MSN6 Chapter
11.Nursing Care
of Patients With
Cancer.
,TEST BANK FOR UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION BY WILLIAMS
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 148
Chapter 11. Nursing Care of Patients With Cancer
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reviewing the function of DNA and RNA with a group of students. Which structure
should the nurse explain as providing the genetic code for a gene?
a. Cell
b. Protein
c. Piece of DNA
d. Piece of RNA
____ 2. A patient with lung cancer is receiving chemotherapy. Why should the nurse closely monitor the
patients white blood cell (WBC) count?
a. Chemotherapy drugs cause polycythemia and can precipitate thrombosis.
b. Chemotherapy drugs attack WBCs and shorten their life span, which increases risk for infection.
c. Chemotherapy drugs cause proliferation of blood cells, which can lead to sluggish circulation.
d. Chemotherapy drugs depress the bone marrow, which can lead to infection and an increase in WBC count.
____ 3. A patient asks what dietary changes can be made to help protect against cancer. The nurse should base
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his or her response to the patients question on which of the following?
a. Reduced dietary fat intake can lower cancer risk.
b. Reduced dietary salt intake reduces malignancy development.
c. Increased intake of beef and poultry decrease the risk of malignancy.
d. Increased intake of milk products will lower risk of cancer development.
____ 4. A patient is diagnosed with a malignant tumor of the bone. Which term should the nurse consider
when documenting this patients health problem?
a. Sarcoma
b. Osteoma
c. Adenoma
d. Carcinoma
____ 5. A patient who has been treated for breast cancer is undergoing routine laboratory work. Which
laboratory finding would cause the nurse to be most concerned about metastasis?
a. Elevated serum calcium
b. Decreased serum calcium
c. Elevated serum potassium
NURSINGKING.COM
, TEST BANK FOR UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION BY WILLIAMS
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 149
d. Decreased serum potassium
____ 6. A patient is scheduled for a needle biopsy of the breast. Which statement indicates that teaching has
been effective?
a. A small needle will be used to inject chemotherapy into my tumor.
b. The doctor will use a needle to go into the tumor for a sample of cells.
c. A needle will be implanted into the tumor so medication can be injected.
d. The doctor is going to make a small incision in my breast to get some tumor cells.
____ 7. A patient is scheduled for radiation treatments before having surgery to remove a tumor. What should
the nurse cite as the reason for the radiation treatments?
a. Reduces the need for chemotherapy
b. Reduces the size of the tumor before surgery
c. Reduces the need for radiation after the surgery
d. Reduces the spread of cancer cells during the surgery
____ 8. A patient with prostate cancer asks the nurse the meaning of his high prostate-specific antigen (PSA)
level. Which response by the nurse is correct?
a. PSA is a tumor marker that is elevated in patients with prostate cancer.
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b. PSA levels are done routinely to determine whether your prostate cancer has spread to a new site.
c. The doctor orders PSA measurements to monitor the level of chemotherapy medication in your blood.
d. A PSA test allows the pathologist to view the cancer cells under the microscope to monitor the progression
of cancer.
____ 9. A patient is diagnosed with a stage I tumor in situ (TIS). Which explanation of TIS by the nurse is the
best?
a. The tumor has spread and is generalized throughout the body.
b. The tumor has not invaded any tissues beyond the original site.
c. The tumor has spread to the lymph nodes in the immediate area.
d. The tumor is situated between two tissues, so there is risk for metastasis to both tissues.
____ 10. A patient with cancer is scheduled for palliative surgery. Which explanation should the nurse use to
describe the purpose of this surgery?
a. Palliative surgery is done to reconstruct tissues damaged by the cancer.
b. Palliative surgery is done to increase the patients comfort when cure is not possible.
c. Palliative surgery is done to remove a cancer completely and increase the chances for cure.
d. Palliative surgery is done to remove surrounding lymph nodes, reducing the risk for spread of the primary
NURSINGKING.COM
11.Nursing Care
of Patients With
Cancer.
,TEST BANK FOR UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION BY WILLIAMS
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 148
Chapter 11. Nursing Care of Patients With Cancer
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reviewing the function of DNA and RNA with a group of students. Which structure
should the nurse explain as providing the genetic code for a gene?
a. Cell
b. Protein
c. Piece of DNA
d. Piece of RNA
____ 2. A patient with lung cancer is receiving chemotherapy. Why should the nurse closely monitor the
patients white blood cell (WBC) count?
a. Chemotherapy drugs cause polycythemia and can precipitate thrombosis.
b. Chemotherapy drugs attack WBCs and shorten their life span, which increases risk for infection.
c. Chemotherapy drugs cause proliferation of blood cells, which can lead to sluggish circulation.
d. Chemotherapy drugs depress the bone marrow, which can lead to infection and an increase in WBC count.
____ 3. A patient asks what dietary changes can be made to help protect against cancer. The nurse should base
NURSINGKING.COM
his or her response to the patients question on which of the following?
a. Reduced dietary fat intake can lower cancer risk.
b. Reduced dietary salt intake reduces malignancy development.
c. Increased intake of beef and poultry decrease the risk of malignancy.
d. Increased intake of milk products will lower risk of cancer development.
____ 4. A patient is diagnosed with a malignant tumor of the bone. Which term should the nurse consider
when documenting this patients health problem?
a. Sarcoma
b. Osteoma
c. Adenoma
d. Carcinoma
____ 5. A patient who has been treated for breast cancer is undergoing routine laboratory work. Which
laboratory finding would cause the nurse to be most concerned about metastasis?
a. Elevated serum calcium
b. Decreased serum calcium
c. Elevated serum potassium
NURSINGKING.COM
, TEST BANK FOR UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION BY WILLIAMS
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 149
d. Decreased serum potassium
____ 6. A patient is scheduled for a needle biopsy of the breast. Which statement indicates that teaching has
been effective?
a. A small needle will be used to inject chemotherapy into my tumor.
b. The doctor will use a needle to go into the tumor for a sample of cells.
c. A needle will be implanted into the tumor so medication can be injected.
d. The doctor is going to make a small incision in my breast to get some tumor cells.
____ 7. A patient is scheduled for radiation treatments before having surgery to remove a tumor. What should
the nurse cite as the reason for the radiation treatments?
a. Reduces the need for chemotherapy
b. Reduces the size of the tumor before surgery
c. Reduces the need for radiation after the surgery
d. Reduces the spread of cancer cells during the surgery
____ 8. A patient with prostate cancer asks the nurse the meaning of his high prostate-specific antigen (PSA)
level. Which response by the nurse is correct?
a. PSA is a tumor marker that is elevated in patients with prostate cancer.
NURSINGKING.COM
b. PSA levels are done routinely to determine whether your prostate cancer has spread to a new site.
c. The doctor orders PSA measurements to monitor the level of chemotherapy medication in your blood.
d. A PSA test allows the pathologist to view the cancer cells under the microscope to monitor the progression
of cancer.
____ 9. A patient is diagnosed with a stage I tumor in situ (TIS). Which explanation of TIS by the nurse is the
best?
a. The tumor has spread and is generalized throughout the body.
b. The tumor has not invaded any tissues beyond the original site.
c. The tumor has spread to the lymph nodes in the immediate area.
d. The tumor is situated between two tissues, so there is risk for metastasis to both tissues.
____ 10. A patient with cancer is scheduled for palliative surgery. Which explanation should the nurse use to
describe the purpose of this surgery?
a. Palliative surgery is done to reconstruct tissues damaged by the cancer.
b. Palliative surgery is done to increase the patients comfort when cure is not possible.
c. Palliative surgery is done to remove a cancer completely and increase the chances for cure.
d. Palliative surgery is done to remove surrounding lymph nodes, reducing the risk for spread of the primary
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