NURS 498 Exam #3 Questions with Verified Solutions Latest Update 2026/2027
Which nursing roles are important for the prevention and detection of cancer?
a) Teaching about cancer risk factors
b) Using people's natural fear of cancer to motivate changes in unhealthy lifestyles
c) Health promotion in relation to eating low-fibre, refined-carbohydrate diets
d) Encouraging the public to participate in regular screening tests for all detectable cancer sites
- Answers A
Which is an inappropriate nursing intervention to promote nutrition in a client with cancer?
a) Providing increased protein for normal cell recovery and immune system function
b) Alerting the physician that nutritional supplements may be needed when the client has a 4-kg
weight loss
c) Encouraging the client to eat a high-calorie, high-protein snack every few hours to prevent
weight loss
d) Providing bland, pureed food because the person's taste sensation is altered - Answers D
A client is told that he will require a right orchiectomy and chemotherapy for testicular cancer.
The client asks the nurse of he will be infertile after the procedure. Which response should be
made by the nurse?
a) "Has your surgeon discussed cryopreservation of your sperm?"
b) "Don't be concerned about this now, at this point you need to be concerned about removal of
the cancer."
c) "Since only one testicle is being removed your fertility will not be effected."
d) "This procedure will make you infertile." - Answers A
Which information will the nurse provide to a client receiving radiation therapy or chemotherapy?
a) The cycle of fatigue-depression-fatigue that may occur during treatment can be reduced by
restricting activity.
b) Effective birth control methods should be used for the rest of the client's life.
c) After successful treatment, the client returns to previous functional level.
d) Notify the health care team if nausea and vomiting are experienced during treatment so that
these can be managed. - Answers D
, Which points would be part of nursing teaching for a client undergoing brachytherapy of the
cervix?
a) The client will be taught that she may experience desquamation of the skin on the abdomen
and upper legs.
b) The client will be taught about the treatment and need for staff time limitations in relation to
her care.
c) The client will require shielding of the ovaries during treatment to prevent ovarian damage.
d) The client will learn that she must undergo simulation to locate the treatment area. - Answers
B
A patient diagnosed with acute myeloid leukemia receives a bone marrow transplant. Which
medication to prevent graft-versus-host disease should a nurse anticipate receiving an order to
administer
a) Chemotherapeutic agents such as cisplatin
b) Peginterferon-alpha-2a for prevention and treatment of hepatitis
c) An immunosuppressant such as cyclosporin
d) A cyclosporine antibiotic such as ceftazidime - Answers C
A nurse obtains the following assessment data for a client diagnosed with acute myeloid
leukemia. For which finding should a nurse plan interventions first?
a) Weakness and fatigue
b) Pain from mucositis
c) Ecchymosis and petechiae noted on arms
d) T-37.2º - Answers C
If extravasation of an antineoplastic medication occurs, which intervention will the nurse
perform first?
a) Inject the appropriate antidote through the IV catheter.
b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.
c) Stop the infusion immediately, while leaving the catheter in place.
d) Apply cold compresses to the site while elevating the arm. - Answers C
Why does stomatitis, a common adverse effect of chemotherapeutic agents, occur?
Which nursing roles are important for the prevention and detection of cancer?
a) Teaching about cancer risk factors
b) Using people's natural fear of cancer to motivate changes in unhealthy lifestyles
c) Health promotion in relation to eating low-fibre, refined-carbohydrate diets
d) Encouraging the public to participate in regular screening tests for all detectable cancer sites
- Answers A
Which is an inappropriate nursing intervention to promote nutrition in a client with cancer?
a) Providing increased protein for normal cell recovery and immune system function
b) Alerting the physician that nutritional supplements may be needed when the client has a 4-kg
weight loss
c) Encouraging the client to eat a high-calorie, high-protein snack every few hours to prevent
weight loss
d) Providing bland, pureed food because the person's taste sensation is altered - Answers D
A client is told that he will require a right orchiectomy and chemotherapy for testicular cancer.
The client asks the nurse of he will be infertile after the procedure. Which response should be
made by the nurse?
a) "Has your surgeon discussed cryopreservation of your sperm?"
b) "Don't be concerned about this now, at this point you need to be concerned about removal of
the cancer."
c) "Since only one testicle is being removed your fertility will not be effected."
d) "This procedure will make you infertile." - Answers A
Which information will the nurse provide to a client receiving radiation therapy or chemotherapy?
a) The cycle of fatigue-depression-fatigue that may occur during treatment can be reduced by
restricting activity.
b) Effective birth control methods should be used for the rest of the client's life.
c) After successful treatment, the client returns to previous functional level.
d) Notify the health care team if nausea and vomiting are experienced during treatment so that
these can be managed. - Answers D
, Which points would be part of nursing teaching for a client undergoing brachytherapy of the
cervix?
a) The client will be taught that she may experience desquamation of the skin on the abdomen
and upper legs.
b) The client will be taught about the treatment and need for staff time limitations in relation to
her care.
c) The client will require shielding of the ovaries during treatment to prevent ovarian damage.
d) The client will learn that she must undergo simulation to locate the treatment area. - Answers
B
A patient diagnosed with acute myeloid leukemia receives a bone marrow transplant. Which
medication to prevent graft-versus-host disease should a nurse anticipate receiving an order to
administer
a) Chemotherapeutic agents such as cisplatin
b) Peginterferon-alpha-2a for prevention and treatment of hepatitis
c) An immunosuppressant such as cyclosporin
d) A cyclosporine antibiotic such as ceftazidime - Answers C
A nurse obtains the following assessment data for a client diagnosed with acute myeloid
leukemia. For which finding should a nurse plan interventions first?
a) Weakness and fatigue
b) Pain from mucositis
c) Ecchymosis and petechiae noted on arms
d) T-37.2º - Answers C
If extravasation of an antineoplastic medication occurs, which intervention will the nurse
perform first?
a) Inject the appropriate antidote through the IV catheter.
b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.
c) Stop the infusion immediately, while leaving the catheter in place.
d) Apply cold compresses to the site while elevating the arm. - Answers C
Why does stomatitis, a common adverse effect of chemotherapeutic agents, occur?
