Hondros NUR 212 exam 1 || with Precise Solutions.
Interprofessional team members in palliative care correct answers Medicine
Nursing
Social work
Dietician
Clergy
What is palliative care? correct answers Provide comfort care for patients with life long illnesses.
*curative treatment*
-improves quality of life
-decreases health care costs
-alleviates burden of care
Why is the need for palliative care increasing? correct answers Baby boomers
Demographic changes (new technology)
What is hospice? correct answers End of life comfort care (may include palliative care to)
-Live fully
-Live comfortably
-Die with dignity
Why is hospice care underutilized? correct answers Lack of information
-Physician feels like they failed
-Patients/family are scared and they do not understand how hospice works
-Cultural and ethical groups that do not want outsiders to take care of dying family member
-Feel like they are giving up
Do patient need to be actively dying to need hospice treatment? correct answers No, hospice
includes patients who typically have less than 6 months to live.
Most common hospice diagnosis correct answers Cancer
Heart disease
Average hospice stay correct answers 21 days
What does hospice care focus on? correct answers -Pain control
-Symptom management
-Spiritual assessment
-Family assessment/management of needs
Barriers to hospice correct answers -Veterans
-Homeless patients
-Poverty
-Institutionalized
,-Disabled
What 2 things are required before being admitted to hospice? correct answers 1. Patient must
have desire for hospice
2. Agree in writing that only hospice care will be used
How many physicians need to sign off on initial hospice admit? correct answers 2 physicians for
initial 6 month admission
1 physician for 6 months thereafter
What are advanced directives? correct answers Legal directives that state your medical decisions
regarding of life.
-also called a living will
-patient must understand what is going on in order to make advanced directive decisions
Healthcare planning correct answers Does the patient want CPR?
Willing to be on a ventilator?
Artificial feeding?
Just strictly comfort care?
Durable Power of Attorney correct answers Legal agreement that allows an agent or
representative of the patient to act on behalf of the patient
DNRCC correct answers Do Not Resuscitate Comfort Care
-Patient receives care that eases pain, but no resuscitation measures are taken to save life
DNRCC-Arrest correct answers Dying patient receives treatment including resuscitative efforts
up until the time of cardiac or respiratory arrest
Which diagnostic tool would the nurse expect to include in the plan of care for a patient who
may have leukemia?
A. BRCA studies
B. Liver function test
C. Bone marrow aspiration
D. Estrogen and progesterone levels correct answers C. Bone marrow aspiration
Which tumor suppressor gene mutation would increase a patient's risk for liver cancer?
A. APC gene
B. p53 gene
C. BRCA1 and BRCA2
D. Carcinoembryonic antigen (CEA) correct answers B. p53 gene
, Which statement explains the primary protective role of the immune system related to malignant
cells?
A. Immune cells bind with free antigen released by malignant cells.
B. Immune cells produce blocking factors that immobilize cancer cells.
C. The immune system produces antibodies that attack the cancer cells.
D. The immune system provides surveillance for tumor-associated antigens (TAAs). correct
answers D. The immune system provides surveillance for tumor-associated antigens (TAAs).
Which condition is present in a patient who has a grade IV histologic tumor?
A. Anaplasia
B. Mild dysplasia
C. Severe dysplasia
D. Moderate dysplasia correct answers A. Anaplasia
A patient is suspected of having ovarian cancer. Which oncofetal antigen would the nurse
anticipate seeing when the laboratory results return?
A. Carbohydrate antigen-125 (CA-125)
B. Carbohydrate antigen-15-3 (CA-15-3)
C. Carbohydrate antigen-19-9 (CA-19-9)
D. Carbohydrate antigen-27-29 (CA-27-29) correct answers A. Carbohydrate antigen-125 (CA-
125)
Which method will the nurse explain to a patient as being the only definitive way to diagnose
cancer? correct answers Pathologic evaluation
A patient is admitted for surgical removal of a lymph node. For which type of procedure should
the nurse prepare the patient? correct answers Excisional biopsy
The patient is being treated with brachytherapy for cervical cancer. Which factor affects the
nurse's health when caring for this patient? correct answers The time the nurse is with the patient
and at what distance
The principles of ALARA (as low as reasonably achievable) and time, distance, and shielding
are essential to maintain the nurse's safety when the patient is a source of internal radiation
The diagnostic reports of a patient indicate cancer in the pancreas and gallbladder. Which
oncofetal antigen is specific for this type of cancer?
A. Carbohydrate antigen-125 (CA-125)
B. Carbohydrate antigen-19-9 (CA-19-9)
C. Carbohydrate antigen-15-3 (CA-15-3)
Interprofessional team members in palliative care correct answers Medicine
Nursing
Social work
Dietician
Clergy
What is palliative care? correct answers Provide comfort care for patients with life long illnesses.
*curative treatment*
-improves quality of life
-decreases health care costs
-alleviates burden of care
Why is the need for palliative care increasing? correct answers Baby boomers
Demographic changes (new technology)
What is hospice? correct answers End of life comfort care (may include palliative care to)
-Live fully
-Live comfortably
-Die with dignity
Why is hospice care underutilized? correct answers Lack of information
-Physician feels like they failed
-Patients/family are scared and they do not understand how hospice works
-Cultural and ethical groups that do not want outsiders to take care of dying family member
-Feel like they are giving up
Do patient need to be actively dying to need hospice treatment? correct answers No, hospice
includes patients who typically have less than 6 months to live.
Most common hospice diagnosis correct answers Cancer
Heart disease
Average hospice stay correct answers 21 days
What does hospice care focus on? correct answers -Pain control
-Symptom management
-Spiritual assessment
-Family assessment/management of needs
Barriers to hospice correct answers -Veterans
-Homeless patients
-Poverty
-Institutionalized
,-Disabled
What 2 things are required before being admitted to hospice? correct answers 1. Patient must
have desire for hospice
2. Agree in writing that only hospice care will be used
How many physicians need to sign off on initial hospice admit? correct answers 2 physicians for
initial 6 month admission
1 physician for 6 months thereafter
What are advanced directives? correct answers Legal directives that state your medical decisions
regarding of life.
-also called a living will
-patient must understand what is going on in order to make advanced directive decisions
Healthcare planning correct answers Does the patient want CPR?
Willing to be on a ventilator?
Artificial feeding?
Just strictly comfort care?
Durable Power of Attorney correct answers Legal agreement that allows an agent or
representative of the patient to act on behalf of the patient
DNRCC correct answers Do Not Resuscitate Comfort Care
-Patient receives care that eases pain, but no resuscitation measures are taken to save life
DNRCC-Arrest correct answers Dying patient receives treatment including resuscitative efforts
up until the time of cardiac or respiratory arrest
Which diagnostic tool would the nurse expect to include in the plan of care for a patient who
may have leukemia?
A. BRCA studies
B. Liver function test
C. Bone marrow aspiration
D. Estrogen and progesterone levels correct answers C. Bone marrow aspiration
Which tumor suppressor gene mutation would increase a patient's risk for liver cancer?
A. APC gene
B. p53 gene
C. BRCA1 and BRCA2
D. Carcinoembryonic antigen (CEA) correct answers B. p53 gene
, Which statement explains the primary protective role of the immune system related to malignant
cells?
A. Immune cells bind with free antigen released by malignant cells.
B. Immune cells produce blocking factors that immobilize cancer cells.
C. The immune system produces antibodies that attack the cancer cells.
D. The immune system provides surveillance for tumor-associated antigens (TAAs). correct
answers D. The immune system provides surveillance for tumor-associated antigens (TAAs).
Which condition is present in a patient who has a grade IV histologic tumor?
A. Anaplasia
B. Mild dysplasia
C. Severe dysplasia
D. Moderate dysplasia correct answers A. Anaplasia
A patient is suspected of having ovarian cancer. Which oncofetal antigen would the nurse
anticipate seeing when the laboratory results return?
A. Carbohydrate antigen-125 (CA-125)
B. Carbohydrate antigen-15-3 (CA-15-3)
C. Carbohydrate antigen-19-9 (CA-19-9)
D. Carbohydrate antigen-27-29 (CA-27-29) correct answers A. Carbohydrate antigen-125 (CA-
125)
Which method will the nurse explain to a patient as being the only definitive way to diagnose
cancer? correct answers Pathologic evaluation
A patient is admitted for surgical removal of a lymph node. For which type of procedure should
the nurse prepare the patient? correct answers Excisional biopsy
The patient is being treated with brachytherapy for cervical cancer. Which factor affects the
nurse's health when caring for this patient? correct answers The time the nurse is with the patient
and at what distance
The principles of ALARA (as low as reasonably achievable) and time, distance, and shielding
are essential to maintain the nurse's safety when the patient is a source of internal radiation
The diagnostic reports of a patient indicate cancer in the pancreas and gallbladder. Which
oncofetal antigen is specific for this type of cancer?
A. Carbohydrate antigen-125 (CA-125)
B. Carbohydrate antigen-19-9 (CA-19-9)
C. Carbohydrate antigen-15-3 (CA-15-3)
