A patient who is scheduled for a right breast c. Obtain more information from the patient about
biopsy asks the nurse the difference between a the family history.
benign tumor and a malignant tumor. Which
answer by the nurse is correct? d. Schedule a sigmoidoscopy to provide baseline
data about the patient. - - ANS: C
a. "Benign tumors do not cause damage to other
tissues." The patient may be at increased risk for colon
cancer, but the nurse's first action should be
b. "Benign tumors are likely to recur in the same further assessment. The other actions may be
location." appropriate, depending on the information that is
obtained from the patient with further questioning.
c. "Malignant tumors may spread to other tissues
or organs." DIF: Cognitive Level: Apply (application) REF:
255-256
d. "Malignant cells reproduce more rapidly than
normal cells." - - ANS: C TOP: Nursing Process: Implementation MSC:
NCLEX: Health Promotion and Maintenance
The major difference between benign and
malignant tumors is that malignant tumors invade
adjacent tissues and spread to distant tissues
and benign tumors never metastasize. The other A patient who is diagnosed with cervical cancer
statements are inaccurate. Both types of tumors that is classified as Tis, N0, M0 asks the nurse
may cause damage to adjacent tissues. what the letters and numbers mean. Which
Malignant cells do not reproduce more rapidly response by the nurse is most appropriate?
than normal cells. Benign tumors do not usually
recur. a."The cancer involves only the cervix."
DIF: Cognitive Level: Understand b."The cancer cells look almost like normal cells."
(comprehension) REF: 253
c."Further testing is needed to determine the
TOP: Nursing Process: Implementation MSC: spread of the cancer."
NCLEX: Physiological Integrity
d."It is difficult to determine the original site of the
cervical cancer." - - ANS: A
During a routine health examination, a 40-year- Cancer in situ indicates that the cancer is
old patient tells the nurse about a family history localized to the cervix and is not invasive at this
of colon cancer. Which action should the nurse time. Cell differentiation is not indicated by
take next? clinical staging. Because the cancer is in situ, the
origin is the cervix. Further testing is not indicated
a. Teach the patient about the need for a given that the cancer has not spread.
colonoscopy at age 50.
DIF: Cognitive Level: Apply (application) REF:
b. Teach the patient how to do home testing for 254
fecal occult blood.
TOP: Nursing Process: Implementation MSC:
, CANCER NCLEX QUESTIONS WITH ANSWERS GRADED A+
NCLEX: Physiological Integrity surgically removed."
c. "Cancer is never considered cured, but the
tumor can be controlled with surgery,
The nurse teaches a patient who is scheduled for chemotherapy, and radiation."
a prostate needle biopsy about the procedure.
Which statement, if made by the patient, d. "I will need to have follow-up examinations for
indicates that teaching was effective? many years after I have treatment before I can be
considered cured." - - ANS: D
a. "The biopsy will remove the cancer in my
prostate gland." The risk of recurrence varies by the type of
cancer. Some cancers are considered cured after
b. "The biopsy will determine how much longer I a shorter time span or after surgery, but stage III
have to live." breast cancer will require additional therapies
and ongoing follow-up.
c. "The biopsy will help decide the treatment for
my enlarged prostate." DIF: Cognitive Level: Apply (application) REF:
257
d. "The biopsy will indicate whether the cancer
has spread to other organs." - - ANS: C TOP: Nursing Process: Evaluation MSC: NCLEX:
Physiological Integrity
A biopsy is used to determine whether the
prostate enlargement is benign or malignant, and
determines the type of treatment that will be
needed. A biopsy does not give information A patient undergoing external radiation has
about metastasis, life expectancy, or the impact developed a dry desquamation of the skin in the
of cancer on the patient's life. treatment area. The nurse teaches the patient
about management of the skin reaction. Which
DIF: Cognitive Level: Apply (application) REF: statement, if made by the patient, indicates the
256 teaching was effective?
TOP: Nursing Process: Evaluation MSC: NCLEX: a. "I can buy some aloe vera gel to use on the
Physiological Integrity area."
b. "I will expose the treatment area to a sun lamp
daily."
The nurse teaches a postmenopausal patient
with stage III breast cancer about the expected c. "I can use ice packs to relieve itching in the
outcomes of cancer treatment. Which patient treatment area."
statement indicates that the teaching has been
effective? d. "I will scrub the area with warm water to
remove the scales." - - ANS: A
a. "After cancer has not recurred for 5 years, it is
considered cured." Aloe vera gel and cream may be used on the
radiated skin area. Ice and sunlamps may injure
b. "The cancer will be cured if the entire tumor is the skin. Treatment areas should be cleaned