MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
While being prepared for a biopsy of a lump in the right breast, the patient asks the nurse about 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. (answer)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.
. A patient is receiving intravesical bladder chemotherapy. The nurse will monitor for
a.
nausea.
b.
alopecia.
c.
mucositis.
d.
hematuria. (answer)ANS: D
The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects
are associated with systemic chemotherapy.
,MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
The nurse in the outpatient clinic is caring for a 50-year-old who smokes heavily. To reduce the patients
risk of dying from lung cancer, which action will be best for the nurse to take?
a.
Educate 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. (answer)ANS: C
Education about the risks associated with cigarette smoking is recommended at every patient
encounter, since 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.
After the nurse has finished teaching a patient who is scheduled to receive external beam radiation for
abdominal cancer about appropriate diet, which dietary selection by the patient indicates that the
teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup (answer)ANS: B
,MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
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 also should be avoided.
During a routine health examination, a 30-year-old patient tells the nurse about a family history of colon
cancer. Which action should the nurse take next?
a.
Educate 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.
d.
Schedule a sigmoidoscopy to provide baseline data about the patient. (answer)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.
When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as
Tis, N0, M0. The nurse will teach the patient that
a.
the cancer is localized to the cervix.
b.
the cancer cells are well-differentiated.
c.
further testing is needed to determine the spread of the cancer.
d.
, MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
it is difficult to determine the original site of the cervical cancer. (answer)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.
Which statement by a patient who is scheduled for a needle biopsy of the prostate indicates that the
nurses teaching about the purpose of the biopsy has been 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. (answer)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. Biopsy does not give information about metastasis, life
expectancy, or the impact of cancer on the patients life; the three remaining statements indicate a need
for patient teaching.
The nurse is teaching a postmenopausal patient with stage III breast cancer about the expected
outcomes of her 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.
GRADED A+
While being prepared for a biopsy of a lump in the right breast, the patient asks the nurse about 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. (answer)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.
. A patient is receiving intravesical bladder chemotherapy. The nurse will monitor for
a.
nausea.
b.
alopecia.
c.
mucositis.
d.
hematuria. (answer)ANS: D
The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects
are associated with systemic chemotherapy.
,MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
The nurse in the outpatient clinic is caring for a 50-year-old who smokes heavily. To reduce the patients
risk of dying from lung cancer, which action will be best for the nurse to take?
a.
Educate 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. (answer)ANS: C
Education about the risks associated with cigarette smoking is recommended at every patient
encounter, since 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.
After the nurse has finished teaching a patient who is scheduled to receive external beam radiation for
abdominal cancer about appropriate diet, which dietary selection by the patient indicates that the
teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup (answer)ANS: B
,MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
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 also should be avoided.
During a routine health examination, a 30-year-old patient tells the nurse about a family history of colon
cancer. Which action should the nurse take next?
a.
Educate 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.
d.
Schedule a sigmoidoscopy to provide baseline data about the patient. (answer)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.
When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as
Tis, N0, M0. The nurse will teach the patient that
a.
the cancer is localized to the cervix.
b.
the cancer cells are well-differentiated.
c.
further testing is needed to determine the spread of the cancer.
d.
, MSN 277 EXAM 2 LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
it is difficult to determine the original site of the cervical cancer. (answer)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.
Which statement by a patient who is scheduled for a needle biopsy of the prostate indicates that the
nurses teaching about the purpose of the biopsy has been 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. (answer)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. Biopsy does not give information about metastasis, life
expectancy, or the impact of cancer on the patients life; the three remaining statements indicate a need
for patient teaching.
The nurse is teaching a postmenopausal patient with stage III breast cancer about the expected
outcomes of her 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.
