 50.
d. Teach the patient how to do home testing for fecal occult blood.
ANS: B
The patient may be at increased risk for colon cancer, but the nurse’s first action should be
further assessment. The other actions may be appropriate, depending on the information that is
obtained from the patient with further questioning.
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, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
DIF: Cognitive Level: Analyze (analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
6. AlpatientlwholisldiagnosedlwithlcervicallcancerlclassifiedlaslTis,lN0,lM0laskslthelnurselwhatlthelle
tterslandlnumberslmean.lWhichlresponselbylthelnurselislaccurate?
a. “Thelcancerlinvolveslonlylthelcervix.”
b. “Thelcancerlcellsllookllikelnormallcells.”
c. “Furtherltestinglislneededltoldeterminelthelspreadloflthelcancer.”
d. “Itlisldifficultltoldetermineltheloriginallsiteloflthelcervicallcancer.”
ANS:l A
Cancerlinlsitulindicateslthatlthelcancerlisllocalizedltolthelcervixlandlislnotlinvasivelatlthisltime.lCel
lldifferentiationlislnotlindicatedlbylclinicallstaging.lBecauselthelcancerlislinlsitu,ltheloriginlislthelce
rvix.lFurtherltestinglislnotlindicatedlgivenlthatlthelcancerlhaslnotlspread.
DIF: CognitivelLevel:lApplyl(application)
TOP:l NursinglProcess:lImplementation MSC:l NCLEX:lPhysiologicallIntegrity
7. Thelnurselteacheslalpatientlwholislscheduledlforlalprostatelneedlelbiopsylaboutlthelprocedure.
Whichlstatementlbylthelpatientlindicateslthatlteachinglwasleffective?
a. “Thelbiopsylwilllremovelthelcancerlinlmylprostatelgland.”
b. “ThelbiopsylwillldeterminelhowlmuchllongerlIlhaveltollive.”
c. “Thelbiopsylwilllhelpldecideltheltreatmentlforlmylenlargedlprostate.”
d. “Thelbiopsylwilllindicatelwhetherlthelcancerlhaslspreadltolotherlorgans.”
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Chapter 15: Cancer
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. A patient who is scheduled for a breast biopsy asks the nurse the difference between a benign
tumor and a malignant tumor. Which answer by the nurse is accurate?
a. “Benign tumors do not cause damage to other tissues.”
b. “Benign tumors are likely to recur in the same location.”
c. “Malignant tumors may spread to other tissues or organs.”
d. “Malignant cells reproduce more rapidly than normal cells.”
ANS: C
The major difference between benign and malignant tumors is that malignant tumors invade
adjacent tissues and spread to distant tissues and benign tumors do not metastasize. The other
statements are inaccurate. Both types of tumors may cause damage to adjacent tissues.
Malignant cells do not reproduce more rapidly than normal cells. Benign tumors do not
usually recur.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse
should monitor for which adverse effect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS: C
NURSINGTB.COM
, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
NURSINGTB.COM
The adverse effects of intravesical chemotherapy are confined to the bladder. The other
adverse effects are associated with systemic chemotherapy.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
3. The nurse is caring for a patient who smokes 2 packs/day. Which action by the nurse could
help reduce the patient’s risk of lung cancer?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient’s carcinoembryonic antigen (CEA) level.
c. Teach the patient about annual chest x-rays for lung cancer screening.
d. Discuss risks associated with cigarettes during each patient encounter.
ANS: D
Teaching about the risks associated with cigarette smoking is recommended at every patient
encounter because cigarette smoking is associated with multiple health problems. The other
options may detect lung cancer that is already present but do not reduce the risk.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
NURSINGTB.COM
, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
4. The nurse should suggest which food choice for a patient scheduled to receive external-beam
radiation for abdominal cancer?
a. Fruit salad
b. Baked chicken
c. Creamed broccoli
d. Toasted wheat bread
ANS: B
Protein is needed for wound healing. To minimize the diarrhea that is associated with bowel
radiation, the patient should avoid foods high in roughage, such as fruits and whole grains.
Lactose intolerance may develop secondary to radiation, so dairy products should also be
avoided.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
5. During a routine health examination, a 40-yr-old patient tells the nurse about a family history
of colon cancer. Which action should the nurse take next?
a. Schedule a sigmoidoscopy to provide baseline data.
b. Obtain more information about the patient’s relatives.
c. Teach the patient about the need for a colonoscopy at age 50.
d. Teach the patient how to do home testing for fecal occult blood.
ANS: B
The patient may be at increased risk for colon cancer, but the nurse’s first action should be
further assessment. The other actions may be appropriate, depending on the information that is
obtained from the patient with further questioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
DIF: Cognitive Level: Analyze (analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
6. AlpatientlwholisldiagnosedlwithlcervicallcancerlclassifiedlaslTis,lN0,lM0laskslthelnurselwhatlthelle
tterslandlnumberslmean.lWhichlresponselbylthelnurselislaccurate?
a. “Thelcancerlinvolveslonlylthelcervix.”
b. “Thelcancerlcellsllookllikelnormallcells.”
c. “Furtherltestinglislneededltoldeterminelthelspreadloflthelcancer.”
d. “Itlisldifficultltoldetermineltheloriginallsiteloflthelcervicallcancer.”
ANS:l A
Cancerlinlsitulindicateslthatlthelcancerlisllocalizedltolthelcervixlandlislnotlinvasivelatlthisltime.lCel
lldifferentiationlislnotlindicatedlbylclinicallstaging.lBecauselthelcancerlislinlsitu,ltheloriginlislthelce
rvix.lFurtherltestinglislnotlindicatedlgivenlthatlthelcancerlhaslnotlspread.
DIF: CognitivelLevel:lApplyl(application)
TOP:l NursinglProcess:lImplementation MSC:l NCLEX:lPhysiologicallIntegrity
7. Thelnurselteacheslalpatientlwholislscheduledlforlalprostatelneedlelbiopsylaboutlthelprocedure.
Whichlstatementlbylthelpatientlindicateslthatlteachinglwasleffective?
a. “Thelbiopsylwilllremovelthelcancerlinlmylprostatelgland.”
b. “ThelbiopsylwillldeterminelhowlmuchllongerlIlhaveltollive.”
c. “Thelbiopsylwilllhelpldecideltheltreatmentlforlmylenlargedlprostate.”
d. “Thelbiopsylwilllindicatelwhetherlthelcancerlhaslspreadltolotherlorgans.”
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