NUS 210 Final PrepU Exam Questions
With Answers 100% Solved
A nurse is teaching a client who is receiving radiation treatment for left lower
lobe lung cancer. Which client statement indicates a need for further teaching? -
ANSWER "I'll use hats to protect my head from the sun when my hair falls out."
A nurse is caring for a recently married, 29-year-old female client, who was
diagnosed with acute lymphocytic leukemia. The client is preparing for an
allogeneic bone marrow transplant. Which statement by the client demonstrates
she understands the informed consent she gave about the diagnosis and
treatment? - ANSWER "I'll only need chemotherapy treatment before receiving
my bone marrow transplant."
A client is undergoing a left modified radical mastectomy for breast cancer.
Postoperatively, blood pressure should be obtained from the right arm, and the
client's left arm and hand should be elevated as much as possible to prevent
which condition? - ANSWER Lymphedema
A patient with a diagnosis of late-stage bladder cancer has experienced a
steady decline in his platelet counts, which are currently 18,000/mm3 (0.018 ×
1012/L). Which of the following nursing actions best accommodates the health
risks associated with this laboratory finding? - ANSWER Encouraging the patient
to increase his fluid intake and providing stool softeners
Following surgery for adenocarcinoma, the client learns the tumor stage is
T3,N1,M0. What treatment mode should the nurse anticipate? - ANSWER
Adjuvant therapy is likely.
Palliation refers to - ANSWER relief of symptoms of disease and promotion of
comfort and quality of life.
You are giving a report in your pathophysiology class. The subject of your report
is cancer cells. In differentiating between benign and malignant cells, what
characteristics would you cite? Select all that apply. - ANSWER Rate of growth
Ability to cause death
Ability to spread
,A client is receiving radiation therapy and asks the nurse about oral hygiene.
What teaching specific to the client's situation should the nurse include? -
ANSWER Use a soft toothbrush and allow it to air dry before storing.
A nurse is receiving a client with a radioactive implant for the treatment of
cervical cancer. What is the nurse's best action? - ANSWER Place the client in a
private room.
A nurse is assisting with a subclavian vein central line insertion when the client's
oxygen saturation drops rapidly. He complains of shortness of breath and
becomes tachypneic. The nurse suspects the client has developed a
pneumothorax. Further assessment findings supporting the presence of a
pneumothorax include: - ANSWER diminished or absent breath sounds on the
affected side.
Mrs. Unger is a 53-year-old woman who was diagnosed with breast cancer
following a process that began with abnormal screen mammography results.
Mrs. Unger, her oncologist, and surgeon have agreed on a mastectomy as
treatment and have discussed the importance of rigorously assessing whether
her cancer has metastasized. What action will best detect possible metastasis of
Mrs. Unger's breast cancer? - ANSWER Biopsy of the axillary lymph nodes
The clinic nurse is caring for a 42-year-old male oncology patient. He complains
of extreme fatigue and weakness after his first week of radiation therapy. What
response by the nurse would best reassure this patient? - ANSWER "These
symptoms usually result from radiation therapy; however, we will continue to
monitor your laboratory and X-ray studies."
The nurse is responsible for teaching the patient who is receiving head and neck
radiation how to protect his mouth. Which of the following teaching points
should be included? Select all that apply. - ANSWER Use a bland mouth rinse
before and after meals and at bedtime.
Avoid carbonated and caffeinated beverages.
Use fluoride preparations daily.
For a client newly diagnosed with radiation-induced thrombocytopenia, the
nurse should include which intervention in the care plan? - ANSWER Inspecting
the skin for petechiae once every shift
The nurse provides care on an oncology unit, where many patients undergo
surgery during cancer treatment and face a particularly high risk of deep vein
thrombosis (DVT) because of an increase in circulating procoagulants. The
nurse should prioritize which type of assessments? - ANSWER Limb symmetry
and calf pain
, A 62-year-old woman diagnosed with breast cancer is scheduled for a partial
mastectomy. The oncology nurse explained that the surgeon will want to take
tissue samples to ensure the disease has not spread to adjacent axillary lymph
nodes. The client has asked if she will have her lymph nodes dissected, like her
mother did several years ago. What alternative to lymph node dissection will this
client most likely undergo? - ANSWER Sentinel node biopsy
Which of the following is the single largest preventable cause of cancer? -
ANSWER Tobacco
The nurse is preparing to assess a client whose chart documents that the client
experienced extravasation when receiving the vesicant vincristine during the
previous shift. The documentation also notes that an antidote was administered
immediately. The nurse prepares to assess for which conditions? Select all that
apply. - ANSWER Sloughing tissue
Tissue necrosis
Effectiveness of the antidote
A nurse is caring for a client newly diagnosed with cancer. Which therapies are
used to treat cancer? Select all that apply. - ANSWER surgery
hyperthermia
radiation therapy
chemotherapy
Which of the following are true statements about effective radiation therapy?
Select all that apply. - ANSWER Slower-growing tissues at rest (muscle) are
more radioresistant.
Tumors that are well oxygenated are more sensitive to radiation.
Tumors that are small in size and dividing rapidly are more sensitive.
Other than abstinence, what is the only proven method of decreasing the risk of
sexual transmission of HIV infection? - ANSWER Consistent and correct use of
condoms
A nurse is preparing a presentation about human immunodeficiency virus (HIV)
for a local community group. What would the nurse include in the presentation
about HIV transmission? Select all that apply. - ANSWER The risk of acquiring
HIV through the transfusion of blood products is almost nonexistent.
The amount of HIV contained in body fluids on exposure is associated with the
risk for infection.
HIV can be found in seminal fluid, vaginal secretions, and breast milk.
Sharing of infected equipment used to inject drugs increases the risk for
infection.
The nurse is teaching the client with HIV about therapy. Which elements are
essential for the nurse to include in the teaching plan? Select all that apply. -
With Answers 100% Solved
A nurse is teaching a client who is receiving radiation treatment for left lower
lobe lung cancer. Which client statement indicates a need for further teaching? -
ANSWER "I'll use hats to protect my head from the sun when my hair falls out."
A nurse is caring for a recently married, 29-year-old female client, who was
diagnosed with acute lymphocytic leukemia. The client is preparing for an
allogeneic bone marrow transplant. Which statement by the client demonstrates
she understands the informed consent she gave about the diagnosis and
treatment? - ANSWER "I'll only need chemotherapy treatment before receiving
my bone marrow transplant."
A client is undergoing a left modified radical mastectomy for breast cancer.
Postoperatively, blood pressure should be obtained from the right arm, and the
client's left arm and hand should be elevated as much as possible to prevent
which condition? - ANSWER Lymphedema
A patient with a diagnosis of late-stage bladder cancer has experienced a
steady decline in his platelet counts, which are currently 18,000/mm3 (0.018 ×
1012/L). Which of the following nursing actions best accommodates the health
risks associated with this laboratory finding? - ANSWER Encouraging the patient
to increase his fluid intake and providing stool softeners
Following surgery for adenocarcinoma, the client learns the tumor stage is
T3,N1,M0. What treatment mode should the nurse anticipate? - ANSWER
Adjuvant therapy is likely.
Palliation refers to - ANSWER relief of symptoms of disease and promotion of
comfort and quality of life.
You are giving a report in your pathophysiology class. The subject of your report
is cancer cells. In differentiating between benign and malignant cells, what
characteristics would you cite? Select all that apply. - ANSWER Rate of growth
Ability to cause death
Ability to spread
,A client is receiving radiation therapy and asks the nurse about oral hygiene.
What teaching specific to the client's situation should the nurse include? -
ANSWER Use a soft toothbrush and allow it to air dry before storing.
A nurse is receiving a client with a radioactive implant for the treatment of
cervical cancer. What is the nurse's best action? - ANSWER Place the client in a
private room.
A nurse is assisting with a subclavian vein central line insertion when the client's
oxygen saturation drops rapidly. He complains of shortness of breath and
becomes tachypneic. The nurse suspects the client has developed a
pneumothorax. Further assessment findings supporting the presence of a
pneumothorax include: - ANSWER diminished or absent breath sounds on the
affected side.
Mrs. Unger is a 53-year-old woman who was diagnosed with breast cancer
following a process that began with abnormal screen mammography results.
Mrs. Unger, her oncologist, and surgeon have agreed on a mastectomy as
treatment and have discussed the importance of rigorously assessing whether
her cancer has metastasized. What action will best detect possible metastasis of
Mrs. Unger's breast cancer? - ANSWER Biopsy of the axillary lymph nodes
The clinic nurse is caring for a 42-year-old male oncology patient. He complains
of extreme fatigue and weakness after his first week of radiation therapy. What
response by the nurse would best reassure this patient? - ANSWER "These
symptoms usually result from radiation therapy; however, we will continue to
monitor your laboratory and X-ray studies."
The nurse is responsible for teaching the patient who is receiving head and neck
radiation how to protect his mouth. Which of the following teaching points
should be included? Select all that apply. - ANSWER Use a bland mouth rinse
before and after meals and at bedtime.
Avoid carbonated and caffeinated beverages.
Use fluoride preparations daily.
For a client newly diagnosed with radiation-induced thrombocytopenia, the
nurse should include which intervention in the care plan? - ANSWER Inspecting
the skin for petechiae once every shift
The nurse provides care on an oncology unit, where many patients undergo
surgery during cancer treatment and face a particularly high risk of deep vein
thrombosis (DVT) because of an increase in circulating procoagulants. The
nurse should prioritize which type of assessments? - ANSWER Limb symmetry
and calf pain
, A 62-year-old woman diagnosed with breast cancer is scheduled for a partial
mastectomy. The oncology nurse explained that the surgeon will want to take
tissue samples to ensure the disease has not spread to adjacent axillary lymph
nodes. The client has asked if she will have her lymph nodes dissected, like her
mother did several years ago. What alternative to lymph node dissection will this
client most likely undergo? - ANSWER Sentinel node biopsy
Which of the following is the single largest preventable cause of cancer? -
ANSWER Tobacco
The nurse is preparing to assess a client whose chart documents that the client
experienced extravasation when receiving the vesicant vincristine during the
previous shift. The documentation also notes that an antidote was administered
immediately. The nurse prepares to assess for which conditions? Select all that
apply. - ANSWER Sloughing tissue
Tissue necrosis
Effectiveness of the antidote
A nurse is caring for a client newly diagnosed with cancer. Which therapies are
used to treat cancer? Select all that apply. - ANSWER surgery
hyperthermia
radiation therapy
chemotherapy
Which of the following are true statements about effective radiation therapy?
Select all that apply. - ANSWER Slower-growing tissues at rest (muscle) are
more radioresistant.
Tumors that are well oxygenated are more sensitive to radiation.
Tumors that are small in size and dividing rapidly are more sensitive.
Other than abstinence, what is the only proven method of decreasing the risk of
sexual transmission of HIV infection? - ANSWER Consistent and correct use of
condoms
A nurse is preparing a presentation about human immunodeficiency virus (HIV)
for a local community group. What would the nurse include in the presentation
about HIV transmission? Select all that apply. - ANSWER The risk of acquiring
HIV through the transfusion of blood products is almost nonexistent.
The amount of HIV contained in body fluids on exposure is associated with the
risk for infection.
HIV can be found in seminal fluid, vaginal secretions, and breast milk.
Sharing of infected equipment used to inject drugs increases the risk for
infection.
The nurse is teaching the client with HIV about therapy. Which elements are
essential for the nurse to include in the teaching plan? Select all that apply. -
