Exampromax - Stuvia US 2025/2026
1
Cellular Regulation Questions and Answers
and Graded
Which of the following findings during a female breast examination should
the nurse report as suspicious for breast cancer?
a. Multiple nodules of round, lumpy, tender tissue in both breasts
b. A single soft, mobile, lobular nodule that is nontender
c. A poorly defined, firm lump that is nontender and nonmovable
d. A single soft lump that is well-defined and tender
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Correct Answer
Exampromax - Stuvia US
ANS: C
A poorly defined, firm lump that is nontender, nonmovable,
and fixed to the skin is characteristic of breast cancer. All
other choices are usually associated with benign processes.
All patients should have a diagnosis of cancer based upon
physical assessment and tissue pathology.
A client who has just had a mastectomy is crying. When the nurse asks
about her crying, the client responds, "I know I shouldn't cry because this
surgery may well save my life." What is the nurse's best response?
a. "It is all right to cry. Mourning this loss will help make you stronger."
b. "I know this is hard, but your chances of survival are better now."
c. "I can arrange for someone who had a mastectomy to come visit if you
like."
d. "How have you coped with difficult situations in the past?"
Correct Answer
, Exampromax - Stuvia US 2025/2026
2
ANS: C
Often, cancer surgery involves the loss of a body part or a
decrease in function. Mourning or grieving for a body
image alteration is a healthy part of adapting or adjusting
to a new image. Visiting with someone who has experienced
the same situation as the client is very helpful in showing
the client that many aspects of life can be the s ame
afterward. If the opportunity to arrange this type of visit is
available, this would be the nurse's best response. The
other options do not provide any assistance to the client in
© 2025 Assignment Expert
coping with her new body image and grieving for her loss.
Exampromax - Stuvia US
What priority intervention will the nurse employ to prevent injury to the
patient with bone cancer?
a. Using a lift sheet when repositioning the patient
b. Positioning the patient so the heels do not touch the mattress
c. Providing small, frequent meals rich in calcium and phosphorus
d. Applying pressure for a full 5 minutes after intramuscular injections
Correct Answer
ANS: A
The resultant bone destruction from bone cancer can cause
pathological fractures by grasping or pulling on a patient
by the extremities or trunk of the body during re-
positioning. Use of a lift sheet evenly distributes the
patient's weight, lessening the chance of fractures
, Exampromax - Stuvia US 2025/2026
3
occurring. While safety risks exist, the priority for bone
cancer is reducing risk of fractures.
Which of the following statements is essential when teaching a patient who
has received an injection of iodine-131?
a. "Do not share a toilet with anyone else for 3 days."
b. "You need to save all your urine for the next 7 days."
c. "No special precautions are needed, because this is a weak type of
radiation."
© 2025 Assignment Expert
d. "You need to avoid contact with everyone except family members until
the radiation device is removed."
Exampromax - Stuvia US
Correct Answer
ANS: A
The radiation source is an unsealed isotope that is
eliminated from the body mainly through urine and feces.
This material is radioactive for about 48 hours after
instillation. The patient should not share a toilet with others
for 3 days to ensure the isotope has been completely
eliminated and is no longer radioactive. Saving the urin e is
not necessary. Contact should be avoided with anyone who
may be ill or immunocompromised. Patients are instructed
to avoid crowded areas but isolation is not necessary.
A patient with breast cancer asks the nurse why 6 weeks of daily radiation
treatments is necessary. What is the nurse's best response?
a. "Your cancer is widespread and requires more than the usual amount of
radiation treatment."
, Exampromax - Stuvia US 2025/2026
4
b. "The cost of larger doses of radiation for a shorter period of time is
justified by the results."
c. "Research has shown more cancer cells are killed if the radiation is given
in smaller doses over a longer period of time."
d. "It is less likely your hair will fall out or you will become anemic if
radiation is given in smaller doses over a longer period of time."
Correct Answer
ANS: C
Because of the varying responses of all the cancer cells
© 2025 Assignment Expert
within a given tumor, smaller doses of radiation given on a
Exampromax - Stuvia US
daily basis for a set period of time provides multiple
opportunities for the destruction of cancer cells while
minimizing damage to normal tissues.
The nurse is planning care for a patient with hypercalcemia secondary to
bone metastasis. Which of the following interventions will be included in
the plan of care? (Select all that apply.)
a. Increasing oral fluids
b. Placement of an oral airway at the bedside
c. Monitoring for Chvostek's sign
d. Implementing seizure precautions
e. Hyperactive reflex assessment
f. Observation for muscle weakness
Correct Answer
ANS: A, D
1
Cellular Regulation Questions and Answers
and Graded
Which of the following findings during a female breast examination should
the nurse report as suspicious for breast cancer?
a. Multiple nodules of round, lumpy, tender tissue in both breasts
b. A single soft, mobile, lobular nodule that is nontender
c. A poorly defined, firm lump that is nontender and nonmovable
d. A single soft lump that is well-defined and tender
© 2025 Assignment Expert
Correct Answer
Exampromax - Stuvia US
ANS: C
A poorly defined, firm lump that is nontender, nonmovable,
and fixed to the skin is characteristic of breast cancer. All
other choices are usually associated with benign processes.
All patients should have a diagnosis of cancer based upon
physical assessment and tissue pathology.
A client who has just had a mastectomy is crying. When the nurse asks
about her crying, the client responds, "I know I shouldn't cry because this
surgery may well save my life." What is the nurse's best response?
a. "It is all right to cry. Mourning this loss will help make you stronger."
b. "I know this is hard, but your chances of survival are better now."
c. "I can arrange for someone who had a mastectomy to come visit if you
like."
d. "How have you coped with difficult situations in the past?"
Correct Answer
, Exampromax - Stuvia US 2025/2026
2
ANS: C
Often, cancer surgery involves the loss of a body part or a
decrease in function. Mourning or grieving for a body
image alteration is a healthy part of adapting or adjusting
to a new image. Visiting with someone who has experienced
the same situation as the client is very helpful in showing
the client that many aspects of life can be the s ame
afterward. If the opportunity to arrange this type of visit is
available, this would be the nurse's best response. The
other options do not provide any assistance to the client in
© 2025 Assignment Expert
coping with her new body image and grieving for her loss.
Exampromax - Stuvia US
What priority intervention will the nurse employ to prevent injury to the
patient with bone cancer?
a. Using a lift sheet when repositioning the patient
b. Positioning the patient so the heels do not touch the mattress
c. Providing small, frequent meals rich in calcium and phosphorus
d. Applying pressure for a full 5 minutes after intramuscular injections
Correct Answer
ANS: A
The resultant bone destruction from bone cancer can cause
pathological fractures by grasping or pulling on a patient
by the extremities or trunk of the body during re-
positioning. Use of a lift sheet evenly distributes the
patient's weight, lessening the chance of fractures
, Exampromax - Stuvia US 2025/2026
3
occurring. While safety risks exist, the priority for bone
cancer is reducing risk of fractures.
Which of the following statements is essential when teaching a patient who
has received an injection of iodine-131?
a. "Do not share a toilet with anyone else for 3 days."
b. "You need to save all your urine for the next 7 days."
c. "No special precautions are needed, because this is a weak type of
radiation."
© 2025 Assignment Expert
d. "You need to avoid contact with everyone except family members until
the radiation device is removed."
Exampromax - Stuvia US
Correct Answer
ANS: A
The radiation source is an unsealed isotope that is
eliminated from the body mainly through urine and feces.
This material is radioactive for about 48 hours after
instillation. The patient should not share a toilet with others
for 3 days to ensure the isotope has been completely
eliminated and is no longer radioactive. Saving the urin e is
not necessary. Contact should be avoided with anyone who
may be ill or immunocompromised. Patients are instructed
to avoid crowded areas but isolation is not necessary.
A patient with breast cancer asks the nurse why 6 weeks of daily radiation
treatments is necessary. What is the nurse's best response?
a. "Your cancer is widespread and requires more than the usual amount of
radiation treatment."
, Exampromax - Stuvia US 2025/2026
4
b. "The cost of larger doses of radiation for a shorter period of time is
justified by the results."
c. "Research has shown more cancer cells are killed if the radiation is given
in smaller doses over a longer period of time."
d. "It is less likely your hair will fall out or you will become anemic if
radiation is given in smaller doses over a longer period of time."
Correct Answer
ANS: C
Because of the varying responses of all the cancer cells
© 2025 Assignment Expert
within a given tumor, smaller doses of radiation given on a
Exampromax - Stuvia US
daily basis for a set period of time provides multiple
opportunities for the destruction of cancer cells while
minimizing damage to normal tissues.
The nurse is planning care for a patient with hypercalcemia secondary to
bone metastasis. Which of the following interventions will be included in
the plan of care? (Select all that apply.)
a. Increasing oral fluids
b. Placement of an oral airway at the bedside
c. Monitoring for Chvostek's sign
d. Implementing seizure precautions
e. Hyperactive reflex assessment
f. Observation for muscle weakness
Correct Answer
ANS: A, D
