NURS 4301-Exam 1 Questions With Complete Solutions
5. The nurse is caring for a 59-year-old woman who had surgery
1 day ago for removal of a malignant abdominal mass. The
patient is awaiting the pathology report. She is tearful and says
that she is scared to die. The most effective nursing intervention
at this point is to use this opportunity to
a. motivate change in an unhealthy lifestyle.
b. teach her about the seven warning signs of cancer.
c. instruct her about healthy stress relief and coping practices.
d. let her communicate about the meaning of this experience.
D
6. The goals of cancer treatment are based on the principle that
a. surgery is the single most effective treatment for cancer.
b. initial treatment is always directed toward cure of the cancer.
c. a combination of treatment modalities is effective for
controlling many cancers.
d. although cancer cure is rare, quality of life can be increased
with treatment modalities.
C
7. The most effective method of administering a chemotherapy
agent that is a vesicant is to
a. give it orally.
b. give it intraarterially.
,c. use an Ommaya reservoir.
d. use a central venous access device.
D
8. The nurse explains to a patient undergoing brachytherapy of
the cervix that she
a. must undergo simulation to locate the treatment area.
b. requires the use of radioactive precautions during nursing
care.
c. may experience desquamation of the skin on the abdomen and
upper legs.
d. requires shielding of the ovaries during treatment to prevent
ovarian damage.
B
9. A patient on chemotherapy and radiation for head and neck
cancer has a WBC count of 1.9 × 103/µL, hemoglobin of 10.8
g/dL, and a platelet count of 99 × 103/µL. Based on the CBC
results, what is the most serious clinical finding?
a. Cough, rhinitis, and sore throat
b. Fatigue, nausea, and skin redness at site of radiation
c. Temperature of 101.9° F, fatigue, and shortness of breath
d. Skin redness at site of radiation, headache, and constipation
C
10. To prevent fever and shivering during an infusion of
rituximab (Rituxan), the nurse should premedicate the patient
with
, a. aspirin.
b. acetaminophen.
c. sodium bicarbonate.
d. meperidine (Demerol).
B
11. The nurse counsels the patient receiving radiation therapy or
chemotherapy that
a. effective birth control methods should be used for the rest of
the patient's life.
b. if nausea and vomiting occur during treatment, the treatment
plan will be modified.
c. after successful treatment, a return to the person's previous
functional level can be expected.
d. the cycle of fatigue-depression-fatigue that may occur during
treatment may be reduced by restricting activity.
C
12. A patient on chemotherapy for 10 weeks started at a weight
of 121 lb. She now weighs 118 lb and has no sense of taste.
Which nursing intervention would be a priority?
a. Advise the patient to eat foods that are fatty, fried, or high in
calories.
b. Discuss with the physician the need for parenteral or enteral
feedings.
c. Advise the patient to drink a nutritional supplement beverage
at least three times a day.
5. The nurse is caring for a 59-year-old woman who had surgery
1 day ago for removal of a malignant abdominal mass. The
patient is awaiting the pathology report. She is tearful and says
that she is scared to die. The most effective nursing intervention
at this point is to use this opportunity to
a. motivate change in an unhealthy lifestyle.
b. teach her about the seven warning signs of cancer.
c. instruct her about healthy stress relief and coping practices.
d. let her communicate about the meaning of this experience.
D
6. The goals of cancer treatment are based on the principle that
a. surgery is the single most effective treatment for cancer.
b. initial treatment is always directed toward cure of the cancer.
c. a combination of treatment modalities is effective for
controlling many cancers.
d. although cancer cure is rare, quality of life can be increased
with treatment modalities.
C
7. The most effective method of administering a chemotherapy
agent that is a vesicant is to
a. give it orally.
b. give it intraarterially.
,c. use an Ommaya reservoir.
d. use a central venous access device.
D
8. The nurse explains to a patient undergoing brachytherapy of
the cervix that she
a. must undergo simulation to locate the treatment area.
b. requires the use of radioactive precautions during nursing
care.
c. may experience desquamation of the skin on the abdomen and
upper legs.
d. requires shielding of the ovaries during treatment to prevent
ovarian damage.
B
9. A patient on chemotherapy and radiation for head and neck
cancer has a WBC count of 1.9 × 103/µL, hemoglobin of 10.8
g/dL, and a platelet count of 99 × 103/µL. Based on the CBC
results, what is the most serious clinical finding?
a. Cough, rhinitis, and sore throat
b. Fatigue, nausea, and skin redness at site of radiation
c. Temperature of 101.9° F, fatigue, and shortness of breath
d. Skin redness at site of radiation, headache, and constipation
C
10. To prevent fever and shivering during an infusion of
rituximab (Rituxan), the nurse should premedicate the patient
with
, a. aspirin.
b. acetaminophen.
c. sodium bicarbonate.
d. meperidine (Demerol).
B
11. The nurse counsels the patient receiving radiation therapy or
chemotherapy that
a. effective birth control methods should be used for the rest of
the patient's life.
b. if nausea and vomiting occur during treatment, the treatment
plan will be modified.
c. after successful treatment, a return to the person's previous
functional level can be expected.
d. the cycle of fatigue-depression-fatigue that may occur during
treatment may be reduced by restricting activity.
C
12. A patient on chemotherapy for 10 weeks started at a weight
of 121 lb. She now weighs 118 lb and has no sense of taste.
Which nursing intervention would be a priority?
a. Advise the patient to eat foods that are fatty, fried, or high in
calories.
b. Discuss with the physician the need for parenteral or enteral
feedings.
c. Advise the patient to drink a nutritional supplement beverage
at least three times a day.
