NUR200 UPDATED ACTUAL Questions and CORRECT Answers
After change-of-shift report on the oncology unit, which
patient should the nurse assess first?
A. Patient who has a platelet count of 82,000/µL after
chemotherapy
C. Patient who is neutropenic and has a temperature of
B. Patient who has xerostomia after receiving head and
100.5° F (38.1° C)
neck radiation
C. Patient who is neutropenic and has a temperature of
100.5° F (38.1° C)
D. Patient who is worried about getting the prescribed
long-acting opioid on time
A hospitalized patient who has received chemotherapy for
leukemia develops neutropenia. Which observation by the
nurse would indicate a need for further teaching?
A. The patient ambulates around the room.
B. The patient's visitors bring in fresh peaches.
B. The patient's visitors bring in fresh peaches.
C. The patient cleans with a warm washcloth after having
a stool.
D. The patient uses soap and shampoo to shower every
other day.
A patient who has severe pain associated with terminal
pancreatic cancer is being cared for at home by fami-
ly members. Which finding by the nurse indicates that
teaching regarding pain management has been effec-
C. The patient takes opioids around the clock on a regular
tive?
schedule and uses additional doses when breakthrough
A. The patient uses the ordered opioid pain medication pain occurs.
whenever the pain is greater than 5 (0 to 10 scale).
B. The patient agrees to take the medications by the IV
route in order to improve analgesic effectiveness.
,C. The patient takes opioids around the clock on a regular
schedule and uses additional doses when breakthrough
pain occurs.
D. The patient states that nonopioid analgesics may be
used when the maximal dose of the opioid is reached
without adequate pain relief.
A patient who is scheduled for a breast biopsy asks the
nurse the difference between a benign tumor and a ma-
lignant tumor. Which answer by the nurse is correct?
A. "Benign tumors do not cause damage to other tis-
sues." C. "Malignant tumors may spread to other tissues or or-
B. "Benign tumors are likely to recur in the same loca- gans."
tion."
C. "Malignant tumors may spread to other tissues or or-
gans."
D. "Malignant cells reproduce more rapidly than normal
cells."
The nurse at the clinic is interviewing a 64-yr-old woman
who is 5 feet, 3 inches tall and weighs 125 lb (57 kg). The
patient has not seen a health care provider for 20 years.
She walks 5 miles most days and has a glass of wine two
or three times a week. Which topics will the nurse plan
to include in patient teaching about cancer screening and
decreasing cancer risk (select all that apply)? A, C, D, E
A. Pap testing
B. Tobacco use
C. Sunscreen use
D. Mammography
E. Colorectal screening
, The nurse reviews the laboratory results of a patient who
is receiving chemotherapy. Which laboratory result is most
important to report to the health care provider?
D. White blood cells (WBC) 2700/µL
A. Hematocrit 30%
B. Platelets 95,000/µL
C. Hemoglobin 10 g/L
D. White blood cells (WBC) 2700/µL
The nurse teaches a patient with cancer of the liv-
er about high-protein, high-calorie diet choices. Which
snack choice by the patient indicates that the teaching has
been effective?
B. Blueberry yogurt
A. Lime sherbert
B. Blueberry yogurt
C. Fresh strawberries
D. Cream cheese bagel
A nurse is providing community education on the warning
signs of cancer. Which signs are included? Select all that
apply.
A. A sore that does not heal A, B, C, E
B. Unusual bleeding; changes in menstrual patterns
C. Indigestion or trouble swallowing
D. Near-daily abdominal pain
E. Obvious change in a mole
A patient is put on twice-daily acetaminophen (Tylenol) for
osteoarthritis. What finding in the patient's health history
would lead the nurse to consult with the provider over the B. Drinking 3 to 5 beers a day
choice of medication?
After change-of-shift report on the oncology unit, which
patient should the nurse assess first?
A. Patient who has a platelet count of 82,000/µL after
chemotherapy
C. Patient who is neutropenic and has a temperature of
B. Patient who has xerostomia after receiving head and
100.5° F (38.1° C)
neck radiation
C. Patient who is neutropenic and has a temperature of
100.5° F (38.1° C)
D. Patient who is worried about getting the prescribed
long-acting opioid on time
A hospitalized patient who has received chemotherapy for
leukemia develops neutropenia. Which observation by the
nurse would indicate a need for further teaching?
A. The patient ambulates around the room.
B. The patient's visitors bring in fresh peaches.
B. The patient's visitors bring in fresh peaches.
C. The patient cleans with a warm washcloth after having
a stool.
D. The patient uses soap and shampoo to shower every
other day.
A patient who has severe pain associated with terminal
pancreatic cancer is being cared for at home by fami-
ly members. Which finding by the nurse indicates that
teaching regarding pain management has been effec-
C. The patient takes opioids around the clock on a regular
tive?
schedule and uses additional doses when breakthrough
A. The patient uses the ordered opioid pain medication pain occurs.
whenever the pain is greater than 5 (0 to 10 scale).
B. The patient agrees to take the medications by the IV
route in order to improve analgesic effectiveness.
,C. The patient takes opioids around the clock on a regular
schedule and uses additional doses when breakthrough
pain occurs.
D. The patient states that nonopioid analgesics may be
used when the maximal dose of the opioid is reached
without adequate pain relief.
A patient who is scheduled for a breast biopsy asks the
nurse the difference between a benign tumor and a ma-
lignant tumor. Which answer by the nurse is correct?
A. "Benign tumors do not cause damage to other tis-
sues." C. "Malignant tumors may spread to other tissues or or-
B. "Benign tumors are likely to recur in the same loca- gans."
tion."
C. "Malignant tumors may spread to other tissues or or-
gans."
D. "Malignant cells reproduce more rapidly than normal
cells."
The nurse at the clinic is interviewing a 64-yr-old woman
who is 5 feet, 3 inches tall and weighs 125 lb (57 kg). The
patient has not seen a health care provider for 20 years.
She walks 5 miles most days and has a glass of wine two
or three times a week. Which topics will the nurse plan
to include in patient teaching about cancer screening and
decreasing cancer risk (select all that apply)? A, C, D, E
A. Pap testing
B. Tobacco use
C. Sunscreen use
D. Mammography
E. Colorectal screening
, The nurse reviews the laboratory results of a patient who
is receiving chemotherapy. Which laboratory result is most
important to report to the health care provider?
D. White blood cells (WBC) 2700/µL
A. Hematocrit 30%
B. Platelets 95,000/µL
C. Hemoglobin 10 g/L
D. White blood cells (WBC) 2700/µL
The nurse teaches a patient with cancer of the liv-
er about high-protein, high-calorie diet choices. Which
snack choice by the patient indicates that the teaching has
been effective?
B. Blueberry yogurt
A. Lime sherbert
B. Blueberry yogurt
C. Fresh strawberries
D. Cream cheese bagel
A nurse is providing community education on the warning
signs of cancer. Which signs are included? Select all that
apply.
A. A sore that does not heal A, B, C, E
B. Unusual bleeding; changes in menstrual patterns
C. Indigestion or trouble swallowing
D. Near-daily abdominal pain
E. Obvious change in a mole
A patient is put on twice-daily acetaminophen (Tylenol) for
osteoarthritis. What finding in the patient's health history
would lead the nurse to consult with the provider over the B. Drinking 3 to 5 beers a day
choice of medication?
