Colorectal Cancer Test Questions with 100% Verified
Answers Graded A
The nurse is interviewing a male client about his excessive blood loss. The patient may resume a
past medical history. Which preexisting condition normal diet but is instructed to increase fluid
may lead the nurse to suspect that a client has intake due to fluids lost through laxatives and the
colorectal cancer? NPO period. The patient should not drive for
a. Duodenal ulcers several hours after the procedure, until effects of
b. Hemorrhoids any sedatives have worn off.
c. Weight gain
d. Polyps - ANSWERS - D
Colorectal polyps are common with colon cancer.
Duodenal ulcers and hemorrhoids aren't A nurse is teaching a client about the risk factors
preexisting conditions of colorectal cancer. associated with colorectal cancer the nurse
Weight loss — not gain — is an indication of detemines that further teaching related to
colorectal cancer. colorectal cancer is necessary if the client
identifies which of the following as an associated
risk factor?
a. Age younger than 50
A client undergoes a colonoscopy for colorectal b. history of colorectal polyps
cancer screening. During the procedure three c. family history of colorectal cancer
small polyps were removed. Which nursing d. chronic IBD - ANSWERS - A
procedures are necessary when caring for the Colorectal cancer risk factors include age older
client immediately after the colonoscopy? than 50, a family history of the disease, polyps,
a. Monitor vital signs and inform her that there and chronic IBD
may be a small amount of blood in her stool.
b. Observe for signs and symptoms of bowel
perforation, monitor vital signs, and inform her
that there may be a small amount of blood in her A patient with metastatic colorectal cancer is
stool and to report excessive blood loss. scheduled for both chemotherapy and radiation
c. Observe for signs and symptoms of bowel therapy. Patient teaching regarding these
perforation, monitor vital signs, and inform her to therapies for this patient would include an
follow a clear liquid diet. explanation that:
d. Monitor vital signs and inform her that there a. Chemotherapy can be used to cure colorectal
may be a small amount of blood in her stool, and cancer
tell her not to drive for two days - b. Radiation is routinely used as adjuvant therapy
ANSWERS - B following surgery
Rationale: After a colonoscopy the nurse should c. Both chemotherapy and radiation can be used
observe the patient closely for signs of bowel as palliative treatments
perforation (rectal bleeding, abdominal pain and d. The patient should expect few if any side
distention, malaise, fever, and mucopurulent effects from chemo-therapeutic agents -
drainage). Vital signs should be monitored until ANSWERS - C
stable. Due to the polyp removal, there may be Rationale: Chemotherapy can be used to shrink
some blood, but excessive bleeding is not the tumor before surgery, as an adjuvant therapy
expected and must be reported. As well as after colon resection, and as palliative treatment
monitoring vital signs and instructing the patient for nonresectable colorectal cancer. Radiation
that a small amount of blood may be present, it is therapy may be used postoperatively as an
very important to educate and instruct to report adjuvant to surgery and chemotherapy or as a
1/7
, Colorectal Cancer Test Questions with 100% Verified
Answers Graded A
palliative measure for patients with metastatic
cancer.
The nurse is teaching a client about the risk
factors associated with colorectal cancer. The
nurse determines that further teaching is
The nurse is planning care for a 68-year-old necessary if the client identifies which of the
patient with an abdominal mass and suspected following as an associated risk factor?
bowel obstruction. Which of the following factors a. a history of inflammatory bowel disease
in b. family history of colon cancer
the patient's history increases the patient's risk c. a high fiber diet
for colorectal cancer? d. a diet high in fats and carbohydrates -
a. Osteoarthritis ANSWERS - C
b. History of rectal polyps Colorectal cancer most often occurs in
c. History of lactose intolerance populations with diets low in fiber and high in
d. Use of herbs as dietary supplements - refined carbohydrates, fats, and meats.
ANSWERS - B. History of rectal polyps
rationale: A history of rectal polyps places this
patient at risk for colorectal cancer. This tissue
can degenerate over time and become A client has been diagnosed with colon cancer of
malignant. The other factors identified do not the rectum. While completing the preoperative
pose additional risk to the patient. checklist the client asks the nurse "Where will my
stoma be?" The nurse's best response is:
a. right upper quadrant.
b. left upper quadrant
The nurse is teaching a client about the c. right lower quadrant
modifiable risk factors than can reduce the risk d. left lower quadrant - ANSWERS - D
for colorectal cancer. The nurse places the Rationale: A client with cancer of the rectum will
highest priority on discussing which risk factor have an abdominoperineal resection. The anal
with this client? canal will be closed and a
a. Age older than 30 years stoma will be formed from the proximal sigmoid
b. High fat and low fiber diet colon in the left lower quadrant of the abdomen.
c. Distant relative with colorectal cancer The other 3 answers are in correlation with earlier
d. Personal history of ulcerative colitis or GI sections of the colon which is further from the
polyps - ANSWERS - B rectum
Rationale: Common risk factors for colorectal
cancer that cannot be changed include age older
than 40, first-degree relative with colorectal
caner, and history of bowel problems such as A client with cancer of the colon who is receiving
ulcerative colitis or familial polyposis. Clients chemotherapy tells a nurse that some foods on
should be aware of modifiable risk factors as part the meal tray taste bitter. The nurse would try to
of general health maintenance and primary limit which of the following foods that is most
disease prevention. Modifiable risk factors are likely to cause this taste for the client?
those that can be reduced and include a high fat a. cantaloupe
and low fiber diet. b. potatoes
c. beef
2/7
Answers Graded A
The nurse is interviewing a male client about his excessive blood loss. The patient may resume a
past medical history. Which preexisting condition normal diet but is instructed to increase fluid
may lead the nurse to suspect that a client has intake due to fluids lost through laxatives and the
colorectal cancer? NPO period. The patient should not drive for
a. Duodenal ulcers several hours after the procedure, until effects of
b. Hemorrhoids any sedatives have worn off.
c. Weight gain
d. Polyps - ANSWERS - D
Colorectal polyps are common with colon cancer.
Duodenal ulcers and hemorrhoids aren't A nurse is teaching a client about the risk factors
preexisting conditions of colorectal cancer. associated with colorectal cancer the nurse
Weight loss — not gain — is an indication of detemines that further teaching related to
colorectal cancer. colorectal cancer is necessary if the client
identifies which of the following as an associated
risk factor?
a. Age younger than 50
A client undergoes a colonoscopy for colorectal b. history of colorectal polyps
cancer screening. During the procedure three c. family history of colorectal cancer
small polyps were removed. Which nursing d. chronic IBD - ANSWERS - A
procedures are necessary when caring for the Colorectal cancer risk factors include age older
client immediately after the colonoscopy? than 50, a family history of the disease, polyps,
a. Monitor vital signs and inform her that there and chronic IBD
may be a small amount of blood in her stool.
b. Observe for signs and symptoms of bowel
perforation, monitor vital signs, and inform her
that there may be a small amount of blood in her A patient with metastatic colorectal cancer is
stool and to report excessive blood loss. scheduled for both chemotherapy and radiation
c. Observe for signs and symptoms of bowel therapy. Patient teaching regarding these
perforation, monitor vital signs, and inform her to therapies for this patient would include an
follow a clear liquid diet. explanation that:
d. Monitor vital signs and inform her that there a. Chemotherapy can be used to cure colorectal
may be a small amount of blood in her stool, and cancer
tell her not to drive for two days - b. Radiation is routinely used as adjuvant therapy
ANSWERS - B following surgery
Rationale: After a colonoscopy the nurse should c. Both chemotherapy and radiation can be used
observe the patient closely for signs of bowel as palliative treatments
perforation (rectal bleeding, abdominal pain and d. The patient should expect few if any side
distention, malaise, fever, and mucopurulent effects from chemo-therapeutic agents -
drainage). Vital signs should be monitored until ANSWERS - C
stable. Due to the polyp removal, there may be Rationale: Chemotherapy can be used to shrink
some blood, but excessive bleeding is not the tumor before surgery, as an adjuvant therapy
expected and must be reported. As well as after colon resection, and as palliative treatment
monitoring vital signs and instructing the patient for nonresectable colorectal cancer. Radiation
that a small amount of blood may be present, it is therapy may be used postoperatively as an
very important to educate and instruct to report adjuvant to surgery and chemotherapy or as a
1/7
, Colorectal Cancer Test Questions with 100% Verified
Answers Graded A
palliative measure for patients with metastatic
cancer.
The nurse is teaching a client about the risk
factors associated with colorectal cancer. The
nurse determines that further teaching is
The nurse is planning care for a 68-year-old necessary if the client identifies which of the
patient with an abdominal mass and suspected following as an associated risk factor?
bowel obstruction. Which of the following factors a. a history of inflammatory bowel disease
in b. family history of colon cancer
the patient's history increases the patient's risk c. a high fiber diet
for colorectal cancer? d. a diet high in fats and carbohydrates -
a. Osteoarthritis ANSWERS - C
b. History of rectal polyps Colorectal cancer most often occurs in
c. History of lactose intolerance populations with diets low in fiber and high in
d. Use of herbs as dietary supplements - refined carbohydrates, fats, and meats.
ANSWERS - B. History of rectal polyps
rationale: A history of rectal polyps places this
patient at risk for colorectal cancer. This tissue
can degenerate over time and become A client has been diagnosed with colon cancer of
malignant. The other factors identified do not the rectum. While completing the preoperative
pose additional risk to the patient. checklist the client asks the nurse "Where will my
stoma be?" The nurse's best response is:
a. right upper quadrant.
b. left upper quadrant
The nurse is teaching a client about the c. right lower quadrant
modifiable risk factors than can reduce the risk d. left lower quadrant - ANSWERS - D
for colorectal cancer. The nurse places the Rationale: A client with cancer of the rectum will
highest priority on discussing which risk factor have an abdominoperineal resection. The anal
with this client? canal will be closed and a
a. Age older than 30 years stoma will be formed from the proximal sigmoid
b. High fat and low fiber diet colon in the left lower quadrant of the abdomen.
c. Distant relative with colorectal cancer The other 3 answers are in correlation with earlier
d. Personal history of ulcerative colitis or GI sections of the colon which is further from the
polyps - ANSWERS - B rectum
Rationale: Common risk factors for colorectal
cancer that cannot be changed include age older
than 40, first-degree relative with colorectal
caner, and history of bowel problems such as A client with cancer of the colon who is receiving
ulcerative colitis or familial polyposis. Clients chemotherapy tells a nurse that some foods on
should be aware of modifiable risk factors as part the meal tray taste bitter. The nurse would try to
of general health maintenance and primary limit which of the following foods that is most
disease prevention. Modifiable risk factors are likely to cause this taste for the client?
those that can be reduced and include a high fat a. cantaloupe
and low fiber diet. b. potatoes
c. beef
2/7
