Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
Chapter 15: CancerHarding: 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: CThe 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.
Nauseab. Alopecia
NRIGB.CM
c. Hematuria USNT O d. Xerostomia
ANS: CThe 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: DTeaching 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: BProtein 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: BThe 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
DIF: Cognitive Level: Analyze (analysis)TOP: Nursing Process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
6. A patient who is diagnosed with cervical cancer classified as Tis, N0,
M0 asks the nurse what the letters and numbers mean. Which response
by the nurse is accurate?
a. “The cancer involves only the cervix.”
, b.“The cancer cells look like normal cells.”
c. “Further testing is needed to determine the spread of the cancer.”
d.“It is difficult to determine the original site of the cervical cancer.”
ANS: ACancer in situ indicates that the cancer is localized to the cervix
and is not invasive at this time. Cell differentiation is not indicated by
clinical staging. Because the cancer is in situ, the origin is the cervix.
Further testing is not indicated given that the cancer has not spread.
DIF: Cognitive Level: Apply (application)TOP: Nursing Process:
Implementation MSC: NCLEX: Physiological Integrity
7. The nurse teaches a patient who is scheduled for a prostate needle
biopsy about the procedure. Which statement by the patient indicates
that teaching was effective?
a. “The biopsy will remove the cancer in my prostate gland.”
b.“The biopsy will determine how much longer I have to live.”
c. “The biopsy will help decide the treatment for my enlarged prostate.”
d.“The biopsy will indicate whether the cancer has spread to other
organs.”
NURSINGTB.COM
Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
ANS: CA 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 about metastasis, life
expectancy, or the impact of cancer on the patient’s life.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
Chapter 15: CancerHarding: 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: CThe 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.
Nauseab. Alopecia
NRIGB.CM
c. Hematuria USNT O d. Xerostomia
ANS: CThe 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: DTeaching 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: BProtein 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: BThe 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
DIF: Cognitive Level: Analyze (analysis)TOP: Nursing Process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
6. A patient who is diagnosed with cervical cancer classified as Tis, N0,
M0 asks the nurse what the letters and numbers mean. Which response
by the nurse is accurate?
a. “The cancer involves only the cervix.”
, b.“The cancer cells look like normal cells.”
c. “Further testing is needed to determine the spread of the cancer.”
d.“It is difficult to determine the original site of the cervical cancer.”
ANS: ACancer in situ indicates that the cancer is localized to the cervix
and is not invasive at this time. Cell differentiation is not indicated by
clinical staging. Because the cancer is in situ, the origin is the cervix.
Further testing is not indicated given that the cancer has not spread.
DIF: Cognitive Level: Apply (application)TOP: Nursing Process:
Implementation MSC: NCLEX: Physiological Integrity
7. The nurse teaches a patient who is scheduled for a prostate needle
biopsy about the procedure. Which statement by the patient indicates
that teaching was effective?
a. “The biopsy will remove the cancer in my prostate gland.”
b.“The biopsy will determine how much longer I have to live.”
c. “The biopsy will help decide the treatment for my enlarged prostate.”
d.“The biopsy will indicate whether the cancer has spread to other
organs.”
NURSINGTB.COM
Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
ANS: CA 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 about metastasis, life
expectancy, or the impact of cancer on the patient’s life.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
