Question 1 See full question
A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-
oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the
second postoperative day, which assessment finding requires immediate intervention?
You Selected:
Shallow breathing and increasing lethargy
Correct response:
Shallow breathing and increasing lethargy
Explanation:
Remediation:
Question 2 See full question
A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia.
The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm 3 and
25,000/mm3. Then the drug is stopped. When should treatment resume?
You Selected:
When the WBC count rises to 50,000/mm 3
Correct response:
When the WBC count rises to 50,000/mm 3
Explanation:
Remediation:
Question 3 See full question
A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-
Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to:
You Selected:
inform the client or legal guardian of their rights to execute an advance directive.
Correct response:
inform the client or legal guardian of their rights to execute an advance directive.
Explanation:
Remediation:
Question 4 See full question
Which nursing goal is appropriate for a client with multiple myeloma?
,You Selected:
Decrease episodes of nausea and vomiting.
Correct response:
Achieve effective management of bone pain.
Explanation:
Remediation:
Question 5 See full question
A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks
many questions. The nurse's best course of action is to:
You Selected:
explain to the client that she should discuss her questions with her health care provider (HCP).
Correct response:
tell the client as much as she wants to know and is able to understand.
Explanation:
Remediation:
Question 6 See full question
A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node
dissection about lymphedema. The nurse should tell the client that lymphedema occurs:
You Selected:
at any time after surgery.
Correct response:
at any time after surgery.
Explanation:
Remediation:
Question 7 See full question
A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will
be most effective in helping the client cope?
You Selected:
Identify available resources for the client and family.
Correct response:
, Identify available resources for the client and family.
Explanation:
Remediation:
Question 8 See full question
A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse
can best support the coping behaviors of a client with cancer by:
You Selected:
relieving the client of decision making as much as possible.
Correct response:
helping the client identify available resources.
Explanation:
Remediation:
Question 9 See full question
A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just
kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s
statement as indicating which stage of adaptation to dying?
You Selected:
depression
Correct response:
anger
Explanation:
Remediation:
Question 10 See full question
A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the
nurse's bestresponse?
You Selected:
"We need to consider your family history of breast cancer first."
Correct response:
"The incidence of breast cancer increases with age."
Explanation:
, Remediation:
Question 11 See full question
The primary reason that a herpes simplex virus (HSV) infection is a serious concern to a client with
human immunodeficiency virus (HIV) infection is that it:
You Selected:
causes severe electrolyte imbalances.
Correct response:
is an acquired immunodeficiency virus (AIDS)–defining illness.
Explanation:
Remediation:
Question 12 See full question
A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the
client to report which possible sign of cervical cancer?
You Selected:
leg edema
Correct response:
light bleeding or watery vaginal discharge
Explanation:
Remediation:
Question 13 See full question
A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns
regarding his sexuality. The nurse should base the response on the knowledge that the client:
You Selected:
should retain normal sexual drive and function.
Correct response:
should retain normal sexual drive and function.
Explanation:
Remediation:
Question 14 See full question
A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-
oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the
second postoperative day, which assessment finding requires immediate intervention?
You Selected:
Shallow breathing and increasing lethargy
Correct response:
Shallow breathing and increasing lethargy
Explanation:
Remediation:
Question 2 See full question
A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia.
The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm 3 and
25,000/mm3. Then the drug is stopped. When should treatment resume?
You Selected:
When the WBC count rises to 50,000/mm 3
Correct response:
When the WBC count rises to 50,000/mm 3
Explanation:
Remediation:
Question 3 See full question
A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-
Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to:
You Selected:
inform the client or legal guardian of their rights to execute an advance directive.
Correct response:
inform the client or legal guardian of their rights to execute an advance directive.
Explanation:
Remediation:
Question 4 See full question
Which nursing goal is appropriate for a client with multiple myeloma?
,You Selected:
Decrease episodes of nausea and vomiting.
Correct response:
Achieve effective management of bone pain.
Explanation:
Remediation:
Question 5 See full question
A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks
many questions. The nurse's best course of action is to:
You Selected:
explain to the client that she should discuss her questions with her health care provider (HCP).
Correct response:
tell the client as much as she wants to know and is able to understand.
Explanation:
Remediation:
Question 6 See full question
A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node
dissection about lymphedema. The nurse should tell the client that lymphedema occurs:
You Selected:
at any time after surgery.
Correct response:
at any time after surgery.
Explanation:
Remediation:
Question 7 See full question
A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will
be most effective in helping the client cope?
You Selected:
Identify available resources for the client and family.
Correct response:
, Identify available resources for the client and family.
Explanation:
Remediation:
Question 8 See full question
A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse
can best support the coping behaviors of a client with cancer by:
You Selected:
relieving the client of decision making as much as possible.
Correct response:
helping the client identify available resources.
Explanation:
Remediation:
Question 9 See full question
A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just
kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s
statement as indicating which stage of adaptation to dying?
You Selected:
depression
Correct response:
anger
Explanation:
Remediation:
Question 10 See full question
A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the
nurse's bestresponse?
You Selected:
"We need to consider your family history of breast cancer first."
Correct response:
"The incidence of breast cancer increases with age."
Explanation:
, Remediation:
Question 11 See full question
The primary reason that a herpes simplex virus (HSV) infection is a serious concern to a client with
human immunodeficiency virus (HIV) infection is that it:
You Selected:
causes severe electrolyte imbalances.
Correct response:
is an acquired immunodeficiency virus (AIDS)–defining illness.
Explanation:
Remediation:
Question 12 See full question
A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the
client to report which possible sign of cervical cancer?
You Selected:
leg edema
Correct response:
light bleeding or watery vaginal discharge
Explanation:
Remediation:
Question 13 See full question
A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns
regarding his sexuality. The nurse should base the response on the knowledge that the client:
You Selected:
should retain normal sexual drive and function.
Correct response:
should retain normal sexual drive and function.
Explanation:
Remediation:
Question 14 See full question
