ANSWERS MARKED A+
✔✔The nurse in the ambulatory care unit is providing home care instructions to a client
after cryotherapy for the treatment of malignant skin lesions. Which statement would be
most appropriate for the nurse to include in the home care instructions for this client?
1."Apply ice to the site to prevent swelling."
2."Clean the site with alcohol 3 times daily."
3."Apply a warm, damp washcloth if discomfort occurs."
4."Avoid showering or taking baths until seen by the primary health care provider in 1
week." - ✔✔3
✔✔The nurse has instructed the client in the correct technique for breast self-
examination (BSE). For a portion of the examination, the client will lie down. The nurse
should teach the client to put the pillow in which location for self-examination of the right
breast?
1.Under the left scapula
2.Under the left shoulder
3.Under the right shoulder
4.Under the small of the back - ✔✔3
✔✔The community health nurse conducts a health promotion program for community
members regarding testicular cancer. The nurse determines that further information
needs to be provided if a community member states that which is a sign of testicular
cancer?
1.Alopecia 2.Back pain 3.Painless testicular swelling 4.Heavy sensation in the scrotum
- ✔✔1
✔✔The community health nurse is creating a poster for an educational session for a
group of women and will be discussing the risk factors associated with breast cancer.
Which risk factors for breast cancer should the nurse list on the poster? Select all that
apply.
1.Multiparity 2.Early menarche 3.Early menopause 4.Family history of breast cancer
5.High-dose radiation exposure to chest 6.Previous cancer of the breast, uterus, or
ovaries - ✔✔2, 4, 5, 6
✔✔A client is receiving external radiation to the neck for cancer of the larynx. Which is
the most likely expected effect?
1.Dyspnea 2.Diarrhea 3.Sore throat 4.Constipation - ✔✔3
✔✔The nurse conducted discharge teaching for the client diagnosed with melanoma.
Which statement by a client indicates that education was effective?
1."It is contagious." 2."Metastasis is rare." 3."It is highly metastatic." 4."It is
characterized by local invasion." - ✔✔3
, ✔✔The nurse is reviewing the laboratory test results for a client receiving
chemotherapy. The nurse notes that the white blood cell count is extremely low and
places the client on neutropenic precautions. Which interventions are components of
these types of precautions? Select all that apply.
1.Allowing only fresh fruits in the client's room 2.Removing fresh-cut flowers from the
client's room 3.Encouraging the client to eat any types of fresh vegetables 4.Instructing
family members on the proper technique for hand washing 5.Instructing family members
to wear a mask when entering the client's room - ✔✔2, 4, 5
✔✔The client reports to the nurse that while performing testicular self-examination, he
found a lump the size and shape of a pea. Which statement is the most appropriate
response to the client?
1."Lumps like that are normal. Don't worry." 2."Let me know if it gets bigger next
month." 3."That's important to report even though it might not be serious." 4."That could
be cancer. I'll ask the primary health care provider to examine you." - ✔✔3
✔✔The nurse is doing preoperative teaching with a client newly diagnosed with a stage
I cervical cancer. Which statement by the client indicates that education was effective?
1."I have carcinoma that is just in the cervix." 2."My carcinoma has extended to the
pelvis and the vagina." 3."I have carcinoma that has extended beyond the cervix but
has not extended to the pelvic wall." 4."My carcinoma has extended beyond the true
pelvis and has involved the bladder or rectal mucosa." - ✔✔1
✔✔The nurse is creating a plan of care for the client with multiple myeloma and
includes which priority intervention in the plan?
1.Encouraging fluids 2.Providing frequent oral care 3.Coughing and deep breathing
4.Monitoring the red blood cell count - ✔✔1
✔✔The nurse is reviewing the history of a client with bladder cancer. The nurse expects
to note documentation of which most common sign or symptom of this type of cancer?
1.Dysuria 2.Hematuria 3.Urgency on urination 4.Frequency of urination - ✔✔2
✔✔The nurse has provided teaching for an adult client about screening for colon
cancer. Which statement by the client indicates that education was effective?
1."I should have an annual fecal occult blood test." 2."I should have an annual
colonoscopy when I become 60." 3."I will have a colonoscopy before the fecal occult
blood test." 4."I will not need to have further fecal occult blood tests after a
colonoscopy." - ✔✔1
✔✔Chemotherapy dosage is frequently based on total body surface area (BSA), so it is
important for the nurse to perform which assessment before administering
chemotherapy?