ACTUAL COMPLETE EXAM |WITH ACCURATE QUESTIONS
AND VERIFIED ANSWERS|GRADED A
The home health care nurse is caring for a male client with cancer and
the client is complaining of acute pain. The appropriate nursing
assessment of the client's pain would include which of the following?
a) The client's pain rating
b) the nurse's impression of the client's pain
c) Nonverbal cues from the client
d) Pain relief after appropriate nursing intervention Ans✓✓✓ a) The
client's pain rating
- Correct Answer: A. The client's pain rating
Option A: The client's self-report is a critical component of pain
assessment. The nurse should ask the client about the description of the
pain and listen carefully to the client's words used to describe the pain.
Option B: Nonverbal cues from the client are important but are not the
most appropriate pain assessment measure.
Option C: The nurse's impression of the client's pain is not appropriate in
determining the client's level of pain.
Option D: Assessing pain relief is an important measure, but this option
is not related to the subject of the question.
Nurse Melinda is caring for a client who is postoperative following a
pelvic exenteration and the physician changes the client's diet from NPO
status to clear liquids. The nurse makes which priority assessment before
administering the diet?
a) Ability to ambulate
,b) Urine specific gravity
c) Bowel sounds
d) Incision appearance Ans✓✓✓ c) Bowel sounds
- Correct Answer: C. Bowel sounds
Option C: The client is kept NPO until peristalsis returns, usually in 4 to
6 days. When signs of bowel function return, clear fluids are given to the
client. If no distention occurs, the diet is advanced as tolerated. The most
important assessment is to assess bowel sounds before feeding the client.
Options A, B, and D: These are unrelated to the subject of the question.
A male client is admitted to the hospital with a suspected diagnosis of
Hodgkin's disease. Which assessment findings would the nurse expect to
note specifically in the client?
a) Fatigue
b) weakness
c) weight gain
d) Enlarged lymph nodes Ans✓✓✓ d) enlarged lymph nodes
- Correct Answer: D. Enlarged lymph nodes
Option D: Hodgkin's disease is a chronic progressive neoplastic disorder
of lymphoid tissue characterized by the painless enlargement of lymph
nodes with progression to extra lymphatic sites, such as the spleen and
liver.
Options A and B: Fatigue and weakness may occur but are not related
significantly to the disease.
Option C: Weight loss is most likely to be noted.
,During the admission assessment of a 35 year old client with advanced
ovarian cancer, the nurse recognizes which symptom as typical of the
disease?
a) Abdominal distention
b) Abdominal bleeding
c) Diarrhea
d) Hypermenorrhea Ans✓✓✓ a) Abdominal distention
- Correct Answer: A. Abdominal distention
Option A: Clinical manifestations of ovarian cancer include abdominal
distention, urinary frequency and urgency, pleural effusion, malnutrition,
pain from pressure caused by the growing tumor and the effects of
urinary or bowel obstruction, constipation, ascites with dyspnea, and
ultimately general severe pain.
Options B and D: Abnormal bleeding, often resulting in
hypermenorrhea, is associated with uterine and endometrial cancer.
Option C: Diarrhea is often related to colon cancer, lymphoma,
carcinoid syndrome, and pancreatic cancer.
Nurse Kate is reviewing the complications of colonization with a client
who has microinvasive cervical cancer. Which complication, if
identified by the client, indicates a need for further teaching?
a) Hemorrhage
b) Ruptured ovarian cyst
c) Infection
d) Cervical stenosis Ans✓✓✓ b) Ruptured ovarian cyst
, - Correct Answer: B. Ovarian perforation
Option B: Ruptured ovarian cyst is not a complication. This usually
occurs after a strenuous exercise and after sexual intercourse.
Options A, C, and D: Conization procedure involves the removal of a
cone-shaped area of the cervix. Complications of the procedure include
hemorrhage, infection, and cervical stenosis.
Mr. Miller has been diagnosed with bone cancer. You know this type of
cancer is classified as:
a) Carcinoma
b) Lymphoma
c) Melanoma
d) Sarcoma Ans✓✓✓ d) Sarcoma
- Correct Answer: D. Sarcoma
Option D: Tumors that originate from bone, muscle, and other
connective tissue are called sarcomas.
Option A: Carcinoma is a malignancy that starts at the epithelial lining
of an organ, glands, or body structures.
Option B: Lymphoma is a cancer that begins in the nodes or glands of
the lymphatic system.
Option C: Melanoma is a type of skin cancer that originates in cells
known as melanocytes.
Sarah, a hospice nurse visits a client dying of ovarian cancer. During the
visit, the client expresses that "If I can just live long enough to attend my