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 — General Cancer Care
Clinical scenario: A 58-year-old patient with metastatic lung
cancer reports pain of 8/10, poor sleep, and reduced appetite.
The patient says, “I do not want to bother the staff every time
the pain gets bad.”
Question stem: Which nursing response is best?
Answer options:
A. “You should wait until the pain becomes severe so we can
tell if the medication is working.”
B. “Let’s talk about a scheduled pain plan so your pain stays
controlled before it worsens.”
C. “Pain is expected with cancer, so the main goal is to help you
tolerate it.”
D. “Try to ignore the pain and focus on rest and distraction.”
Correct answer: B
Detailed rationale: Scheduled analgesia is a core cancer-care
intervention because it prevents pain escalation, supports
function, and improves quality of life. This reflects patient-
centered care, proactive symptom management, and evidence-
informed pain control.
Incorrect option analysis:
A is incorrect because waiting for severe pain undermines pain
,prevention; misconception: pain should be treated only after it
peaks.
C is incorrect because the goal is not merely tolerance but
symptom control and function.
D is incorrect because nonpharmacologic methods help, but
they do not replace a structured analgesic plan.
Nursing process linkage: Planning
NCJMM: Recognize Cues, Prioritize Hypotheses, Generate
Solutions
Difficulty: Moderate
Bloom’s level: Apply
NCLEX client needs: Basic Care and Comfort; Physiological
Adaptation
Nursing diagnosis integration: Priority diagnosis: Chronic pain
related to tumor burden and treatment effects, evidenced by
pain 8/10 and sleep disruption.
Expected outcome: The patient will report pain ≤3/10 within 1
hour of intervention and sleep for at least 5 uninterrupted
hours.
Key learning objective: Select an evidence-informed pain plan
that supports cancer symptom control.
2) SATA — Chemotherapy Safety
, Clinical scenario: A patient receiving myelosuppressive
chemotherapy asks what to do at home to reduce
complications.
Question stem: Which instructions should the nurse include?
Select all that apply.
Answer options:
A. Check temperature daily and report a fever immediately
B. Use a soft toothbrush and electric razor
C. Eat raw sushi and unwashed fruit for extra protein and
vitamins
D. Avoid crowds and people who are ill
E. Use rectal suppositories for constipation if needed
F. Wash hands frequently and teach family members to do the
same
Correct answers: A, B, D, F
Detailed rationale: These interventions reduce infection and
bleeding risks during neutropenia and thrombocytopenia,
common chemotherapy effects. Hand hygiene, temperature
monitoring, and avoidance of exposure are standard safety
measures.
Incorrect option analysis:
C is incorrect because raw or unwashed foods increase infection
risk; misconception: “fresh” means “healthy” regardless of
immune status.
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,1) MCQ — General Cancer Care
Clinical scenario: A 58-year-old patient with metastatic lung
cancer reports pain of 8/10, poor sleep, and reduced appetite.
The patient says, “I do not want to bother the staff every time
the pain gets bad.”
Question stem: Which nursing response is best?
Answer options:
A. “You should wait until the pain becomes severe so we can
tell if the medication is working.”
B. “Let’s talk about a scheduled pain plan so your pain stays
controlled before it worsens.”
C. “Pain is expected with cancer, so the main goal is to help you
tolerate it.”
D. “Try to ignore the pain and focus on rest and distraction.”
Correct answer: B
Detailed rationale: Scheduled analgesia is a core cancer-care
intervention because it prevents pain escalation, supports
function, and improves quality of life. This reflects patient-
centered care, proactive symptom management, and evidence-
informed pain control.
Incorrect option analysis:
A is incorrect because waiting for severe pain undermines pain
,prevention; misconception: pain should be treated only after it
peaks.
C is incorrect because the goal is not merely tolerance but
symptom control and function.
D is incorrect because nonpharmacologic methods help, but
they do not replace a structured analgesic plan.
Nursing process linkage: Planning
NCJMM: Recognize Cues, Prioritize Hypotheses, Generate
Solutions
Difficulty: Moderate
Bloom’s level: Apply
NCLEX client needs: Basic Care and Comfort; Physiological
Adaptation
Nursing diagnosis integration: Priority diagnosis: Chronic pain
related to tumor burden and treatment effects, evidenced by
pain 8/10 and sleep disruption.
Expected outcome: The patient will report pain ≤3/10 within 1
hour of intervention and sleep for at least 5 uninterrupted
hours.
Key learning objective: Select an evidence-informed pain plan
that supports cancer symptom control.
2) SATA — Chemotherapy Safety
, Clinical scenario: A patient receiving myelosuppressive
chemotherapy asks what to do at home to reduce
complications.
Question stem: Which instructions should the nurse include?
Select all that apply.
Answer options:
A. Check temperature daily and report a fever immediately
B. Use a soft toothbrush and electric razor
C. Eat raw sushi and unwashed fruit for extra protein and
vitamins
D. Avoid crowds and people who are ill
E. Use rectal suppositories for constipation if needed
F. Wash hands frequently and teach family members to do the
same
Correct answers: A, B, D, F
Detailed rationale: These interventions reduce infection and
bleeding risks during neutropenia and thrombocytopenia,
common chemotherapy effects. Hand hygiene, temperature
monitoring, and avoidance of exposure are standard safety
measures.
Incorrect option analysis:
C is incorrect because raw or unwashed foods increase infection
risk; misconception: “fresh” means “healthy” regardless of
immune status.
