1|Page
MSN 277 LATEST EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
While being prepared for a biopsy of a lump in the right breast, the
patient asks the nurse about the difference between a benign tumor
and a malignant tumor. Which answer by the nurse is correct?
a.
Benign tumors do not cause damage to other tissues.
b.
Benign tumors are likely to recur in the same location.
c.
Malignant tumors may spread to other tissues or organs.
d.
Malignant cells reproduce more rapidly than normal cells. -
ANSWERS--ANS: C
The major difference between benign and malignant tumors is that
malignant tumors invade adjacent tissues and spread to distant
tissues and benign tumors never metastasize. The other statements
are inaccurate. Both types of tumors may cause damage to adjacent
tissues. Malignant cells do not reproduce more rapidly than normal
cells. Benign tumors do not usually recur.
. A patient is receiving intravesical bladder chemotherapy. The nurse
will monitor for
a.
nausea.
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b.
alopecia.
c.
mucositis.
d.
hematuria. - ANSWERS--ANS: D
The adverse effects of intravesical chemotherapy are confined to the
bladder. The other adverse effects are associated with systemic
chemotherapy.
The nurse in the outpatient clinic is caring for a 50-year-old who
smokes heavily. To reduce the patients risk of dying from lung
cancer, which action will be best for the nurse to take?
a.
Educate the patient about the seven warning signs of cancer.
b.
Plan to monitor the patients carcinoembryonic antigen (CEA) level.
c.
Discuss the risks associated with cigarettes during every patient
encounter.
d.
Teach the patient about the use of annual chest x-rays for lung
cancer screening. - ANSWERS--ANS: C
Education about the risks associated with cigarette smoking is
recommended at every patient encounter, since cigarette smoking is
associated with multiple health problems. A tumor must be at least
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0.5 cm large before it is detectable by current screening methods
and may already have metastasized by that time. Oncofetal antigens
such as CEA may be used to monitor therapy or detect tumor
reoccurrence, but are not helpful in screening for cancer. The seven
warning signs of cancer are actually associated with fairly advanced
disease.
After the nurse has finished teaching a patient who is scheduled to
receive external beam radiation for abdominal cancer about
appropriate diet, which dietary selection by the patient indicates that
the teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup - ANSWERS--ANS: B
To minimize the diarrhea that is commonly associated with bowel
radiation, the patient should avoid foods high in roughage, such as
fruits and whole grains. Lactose-intolerance may develop secondary
to radiation, so dairy products also should be avoided.
During a routine health examination, a 30-year-old patient tells the
nurse about a family history of colon cancer. Which action should the
nurse take next?
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a.
Educate the patient about the need for a colonoscopy at age 50.
b.
Teach the patient how to do home testing for fecal occult blood.
c.
Obtain more information from the patient about the family history.
d.
Schedule a sigmoidoscopy to provide baseline data about the
patient. - ANSWERS--ANS: C
The patient may be at increased risk for colon cancer, but the nurses
first action should be further assessment. The other actions may be
appropriate, depending on the information that is obtained from the
patient with further questioning.
When reviewing the chart for a patient with cervical cancer, the
nurse notes that the cancer is staged as Tis, N0, M0. The nurse will
teach the patient that
a.
the cancer is localized to the cervix.
b.
the cancer cells are well-differentiated.
c.
further testing is needed to determine the spread of the cancer.
d.
it is difficult to determine the original site of the cervical cancer. -
ANSWERS--ANS: A
MSN 277 LATEST EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
While being prepared for a biopsy of a lump in the right breast, the
patient asks the nurse about the difference between a benign tumor
and a malignant tumor. Which answer by the nurse is correct?
a.
Benign tumors do not cause damage to other tissues.
b.
Benign tumors are likely to recur in the same location.
c.
Malignant tumors may spread to other tissues or organs.
d.
Malignant cells reproduce more rapidly than normal cells. -
ANSWERS--ANS: C
The major difference between benign and malignant tumors is that
malignant tumors invade adjacent tissues and spread to distant
tissues and benign tumors never metastasize. The other statements
are inaccurate. Both types of tumors may cause damage to adjacent
tissues. Malignant cells do not reproduce more rapidly than normal
cells. Benign tumors do not usually recur.
. A patient is receiving intravesical bladder chemotherapy. The nurse
will monitor for
a.
nausea.
,2|Page
b.
alopecia.
c.
mucositis.
d.
hematuria. - ANSWERS--ANS: D
The adverse effects of intravesical chemotherapy are confined to the
bladder. The other adverse effects are associated with systemic
chemotherapy.
The nurse in the outpatient clinic is caring for a 50-year-old who
smokes heavily. To reduce the patients risk of dying from lung
cancer, which action will be best for the nurse to take?
a.
Educate the patient about the seven warning signs of cancer.
b.
Plan to monitor the patients carcinoembryonic antigen (CEA) level.
c.
Discuss the risks associated with cigarettes during every patient
encounter.
d.
Teach the patient about the use of annual chest x-rays for lung
cancer screening. - ANSWERS--ANS: C
Education about the risks associated with cigarette smoking is
recommended at every patient encounter, since cigarette smoking is
associated with multiple health problems. A tumor must be at least
,3|Page
0.5 cm large before it is detectable by current screening methods
and may already have metastasized by that time. Oncofetal antigens
such as CEA may be used to monitor therapy or detect tumor
reoccurrence, but are not helpful in screening for cancer. The seven
warning signs of cancer are actually associated with fairly advanced
disease.
After the nurse has finished teaching a patient who is scheduled to
receive external beam radiation for abdominal cancer about
appropriate diet, which dietary selection by the patient indicates that
the teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup - ANSWERS--ANS: B
To minimize the diarrhea that is commonly associated with bowel
radiation, the patient should avoid foods high in roughage, such as
fruits and whole grains. Lactose-intolerance may develop secondary
to radiation, so dairy products also should be avoided.
During a routine health examination, a 30-year-old patient tells the
nurse about a family history of colon cancer. Which action should the
nurse take next?
, 4|Page
a.
Educate the patient about the need for a colonoscopy at age 50.
b.
Teach the patient how to do home testing for fecal occult blood.
c.
Obtain more information from the patient about the family history.
d.
Schedule a sigmoidoscopy to provide baseline data about the
patient. - ANSWERS--ANS: C
The patient may be at increased risk for colon cancer, but the nurses
first action should be further assessment. The other actions may be
appropriate, depending on the information that is obtained from the
patient with further questioning.
When reviewing the chart for a patient with cervical cancer, the
nurse notes that the cancer is staged as Tis, N0, M0. The nurse will
teach the patient that
a.
the cancer is localized to the cervix.
b.
the cancer cells are well-differentiated.
c.
further testing is needed to determine the spread of the cancer.
d.
it is difficult to determine the original site of the cervical cancer. -
ANSWERS--ANS: A
