oncology test

Which of the following types of immunity involve T cells? 1. Passive immunity 2. Active immunity 3. Cell-mediated immunity 4. Humoral immunity

3. Cell-mediated immunity

When a client is recognized as having entered the dying phase, what type of care is the focus of interventions? 1. Cure 2. Nutrition 3. Comfort 4. Fluid and electrolyte balance

3. Comfort

The nurse is caring for a client who presents with severe shortness of breath, wheezing, and hives. Which of the following medications would the nurse expect to administer as ordered? 1. Proton-pump inhibitor (PPI) 2. Antibiotic 3. Epinephrine 4. Opioid analgesic

3. Epinephrine

Which of the following antibodies is produced first during an infection? 1. IgG 2. IgA 3. IgM 4. IgD

3. IgM

The nurse is preparing to administer lorazepam 1 mg. The available dose is lorazepam 1 mg/mL. How many milliliters should the nurse administer? Enter the numeral only.

1

The nurse is preparing a client for a bone marrow aspiration. The nurse knows this is a tool used to diagnose which of the following? 1. Lung cancer 2. Melanoma 3. Colon cancer 4. Leukemia

4. Leukemia

The nurse is caring for a client receiving chemotherapy for colon cancer. The client is not eating due to nausea. Which of the following interventions should the nurse implement? 1. Administer an antiemetic before mealtimes as ordered 2. Encourage the client to follow a low-carbohydrate, low-protein diet 3. Perform oral care prior to meals 4. Suggest to the physician that the client be started on parenteral nutrition (PN)

1. Administer an antiemetic before mealtimes as ordered

A client presents to the emergency department with stridor, wheezing, dyspnea, and facial edema. The nurse concludes this client is experiencing an anaphylactic reaction. Which interventions will the nurse implement? Select all that apply. 1. Administer oxygen as prescribed. 2. Place an endotracheal (ET) intubation kit at the bedside. 3. Administer the prescribed antibiotic. 4. Place the client on a cardiac monitor. 5. Obtain the prescribed intravenous (IV) access.

1. Administer oxygen as prescribed. 2. Place an endotracheal (ET) intubation kit at the bedside. 4. Place the client on a cardiac monitor. 5. Obtain the prescribed intravenous (IV) access.

The nurse is caring for a client with pernicious anemia. The nurse can expect to implement which intervention? 1. Administer vitamin B12 as prescribed. 2. Strict 1500 mL/day fluid restriction. 3. Place the client in protective isolation. 4. Teach the client to use a brown soap.

1. Administer vitamin B12 as prescribed.

The nurse is caring for a client with allergic rhinitis. Which interventions will the nurse anticipate implementing? Select all that apply. 1. Administration of a prescribed antihistamine. 2. Teach client to avoid environmental stimuli. 3. Administration of corticosteroids as ordered. 4. Administration of antibiotics as ordered. 5. Routinely check vital signs every 2 hours.

1. Administration of a prescribed antihistamine. 2. Teach client to avoid environmental stimuli. 3. Administration of corticosteroids as ordered.

The nurse is caring for a 55-year-old client who is high risk for developing colorectal cancer. Which of the following tests screens for colorectal cancer? 1. Colonoscopy 2. Papanicolaou (PAP) 3. Magnetic resonance imaging (MRI) 4. X-ray

1. Colonoscopy

A client receiving a blood transfusion experiences a sudden onset of chest pain, tachycardia, tachypnea, dyspnea, and urticaria. The nurse concludes this client is experiencing a hemolytic transfusion reaction. Which of the following actions will the nurse take? Select all that apply. 1. Double-check the patient's blood type in the medical record 2. Notify the health care provider (HCP) 3. Stop the blood transfusion immediately 4. Monitor symptoms and vital signs 5. Inform the blood bank

2. Notify the health care provider (HCP) 3. Stop the blood transfusion immediately 4. Monitor symptoms and vital signs 5. Inform the blood bank

The nurse is caring for a client who received a radioactive colloid injection. There is now drainage at the site. Which of the following actions should the nurse take first? 1. Apply a dressing to the area 2. Notify the health-care provider (HCP) immediately 3. Instruct the client to hold 4x4 gauze to the area 4. Wash the area with soap and water

2. Notify the health-care provider (HCP) immediately

The nurse is caring for a client receiving vincristine for cancer treatment. Which clinical manifestation would cause the nurse the most concern? 1. Nausea and vomiting 2. Numbness and tingling in the extremities 3. Inflammation of the oral mucosa 4. Diarrhea

2. Numbness and tingling in the extremities

Which of the following describes a member of the hospice team who makes routine visits, assesses client needs, and implements the plan of care? 1. Health-care provider (HCP) 2. Nurse 3. Social worker 4. Chaplain

2. Nurse

The nurse is caring for a client undergoing surgery to relieve symptoms of dyspnea associated with tumor growth for stage III lung cancer. Which type of surgery is this client undergoing? 1. Reconstructive 2. Palliative 3. Prophylactic 4. Diagnostic

2. Palliative

The nurse is caring for a client with systemic lupus erythematosus (SLE). What clinical manifestations will the nurse expect to find during assessment? 1. Expiratory wheezing 2. Pericardial friction rub 3. Enlarged lymph nodes 4. Watery diarrhea

2. Pericardial friction rub

The nurse is visiting with the wife of a client who died 3 mo ago. The nurse determines that the wife is in stage 1 of the grief process. Which answer accurately describes this stage? 1. Feeling of anger at the loved one who left them behind 2. Poor daily functioning 3. Lack of interest in daily life 4. Participation in social events

2. Poor daily functioning

A family member of a dying client asks the nurse how they can tell when death is very close. The nurse should instruct the family to watch for which initial indication of an impending death? 1. Low temperature 2. Signs of death rattle 3. Clear, yellow urine 4. Periods of being very alert

2. Signs of death rattle

The nurse is sitting in a room with the family of a client who just died. The nurse is nervous about speaking to the family. Which action will the nurse take? 1. Leave the room quickly while the family is occupied 2. Sit quietly and listen to the family discuss their feelings 3. Ask another nurse comfortable with death to come sit in the room 4. Document care provided while in the room with the family

2. Sit quietly and listen to the family discuss their feelings

The nurse is assessing a client receiving chemotherapy and radiation using the mnemonic BITES. What is the nurse assessing when using the S in the mnemonic? 1. Strength 2. Skin 3. Severe bleeding 4. Saliva

2. Skin

The nurse is preparing a presentation on the incidence of cancer. Which of the following is the most common type of preventable cancer in adults? 1. Lung 2. Skin 3. Breast 4. Colon

2. Skin

The nurse is caring for a client who will be discharged home on epoetin alfa. What is the priority teaching at this time? 1. Teach the client to monitor for signs of infection 2. Teach the client how to administer a subcutaneous injection 3. Instruct the client to avoid injections 4. Instruct the client to monitor daily weight

2. Teach the client how to administer a subcutaneous injection

The oncology nurse is preparing the client's oral chemotherapy. Which of the following requires correction by the charge nurse? 1. The nurse stores the bottles away from other oral medications 2. The nurse crushes the oral chemotherapy and puts it in applesauce 3. The nurse is wearing chemotherapy safety gloves 4. The nurse is reading the side effects of each medication

2. The nurse crushes the oral chemotherapy and puts it in applesauce

The nurse is calculating output for a client who is dying. The client has 20 mL of urinary output and 30 mL of watery stool from a rectal bag. What is the client's total output? Enter the numeral only.

50

The nurse is calculating intake for a client who is dying and notes that the client has consumed 30 mL of water and 60 mL of juice. What is the client's total intake? Enter the numeral only.

90

The nurse is preparing to administer filgrastim to a client with leukemia who weighs 60 kg. The prescribed dose is 5 mcg/kg/day. The available dose is 300 mcg/mL. How many milliliters will the nurse administer? Enter the numeral only.

1 ml

The nurse is caring for a client with fever who is dying. Which intervention will the nurse implement first? 1. Administer acetaminophen suppository. 2. Apply a cold wash cloth to the forehead. 3. Provide the client with an electric blanket. 4. Call the lab to draw blood to check white blood cells.

1. Administer acetaminophen suppository.

After an infection, a client develops antibodies and memory cells specific to the pathogen that caused the infection. What type of immunity will the client receive? 1. Artificially acquired passive immunity 2. Naturally acquired active immunity 3. Naturally acquired passive immunity 4. Artificially acquired active immunity

2. Naturally acquired active immunity

The nurse is teaching the family of a client with cancer who has normal lab values about preventing the spread of infection. Which of the following is most important for the nurse to include in the teaching? 1. Wearing gloves when touching the client 2. Frequent handwashing 3. Wearing a mask when near the client 4. Taking antibiotics to kill any bacteria before the client comes home

2. Frequent handwashing

Which is an administration priority for epinephrine? 1. Oral 2. Intravenous (IV) 3. Topical 4. Injection

2. Intravenous (IV)

The nurse is caring for a client who has just been diagnosed with terminal colon cancer. The client states "I can't believe this is happening to me. God is punishing me for things I have done in the past." Which response by the nurse is most appropriate? 1. "Tell me more about how you are feeling." 2. "A lot of people are diagnosed with cancer." 3. "It might be because of unhealthy diet, but God is not punishing you." 4. "Chemotherapy will help you feel better."

1. "Tell me more about how you are feeling."

The nurse is reinforcing teaching for a client inquiring about hospice. Which statement made by the client indicates a need for further teaching? 1. "A nurse will remain in my home 24 hours per day." 2. "I can have hospice care provided at my own home." 3. "Medication will be given so I will be comfortable." 4. "Hospice will help my family take care of my needs."

1. "A nurse will remain in my home 24 hours per day."

The family of a dying client is upset that the client is no longer eating or drinking and wants the nurse to provide water. Which statement by the nurse is most appropriate? 1. "Dehydration is generally not uncomfortable once the initial thirst subsides." 2. "The only effective intervention at this point will be to initiate enteral feeding." 3. "If you don't give the client food or water, they will typically die faster." 4. "If you just pour some water into their mouth, they will drink it rather than choke."

1. "Dehydration is generally not uncomfortable once the initial thirst subsides."

The nurse is caring for a dying client. During a state of confusion, the client is making statements that that are upsetting the family. Which statement made by the family requires correction by the nurse? 1. "I need to correct him because he is seeing things that aren't here." 2. "I will talk to him and encourage him to talk about what he sees." 3. "The nurse told us this may happen, and this a normal part of dying." 4. "I am going to hold his hand and let him know that I am here."

1. "I need to correct him because he is seeing things that aren't here."

The nurse is evaluating if teaching was effective for a client with a prescription of diphenhydramine for itching. Which statement made by the client indicates an understanding? 1. "I should be careful when driving while taking this medication." 2. "I can still take my loratadine while taking this medication." 3. "I must take this medication with food." 4. "I can drink alcohol in moderation."

1. "I should be careful when driving while taking this medication."

The family of a dying client asks the nurse what to expect at the moment close to death. Which response by the nurse is most appropriate? 1. "I will go over what you could expect with you." 2. "You shouldn't concern yourself with that." 3. "It is best not to watch for signs and just sit with the client." 4. "Most people don't give any notice that they are dying; they just die."

1. "I will go over what you could expect with you."

The nurse is caring for a dying client. While discussing care with the health-care provider, which unnecessary procedures will the nurse will suggest be discontinued? 1. Daily blood draws 2. Routine bed baths 3. Turning the client 4. Applying oxygen

1. Daily blood draws

The nurse is caring for a client diagnosed with cancer belonging to the American Indian culture. The nurse knows which risk factor places this client at risk for cancer? 1. Diet high in fat 2. Lack of cancer screening 3. Low intake of vitamin C 4. Exposure to pollutants

1. Diet high in fat

The nurse is caring for a client undergoing radiation therapy for breast cancer. Which of the following instructions should the nurse give the client regarding skin care during this time? Select all that apply. 1. Do not use powder 2. Use unscented lotion 3. Wear restrictive clothing to protect the area 4. Wash area with soap and water 5. Protect the area from exposure to sunlight

1. Do not use powder 4. Wash area with soap and water 5. Protect the area from exposure to sunlight

The nurse is caring for a client who will receive doxorubicin. Which of the following baseline tests should the nurse expect to be ordered prior to administering this medication? 1. Echocardiogram 2. Magnetic resonance imaging (MRI) 3. Positron emission tomography (PET) scan 4. Tumor markers

1. Echocardiogram

A nurse who works on an inpatient hospice unit becomes distant and withdrawn from clients. Which action by the charge nurse is most appropriate to help the nurse? 1. Encourage the nurse to seek counseling immediately 2. Ensure the nurse continues to care for the client 3. Tell the nurse to quit working on the hospice unit 4. Assign the nurse to care for clients who are not dying

1. Encourage the nurse to seek counseling immediately

Which of the following are types of the four main categories of human tissue? Select all that apply. 1. Epithelial 2. Cardiac 3. Connective 4. Muscle 5. Nervous

1. Epithelial 3. Connective 4. Muscle 5. Nervous

The nurse is educating a client diagnosed with systemic lupus erythematosus (SLE) about triggers for the condition. Which triggers will the nurse include in the teaching? Select all that apply. 1. Infection 2. Surgery 3. Stress 4. Emotional crisis 5. Immunizations

1. Infection 2. Surgery 3. Stress 4. Emotional crisis 5. Immunizations

The nurse is communicating with a hospice client. Which technique is used for a nonverbal communication? 1. Making eye contact 2. Answering questions honestly 3. Asking open-ended questions 4. Inquiring about end-of-life choices

1. Making eye contact

The nurse is discussing immunity with a client. The client asks what type of immunity her child will receive if she breastfeeds. The nurse will reply with which of the following? 1. Naturally acquired passive immunity 2. Artificially acquired active immunity 3. Naturally acquired active immunity 4. Artificially acquired passive immunity

1. Naturally acquired passive immunity

The nurse is caring for a conscious client with dry mucous membranes who reports feeling thirsty. Which intervention will the nurse implement first? 1. Offer the client ice chips 2. Swab the mouth with sponge-tipped toothettes 3. Place lanolin on the tongue 4. Use a soft brush on the client's teeth regularly

1. Offer the client ice chips

The nurse is caring for a client admitted with urticaria. Which clinical manifestations will the nurse expect to see during assessment? 1. Raised, pruritic, nontender, erythematous wheals on the skin 2. Pruritis, edema, and extremely dry skin 3. Sneezing, itching, rhinorrhea, and itchy eyes 4. Fever, malaise, muscle soreness, arthralgia, and splenomegaly

1. Raised, pruritic, nontender, erythematous wheals on the skin

Which of the following are chronic illnesses that contribute to death? Select all that apply. 1. Renal failure 2. Heart disease 3. Motor vehicle accident (MVA) 4. Stroke 5. Gunshot wound

1. Renal failure 2. Heart disease 4. Stroke

Which of the following are risk factors for cancer? Select all that apply. 1. Smoking 2. Genetics 3. Radiation Exposure 4. Viruses 5. Diet

1. Smoking 2. Genetics 3. Radiation Exposure 4. Viruses 5. Diet

The nurse is caring for a client receiving radiation therapy for lung cancer. Which of the following is important for the nurse to know regarding radiation treatment? Select all that apply. 1. Start of treatment 2. Method of administration 3. Prescribed nursing precautions 4. Length of treatment 5. Type of chemotherapy used

1. Start of treatment 2. Method of administration 3. Prescribed nursing precautions 4. Length of treatment

The nurse is caring for a client with lung cancer who is now reporting shortness of breath, cough, chest pain, facial redness, and swollen neck veins. The signs and symptoms are characteristic of which diagnosis? 1. Superior vena cava syndrome (SVCS) 2. Spinal cord compression 3. Hypercalcemia 4. Fluid volume deficit

1. Superior vena cava syndrome (SVCS)

The nurse is caring for a client with thrombocytopenia. Which of the following interventions does the nurse need to implement? Select all that apply. 1. Teach the client about using a soft bristle toothbrush 2. Instruct the client to report black tarry stools 3. Administer injections intramuscularly (IM) instead of intravenously (IV) 4. Instruct the client to take NSAIDS for discomfort 5. Apply pressure for at least 5 minutes to injection sites

1. Teach the client about using a soft bristle toothbrush 2. Instruct the client to report black tarry stools 5. Apply pressure for at least 5 minutes to injection sites

The nurse is teaching a group of women about early detection of breast cancer. Which of the following does the nurse need to include in the teaching? 1. Colonoscopy every 10 years 2. Monthly breast self-exam 3. Papanicolaou (Pap) test annually 4. Tissue biopsy

2. Monthly breast self-exam

The nurse is teaching a client with contact dermatitis about skin care and prevention of infection. What will the nurse include in the teaching? Select all that apply. 1. Wear clean, white cotton gloves at night. 2. Keep fingernails short and clean. 3. Use topical corticosteroids on dry skin. 4. Take oral antihistamines to reduce itching. 5. Rub skin gently instead of scratching.

1. Wear clean, white cotton gloves at night. 2. Keep fingernails short and clean. 4. Take oral antihistamines to reduce itching. 5. Rub skin gently instead of scratching.

The nurse is educating a client with leukemia who has developed neutropenia. Which of the following statements made by the client indicates a need for further education? 1. "I cannot have flowers in my room." 2. "I should eat plenty of fresh fruits and vegetables." 3. "My son cannot visit because he is sick." 4. "A fever means I could have an infection."

2. "I should eat plenty of fresh fruits and vegetables."

The nurse is discussing vaccinations with an older adult. Which of the following statements made by the client indicates an understanding regarding the teaching? 1. "I should get a flu shot every other year so I don't get the flu." 2. "I should get a shingles vaccine because I am over 60." 3. "I had a tetanus shot 15 years ago, so I don't need another one." 4. "I should get a shot for pneumonia every 5 years."

2. "I should get a shingles vaccine because I am over 60."

The nurse is caring for a terminally ill client in hospice care who states that they no longer wish to participate in hospice but rather resume aggressive treatment. Which response by the nurse is most appropriate? 1. "You cannot terminate your agreement with hospice at this point." 2. "I will call your health-care provider (HCP) so you can inform them." 3. "Hospice is a good choice for you; I think you should continue." 4. "There is no cure for your illness; hospice is the only option."

2. "I will call your health-care provider (HCP) so you can inform them."

The nurse is reviewing orders for a group of clients. Which client might the nurse see a prescription for a CD4 count? 1. A client with renal failure 2. A client with HIV 3. A client with anemia 4. A client with arthritis

2. A client with HIV

Below is a list of client needs. Which of these needs are appropriate for the terminally ill client and their families? Select all that apply. 1. Enrolling in a study to provide a cure 2. Adequate pain and symptom management 3. Reducing emotional and financial burden on their families 4. Ability to use remaining time to spend with loved ones 5. Avoidance of prolongation of the dying process

2. Adequate pain and symptom management 3. Reducing emotional and financial burden on their families 4. Ability to use remaining time to spend with loved ones 5. Avoidance of prolongation of the dying process

The nurse is caring for a client receiving chemotherapy who is reporting mucositis. Which of the following interventions should the nurse implement? 1. Administer an antiemetic 2. Administer a neutral mouthwash as ordered 3. Encourage the client to refrain from oral care 4. Instruct the client to drink orange juice

2. Administer a neutral mouthwash as ordered

The immune system can mistakenly react to itself. This is known as which of the following? 1. Passive immunity 2. Autoimmune disease 3. Cell-mediated immunity 4. Anaphylactic reaction

2. Autoimmune disease

The nurse is selecting menu items for a patent admitted with neutropenia. Which of the following items should the nurse select? Select all that apply. 1. Fresh carrots 2. Chicken broth 3. Gelatin 4. Milkshake 5. Grilled chicken

2. Chicken broth 3. Gelatin 4. Milkshake 5. Grilled chicken

The nurse is caring for a client with hypothyroidism. Which clinical manifestations can the nurse expect the client to exhibit? Select all that apply. 1. Hypertension 2. Dyspnea 3. Diarrhea 4. Slow mental processes 5. Sensitivity to heat

2. Dyspnea 4. Slow mental processes

The nurse is caring for a client undergoing chemotherapy who reports changes in taste and smell. Which of the following interventions should the nurse implement? Select all that apply. 1. Use metal utensils 2. Encourage oral hygiene before meals 3. Suggest the client eat eggs instead of beef for lunch 4. Provide the client with various seasonings 5. Cook in glass containers in the microwave

2. Encourage oral hygiene before meals 3. Suggest the client eat eggs instead of beef for lunch 4. Provide the client with various seasonings 5. Cook in glass containers in the microwave

The nurse is caring for a client who is in the nadir period following chemotherapy. Which intervention should the nurse implement for a client who is experiencing thrombocytopenia? 1. Place the client in protective isolation 2. Encourage the client to report any abnormal bruising or bleeding 3. Administer filgrastim as ordered 4. Encourage the client to brush teeth with a hard-bristle toothbrush

2. Encourage the client to report any abnormal bruising or bleeding

The nurse is caring for an unconscious dying client. The family is not speaking to the client because they believe the client cannot hear. Which action is the most appropriate for the nurse to take? 1. Support the family in their decision to avoid speaking to the client since the client cannot hear 2. Explain to the family that hearing is the last sense to go and encourage them to talk to the client 3. Tell the family the client cannot hear them and they can say anything they would like in their presence 4. Inform the family they no longer have to visit the client since the client will be unaware of their presence.

2. Explain to the family that hearing is the last sense to go and encourage them to talk to the client

The nurse is visiting with the family member of a client who died. The nurse determines that the family member is in stage two of the grief process. Which emotional state accurately describes this stage? 1. Feels numb and has emotional outbursts 2. Feels guilty for not preventing the death 3. Finds hope in the future 4. Feels more energetic

2. Feels guilty for not preventing the death

The nurse is administering a 500 mL bolus of D5 ½ normal saline over 2 hours to a client with multiple myeloma. At what rate will the nurse set the infusion pump? Enter the numeral only.

250

During a family discussion of a do-not-resuscitate (DNR) order, which statement made by the family requires correction by the nurse? 1. "Dad has terminal cancer and would not benefit from CPR." 2. "Dad would want to be kept comfortable and not to remain alive on machines." 3. "Dad will no longer receive treatment once we agree to a DNR." 4. "Dad can have medication for comfort as he previously asked."

3. "Dad will no longer receive treatment once we agree to a DNR."

The nurse is providing teaching to a client receiving methylprednisolone (Solu-Medrol). Which statement made by the client indicates a need for further teaching? 1. "I need to take this medication with food." 2. "I should monitor my weight while taking this medicine." 3. "I can stop taking this medication as soon as I feel better." 4. "This medicine might make my blood sugar high."

3. "I can stop taking this medication as soon as I feel better."

The nurse is providing teaching for a client with allergic rhinitis. Which statement by the client indicates a need for further teaching? 1. "I should vacuum my home frequently." 2. "I must wear a mask when working in the yard." 3. "I should avoid dusting my house too often." 4. "I need to have my heating ducts cleaned."

3. "I should avoid dusting my house too often."

The nurse is caring for a client undergoing radiation therapy for bladder cancer. Which of the following limitations must the nurse consider when providing care for this client? 1. Type, Diameter, and Strength 2. Trip, Down, and Stop 3. Trim, Drop, and Space 4. Time, Distance, and Shielding

4. Time, Distance, and Shielding

The nurse is caring for a group of clients. Which client will the nurse see first? 1. A client who has pernicious anemia receiving B12 injections 2. A client with allergic rhinitis who has developed sinusitis 3. A client who got admitted for angioedema from a bee sting 4. A client with systemic lupus erythematosus (SLE) who is crying

3. A client who got admitted for angioedema from a bee sting

The nurse is reviewing risk factors for a latex allergy. Which of the following individuals is at high risk for developing a latex allergy? 1. A teacher 2. An airplane pilot 3. A dental assistant 4. A farmer

3. A dental assistant

Which of the following statements best describes a benign tumor? 1. Benign tumors grow much faster than cancer cells 2. Benign tumors alter the cells of the original tissue 3. An organ containing a benign tumor continues to function normally 4. A benign tumor is a cluster of cells not normal to the body and is cancerous

3. An organ containing a benign tumor continues to function normally

The nurse is caring for a client who is diagnosed with goiter secondary to Hashimoto's thyroiditis. Which interventions will the nurse expect to implement? 1. Encourage frequent activity. 2. Provide a regular diet. 3. Apply antiembolic stockings while client is in bed. 4. Encourage client to consume food high in iodine.

3. Apply antiembolic stockings while client is in bed.

The nurse is preparing a presentation on risk factors for cancer. Which ethnic group is at the highest risk for death due to oral cancer? 1. American Indian 2. Non-Hispanic white 3. Asian American/Pacific Islander 4. Hispanic

3. Asian American/Pacific Islander

Which appropriate discipline is included in a collaborative hospice team? 1. Physical therapist 2. Occupational therapist 3. Bereavement counselor 4. Diabetic educator

3. Bereavement counselor

The nurse is caring for a client with pernicious anemia. Which clinical manifestations will the nurse expect during assessment? 1. Lower back stiffness, lordosis, and fatigue 2. Sensitivity to cold, facial edema, and anorexia 3. Hypotension, dyspnea, and jaundice 4. Weakness, tongue inflammation, and pallor

4. Weakness, tongue inflammation, and pallor

The nurse is preparing to apply a fentanyl patch to a client with cancer pain. Which answer is correct regarding the preparation for this medication? 1. Cut the patch in half prior to administration 2. Apply heat over the patch to increase absorption of medication 3. Leave the old patch on the skin until the new one begins to work 4. Wear a pair of gloves when handling the patch

4. Wear a pair of gloves when handling the patch

The nurse is caring for a client with systemic lupus erythematosus (SLE). The nurse will be most concerned with which finding? 1. Complaints of joint stiffness 2. A "butterfly" rash on the face 3. Foamy, brown-colored urine 4. Drowsiness during the day

3. Foamy, brown-colored urine

The nurse is caring for a client who ended a cycle of cisplatin 13 days ago. The nurse should assess for clinical manifestations of which of the following complications occurring during the nadir? 1. Alopecia 2. Stomatitis 3. Infection 4. Vomiting

3. Infection

The nurse is caring for a client experiencing agitation. Which medication will the nurse expect to administer? 1. Fentanyl 2. Hyoscyamine 3. Lorazepam 4. Scopolamine

3. Lorazepam

The nurse is caring for a client who reports smoking 1 pack of cigarettes per day. For which cancer is the client at highest risk? 1. Skin cancer 2. Thyroid cancer 3. Lung cancer 4. Colon cancer

3. Lung cancer

The nurse is caring for a client who developed thrombocytopenia from chemotherapy. Which of the following is a priority intervention? 1. Monitor cardiac status 2. Monitor temperature 3. Monitor platelet count 4. Monitor fluid status

3. Monitor platelet count

Which of the following is the branch of medicine that deals with the prevention, diagnosis, and treatment of tumors or malignancies? 1. Gerontology 2. Gastroenterology 3. Oncology 4. Cardiology

3. Oncology

The nurse is caring for an unconscious dying client who appears agitated. Which assessment finding will the nurse identify as the cause? 1. The client has been given an opioid analgesic. 2. The client has a high oxygen saturation. 3. The client is lying on their catheter tubing. 4. The client is complaining of being hungry.

3. The client is lying on their catheter tubing.

The nurse is preparing a presentation about prevention of skin cancer. Which of the following should the nurse include in the presentation? 1. Wearing cool and loose clothing, such as tank tops, when in the sun 2. Tanning in a tanning bed instead of outdoors 3. Wearing sunscreen when outdoors 4. Avoiding the sun between 6 a.m. and 10 a.m.

3. Wearing sunscreen when outdoors

The nurse is teaching a client with systemic lupus erythematosus (SLE) how to prevent exacerbations of the illness. What should the nurse include in teaching? 1. Sleep for 6 hours every night. 2. Cool baths for joint stiffness. 3. Eat a high-carbohydrate diet. 4. Wear protection from the sun.

4. Wear protection from the sun.

The nurse is caring for a client receiving tamoxifen. Which of the following instructions is most important for the nurse to give the client? 1. "If you have started menopause, you should not take this medication." 2. "If you have blood in the urine, please let me know." 3. "You may experience numbness and tingling in your hands and feet." 4. "You should not take antacids within 2 hours after receiving this medication."

4. "You should not take antacids within 2 hours after receiving this medication."

On average, how soon do clients die after being admitted to a nursing home? 1. Within 5 years 2. Within 3 years 3. Within 2 years 4. Within 1 year

4. Within 1 year

The nurse is caring for a group of clients. Which client will the nurse see first? 1. A client with contact dermatitis who reports redness and itching to both hands 2. A client receiving the fifth dose of antibiotic who reports of watery diarrhea 3. A client with ankylosing spondylitis who reports joint pains in early mornings 4. A client receiving a blood transfusion who reports fever, low back pain, and itching

4. A client receiving a blood transfusion who reports fever, low back pain, and itching

The nurse is caring for a dying client experiencing dyspnea. Which intervention will the nurse plan to implement? 1. Place a heater safely at the bedside 2. Suction the client 3. Lower the head of the bed 4. Administer diuretics as prescribed

4. Administer diuretics as prescribed

The nurse is reviewing risk factors for systemic lupus erythematosus (SLE). Which of the following clients is at the highest risk for SLE? 1. A Caucasian male 2. An African American male 3. A Caucasian female 4. An African American female

4. An African American female

The nurse is preparing to reinforce teaching to a client with a terminal illness. Which action will the nurse take first? 1. Refer the client to a local support group 2. Encourage the client to avoid anger 3. During discussions, correct a client's denial of the diagnosis 4. Determine what the client knows about their diagnosis

4. Determine what the client knows about their diagnosis

The nurse is reading a client's chart and notes the client has a tumor stage of IV. Which describes the meaning of stage IV cancer? 1. Tumor in situ, no invasion of other tissues 2. No abnormal cells 3. Abnormal cells present; has spread into nearby tissues 4. Distant metastasis to other sites Rationales

4. Distant metastasis to other sites Rationales

The nurse is caring for a client receiving radiation therapy for lung cancer. The client reports xerostomia. Which of the following interventions should the nurse implement? 1. Suction the excretions with an oral suctioning tool 2. Provide a neutral mouthwash 3. Place the client in protective isolation 4. Encourage frequent mouth care

4. Encourage frequent mouth care

A client is diagnosed with ankylosing spondylitis. Which intervention will the nurse implement? 1. Encourage a diet high in starch. 2. Discourage range-of-motion exercises. 3. Provide a soft mattress for sleeping. 4. Give the prescribed ibuprofen.

4. Give the prescribed ibuprofen.

The nurse is caring for a client receiving leuprolide. Which of the following interventions should the nurse implement? 1. Assess for numbness and tingling in hands and feet 2. Monitor weight daily 3. Assess for hemorrhagic cystitis 4. Monitor prostate-specific antigen (PSA) results

4. Monitor prostate-specific antigen (PSA) results