All-in-One Nursing Care Planning
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,1. MCQ
Question 1
Clinical Scenario:
A 58-year-old client with newly diagnosed colorectal cancer
says, “I do not understand why I need a port instead of just
using my regular IV.” The client is scheduled to start
chemotherapy next week.
Question Stem:
What is the nurse’s best response?
Answer Options:
A. “A port is used only when clients cannot tolerate
chemotherapy.”
B. “A port allows repeated administration of treatment while
protecting peripheral veins.”
C. “A port is needed because chemotherapy always causes
infection.”
D. “A port is better than an IV because it eliminates all
treatment side effects.”
Correct Answer:
B
Detailed Rationale:
A port provides stable venous access for repeated infusions and
reduces irritation and damage to peripheral veins, which is
,important in chemotherapy administration. It also supports
safer long-term access.
Incorrect Option Analysis:
• A: Incorrect; ports are not used only when treatment is
poorly tolerated.
• Misconception: Venous access is based on treatment
duration and drug properties.
• Safety: Inaccurate teaching may reduce adherence to
treatment planning.
• C: Incorrect; infection risk exists but is not the reason a
port is required.
• Misconception: Confuses indication with a complication.
• Safety: May promote fear rather than informed consent.
• D: Incorrect; ports do not eliminate side effects.
• Misconception: Device choice does not prevent systemic
adverse effects.
• Safety: Could lead to unrealistic expectations.
Nursing Process Linkage:
Implementation
Clinical Judgment Competencies:
Recognize Cues; Generate Solutions; Take Action
, Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Apply
NCLEX Client Needs Category:
Pharmacological and Parenteral Therapies
Nursing Diagnosis Integration:
Priority Nursing Diagnosis: Deficient Knowledge
Related Factors: New diagnosis, unfamiliarity with treatment
access
Defining Characteristics: Verbalized confusion, questions about
therapy
Expected Outcome:
The client will correctly explain the purpose of the port before
chemotherapy begins.
Key Learning Objective:
Teach foundational cancer care concepts and vascular access
rationale.
2. SATA
Question 2
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,1. MCQ
Question 1
Clinical Scenario:
A 58-year-old client with newly diagnosed colorectal cancer
says, “I do not understand why I need a port instead of just
using my regular IV.” The client is scheduled to start
chemotherapy next week.
Question Stem:
What is the nurse’s best response?
Answer Options:
A. “A port is used only when clients cannot tolerate
chemotherapy.”
B. “A port allows repeated administration of treatment while
protecting peripheral veins.”
C. “A port is needed because chemotherapy always causes
infection.”
D. “A port is better than an IV because it eliminates all
treatment side effects.”
Correct Answer:
B
Detailed Rationale:
A port provides stable venous access for repeated infusions and
reduces irritation and damage to peripheral veins, which is
,important in chemotherapy administration. It also supports
safer long-term access.
Incorrect Option Analysis:
• A: Incorrect; ports are not used only when treatment is
poorly tolerated.
• Misconception: Venous access is based on treatment
duration and drug properties.
• Safety: Inaccurate teaching may reduce adherence to
treatment planning.
• C: Incorrect; infection risk exists but is not the reason a
port is required.
• Misconception: Confuses indication with a complication.
• Safety: May promote fear rather than informed consent.
• D: Incorrect; ports do not eliminate side effects.
• Misconception: Device choice does not prevent systemic
adverse effects.
• Safety: Could lead to unrealistic expectations.
Nursing Process Linkage:
Implementation
Clinical Judgment Competencies:
Recognize Cues; Generate Solutions; Take Action
, Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Apply
NCLEX Client Needs Category:
Pharmacological and Parenteral Therapies
Nursing Diagnosis Integration:
Priority Nursing Diagnosis: Deficient Knowledge
Related Factors: New diagnosis, unfamiliarity with treatment
access
Defining Characteristics: Verbalized confusion, questions about
therapy
Expected Outcome:
The client will correctly explain the purpose of the port before
chemotherapy begins.
Key Learning Objective:
Teach foundational cancer care concepts and vascular access
rationale.
2. SATA
Question 2
