210 Presentation Questions

While providing education regarding skin care to the client receiving radiation therapy for cancer, what statement made by the client will the registered nurse (RN) identify as a need for further education? A). "As long as I am careful with the application and removal, I can wear makeup occasionally." B). "I realize that I will need to be very careful and not allow any sun exposure to exposed skin at this time." C). "While receiving radiation therapy, I need to avoid using perfumes and deodorants to avoid skin irritation." D). "During the time I am receiving radiation therapy, I need to avoid using bandaids or other forms of tape on my skin."

A ). "As long as I am careful with the application and removal, I can wear makeup occasionally".

A nurse is presenting an educational event to a local community group. When speaking about colorectal cancer, what risk factor should the nurse cite? A) High levels of alcohol consumption B) History of bowel obstruction C) History of diverticulitis D) Longstanding psychosocial stress

A) High levels of alcohol consumption

A patient with lung cancer scheduled for a surgical resection received radiation therapy preoperatively. About which outcome does the nurse educate the patient after the radiation therapy?

A) Reduction in the tumor mass

A client suspected of bladder cancer is to undergo a retrograde pyelogram. How will the nurse explain the testing to the client? A. "Dye will be injected through your catheter during an x-ray." B. "A biopsy will be taken during the procedure." C. "In this procedure, a camera will be inserted through the urethra." D. "This is a test of your urine to look for cancer cells."

A. "Dye will be injected through your catheter during an x-ray."

The nurse is teaching a client about risk factors associated with colorectal cancer. The nurse determine further teaching is necessary related to colorectal cancer if the client identifies which of the following as an associated risk factor? A. Age younger than 50 years B. History of colorectal polyps C. Family history of colorectal cancer D. Chronic inflammatory bowel disease

A. Age younger than 50 years

The nurse is working on an oncology unit specializing in genitourinary cancers. The nurse understands that which of the following is the first sign of bladder cancer? A. Hematuria B. Palpable pelvic mass C. Weak stream D. Flank pain

A. Hematuria

A client with bladder cancer is undergoing reconstructive surgery. The client will have a stoma on the abdomen with constant urine release into an ostomy bag. The nurse understands that this type of diversion is called: A. Ileal conduit B. Continent diversion C. Neobladder D. Nephrostomy tube

A. Ileal conduit

The nurse is caring for a patient admitted for evaluation and surgical removal of a brain tumor. Which complications will the nurse monitor for ? Select all that apply. A. Seizures B. Vision loss C. Cerebral edema D. Pituitary dysfunction E. Parathyroid dysfunction F. Focal neurologic deficits

A.Seizures B.Vision loss C.Cerebral edema D.Pituitary dysfunction F. Focal neurologic deficits

You're assessing a patient's understanding on how to prevent skin cancer. Select all the statements that demonstrate the patient understood the education provided to them: (SATA) A. "I will try to avoid direct sun exposure at 8am-6pm when the sun rays are the strongest." B. "I will use a broad-spectrum sunscreen that has a SPF of 15 or higher." C. "I will limit my tanning bed usage to two times per week." D. "It is very important I wear a hat, sunglasses, and long-sleeves to avoid too much sun exposure."

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

Which client is at greatest risk for the development of skin cancer? A. 55-year-old African American male who lives in Alaska. B. 18-year-old female who uses a tanning bed once per week. C. 42-year-old male who has a family history of basal cell carcinoma. D. 31-year-old male with fair complexion who works outside.

Answer: D - 31-year-old male with fair complexion who works outside.

A nurse is planning care for a patient who has been diagnosed with colon cancer. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. Encourage a high-fiber diet B. Administer prescribed pain medication C. Provide emotional support and counseling resources D. Monitor for signs of bowel obstruction E. Encourage regular exercise

B. Administer prescribed pain medication C. Provide emotional support and counseling resources D. Monitor for signs of bowel obstruction

The nurse is instructing a client with iron-deficiency anemia regarding the administration of liquid oral iron supplement. Which instruction would the nurse tell the client? A. Administer the iron at mealtimes B. Administer the iron through a straw C. Mix the iron with cereal to administer D. Add the iron to apple juicy for easy administration

B. Administer the iron through a straw

A community health nurse conducts a health promotion program regarding testicular cancer to community members. The nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer? A. Back Pain B. Alopecia C. Heavy sensation in the scrotum D. Painless testicular swelling

B. Alopecia

A 50-year-old patient comes to the clinic for a routine check-up. The nurse recognizes that which of the following is the diagnostic tool of choice for colorectal cancer screening? A. Fecal occult blood test (FOBT) annually B. Colonoscopy every 10 years C. Sigmoidoscopy every 5 years D. Double-contrast barium enema every 5 years

B. Colonoscopy every 10 years

The nurse is assessing a female clients back who states "the center of my upper back is always so itchy". The nurse sees an irregular-shaped lesion that is scabbing. What action should the nurse implement? A. Notify the HCP to check the lesion. B. Measure the lesion and note the color. C. Apply lotion to the lesion. D. Perform a biopsy.

B. Measure the lesion and note the color.

A patient has a diagnosis of stage III ovarian cancer and wants to know what organs are involved. What informations should be provided to the patient? A. The cancer involves the ovaries with pelvic extension. B. The cancer involves metastases outside the pelvis. C. The cancer involves only the ovaries. D. The cancer involves distant metastases.

B. The cancer involves metastases outside the pelvis.

A 32-year-old patient has been diagnosed with an ovarian cyst and asks the nurse "Should i be worried about cancer?" Which response by the nurse would be most appropriate? A. "Ovarian cysts are just that, cysts and not a cause for concern." B. "Since you don't have any symptoms, the chances of having cancer are really remote." C. "Most cysts are benign in younger women, but it's good to have it checked out." D. "Ovarian cysts can be malignant but this is a rare occurrence."

C. "Most cysts are benign in younger women, but it's good to have it checked out."

Which of the following symptoms is most common for uterine cancer? A. Dizziness and confusion B. Difficulty eating C. Pain and pressure in the pelvis D. Fever and chills

C. Pain and pressure in the pelvis

What is the recommend Pap smear screening for cervical cancer ? A. Starting at the age of first menstrual period & every year thereafter B. Starting at the age of 30 and having their first child & every 6 years thereafter C. Starting at the age 21 & every 3 years thereafter D. Starting at the age of 18 & every 2 years thereafter

C. Starting at the age 21 & every 3 years thereafter

The patient with a brain tumor is being monitored for increased intracranial pressure (ICP) with a ventriculostomy. What nursing intervention is priority? A. Administer IV mannitol B. Ventilator use to hyperoxygenate the patient C. Use strict aseptic technique with dressing changes. D. Be aware of changes in ICP related to leaking cerebrospinal fluid (CSF).

C. Use strict aseptic technique with dressing changes.

Which factors are considered to be direct causes of lung cancer? Select all that apply.

Coal dust Smoking High levels of pollution

Which statement by a patient who is scheduled for a needle biopsy of the prostate indicates that the patient understands the purpose of a biopsy? A. "The biopsy will tell the doctor whether the cancer has spread to my other organs." B. "The biopsy will help the doctor decide what treatment to use for my enlarged prostate." C. "The biopsy will determine how much longer I have to live." D. "The biopsy will indicate the effect of the cancer on my life."

Correct Answer: B. "The biopsy will help the doctor decide what treatment to use for my enlarged prostate."

What should a male client over age 52 do to help ensure early identification of prostate cancer? A. Have a transrectal ultrasound every 5 years B. Perform monthly testicular self-examinations, especially after age 50 C. Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly D. Have a complete blood count (CBC) and blood urea nitrogen (BUN) and creatinine levels checked yearly

Correct Answer: C. Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly

The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention is the highest priority in the nursing plan of care. A. Monitoring temperature B. Monitoring for pathological factors C. Ambulation three times a day D. Monitoring the platelet count

Correct Answer: D. Monitoring the platelet count

Which nevi should not concern the nurse? A) A reddish, crusty patch. B) Scaly sore that doesn't heal. C) A mole that grew 2mm from the last visit. D) Round and symmetrical nevi.

D Round and symmetrical nevi

A 56-year-old man is worried about his risk of developing lung cancer. He has no medical problems, but he does report having smoked one pack of cigarettes a day for 4 years while in college. He stopped smoking more than 30 years ago. Of the following which is the most accurate statement regarding this patient's risk of developing lung cancer?

D) His risk of developing lung cancer is only slightly greater than that of a nonsmoker

What statement made by the student regarding meningiomas requires further instruction? A)"Meningioma is the most common benign brain tumor". B)"Meningioma occurs more often in women than men". C)"The clinical manifestations depend upon the area of the brain affected". D)"There is not any type of treatment or intervention for this type of tumor".

D)"There is not any type of treatment or intervention for this type of tumor".

What is the most unique clinical presentation that occurs with a client diagnosed with a brain tumor (benign or malignant)? A)Decreased sensation in the hands and feet. B)Change in sleeping pattern. C)Change in gait and mobility. D)Headache that is worse when awakening.

D)Headache that is worse when awakening.

The nurse is explaining a radical cystectomy to a male client with bladder cancer. Which statement by patient would require further education? A. "In this surgery, they will remove the bladder and the lymph nodes around the bladder." B. "In this surgery, they will remove my seminal vesicles." C. "In this surgery, they will remove my prostate." D. "In this surgery, they will remove a portion of my bladder."

D. "In this surgery, they will remove a portion of my bladder."

For cervical cancer, which patient is most at risk? A. A 53 year old in a monogamous relationship B. None of these patients are at risk C. A 37 year old with h/o of syphilis and smokes D. A 18 year old who reports of having at least 10 sex partners

D. A 18 year old who reports of having at least 10 sex partner

A client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriate? A. Flush all urine down the toilet. B. Restrict the client's fluid intake. C. Place the client in a semi-private room. D. Monitor the client for signs and symptoms of cystitis.

D. Monitor the client for signs and symptoms of cystitis.

The nurse is instructing the client to perform a testicular selfexamination. The nurse tells the client: A. That testicular examination should be done at least every 6 months B. To gently feel the testicle with one finger to feel for a growth C. To examine the testicles while lying down D. The best time for examination is after the shower

D. The best time for examination is after the shower

The client is four (4) hours post-lobectomy for cancer of the lung. Which assessment data warrant immediate intervention by the nurse?

The client has 450 mL of bright-red drainage in the chest tube.

The nurse is taking the patient's history from a client diagnosed with small cell carcinoma of the lung. Which information is significant for this disease?

The client has smoked two (2) packs of cigarettes a day for 20 years.

A patient with a mole that is growing, irregular, and 7mm in diameter is scheduled for outpatient procedure. The nurse should plan to prepare the patient for which procedure? a. Curettage b. Cryosurgery c. Punch biopsy d. Surgical excision

d. Surgical excision