Nursing III Exam 1 Questions With Complete Solutions
5 senses of guided imagery Correct Answers Visual
Auditory
Kinesthetic
Gustatory
Olfactory
5 wishes document Correct Answers Created by the nonprofit
organization Aging with Dignity
Combines both a living will and power of attorney for health
care
Recognized by 35 states
It promotes discussion of the patient's end-of-life wishes
regarding the following:
- the person designated by the patient to make health care
decisions for the patient when the patient is unable to do so
- the kinds of medical treatment that the patient wants or does
not want
- the level of comfort that the patient wants
- the way in which the patient wants to be treated
- what the patient wants his or her loved ones to know.
,The Five Wishes document can be ordered from the Aging with
Dignity website.
A client is diagnosed with lung cancer that has metastasized to
his brain and bone. Which information should the nurse include
in the teaching plan regarding palliative care (select all that
apply)?
1. The focus of care is on symptom control and quality of life.
2. The client and family are seen as the unit of care.
3. Members of a multidisciplinary team participate in the plan of
care.
4. The client can receive hospice and palliative care services
only if he or she is in the home setting. Correct Answers 1,2,3
Rationale:
The client can receive hospice and palliative care services if he
or she is in the hospice or home setting.
A client is diagnosed with stage III colon cancer.
He underwent external beam radiation prior to abdominal
surgery. In considering the treatment approach, the nurse is
aware that the client is at increased risk for:
1. Dehiscence
,2. Fatigue
3. Body image disturbance
4. Anemia Correct Answers 1
Rationale:
Skin cells are naturally rapidly dividing cells, as such the normal
skin cells are at risk of damage in the area which received
external beam radiation therapy.
When skin cells are damaged or weakened, dehiscence and
evisceration are possible complications.
The correct response to this item is specific to the external beam
radiation and the abdominal surgery.
A client is started on the colony-stimulating factor Neupogen
after 10 days of chemotherapy.
Which of the following lab values would be most indicative of
the effectiveness of the Neumega (Filgrastim)?
1. Hemoglobin: 6.5 g/dL
2. Hemoglobin: 10 g/dL
3. Absolute neutrophil count: 750/mm3
4. Absolute neutrophil count: 1100/mm3 Correct Answers 4
, Rationale:
Neupogen is a colony-stimulating factor administered prior to
the nadir to stimulate the production of neutrophils.
Thus, the focus for response would be on neutrophils, rather
than red blood cells.
A normal neutrophil count ranges from 2200-7000 mm3.
Effectiveness would be reflected in the higher neutrophil count.
A client was recently diagnosed with ductal cell carcinoma of
the breast. The oncologist described the cancer as T2, N1, Mx.
The client asked the nurse to repeat what "all those letters and
numbers mean." The nurse would reply that T2, N1, Mx, means:
1. Two tumors present, one lymph node involved, and many
sites of metastasis
2. One tumor present, which is larger than 2.5 centimeters, nodal
involvement in one region, and metastasis was unable to be
determined
3. One large tumor present, nodal involvement in one region,
and metastasis was present
4. Two tumors present, one lymph node involved, and metastasis
was present Correct Answers 2
Rationale:
5 senses of guided imagery Correct Answers Visual
Auditory
Kinesthetic
Gustatory
Olfactory
5 wishes document Correct Answers Created by the nonprofit
organization Aging with Dignity
Combines both a living will and power of attorney for health
care
Recognized by 35 states
It promotes discussion of the patient's end-of-life wishes
regarding the following:
- the person designated by the patient to make health care
decisions for the patient when the patient is unable to do so
- the kinds of medical treatment that the patient wants or does
not want
- the level of comfort that the patient wants
- the way in which the patient wants to be treated
- what the patient wants his or her loved ones to know.
,The Five Wishes document can be ordered from the Aging with
Dignity website.
A client is diagnosed with lung cancer that has metastasized to
his brain and bone. Which information should the nurse include
in the teaching plan regarding palliative care (select all that
apply)?
1. The focus of care is on symptom control and quality of life.
2. The client and family are seen as the unit of care.
3. Members of a multidisciplinary team participate in the plan of
care.
4. The client can receive hospice and palliative care services
only if he or she is in the home setting. Correct Answers 1,2,3
Rationale:
The client can receive hospice and palliative care services if he
or she is in the hospice or home setting.
A client is diagnosed with stage III colon cancer.
He underwent external beam radiation prior to abdominal
surgery. In considering the treatment approach, the nurse is
aware that the client is at increased risk for:
1. Dehiscence
,2. Fatigue
3. Body image disturbance
4. Anemia Correct Answers 1
Rationale:
Skin cells are naturally rapidly dividing cells, as such the normal
skin cells are at risk of damage in the area which received
external beam radiation therapy.
When skin cells are damaged or weakened, dehiscence and
evisceration are possible complications.
The correct response to this item is specific to the external beam
radiation and the abdominal surgery.
A client is started on the colony-stimulating factor Neupogen
after 10 days of chemotherapy.
Which of the following lab values would be most indicative of
the effectiveness of the Neumega (Filgrastim)?
1. Hemoglobin: 6.5 g/dL
2. Hemoglobin: 10 g/dL
3. Absolute neutrophil count: 750/mm3
4. Absolute neutrophil count: 1100/mm3 Correct Answers 4
, Rationale:
Neupogen is a colony-stimulating factor administered prior to
the nadir to stimulate the production of neutrophils.
Thus, the focus for response would be on neutrophils, rather
than red blood cells.
A normal neutrophil count ranges from 2200-7000 mm3.
Effectiveness would be reflected in the higher neutrophil count.
A client was recently diagnosed with ductal cell carcinoma of
the breast. The oncologist described the cancer as T2, N1, Mx.
The client asked the nurse to repeat what "all those letters and
numbers mean." The nurse would reply that T2, N1, Mx, means:
1. Two tumors present, one lymph node involved, and many
sites of metastasis
2. One tumor present, which is larger than 2.5 centimeters, nodal
involvement in one region, and metastasis was unable to be
determined
3. One large tumor present, nodal involvement in one region,
and metastasis was present
4. Two tumors present, one lymph node involved, and metastasis
was present Correct Answers 2
Rationale:
