MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
Nursing School Test Banks
z z z
Skipztozcontent
• HOMEz(ForzTestzBankszList)
• REGISTER
• PROFILE
• LOGzOUT
• FavoritezTestzBanks
• LOGzIN
• REVIEWS
• Termszandzrefunds
Chapter 16: Cancerz z
Chapterz16:zCancerz
TestzBankzMULTIPL
EzCHOICE
1. Azpatientzwhoziszscheduledzforzazrightzbreastzbiopsyzasksztheznursezthezdifferencezbe
tweenzazbenignztumorzandzazmalignantztumor.zWhichzanswerzbyztheznurseziszcorrect?
,MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
a. “Benignztumorszdoznotzcausezdamageztozotherztissues.”
b. “Benignztumorszarezlikelyztozrecurzinzthezsamezlocation.”
c. “Malignantztumorszmayzspreadztozotherztissueszorzorgans.”
d. “Malignantzcellszreproducezmorezrapidlyzthanznormalzcells.”
ANS:zC
Thezmajorzdifferencezbetweenzbenignzandzmalignantztumorsziszthatzmalignantztumorsz
invadezadjacentztissueszandzspreadztozdistantztissueszandzbenignztumorszneverzmetasta
size.zThezotherzstatementszarezinaccurate.zBothztypeszofztumorszmayzcausezdamagezto
zadjacentztissues.zMalignantzcellszdoznotzreproducezmorezrapidlyzthanznormalzcells.zB
enignztumorszdoznotzusuallyzrecur.
DIF:zCognitivezLevel:zUnderstandz(comprehension)zREF:z253
TOP:zNursingzProcess:zImplementationzMSC:zNCLEX:zPhysiologicalzIntegrity
2. Theznurseziszcaringzforzazpatientzreceivingzintravesicalzbladderzchemotherapy.zThe
z nursezshouldzmonitorzforzwhichzadversezeffect?
a. Nausea
b. Alopecia
c. Mucositis
,MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
d. Hematuria
ANS:zD
Thezadversezeffectszofzintravesicalzchemotherapyzarezconfinedztozthezbladder.zThezoth
erzadversezeffectszarezassociatedzwithzsystemiczchemotherapy.
DIF:zCognitivezLevel:zApplyz(application)zREF:z261
TOP:zNursingzProcess:zEvaluationzMSC:zNCLEX:zPhysiologicalzIntegrity
3. Theznurseziszcaringzforzazpatientzwhozsmokesz2zpacks/day.zTozreducezthezpatient’s
z riskzofzlungzcancer,zwhichzactionzbyztheznurseziszbest?
a. Teachzthezpatientzaboutzthezsevenzwarningzsignszofzcancer.
b. Planztozmonitorzthezpatient’szcarcinoembryoniczantigenz(CEA)zlevel.
c. Discusszthezriskszassociatedzwithzcigaretteszduringzeveryzpatient
zencounter.
d. Teachzthezpatientzaboutzthezusezofzannualzchestzx-
rayszforzlungzcancerzscreening.
ANS:zC
Teachingzaboutzthezriskszassociatedzwithzcigarettezsmokingziszrecommendedzatzeveryz
patientzencounterzbecausezcigarettezsmokingziszassociatedzwithzmultiplezhealthzproble
ms.zAztumorzmustzbezatzleastz0.5zcmzlargezbeforezitziszdetectablezbyzcurrentzscreening
zmethodszandzmayzalreadyzhavezmetastasizedzbyzthatztime.zOncofetalzantigenszsuchza
szCEAzmayzbezusedztozmonitorztherapyzorzdetectztumorzreoccurrence,
, MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
butzareznotzhelpfulzinzscreeningzforzcancer.zThezsevenzwarningzsignszofzcancerzarezactu
allyzassociatedzwithzfairlyzadvancedzdisease.
DIF:zCognitivezLevel:zApplyz(application)zREF:z255-256
TOP:zNursingzProcess:zImplementationzMSC:zNCLEX:zHealthzPromotionzandzMaintenance
4. Theznursezshouldzincludezwhichzfoodzchoicezwhenzprovidingzdietaryzteachingzforza
z patientzscheduledztozreceivezexternalzbeamzradiationzforzabdominalzcancer?
a. Freshzfruitzsalad
b. Roastedzchicken
c. Wholezwheatztoast
d. Creamzofzpotatozsoup
ANS:zB
Tozminimizezthezdiarrheazthatziszcommonlyzassociatedzwithzbowelzradiation,zthezpatie
ntzshouldzavoidzfoodszhighzinzroughage,zsuchzaszfruitszandzwholezgrains.zLactosezintol
erancezmayzdevelopzsecondaryztozradiation,zsozdairyzproductszshouldzalsozbezavoided.
DIF:zCognitivezLevel:zApplyz(application)zREF:z268
TOP:zNursingzProcess:zImplementationzMSC:zNCLEX:zPhysiologicalzIntegrity
5. Duringzazroutinezhealthzexamination,zaz40-year-
oldzpatientztellsztheznursezaboutzazfamilyzhistoryzofzcolonzcancer.zWhichzactionzsho
uldztheznurseztakeznext?
a. Teachzthezpatientzaboutzthezneedzforzazcolonoscopyzatzagez50.
sz9thzEditionzTestzBank.
Nursing School Test Banks
z z z
Skipztozcontent
• HOMEz(ForzTestzBankszList)
• REGISTER
• PROFILE
• LOGzOUT
• FavoritezTestzBanks
• LOGzIN
• REVIEWS
• Termszandzrefunds
Chapter 16: Cancerz z
Chapterz16:zCancerz
TestzBankzMULTIPL
EzCHOICE
1. Azpatientzwhoziszscheduledzforzazrightzbreastzbiopsyzasksztheznursezthezdifferencezbe
tweenzazbenignztumorzandzazmalignantztumor.zWhichzanswerzbyztheznurseziszcorrect?
,MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
a. “Benignztumorszdoznotzcausezdamageztozotherztissues.”
b. “Benignztumorszarezlikelyztozrecurzinzthezsamezlocation.”
c. “Malignantztumorszmayzspreadztozotherztissueszorzorgans.”
d. “Malignantzcellszreproducezmorezrapidlyzthanznormalzcells.”
ANS:zC
Thezmajorzdifferencezbetweenzbenignzandzmalignantztumorsziszthatzmalignantztumorsz
invadezadjacentztissueszandzspreadztozdistantztissueszandzbenignztumorszneverzmetasta
size.zThezotherzstatementszarezinaccurate.zBothztypeszofztumorszmayzcausezdamagezto
zadjacentztissues.zMalignantzcellszdoznotzreproducezmorezrapidlyzthanznormalzcells.zB
enignztumorszdoznotzusuallyzrecur.
DIF:zCognitivezLevel:zUnderstandz(comprehension)zREF:z253
TOP:zNursingzProcess:zImplementationzMSC:zNCLEX:zPhysiologicalzIntegrity
2. Theznurseziszcaringzforzazpatientzreceivingzintravesicalzbladderzchemotherapy.zThe
z nursezshouldzmonitorzforzwhichzadversezeffect?
a. Nausea
b. Alopecia
c. Mucositis
,MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
d. Hematuria
ANS:zD
Thezadversezeffectszofzintravesicalzchemotherapyzarezconfinedztozthezbladder.zThezoth
erzadversezeffectszarezassociatedzwithzsystemiczchemotherapy.
DIF:zCognitivezLevel:zApplyz(application)zREF:z261
TOP:zNursingzProcess:zEvaluationzMSC:zNCLEX:zPhysiologicalzIntegrity
3. Theznurseziszcaringzforzazpatientzwhozsmokesz2zpacks/day.zTozreducezthezpatient’s
z riskzofzlungzcancer,zwhichzactionzbyztheznurseziszbest?
a. Teachzthezpatientzaboutzthezsevenzwarningzsignszofzcancer.
b. Planztozmonitorzthezpatient’szcarcinoembryoniczantigenz(CEA)zlevel.
c. Discusszthezriskszassociatedzwithzcigaretteszduringzeveryzpatient
zencounter.
d. Teachzthezpatientzaboutzthezusezofzannualzchestzx-
rayszforzlungzcancerzscreening.
ANS:zC
Teachingzaboutzthezriskszassociatedzwithzcigarettezsmokingziszrecommendedzatzeveryz
patientzencounterzbecausezcigarettezsmokingziszassociatedzwithzmultiplezhealthzproble
ms.zAztumorzmustzbezatzleastz0.5zcmzlargezbeforezitziszdetectablezbyzcurrentzscreening
zmethodszandzmayzalreadyzhavezmetastasizedzbyzthatztime.zOncofetalzantigenszsuchza
szCEAzmayzbezusedztozmonitorztherapyzorzdetectztumorzreoccurrence,
, MedicalzSurgicalzNursingzAssessmentzandzManagementzofzClinicalzProblemszLewi
sz9thzEditionzTestzBank.
butzareznotzhelpfulzinzscreeningzforzcancer.zThezsevenzwarningzsignszofzcancerzarezactu
allyzassociatedzwithzfairlyzadvancedzdisease.
DIF:zCognitivezLevel:zApplyz(application)zREF:z255-256
TOP:zNursingzProcess:zImplementationzMSC:zNCLEX:zHealthzPromotionzandzMaintenance
4. Theznursezshouldzincludezwhichzfoodzchoicezwhenzprovidingzdietaryzteachingzforza
z patientzscheduledztozreceivezexternalzbeamzradiationzforzabdominalzcancer?
a. Freshzfruitzsalad
b. Roastedzchicken
c. Wholezwheatztoast
d. Creamzofzpotatozsoup
ANS:zB
Tozminimizezthezdiarrheazthatziszcommonlyzassociatedzwithzbowelzradiation,zthezpatie
ntzshouldzavoidzfoodszhighzinzroughage,zsuchzaszfruitszandzwholezgrains.zLactosezintol
erancezmayzdevelopzsecondaryztozradiation,zsozdairyzproductszshouldzalsozbezavoided.
DIF:zCognitivezLevel:zApplyz(application)zREF:z268
TOP:zNursingzProcess:zImplementationzMSC:zNCLEX:zPhysiologicalzIntegrity
5. Duringzazroutinezhealthzexamination,zaz40-year-
oldzpatientztellsztheznursezaboutzazfamilyzhistoryzofzcolonzcancer.zWhichzactionzsho
uldztheznurseztakeznext?
a. Teachzthezpatientzaboutzthezneedzforzazcolonoscopyzatzagez50.
