NUR401 - Final Exam Questions and
Correct Answers | Latest Update
GRADED A+.
1. Protect head from injury - ANSWER ✓ Put up side rails
2. Move objects out of way - ANSWER ✓ Clear the area
to prevent injury during a seizure
3. Turn patient on side - ANSWER ✓ Prevent aspiration
during a seizure
4. The nurse is conducting a breast assessment on a
female client. Which of the following
findings is most indicative of a need for further evaluation?
a. Bilateral nodules that are tender with palpation
b. A nodule that is 1 cm in size, painless, and firm
c. A lump that increases in size before the menstrual
period
d. A lump that is small, mobile, and has a rubbery
consistency - ANSWER ✓ ANS: B
,Painless and fixed lumps suggest breast cancer; a nodule
that is 1 cm in size, firm, and
painless suggests breast cancer. The other findings are
more suggestive of benign processes
such as fibrocystic breasts and fibroadenoma.
5. The nurse is caring for a client who is at menopause
and considering the use of hormone
replacement therapy (HRT) but is concerned about the risk
of breast cancer. Which of the
following information should the nurse include when
discussing HRT with the client?
a. HRT does not appear to increase the risk for breast
cancer unless there are other
risk factors.
b. HRT is a safe therapy for menopausal symptoms if
there is no family history of
BRCA genes.
c. She and her health care provider must weigh the
benefits of HRT against the
possible risks of breast cancer.
d. Alternative therapies with herbs and natural drugs are
as effective as estrogen in
,relieving menopausal symptoms. - ANSWER ✓ ANS: C
Because HRT has been linked to increased risk for breast
cancer, the client and provider must
determine whether or not to use HRT. Breast cancer
incidence is increased in women using
HRT, independent of other risk factors. HRT increases the
risk for both non-BRCA-associated
cancer and BRCA-related cancers. Alternative therapies
can be used but are not consistent in
relieving menopausal symptoms.
6. A client with stage II breast cancer tells the nurse, "I
need to decide about what type of
surgery to have, but I feel so overwhelmed that I cannot
make any decisions yet! What do you
think I should do?" Which of the following responses by
the nurse is best?
a. "I would have a lumpectomy, but you need to decide
what is best for you."
b. "Tell me what you understand about the surgical options
that are available."
c. "It would not be appropriate for me to make the decision
about your health."
, d. "There is no need to make a decision rapidly; you have
time to think about this." - ANSWER ✓ ANS: B
This response indicates the nurse's willingness to assist
the client with the decision-making
process without imposing the nurse's values or opinions. It
is not appropriate to say that it is
not the nurse's decision to make as this would close the
conversation and indicates that the
nurse is not willing to help the client with the decision
about treatment. Because treatment
decisions for breast cancer do need to be made relatively
quickly, it is not alright to tell the
client that the decision does not need to be made rapidly.
Since the nurse's values and
situation are not the same as the client's, imposing the
nurse's opinions during this
emotionally vulnerable time is not appropriate.
7. The nurse is assessing a client at the clinic who has
metastatic breast cancer and has a new
prescription for trastuzumab. Which of the following
findings is a reason for the
administration of this medication?
a. Allergic to iodine
Correct Answers | Latest Update
GRADED A+.
1. Protect head from injury - ANSWER ✓ Put up side rails
2. Move objects out of way - ANSWER ✓ Clear the area
to prevent injury during a seizure
3. Turn patient on side - ANSWER ✓ Prevent aspiration
during a seizure
4. The nurse is conducting a breast assessment on a
female client. Which of the following
findings is most indicative of a need for further evaluation?
a. Bilateral nodules that are tender with palpation
b. A nodule that is 1 cm in size, painless, and firm
c. A lump that increases in size before the menstrual
period
d. A lump that is small, mobile, and has a rubbery
consistency - ANSWER ✓ ANS: B
,Painless and fixed lumps suggest breast cancer; a nodule
that is 1 cm in size, firm, and
painless suggests breast cancer. The other findings are
more suggestive of benign processes
such as fibrocystic breasts and fibroadenoma.
5. The nurse is caring for a client who is at menopause
and considering the use of hormone
replacement therapy (HRT) but is concerned about the risk
of breast cancer. Which of the
following information should the nurse include when
discussing HRT with the client?
a. HRT does not appear to increase the risk for breast
cancer unless there are other
risk factors.
b. HRT is a safe therapy for menopausal symptoms if
there is no family history of
BRCA genes.
c. She and her health care provider must weigh the
benefits of HRT against the
possible risks of breast cancer.
d. Alternative therapies with herbs and natural drugs are
as effective as estrogen in
,relieving menopausal symptoms. - ANSWER ✓ ANS: C
Because HRT has been linked to increased risk for breast
cancer, the client and provider must
determine whether or not to use HRT. Breast cancer
incidence is increased in women using
HRT, independent of other risk factors. HRT increases the
risk for both non-BRCA-associated
cancer and BRCA-related cancers. Alternative therapies
can be used but are not consistent in
relieving menopausal symptoms.
6. A client with stage II breast cancer tells the nurse, "I
need to decide about what type of
surgery to have, but I feel so overwhelmed that I cannot
make any decisions yet! What do you
think I should do?" Which of the following responses by
the nurse is best?
a. "I would have a lumpectomy, but you need to decide
what is best for you."
b. "Tell me what you understand about the surgical options
that are available."
c. "It would not be appropriate for me to make the decision
about your health."
, d. "There is no need to make a decision rapidly; you have
time to think about this." - ANSWER ✓ ANS: B
This response indicates the nurse's willingness to assist
the client with the decision-making
process without imposing the nurse's values or opinions. It
is not appropriate to say that it is
not the nurse's decision to make as this would close the
conversation and indicates that the
nurse is not willing to help the client with the decision
about treatment. Because treatment
decisions for breast cancer do need to be made relatively
quickly, it is not alright to tell the
client that the decision does not need to be made rapidly.
Since the nurse's values and
situation are not the same as the client's, imposing the
nurse's opinions during this
emotionally vulnerable time is not appropriate.
7. The nurse is assessing a client at the clinic who has
metastatic breast cancer and has a new
prescription for trastuzumab. Which of the following
findings is a reason for the
administration of this medication?
a. Allergic to iodine
