NURS 497 Final UPDATED ACTUAL Questions and CORRECT Answers
Question: A 30-year-old female is diagnosed with cancer. Testing reveals that the cancer cells have spread
to local lymph nodes. A nurse realizes that this cancer would be documented as stage
Correct Answer: a. 2. b. 3. c. 4. d. 1: B
Question: A 30-year-old male with HIV is diagnosed with Epstein-Barr virus. After 2 months, the virus is
still active. Based upon the Epstein-Barr virus, which of the following cancers is most likely to develop in
this patient? a. B-cell lymphoma b. T-cell leukemia c. T-cell lipoma d. Kaposi sarcoma
Correct Answer: A
Question: A nurse is discussing preinvasive epithelial tumours of glandular or squamous cell origin. What
is the nurse describing? a. Dysplastic b. Cancer in situ c. Tumour in differentiation d. Cancer beyond (meta)
situ
Correct Answer: B
Question: A patient has a tissue growth that was diagnosed as cancer. Which of the following terms best
describes this growth? a. Hypertrophy b. Malignant tumour c. Lipoma d. Meningioma
Correct Answer: B
Question: A primary care provider is attempting to diagnose cancer and is looking for a tumour marker.
Which of the following could be a possible marker? a. Red blood cells b. Enzymes c. Apoptotic cells d.
Neurotransmitters
Correct Answer: B
Question: What does the activation of telomerase by cancer cells result in? a. Repeated divisions of cancer
cells b. Cancerous clonal distinction c. Limited mitosis by healthy cells d. Enhanced mutation abilities
Correct Answer: A
Question: Which information indicates that a nurse understands characteristics of malignant tumours? a.
Grows slowly. b. Cells vary in size and shape. c. Has a well-defined capsule. d. Is well differentiated.
Correct Answer: B
Question: Which information should the nurse include when teaching about angiogenic factors in
cancerous tumours? a. Angiogenic factors trigger apoptosis. b. Angiogenic factors release of growth factors.
c. Angiogenic factors stimulate new blood vessel growth. d. Angiogenic factors stimulate tumour
regression.
Correct Answer: C
Question: Which of the following indicates that a nurse understands a proto-oncogene? A proto-oncogene
is best defined as a(n) _____ gene. a. altered b. inactive c. tumour-suppressor d. normal
Correct Answer: D
Question: Which statement indicates the patient has a correct understanding of metastasis? The most
common route of metastasis is through the blood vessels and
Correct Answer: a. lymphatics. b. lung tissue. c. body cavities. d. connective tissues.: A
, Question: The nurse is caring for a client who is hospitalized with pneumonia and is disoriented and
confused 2 days after admission. Which of the following information obtained by the nurse about the client
indicates that the client is experiencing delirium rather than dementia? a. The client's speech is fragmented
and incoherent. b. The client has a history of increasing confusion over several years. c. The client is
disoriented to place and time but oriented to person. d. The client was oriented and alert when admitted.
Correct Answer: D
Question: The nurse is obtaining a health history and physical assessment from a client with possible
multiple sclerosis (MS). Which of the following assessments should the nurse include? a. Question the
client about any increase in libido. b. Inquire about any urinary tract problems. c. Assess for the presence of
chest pain. d. Inspect the skin for rashes or discoloration.
Correct Answer: B
Question: To determine whether a new client's confusion is caused by dementia or delirium, which of the
following actions should the nurse take? a. Assess the client using the Mini-Mental Status Exam. b. Use the
Confusion Assessment Method tool to assess the client. c. Obtain a list of the medications that the client
usually takes. d. Determine whether there is positive family history of dementia.
Correct Answer: B
Question: The patient reports generalized muscle weakness. The health care provider orders administration
of the medication edrophonium chloride (Tensilon). This medication is used in the diagnosis of
Correct Answer: a. multiple sclerosis (MS). b. myasthenia gravis. c. autonomic hyper-reflexia. d.
amyotrophic lateral sclerosis (ALS).: B
Question: The nurse is teaching the children of a client who is being evaluated for Alzheimer's disease
(AD) about the disorder. Which of the following information should the nurse include? a. A diagnosis of
AD can be made only when other causes of dementia have been ruled out. b. New drugs have been shown
to reverse AD dramatically in some clients. c. The presence of brain atrophy detected by MRI confirms the
diagnosis of AD in clients with dementia. d. The most important risk factor for AD is a family history of the
disorder.
Correct Answer: A
Question: The partner of a client with Parkinson's disease (PD) is upset and asks the nurse why he is no
longer able to read the affectionate notes that the client writes for him. Which of the following information
is the basis for the nurse's response? a. Depression often seen in PD leads to denying affectionate feelings.
b. Cogwheel rigidity makes it hard for the client to hold a pen. c. Micrographia is common in clients with
PD. d. Characteristic slow speech makes it difficult for the client with PD to put his or her thoughts on
paper.
Correct Answer: D
Question: The nurse is assessing a client who is diagnosed with middle (moderate) dementia as a result of
multiple strokes. Which of the following findings should the nurse expect? a. Excessive nighttime
sleepiness b. Difficulty eating and swallowing c. Variable ability to perform simple tasks d. Loss of both
recent and remote memory
Correct Answer: D
Question: A female client who has multiple sclerosis (MS) asks the nurse about risks associated with
pregnancy. Which of the following responses by the nurse is accurate? a. "Symptoms of MS are likely to
Question: A 30-year-old female is diagnosed with cancer. Testing reveals that the cancer cells have spread
to local lymph nodes. A nurse realizes that this cancer would be documented as stage
Correct Answer: a. 2. b. 3. c. 4. d. 1: B
Question: A 30-year-old male with HIV is diagnosed with Epstein-Barr virus. After 2 months, the virus is
still active. Based upon the Epstein-Barr virus, which of the following cancers is most likely to develop in
this patient? a. B-cell lymphoma b. T-cell leukemia c. T-cell lipoma d. Kaposi sarcoma
Correct Answer: A
Question: A nurse is discussing preinvasive epithelial tumours of glandular or squamous cell origin. What
is the nurse describing? a. Dysplastic b. Cancer in situ c. Tumour in differentiation d. Cancer beyond (meta)
situ
Correct Answer: B
Question: A patient has a tissue growth that was diagnosed as cancer. Which of the following terms best
describes this growth? a. Hypertrophy b. Malignant tumour c. Lipoma d. Meningioma
Correct Answer: B
Question: A primary care provider is attempting to diagnose cancer and is looking for a tumour marker.
Which of the following could be a possible marker? a. Red blood cells b. Enzymes c. Apoptotic cells d.
Neurotransmitters
Correct Answer: B
Question: What does the activation of telomerase by cancer cells result in? a. Repeated divisions of cancer
cells b. Cancerous clonal distinction c. Limited mitosis by healthy cells d. Enhanced mutation abilities
Correct Answer: A
Question: Which information indicates that a nurse understands characteristics of malignant tumours? a.
Grows slowly. b. Cells vary in size and shape. c. Has a well-defined capsule. d. Is well differentiated.
Correct Answer: B
Question: Which information should the nurse include when teaching about angiogenic factors in
cancerous tumours? a. Angiogenic factors trigger apoptosis. b. Angiogenic factors release of growth factors.
c. Angiogenic factors stimulate new blood vessel growth. d. Angiogenic factors stimulate tumour
regression.
Correct Answer: C
Question: Which of the following indicates that a nurse understands a proto-oncogene? A proto-oncogene
is best defined as a(n) _____ gene. a. altered b. inactive c. tumour-suppressor d. normal
Correct Answer: D
Question: Which statement indicates the patient has a correct understanding of metastasis? The most
common route of metastasis is through the blood vessels and
Correct Answer: a. lymphatics. b. lung tissue. c. body cavities. d. connective tissues.: A
, Question: The nurse is caring for a client who is hospitalized with pneumonia and is disoriented and
confused 2 days after admission. Which of the following information obtained by the nurse about the client
indicates that the client is experiencing delirium rather than dementia? a. The client's speech is fragmented
and incoherent. b. The client has a history of increasing confusion over several years. c. The client is
disoriented to place and time but oriented to person. d. The client was oriented and alert when admitted.
Correct Answer: D
Question: The nurse is obtaining a health history and physical assessment from a client with possible
multiple sclerosis (MS). Which of the following assessments should the nurse include? a. Question the
client about any increase in libido. b. Inquire about any urinary tract problems. c. Assess for the presence of
chest pain. d. Inspect the skin for rashes or discoloration.
Correct Answer: B
Question: To determine whether a new client's confusion is caused by dementia or delirium, which of the
following actions should the nurse take? a. Assess the client using the Mini-Mental Status Exam. b. Use the
Confusion Assessment Method tool to assess the client. c. Obtain a list of the medications that the client
usually takes. d. Determine whether there is positive family history of dementia.
Correct Answer: B
Question: The patient reports generalized muscle weakness. The health care provider orders administration
of the medication edrophonium chloride (Tensilon). This medication is used in the diagnosis of
Correct Answer: a. multiple sclerosis (MS). b. myasthenia gravis. c. autonomic hyper-reflexia. d.
amyotrophic lateral sclerosis (ALS).: B
Question: The nurse is teaching the children of a client who is being evaluated for Alzheimer's disease
(AD) about the disorder. Which of the following information should the nurse include? a. A diagnosis of
AD can be made only when other causes of dementia have been ruled out. b. New drugs have been shown
to reverse AD dramatically in some clients. c. The presence of brain atrophy detected by MRI confirms the
diagnosis of AD in clients with dementia. d. The most important risk factor for AD is a family history of the
disorder.
Correct Answer: A
Question: The partner of a client with Parkinson's disease (PD) is upset and asks the nurse why he is no
longer able to read the affectionate notes that the client writes for him. Which of the following information
is the basis for the nurse's response? a. Depression often seen in PD leads to denying affectionate feelings.
b. Cogwheel rigidity makes it hard for the client to hold a pen. c. Micrographia is common in clients with
PD. d. Characteristic slow speech makes it difficult for the client with PD to put his or her thoughts on
paper.
Correct Answer: D
Question: The nurse is assessing a client who is diagnosed with middle (moderate) dementia as a result of
multiple strokes. Which of the following findings should the nurse expect? a. Excessive nighttime
sleepiness b. Difficulty eating and swallowing c. Variable ability to perform simple tasks d. Loss of both
recent and remote memory
Correct Answer: D
Question: A female client who has multiple sclerosis (MS) asks the nurse about risks associated with
pregnancy. Which of the following responses by the nurse is accurate? a. "Symptoms of MS are likely to
