ADULTS I TEST 3 NCLEX STUDY QUESTIONS
Chapter 15: Cancer
Quizlet Lewis Ch 15
1. A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign
tumor and a malignant tumor. Which answer by the nurse is correct?
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: C
The major difference between benign and malignant tumors is that malignant tumors invade adjacent
tissues and spread to distant tissues and benign tumors never 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. Nausea
b. Alopecia
c. Mucositis
d. Hematuria
ANS: D
The 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. To reduce the patients risk of lung cancer,
which
action by the nurse is best?
, - Lewis's Medical Surgical Nursing (11th Edition by Harding) 129
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patients carcinoembryonic antigen (CEA) level.
c. Discuss the risks associated with cigarettes during every patient encounter.
d. Teach the patient about the use of annual chest x-rays for lung cancer screening.
ANS: C
Teaching about the risks associated with cigarette smoking is recommended at every patient encounter
because
cigarette smoking is associated with multiple health problems. A tumor must be at least 0.5 cm large
before it
is detectable by current screening methods and may already have metastasized by that time. Oncofetal
antigens
such as CEA may be used to monitor therapy or detect tumor reoccurrence, but are not helpful in
screening for
cancer. The seven warning signs of cancer are actually associated with fairly advanced disease.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
4. The nurse should include which food choice when providing dietary teaching for a patient scheduled
to
receive external beam radiation for abdominal cancer?
a. Fresh fruit salad
b. Roasted chicken
c. Whole wheat toast
d. Cream of potato soup
ANS: B
To minimize the diarrhea that is commonly 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-year-old patient tells the nurse about a family history of
colon
cancer. Which action should the nurse take next?
a. Teach the patient about the need for a colonoscopy at age 50.
b. Teach the patient how to do home testing for fecal occult blood.
c. Obtain more information from the patient about the family history.
- Lewis's Medical Surgical Nursing (11th Edition by Harding) 130
d. Schedule a sigmoidoscopy to provide baseline data about the patient.
ANS: C
The patient may be at increased risk for colon cancer, but the nurses 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.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
6. A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks the nurse what
the
letters and numbers mean. Which response by the nurse is most appropriate?
a. The cancer involves only the cervix.
b. The cancer cells look almost 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: A
Cancer 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, if made 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.
ANS: C
A 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 patients life.
DIF: Cognitive Level: Apply (application)
- Lewis's Medical Surgical Nursing (11th Edition by Harding) 131
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
8. The nurse teaches a postmenopausal patient with stage III breast cancer about the expected
outcomes of
cancer treatment. Which patient statement indicates that the teaching has been effective?
a. After cancer has not recurred for 5 years, it is considered cured.
b. The cancer will be cured if the entire tumor is surgically removed.
c. Cancer is never considered cured, but the tumor can be controlled with surgery, chemotherapy, and
radiation.
d. I will need to have follow-up examinations for many years after I have treatment before I can be
considered cured.
ANS: D
The risk of recurrence varies by the type of cancer. Some cancers are considered cured after a shorter
time span
or after surgery, but stage III breast cancer will require additional therapies and ongoing follow-up.
Chapter 15: Cancer
Quizlet Lewis Ch 15
1. A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign
tumor and a malignant tumor. Which answer by the nurse is correct?
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: C
The major difference between benign and malignant tumors is that malignant tumors invade adjacent
tissues and spread to distant tissues and benign tumors never 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. Nausea
b. Alopecia
c. Mucositis
d. Hematuria
ANS: D
The 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. To reduce the patients risk of lung cancer,
which
action by the nurse is best?
, - Lewis's Medical Surgical Nursing (11th Edition by Harding) 129
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patients carcinoembryonic antigen (CEA) level.
c. Discuss the risks associated with cigarettes during every patient encounter.
d. Teach the patient about the use of annual chest x-rays for lung cancer screening.
ANS: C
Teaching about the risks associated with cigarette smoking is recommended at every patient encounter
because
cigarette smoking is associated with multiple health problems. A tumor must be at least 0.5 cm large
before it
is detectable by current screening methods and may already have metastasized by that time. Oncofetal
antigens
such as CEA may be used to monitor therapy or detect tumor reoccurrence, but are not helpful in
screening for
cancer. The seven warning signs of cancer are actually associated with fairly advanced disease.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
4. The nurse should include which food choice when providing dietary teaching for a patient scheduled
to
receive external beam radiation for abdominal cancer?
a. Fresh fruit salad
b. Roasted chicken
c. Whole wheat toast
d. Cream of potato soup
ANS: B
To minimize the diarrhea that is commonly 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-year-old patient tells the nurse about a family history of
colon
cancer. Which action should the nurse take next?
a. Teach the patient about the need for a colonoscopy at age 50.
b. Teach the patient how to do home testing for fecal occult blood.
c. Obtain more information from the patient about the family history.
- Lewis's Medical Surgical Nursing (11th Edition by Harding) 130
d. Schedule a sigmoidoscopy to provide baseline data about the patient.
ANS: C
The patient may be at increased risk for colon cancer, but the nurses 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.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
6. A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks the nurse what
the
letters and numbers mean. Which response by the nurse is most appropriate?
a. The cancer involves only the cervix.
b. The cancer cells look almost 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: A
Cancer 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, if made 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.
ANS: C
A 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 patients life.
DIF: Cognitive Level: Apply (application)
- Lewis's Medical Surgical Nursing (11th Edition by Harding) 131
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
8. The nurse teaches a postmenopausal patient with stage III breast cancer about the expected
outcomes of
cancer treatment. Which patient statement indicates that the teaching has been effective?
a. After cancer has not recurred for 5 years, it is considered cured.
b. The cancer will be cured if the entire tumor is surgically removed.
c. Cancer is never considered cured, but the tumor can be controlled with surgery, chemotherapy, and
radiation.
d. I will need to have follow-up examinations for many years after I have treatment before I can be
considered cured.
ANS: D
The risk of recurrence varies by the type of cancer. Some cancers are considered cured after a shorter
time span
or after surgery, but stage III breast cancer will require additional therapies and ongoing follow-up.
