Practice Questions for Nursing 212 With Complete Solutions
•A client is diagnosed with prostate cancer. Which test is used to
monitor progression of this disease?
A.Serum creatinine
B. Complete blood cell count (CBC)
C. Prostate specific antigen (PSA)
D.Serum potassium Correct Answer •The Answer is C.
•The PSA test is used to monitor prostate cancer progression;
higher PSA levels indicate a greater tumor burden.
•Answer A is incorrect: Serum creatinine levels may suggest
blockage from an enlarged prostate.
•Answer B is incorrect: CBC is used to diagnose anemia and
polycythemia.
•Answer D is incorrect: Serum potassium levels identify
hypokalemia and hyperkalemia.
•An oncology nurse educator is speaking to a women's group
about breast cancer. Questions and comments from the audience
reveal a misunderstanding of some aspects of the disease.
Various members of the audience have made all the following
statements. Which one is accurate?
A.Mammography is the most reliable method for detecting
breast cancer.
B. Breast cancer is the leading killer of women of childbearing
age.
C. Breast cancer requires a mastectomy.
D. Men can develop breast cancer. Correct Answer •Answer:
D. Men can develop breast cancer. Men can develop breast
cancer, although they seldom do.
,•The most reliable method for detecting breast cancer is monthly
self-examination, not mammography.
•Lung cancer causes more deaths than breast cancer in women
of all ages.
•A mastectomy may not be required if the tumor is small,
confined, and in an early stage.
•During an annual physical examination, a 64-year-old male
patient asks the nurse, "What are the signs of benign prostatic
hypertrophy (BPH)?"
A.Hesitancy, weak stream, dribbling and frequency
B.Mass in the scrotal sac
C.Fluid in the scrotal sac
D.Hard nodules in the inguinal area Correct Answer •Answer
is A.
•BPH is an enlarged prostate gland that may cause the patient to
experience urinary frequency, hesitancy, dribbling, difficulty
maintaining a stream, a weak stream, and urinary retention or
incontinence.
•With BPH, there would be no fluid or masses in the scrotal sac
(Options B and C) and no nodules in the inguinal area (Option
D).
•The client complains of fever, perineal pain, and urinary
urgency, frequency, and dysuria. To assess whether the client's
problem is related to bacterial prostatitis, the nurse would look
at the results of the prostate examination, which should reveal
that the prostate gland is:
A.Tender, indurated, and warm to the touch
B.Soft and swollen
C. Tender and edematous with ecchymosis
, D. Reddened, swollen, and boggy Correct Answer •The
Answer is A.
•The client with prostatitis has a prostate gland that is swollen
and tender but that is also warm to the touch, firm, and
indurated.
•Systemic symptoms include fever with chills, perineal and low
back pain, and signs of urinary tract infection (which often
accompany the disorder).
•The mother of a 16 year old girl calls the clinic hotline and is
screaming and crying on the phone. She tells the nurse that her
daughter has found a lump in her breast. What should the nurse's
initial action be?
A.Tell the mother that teenage girls do not often get breast
cancer
B.Instruct the mother to go to the emergency room
C.Offer the mother support and provide concerned listening to
decrease anxiety
D.Tell the mother that if she does not have a history of breast
cancer then her daughter probably doesn't have it either.
Correct Answer •The Answer is C.
•The mother is clearly upset. Since the lump is not affecting an
airway or circulatory issue the nurse can offer emotional support
as her initial action.
•However, most breast lesions found in teenagers are cancerous
so Option A would be inappropriate.
•The lump does not require a trip to the ER but must be
evaluated in the GYN's office followed by a mammogram or
biopsy (option 2).
•A client is diagnosed with prostate cancer. Which test is used to
monitor progression of this disease?
A.Serum creatinine
B. Complete blood cell count (CBC)
C. Prostate specific antigen (PSA)
D.Serum potassium Correct Answer •The Answer is C.
•The PSA test is used to monitor prostate cancer progression;
higher PSA levels indicate a greater tumor burden.
•Answer A is incorrect: Serum creatinine levels may suggest
blockage from an enlarged prostate.
•Answer B is incorrect: CBC is used to diagnose anemia and
polycythemia.
•Answer D is incorrect: Serum potassium levels identify
hypokalemia and hyperkalemia.
•An oncology nurse educator is speaking to a women's group
about breast cancer. Questions and comments from the audience
reveal a misunderstanding of some aspects of the disease.
Various members of the audience have made all the following
statements. Which one is accurate?
A.Mammography is the most reliable method for detecting
breast cancer.
B. Breast cancer is the leading killer of women of childbearing
age.
C. Breast cancer requires a mastectomy.
D. Men can develop breast cancer. Correct Answer •Answer:
D. Men can develop breast cancer. Men can develop breast
cancer, although they seldom do.
,•The most reliable method for detecting breast cancer is monthly
self-examination, not mammography.
•Lung cancer causes more deaths than breast cancer in women
of all ages.
•A mastectomy may not be required if the tumor is small,
confined, and in an early stage.
•During an annual physical examination, a 64-year-old male
patient asks the nurse, "What are the signs of benign prostatic
hypertrophy (BPH)?"
A.Hesitancy, weak stream, dribbling and frequency
B.Mass in the scrotal sac
C.Fluid in the scrotal sac
D.Hard nodules in the inguinal area Correct Answer •Answer
is A.
•BPH is an enlarged prostate gland that may cause the patient to
experience urinary frequency, hesitancy, dribbling, difficulty
maintaining a stream, a weak stream, and urinary retention or
incontinence.
•With BPH, there would be no fluid or masses in the scrotal sac
(Options B and C) and no nodules in the inguinal area (Option
D).
•The client complains of fever, perineal pain, and urinary
urgency, frequency, and dysuria. To assess whether the client's
problem is related to bacterial prostatitis, the nurse would look
at the results of the prostate examination, which should reveal
that the prostate gland is:
A.Tender, indurated, and warm to the touch
B.Soft and swollen
C. Tender and edematous with ecchymosis
, D. Reddened, swollen, and boggy Correct Answer •The
Answer is A.
•The client with prostatitis has a prostate gland that is swollen
and tender but that is also warm to the touch, firm, and
indurated.
•Systemic symptoms include fever with chills, perineal and low
back pain, and signs of urinary tract infection (which often
accompany the disorder).
•The mother of a 16 year old girl calls the clinic hotline and is
screaming and crying on the phone. She tells the nurse that her
daughter has found a lump in her breast. What should the nurse's
initial action be?
A.Tell the mother that teenage girls do not often get breast
cancer
B.Instruct the mother to go to the emergency room
C.Offer the mother support and provide concerned listening to
decrease anxiety
D.Tell the mother that if she does not have a history of breast
cancer then her daughter probably doesn't have it either.
Correct Answer •The Answer is C.
•The mother is clearly upset. Since the lump is not affecting an
airway or circulatory issue the nurse can offer emotional support
as her initial action.
•However, most breast lesions found in teenagers are cancerous
so Option A would be inappropriate.
•The lump does not require a trip to the ER but must be
evaluated in the GYN's office followed by a mammogram or
biopsy (option 2).
