Skin Cancer NCLEX Questions

To determine the severity of the symptoms for a patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about

Strength force of the urinary stream.

Which is the American Cancer Society's recommendation for early detection of prostate cancer?

Yearly PSA and DRE beginning at age 50

The epidermis consists of ________ layers with the innermost layer of the epidermis being known as the __________.*

five, stratum basale

The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that

his interest in sexual activity may decrease while he is taking the medication.

Breast self examination (BSE) is one of the ways to detect breast cancer earlier. The nurse is conducting a health teaching to female clients in a clinic. During evaluation the clients are asked to state what they learned. Which of the following statement made by a client needs further teaching about BSE?

"BSE palpation is done by starting at the center going to the periphery in a circular motion."

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

"Eating a high fiber diet will reduce my risk for developing skin cancer."

Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?

"Has there been a decrease in the force of your urinary stream?"

Which statement is true regarding the pathophysiology of melanoma?*

"Melanoma of the skin originates from melanocytes found in the stratum basale."

The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?

. Ask questions about cardiac symptoms and their relationship to the cancer.

72-yr-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels. Which prescribed therapy should the nurse implement first?

insert urethral catheter

A nurse is caring for a client who has chemotherapy- induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms?

tingling feeling in the extremities

TRUE OR FALSE PROSTATE CANCER IS DIFFICULT TO DIAGNOSE BECAUSE IT HAS NO EARLY SYMPTOMS

true

Chemotherapy is one of the therapeutic modalities for cancer. This treatment is contraindicated to which of the following conditions?

A. Recent Surgery B. Pregnancy C. Bone Marrow Depression

You're providing an in-service on skin cancer prevention to a local group of parents and grandparents. One topic you discuss is the identification of melanoma. Select all the characteristics of this type of skin cancer you will educate the participants about:*

B. Red, purple, and black color C. Dissimilar borders E. Increase in size, shape, color

A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

Provide the client with articles from the Internet that explain colon cancer stages.

71-yr-old patient with a diagnosis of benign prostatic hyperplasia (BPH) has been scheduled for a contact laser technique. What is the primary goal of this intervention?

Resumption of normal urinary drainage

. A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

avoid crowds

You're assessing a patient's understanding about how to prevent skin cancer. Select all the statements that demonstrate the patient understood the education provided to them:*

B. "I will use a broad-spectrum sunscreen that has an SPF of 15 or higher." D. "It is very important I wear a hat, sunglasses, and long-sleeves to avoid too much sun exposure."

The nurse teaches a 30-year-old man with a family history of prostate cancer about dietary factors associated with prostate cancer. The nurse determines that teaching is successful if the patient selects which menu?

Baked chicken, peas, apple slices, and skim milk

A patient has an electrodessication and curettage (EDC) performed to remove a skin cancer lesion. How will the nurse educate the patient on how to care for the surgical site?*

C. Apply petroleum jelly to the site with a nonstick bandage.

True or False: Basal and squamous cell carcinoma are both considered nonmelanoma types of skin cancer.* True False

TRUE.

A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

combing her hair

A client had undergone radiation therapy (external). The expected side effects include the following apart from:

constipation

A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?

do not apply heat to areas of radiation

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

poor

What are the levels we checked for prostate cancer?

psa

A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?

semi fowlers

The pt is diagnosed with early cancer of prostate. Which assessment data would the pt report?

states she has not had any problems

You're providing teaching to a patient diagnosed with squamous cell carcinoma on the face. In your teaching, you are providing education on how this type of skin cancer develops. What information will you include in your patient education?*

"Squamous cell skin cancer develops in the stratum spinosum layer of the epidermis and occurs due to mutated keratinocytes."

A patient with a recent diagnosis of prostate cancer is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, "I am not sure if this surgery is safe." Which response by the nurse is the most appropriate?

"Tell me what you know about your surgery and the risks involved."

Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures what distance should be maintained from the client?

3feet

Contact of client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?

5 mins

Identify the patients below who are at a HIGH risk for developing skin cancer. Select all that apply:*

A. A 22-year-old female who reports using a tanning bed three times per week. C. A 35-year-old female with light-colored skin and eyes that reports frequent sunburns as a child. D. A 29-year-old who reports a family history of melanoma.