ATI Adult Nursing (NUR 105) Med Surg test questions Chapter
15: Management of
Patients
1. The public health nurse with Oncologic
is presenting Disordersclass to a group
a health-promotion
at a local community
center. Which intervention most directly addresses the leading cause of
cancer deaths in North
America?
a. Monthly self-breast
exams
b. Smoking cessation
c. Annual
colonoscopies
d. Monthly testicular
Ans: exams
B
Feedback
:Cancer is second only to cardiovascular disease as a leading cause of death
in the United States.
Although the numbers of cancer deaths have decreased slightly, more than
570,000 Americans were
expected to die from a malignant process in 2011. The leading causes of
cancer death in the United
States, in order of frequency, are lung, prostate, and colorectal cancer in men
and
2. Alung,
nursebreast, and in an oncology clinic is assessing a patient who has
who works
colorectal
arrived for cancer in women, so smoking cessation is the health promotion
a 2-month
initiative directly related
follow-up appointment following chemotherapy. The nurse notes that the
to lung cancer.
patients skin appears
yellow.
a. Liver Which blood
function tests should be done to further explore this clinical
tests
sign?
(LFTs)
b. Complete blood count
(CBC)
c. Blood
d. Platelet count
urea nitrogen and
creatinine
Ans: A
Feedback
:Yellow skin is a sign of jaundice and the liver is a common organ affected by
metastatic disease. An
LFT should be done to determine if the liver is functioning. A CBC, platelet
count and tests of renal
function wouldnurse
3. The school not directly assess
is teaching for liver disease.
a nutrition class in the local high school. One
student states that he
has heard that certain foods can increase the incidence of cancer. The
nurse responds, Research
, has shown that certain foods indeed appear to increase the risk of cancer.
Which of the
following menu selections would be the best choice for potentially
reducing
a. Smokedthesalmon
risks ofand
cancer?
green beans
b. Pork chops and fried green
tomatoes
c. Baked apricot chicken and
steamed broccoli
Ans:d. CLiver, onions, and steamed peas
Feedback
:Fruits and vegetables appear to reduce cancer risk. Salt-cured foods, such
as ham and processed
meats, as well as red meats, should be limited.
4. Traditionally, nurses have been involved with tertiary cancer prevention.
However, an increasing
emphasis is being placed on both primary and secondary prevention. What
would be an example
of primary
a. prevention?
Yearly Pap
tests
b. Testicular self-examination
c. Teaching patients to wear
sunscreen
d. Screening mammograms
Ans: C
Feedback
:Primary prevention is concerned with reducing the risks of cancer in
healthy people through
practices such as use of sunscreen. Secondary prevention involves
detection and screening to
achieve
5. early diagnosis,
The nurse asademonstrated
is caring for by Papwith
39-year-old woman tests, mammograms,
a family history of
and testicular
breast cancer.exams.
She
requested a breast tumor marking test and the results have come back
positive. As a result, the
patient is requesting a bilateral mastectomy. This surgery is an example
of
a. what type of
Salvage
oncologic
surgery surgery?
b. Palliative
surgery
c. Prophylactic
surgery
, d. Reconstructive
surgery
Ans: C
Feedback
:Prophylactic surgery is used when there is an extensive family history and
nonvital tissues are
removed. Salvage surgery is an additional treatment option that uses an
extensive surgical approach
to treat the local recurrence of a cancer after the use of a less extensive
primary approach. Palliative
surgery is performed in an attempt to relieve complications of cancer, such
as
6. ulceration,
The nurse is caring for a patient who is to begin receiving external
obstruction,
radiation forhemorrhage,
a malignant pain, and malignant effusion. Reconstructive
surgery may follow
tumor of the neck.curative
While providing patient education, what potential
or radical
adversesurgery
effects in an attempt
should the to improve function or obtain a more
desirable
nurse cosmetic effect.
discussnutritional
with the patient?
a. Impaired
status
b. Cognitive changes
c. Diarrhea
d.
Alopecia
Ans: A
Feedback
:Alterations in oral mucosa, change and loss of taste, pain, and dysphasia
often occur as a result of
radiotherapy to the head and neck. The patient is at an increased risk of
impaired nutritional status.
Radiotherapy does not cause cognitive changes. Diarrhea is not a likely
concern for this patient.
Radiation
7. While aonly results
patient in alopecia
is receiving IV when targeted
doxorubicin at the wholefor
hydrochloride brain;
the
radiation of other parts of the
treatment of cancer, the nurse
body does not
observes lead toand
swelling hairpain
loss.at the IV site. The nurse should prioritize what
action?
a. Stopping the administration of the drug
immediately
b. Notifying the patients physician
c. Continuing the infusion but
decreasing the rate
d. Applying a warm compress to the
infusion
Ans: A site
15: Management of
Patients
1. The public health nurse with Oncologic
is presenting Disordersclass to a group
a health-promotion
at a local community
center. Which intervention most directly addresses the leading cause of
cancer deaths in North
America?
a. Monthly self-breast
exams
b. Smoking cessation
c. Annual
colonoscopies
d. Monthly testicular
Ans: exams
B
Feedback
:Cancer is second only to cardiovascular disease as a leading cause of death
in the United States.
Although the numbers of cancer deaths have decreased slightly, more than
570,000 Americans were
expected to die from a malignant process in 2011. The leading causes of
cancer death in the United
States, in order of frequency, are lung, prostate, and colorectal cancer in men
and
2. Alung,
nursebreast, and in an oncology clinic is assessing a patient who has
who works
colorectal
arrived for cancer in women, so smoking cessation is the health promotion
a 2-month
initiative directly related
follow-up appointment following chemotherapy. The nurse notes that the
to lung cancer.
patients skin appears
yellow.
a. Liver Which blood
function tests should be done to further explore this clinical
tests
sign?
(LFTs)
b. Complete blood count
(CBC)
c. Blood
d. Platelet count
urea nitrogen and
creatinine
Ans: A
Feedback
:Yellow skin is a sign of jaundice and the liver is a common organ affected by
metastatic disease. An
LFT should be done to determine if the liver is functioning. A CBC, platelet
count and tests of renal
function wouldnurse
3. The school not directly assess
is teaching for liver disease.
a nutrition class in the local high school. One
student states that he
has heard that certain foods can increase the incidence of cancer. The
nurse responds, Research
, has shown that certain foods indeed appear to increase the risk of cancer.
Which of the
following menu selections would be the best choice for potentially
reducing
a. Smokedthesalmon
risks ofand
cancer?
green beans
b. Pork chops and fried green
tomatoes
c. Baked apricot chicken and
steamed broccoli
Ans:d. CLiver, onions, and steamed peas
Feedback
:Fruits and vegetables appear to reduce cancer risk. Salt-cured foods, such
as ham and processed
meats, as well as red meats, should be limited.
4. Traditionally, nurses have been involved with tertiary cancer prevention.
However, an increasing
emphasis is being placed on both primary and secondary prevention. What
would be an example
of primary
a. prevention?
Yearly Pap
tests
b. Testicular self-examination
c. Teaching patients to wear
sunscreen
d. Screening mammograms
Ans: C
Feedback
:Primary prevention is concerned with reducing the risks of cancer in
healthy people through
practices such as use of sunscreen. Secondary prevention involves
detection and screening to
achieve
5. early diagnosis,
The nurse asademonstrated
is caring for by Papwith
39-year-old woman tests, mammograms,
a family history of
and testicular
breast cancer.exams.
She
requested a breast tumor marking test and the results have come back
positive. As a result, the
patient is requesting a bilateral mastectomy. This surgery is an example
of
a. what type of
Salvage
oncologic
surgery surgery?
b. Palliative
surgery
c. Prophylactic
surgery
, d. Reconstructive
surgery
Ans: C
Feedback
:Prophylactic surgery is used when there is an extensive family history and
nonvital tissues are
removed. Salvage surgery is an additional treatment option that uses an
extensive surgical approach
to treat the local recurrence of a cancer after the use of a less extensive
primary approach. Palliative
surgery is performed in an attempt to relieve complications of cancer, such
as
6. ulceration,
The nurse is caring for a patient who is to begin receiving external
obstruction,
radiation forhemorrhage,
a malignant pain, and malignant effusion. Reconstructive
surgery may follow
tumor of the neck.curative
While providing patient education, what potential
or radical
adversesurgery
effects in an attempt
should the to improve function or obtain a more
desirable
nurse cosmetic effect.
discussnutritional
with the patient?
a. Impaired
status
b. Cognitive changes
c. Diarrhea
d.
Alopecia
Ans: A
Feedback
:Alterations in oral mucosa, change and loss of taste, pain, and dysphasia
often occur as a result of
radiotherapy to the head and neck. The patient is at an increased risk of
impaired nutritional status.
Radiotherapy does not cause cognitive changes. Diarrhea is not a likely
concern for this patient.
Radiation
7. While aonly results
patient in alopecia
is receiving IV when targeted
doxorubicin at the wholefor
hydrochloride brain;
the
radiation of other parts of the
treatment of cancer, the nurse
body does not
observes lead toand
swelling hairpain
loss.at the IV site. The nurse should prioritize what
action?
a. Stopping the administration of the drug
immediately
b. Notifying the patients physician
c. Continuing the infusion but
decreasing the rate
d. Applying a warm compress to the
infusion
Ans: A site
