PN3 Exam 1 2023 UPDATE {SCORED 98%} VERIFIED QUESTIONS AND ANSWERS GRADED A

PN3 Exam 1 2023 UPDATE {SCORED 98%} VERIFIED QUESTIONS AND ANSWERS GRADED A 1. The nurse is developing a plan of care for the client experiencing neutropenia secondary to chemotherapy. Which of the following is the nurse’s priority to include in the clients plan of care? A. Avoid sharing a bathroom and ensure cleanliness. B. Avoid eating fresh fruit. C. Ensure a good hand hygiene before anyone has contact with the client. D. Inspect the client’s mouth for sores 2. The client is anxious about having radiation therapy. Which statement indicates that the nurse is promoting appropriate complementary therapy? A. “I will get another nurse to stay in the room with us during the radiation therapy so that you have a hand to hold during the procedure.” B. “As we begin the next radiation therapy, I want you to think of a beautiful, calm place where you feel happy and peaceful.” C. “I will call the healthcare provider and ask for a larger dose of anti-anxiety medication before radiation therapy.” D. “Are you familiar with acupuncture? It is a very effective technique to decrease anxiety.” 3. A nurse has conducted an admission of the medication record with a client to an oncology unit. Which of the following complementary alternative therapiesis the nurse’s priority to address? A. Aromatherapy to reduce nausea. B. Herbal preparation to treat hypertension. C. Tai chi to improve relaxation. D. *Reiki to promote physical healing, mental, emotional, and spiritual balance. 4. The nurse is caring for an end-of-life terminally ill client experiencing very shallow and rapid breathing with periods of apnea. After evaluating the client, which action by the nurse would be the most appropriate? A. Place the client in a supine position B. Elevate the clients head of bed C. Reorient the client as needed D. Reduce the number of people in the client’s room 5. What comfort measures can be performed by a nurse instead of an unlicensed assistive personal (UAP) for a client who returned from a left modified radical mastectomy? A. Supporting the left arm during the clients first time ambulating after surgery B. Assess under the skin flaps and the surgical site C. Elevating the left arm on a pillow. D. Placing the head of the bed in semi-fowlers 6. A nurse is caring for a client who has named a person to serve as their health care proxy. Which statement made by the client indicates a need for further education? A. “I can change who I designate as my health care proxy at any time.” B. “If I become in capacitated, end-of-life choices will be made by my proxy.” C. “The health care proxy does not go into effect until I am incapable of making decisions.” D. “I have to choose a family member as my health care proxy.” 7. A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client’s oral chemotherapymedications. What action by the nurse is most appropriate? A. Give one medication at a time with a full glass of water. B. No special precautions are needed for these medications. C. Crush the medications if the client cannot swallow them. D. Wear personal protective equipment when handling the medications 8. While collecting a health history on a client admitted for colon cancer, which of the following questions would be a priority for the nurse to ask this client? A. “Have you noticed any swelling in your abdomen?” B. “Have you noticed blood in your stool?” C. “Do you have back pain?” D. “Have you been experiencing nausea?” 9. A client is experiencing dyspnea in their last moment of life. Which intervention will the nurse complete first? A. Administer bronchodilator treatment. B. Perform nasopharyngeal suctioning. C. Administer an intravenous (IV) opioid. D. Apply oxygen 10. The practitioner orders morphine 2 mg IV for a client with chronic bone pain. The medication syringe contains morphine 10 mg/mL. How many mL will the nurse administer per dose? (Record answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero) 0.2 11. The nurse would incorporate which of the following primary prevention strategies into the client’s plan of care? A. Colonoscopy at age 50 and every 10 years as follow-up. B. Administering the human papillomavirus (HPV) vaccine to teens. C. Yearly mammograms for women aged 40 years and older. D. Yearly prostate-specific antigen (PSA) and digital rectal exam for men aged 50 and over 12. A hospice nurse is caring for a catholic client at the end of life. Which of the following would the nurse identify as a death ritual with this religion? A. A client’s death is seen as the beginning of a new and better life. B. After the client’s death, the body may not be left unattended until the funeral. C. A client is encouraged to recite the confessional, or the affirmation of faith called the Sharma. D. A client is encouraged to receive the Sacrament of the Sick 13. A client receiving chemo tells the nurse there is a concern of developing chemo brain because of recent memory loss. Which of the following isthe nurse’s best response to this client? A. Provide resources for the cognitive training B. Discuss the client’s memory issue with the position. C. Notify the physician and plan for transferring the client to an intensive care area. D. Assess for signs of pending stroke 14. A client’stumor was staged using TNM system. The tumor was staged as TIS, N1, M0. The nurse understands that this staging means which of the following. A. Small tumor, multiple nodes involvement, no presence of metastasis B. Tumor in situ, minimal node involvement, no presence of metastasis C. Large tumor, no node involvement, presence of metastasis D. Large tumor, multiple node involvement, presence of metastasis 15. A client asks the nurse whatthey can do to prevent the onset of cancer. Which of the following are modifiable risks that contribute to the development of cancer? (SATA) A. Environmental exposure to carcinogens B. Advancing age C. Genetic predisposition D. Excessive alcohol consumption E. Tobacco use 16. A nurse working with clients who are experiencing alopecia. Which of the following is the best method when helping clients manage the psychosocial impact of this condition? A. Assisting the client to pre-plan for this event and reassure alopecia is temporary B. Inform the client that alopecia is permanent, and the hair will not grow back. C. Tell the client that there are worse side effects than alopecia. D. Teach the client ways to protect the scalp 17. A client informs the nurse that they have been taught in counseling to alter challenging thoughts after being diagnosed with cancer to improve feelings and emotions. The nurse realizes this client has been using which of these the following forms of complementary alternative therapy? A. Meditation B. Music Therapy C. Energy therapy D. Cognitive behavioral therapy (CBT) 18. The nurse is concerned that a hospice client is approaching death when the following is assessed? A. Periods of wakefulness are greater than periods of sleep B. Restlessness, irritability, and anxiety C. Blood pressure 110/60 mmHg D. Respiratory rate 16 per minute and regular 19. A client on the medical-surgical unit has the platelet count of less than 50,000/mm3. Which of the following is the most important to include in the client’s education? A. Take stool softeners as prescribed to avoid straining during a bowel movement. B. Notify the healthcare provider of injuries with persistent bleeding. C. Use a soft bristle toothbrush to prevent bleeding D. Use a standard safety electric razor for shaving 20. The nurse is being trained in hospice care. Which is most compatible with the goals surrounding end-of-life care? A. Administer influenza and pneumococcal vaccinations B. Perform passive range-of-motion exercises to prevent contractures C. Encourage client to consent to a feeding tube if the appetite decreases or swallowing becomes a challenge. D. Allow a client with chronic obstructive pulmonary disease to have a cigarette 21. A client that was diagnosed with stage III breast cancer seems to be overly anxious. What is nurses best action? A. Encourage the client to search the internet for information tonight. B. Ask the client if sexuality has been a problem with her partner. C. Evaluate if there has been any mental illness in her past D. Validate the client’sfeelings and explore the idea of referral to a breast cancer group 22. A nurse is completing a medication reconciliation review with a client on admission. Which teaching strategy would the nurse prepare to discuss with lung cancer client wishing to use clinical aromatherapy to help relieve symptoms of chemotherapy-induced nausea and vomiting (CINV)? A. Reinforce the client to follow up with the health care provider before using aromatherapy to assess and monitor for allergies and bronchospasm B. Tell the client not to use aromatherapy for nausea. C. Explain to the client that healthcare providers are not prepared to recommend and monitor aromatherapy treatments. D. Explain to the client that healthcare providers do not incorporate such treatments as aromatherapy is not researched 23. Which of the following statementsmade by a client after receiving instructions regarding internal radiation would indicate that teaching has been successful? A. "I will be sharing a room near the nursing station.” B. “The hospital staff will limit the amount of time in my room.” C. “Individuals will need to keep at least two feet away when possible.” D. “My young children can come to visit me after school.” 24. After completing radiation treatment for cancer, a client tells the oncology nurse about an upcoming vacation to the beach to celebrate. What response by the nurse is most appropriate to the client? A. "Remember, you should not drink alcohol for a year.” B. “Have a wonderful time and enjoy your vacation.” C. “Protect your skin, avoid exposure to the radiation area to direct sunlight.” D. “Avoid submerging in saltwater on the radiation site.” 25. A terminally ill client experiencing restlessness. Which complimentary alternative therapy intervention can the nurse provide to comfort this client? A. Apply mitt restraints to hands to avoid pulling out IVs. B. Place the client in a supine position. C. Hold sedation as this may increase restlessness D. Play soothing music for the client 26. A client receiving chemotherapy for cancer has a hemoglobin level of 8.7 gm/dL. Which of the following should the nurse anticipate as a treatment for this client? A. Administer pegfilgrastim as prescribed B. Administer oprelvekin as prescribed C. Adminepoetin alfa as prescribed. D. Administer filgrastim as prescribed 27. For a client newly diagnosed with radiation-induced thrombocytopenia. Which intervention is the most important when providing discharge education to the client and family? A. Avoid eating hard foods B. Provide frequent episodes of rest C. Apply ice to areas of trauma for an hour D. Report any signs and symptoms of bleeding or bruising to the healthcare provider 28. The client tells the nurse for the past four months since the client’s sister’s death that she is frequently crying uncontrollably. The client states she is afraid she is “losing her mind.”What is the nurse's best response? A. “Most people move on within a month and suggest a grief counselor” B. “Whenever you start to cry, distract yourself, avoid the thought of your sister” C. “Tell me more about your feelings and concerns” D. “Just rest assure your sister is in a better place now” 29. A nurse is teaching at a health fair about early warning cancer signs of cancer. Which of the following would the nurse include in the early warning signs? (Select all that apply) A. Change in bladder and bowel habits B. Unusual bleeding or discharge C. A sore throat that does not heal D. Nagging cough E. Obvious changes in a mole 30. A client has been placed on estrogen therapy. When receiving the clients home medication reconciliation, the nurse instructs the client to stop taking which supplement? A. Feverfew B. Black cohosh C. St. John’s Wort D. Saw palmetto 31. A nurse is caring for a dying client. Upon assessment of the client,there is manifestations of end-of-life distress. Which of the following would the nurse treatfirst? A. Agitation and delirium B. Pain C. Weakness D. Nausea and vomiting 32. A hospitalized client has a living will that states he does notwant aggressive life-saving measures. The client is currently receiving enteral tube feedings through a nasogastric (NG)tube. During bolus feeding the client vomits and begins choking. Which action is most appropriate for the nurse to take? A. Make the client comfortable B. Start CPR C. Stop the feeding and clear the client’s airway D. Stop the feeding and remove the NG tube 33. Which of the following would the nurse identify as common physical signs and symptoms of approaching death in a terminally ill client? (Select all that apply) A. Alert and oriented x 4 B. Disorientation and restlessness C. Slowing of the circulation, coolness of the extremities D. Irregular breathing patterns with gurgling and congestion E. Genitourinary function changes such as incontinence 34. After cancer chemotherapy a client develops chemotherapy-induced nausea and vomiting (CINV). For this client the nurse should give priority to which action in the plan of care? A. Withholding fluids for the first 4-6 hrs after chemotherapy administration B. Administrating ondansetron as prescribed C. Encouraging rhythmic breathing exercises D. Serving small portions of bland food 35. Which laboratory report is of the nurse’s highest concern to monitor for a client with bone marrow suppression receiving chemotherapy? A. White blood cell (WBC) count B. Urine specific gravity C. Triglycerides D. Serum prostate-specific antigen (PSA) 36. A nurse is providing education on the benefits of massage. Which of the following should the nurse implement in the clients teaching on this complementary alternative therapy? (Select all that apply) A. Promotes circulation B. Relaxes muscles C. Reduces cortisol levels and improves anxiety D. Reduces pain E. Promotes spiritual life force chi or qi, and Yin-Yang flow 37. A nurse is developing a teaching plan for a client who has just been diagnosed with breast cancer. The nurse anticipates including information about which medication for hormone receptor positive breast cancer? A. Acetaminophen B. Dopamine C. Progesterone D. Tamoxifen