NURS455 Exam 1 With Complete
Solution
A patient has hematuria, abdominal discomfort, and a distended abdomen.
Which condition does the patient most likely have, according to these
symptoms?
a. brain tumor
b. bladder cancer
c. cervical cancer
d. esophageal cancer - ANSWER b. bladder cancer
A patient with lung cancer is diagnosed with superior vena cava syndrome.
Which action is most appropriate for this patient?
a. assessing for signs of fluid overload
b. assessing for unsteady gait
c. assessing for signs of renal dysfunction
d. assessing for signs of respiratory distress - ANSWER d. assessing for signs
of respiratory distress
Warning signs of cancer (CAUTION)
Select all that apply
a. Change in bowel habits
b. Nagging cough or hoarseness
,c. alopecia
d. obvious change in wart or mole - ANSWER a. Change in bowel habits
b. Nagging cough or hoarseness
d. obvious change in wart or mole
The nurse monitors fluid overload in a patient with cancer-associated
syndrome of inappropriate antidiuretic hormone (SIADH). Which condition is
the nurse aiming to prevent in this intervention?
a. Dyspnea
B. Heart Block
c. leukostasis
d. HTN - ANSWER d. HTN
What is true regarding bowel obstruction in a patient with colon cancer?
a. it can happen due to masses in bowel lumen
b. it can happen due to internal compression
c. it can happen due to excess antidiuretic hormone
d. it can happen due to excessive immature WBCs - ANSWER a. it can happen
due to masses in bowel lumen
A nurse is caring for a patient with acute myelocytic leukemia who has been
admitted to the oncology department due to leukostasis. What are the most
important nursing interventions for this patient? Select all that apply.
a. Monitor white blood cell count.
b. Assess for signs of occluded microcirculation.
, c. Monitor calcium, phosphorous, and renal function.
d. Assess for edema of the face and eyes.
e. Assess for signs of bleeding. - ANSWER a. Monitor white blood cell count.
b. Assess for signs of occluded microcirculation.
e. assess for signs of bleeding
A nurse is teaching about carcinogens. Which example indicates a need for
further teaching?
a. HPV
b. Tobacco
c. Sun exposure
d. nonionizing radiation - ANSWER d. nonionizing radiation
The nurse is caring for a patient with spinal cord compression. Which
symptoms demonstrate late stages?
a. back pain
b. weakness, numbness, and tingling
c. inability to distinguish between hot and cold
d. constipation or incontinence - ANSWER d. constipation or incontinence
The nurse is caring for a patient with sickle cell anemia who is experiencing
sequestration crisis. Which best describes this?
a. the bone marrow has ceased the production of RBCs
b. the blood vessels are obstructed by hemolyzed cells
Solution
A patient has hematuria, abdominal discomfort, and a distended abdomen.
Which condition does the patient most likely have, according to these
symptoms?
a. brain tumor
b. bladder cancer
c. cervical cancer
d. esophageal cancer - ANSWER b. bladder cancer
A patient with lung cancer is diagnosed with superior vena cava syndrome.
Which action is most appropriate for this patient?
a. assessing for signs of fluid overload
b. assessing for unsteady gait
c. assessing for signs of renal dysfunction
d. assessing for signs of respiratory distress - ANSWER d. assessing for signs
of respiratory distress
Warning signs of cancer (CAUTION)
Select all that apply
a. Change in bowel habits
b. Nagging cough or hoarseness
,c. alopecia
d. obvious change in wart or mole - ANSWER a. Change in bowel habits
b. Nagging cough or hoarseness
d. obvious change in wart or mole
The nurse monitors fluid overload in a patient with cancer-associated
syndrome of inappropriate antidiuretic hormone (SIADH). Which condition is
the nurse aiming to prevent in this intervention?
a. Dyspnea
B. Heart Block
c. leukostasis
d. HTN - ANSWER d. HTN
What is true regarding bowel obstruction in a patient with colon cancer?
a. it can happen due to masses in bowel lumen
b. it can happen due to internal compression
c. it can happen due to excess antidiuretic hormone
d. it can happen due to excessive immature WBCs - ANSWER a. it can happen
due to masses in bowel lumen
A nurse is caring for a patient with acute myelocytic leukemia who has been
admitted to the oncology department due to leukostasis. What are the most
important nursing interventions for this patient? Select all that apply.
a. Monitor white blood cell count.
b. Assess for signs of occluded microcirculation.
, c. Monitor calcium, phosphorous, and renal function.
d. Assess for edema of the face and eyes.
e. Assess for signs of bleeding. - ANSWER a. Monitor white blood cell count.
b. Assess for signs of occluded microcirculation.
e. assess for signs of bleeding
A nurse is teaching about carcinogens. Which example indicates a need for
further teaching?
a. HPV
b. Tobacco
c. Sun exposure
d. nonionizing radiation - ANSWER d. nonionizing radiation
The nurse is caring for a patient with spinal cord compression. Which
symptoms demonstrate late stages?
a. back pain
b. weakness, numbness, and tingling
c. inability to distinguish between hot and cold
d. constipation or incontinence - ANSWER d. constipation or incontinence
The nurse is caring for a patient with sickle cell anemia who is experiencing
sequestration crisis. Which best describes this?
a. the bone marrow has ceased the production of RBCs
b. the blood vessels are obstructed by hemolyzed cells
