NURS 245 - WEEK 12 (UNIT 4) EXAM WITH
CORRECT ANSWERS
What is a common S&S of an anemic patient after surgery - ANSWER fatigue
Common S&S of pernicious anemia - ANSWER -smooth sore red tongue
-weakness
RN teaching for warning signs of cancer - ANSWER -thickening of breast tissue in one
area
-indigestion regardless of food eaten
-increase pigmentation with deeper coloring
-difficult starting stream of urine for the past 6 months
-heavy nose bleeds without trauma induced
When a patient has low iron levels, what are dietary teaching recommendations? -
ANSWER -red meat
-egg yolk
-legumes
What is a normal effect of an iron supplement that may concern patients if not warned? -
ANSWER Black stool
An RN working with oncology patients, knows what is an age related change that
happens with susceptibility - ANSWER decrease immune function
What is the area of the body mainly affected in early Hodgkins? - ANSWER Neck
Greatest risk for a Non-Hodgkins patient to develop TLS (tumor lysis syndrome) is... -
ANSWER .while undergoing both radiation and chemotherapy
Patient is receiving chemo through IV site, what is the main nursing intervention? -
ANSWER Assess IV site and check for blood return every hour
Reed-Sternburg cells are present in which condition - ANSWER Hodgkins disease
TNM in chart: TIS N0 M0
-What does this mean? - ANSWER No distant metastasis
, Biggest risk factor for developing cancer - ANSWER age
A cancer patient has thrombocytopenia - secondary to chemotherapy - what lab will the
nurse monitor closely? - ANSWER Platelets
A bladder cancer patient is receiving chemo, platelet count is 20,000. What S&S should
the nurse monitor for? - ANSWER Petechiae
A Hodgkin disease pt is receiving chemo, WBC is 2. Is this higher than normal, normal,
or lower than normal - ANSWER lower than normal
A patient is admitted to try rule out Hodgkins, what is a question you could ask the
patient to help with the Dx process - ANSWER "Have you noticed swelling/enlargement
in your lymph nodes"
A patient with leukemia (low WBC), the WBC is 2, what dietary teaching should you tell
them to avoid? - ANSWER avoid eating raw fruit/veggies
Teaching for a lupus patient taking hydroxychloroquine - ANSWER get frequent eye
exams
-side effect: retinitis
RN is providing education about HIV prevention, those included in these activities
should get annually tested for HIV.... - ANSWER -IV drug users
-Sex workers and customers
-sexually active with multiple partners
An HIV patient has a weeping kaposi sarcoma, when the RN is doing the dressing
change what is the most important for the nurses safety? - ANSWER adhering to
standard precautions
You have an HIV pt, decreasing function, and increase in viral load, which question do
you ask them first? - ANSWER ask about adherence to drug regimen
External & personal factors causing cancer - ANSWER External:
-Chemical carcinogenesis (chemicals/drugs/etc)
-Physical carcinogenesis (radiation, chronic irritation)
-Viral carcinogenesis (oncoviruses)
Personal:
-AGE
-immunity
CORRECT ANSWERS
What is a common S&S of an anemic patient after surgery - ANSWER fatigue
Common S&S of pernicious anemia - ANSWER -smooth sore red tongue
-weakness
RN teaching for warning signs of cancer - ANSWER -thickening of breast tissue in one
area
-indigestion regardless of food eaten
-increase pigmentation with deeper coloring
-difficult starting stream of urine for the past 6 months
-heavy nose bleeds without trauma induced
When a patient has low iron levels, what are dietary teaching recommendations? -
ANSWER -red meat
-egg yolk
-legumes
What is a normal effect of an iron supplement that may concern patients if not warned? -
ANSWER Black stool
An RN working with oncology patients, knows what is an age related change that
happens with susceptibility - ANSWER decrease immune function
What is the area of the body mainly affected in early Hodgkins? - ANSWER Neck
Greatest risk for a Non-Hodgkins patient to develop TLS (tumor lysis syndrome) is... -
ANSWER .while undergoing both radiation and chemotherapy
Patient is receiving chemo through IV site, what is the main nursing intervention? -
ANSWER Assess IV site and check for blood return every hour
Reed-Sternburg cells are present in which condition - ANSWER Hodgkins disease
TNM in chart: TIS N0 M0
-What does this mean? - ANSWER No distant metastasis
, Biggest risk factor for developing cancer - ANSWER age
A cancer patient has thrombocytopenia - secondary to chemotherapy - what lab will the
nurse monitor closely? - ANSWER Platelets
A bladder cancer patient is receiving chemo, platelet count is 20,000. What S&S should
the nurse monitor for? - ANSWER Petechiae
A Hodgkin disease pt is receiving chemo, WBC is 2. Is this higher than normal, normal,
or lower than normal - ANSWER lower than normal
A patient is admitted to try rule out Hodgkins, what is a question you could ask the
patient to help with the Dx process - ANSWER "Have you noticed swelling/enlargement
in your lymph nodes"
A patient with leukemia (low WBC), the WBC is 2, what dietary teaching should you tell
them to avoid? - ANSWER avoid eating raw fruit/veggies
Teaching for a lupus patient taking hydroxychloroquine - ANSWER get frequent eye
exams
-side effect: retinitis
RN is providing education about HIV prevention, those included in these activities
should get annually tested for HIV.... - ANSWER -IV drug users
-Sex workers and customers
-sexually active with multiple partners
An HIV patient has a weeping kaposi sarcoma, when the RN is doing the dressing
change what is the most important for the nurses safety? - ANSWER adhering to
standard precautions
You have an HIV pt, decreasing function, and increase in viral load, which question do
you ask them first? - ANSWER ask about adherence to drug regimen
External & personal factors causing cancer - ANSWER External:
-Chemical carcinogenesis (chemicals/drugs/etc)
-Physical carcinogenesis (radiation, chronic irritation)
-Viral carcinogenesis (oncoviruses)
Personal:
-AGE
-immunity
