NUR 4271 Fin
A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the client to expect: a. Fatigue b. Vomiting c. Hair loss d. Stomatitis
a. Fatigue
Which is the American Cancer Society's recommendation for early detection of prostate cancer? a. Yearly PSA and DRE beginning at age 50. b. Biannual rectal exam beginning at age 40. c. Semi-annual alkaline phosphatase level beginning at age 45. d. Yearly urinalysis to determine presence of prostatic fluid.
a. Yearly PSA and DRE beginning at age 50.
The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack of understanding? A. "This condition will become malignant over time." B. "I understand that hormone-based drugs have serious adverse effects." C. "One cup of coffee in the morning should be enough for me." D. "This condition makes it more difficult to examine my breasts."
A. "This condition will become malignant over time."
Which of the following would cause the nurse to suspect Cushing syndrome? a. Hypotension. b. Thick, coarse skin. c. Deposits of adipose tissue in the midsection and upper back. d. Weight gain in arms and legs.
c. Deposits of adipose tissue in the midsection and upper back.
The nurse is evaluating the discharge teaching for a client with an ileal conduit. Which is a correct statement by the client? (Select all that apply) A. "I will limit my fluid intake so I will not have to empty my pouch as often. " B. "I can place an aspirin in my pouch to decrease odor." C. "I can keep my ostomy pouch on for 3-7 days before I need to change it." D. " I should use a skin barrier to protect my skin from urine."
C. "I can keep my ostomy pouch on for 3-7 days before I need to change it." D. " I should use a skin barrier to protect my skin from urine."
You're educating the parents of a 12-year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which statement by the parents demonstrates they understood your instructions? A. "We will limit fluid intake during the day to 1-2 L a day." B. "Cold showers are best to help with pain associated with sickling." C. "We will avoid traveling to high altitude locations." D. "It is important we refuse all future vaccinations unless absolutely necessary."
C. "We will avoid traveling to high altitude locations."
A female client with a urinary diversion tells the nurse, "This urinary pouch is embarrassing. Everyone will know that I'm not normal. I don't see how I can go out in public anymore." The most appropriate nursing diagnosis for this patient is: A. Anxiety related to the presence of urinary diversion. B. Deficient Knowledge about how to care for the urinary diversion C. Low Self-Esteem related to feelings of worthlessness D. Disturbed Body Image related to creation of a urinary diversion
C. Low Self-Esteem related to feelings of worthlessness
Which of the following is the most common symptom of bladder cancer? A. Suprapubic pain B. Dysuria C. Painless hematuria D. Urinary retention
C. Painless hematuria
During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's. A. hemoglobin A1C level B. heart rate C. reflexes D. vaccination history
D. vaccination history
A client complains that their partner is often sleepy during the day and wakes up irritable in the morning. The nurse assesses symptoms by asking. a. "Do you observe snoring during the night?" b. "Does your partner drink alcohol before going to sleep?" c. "Is your partner underweight more than 15 lbs?" d. "Does your partner smoke cigarettes?"
a. "Do you observe snoring during the night?"
The nurse evaluates teaching provided to a group of community members on breast cancer awareness. Which statement indicates that teaching on risk factors has been effective? (Select all that apply.) a. "Not breastfeeding increases the risk of breast cancer." b. "Having children after age 30 increases the risk of breast cancer." c. "Having previous irradiation of the chest increases the risk of breast cancer." d. "Experiencing menopause after age 50 increases the risk of breast cancer." e. "Having a first- or second-degree relative with breast cancer increases the risk of breast cancer." f. "Having harmful mutations in BRCA1 or BRCA2 suppression increases the risk of breast cancer."
a. "Not breastfeeding increases the risk of breast cancer." b. "Having children after age 30 increases the risk of breast cancer." c. "Having previous irradiation of the chest increases the risk of breast cancer." f. "Having harmful mutations in BRCA1 or BRCA2 suppression increases the risk of breast cancer."
A 29-year-old woman is being seen in the healthcare clinic after a diagnosis of breast cancer. The nurse knows that women from which ethnic background are at increased risk of developing breast cancer? Select all that apply. a. African American b. Arab American c. Pacific Islander d. Caucasian e. Eastern Indian
a. African American d. Caucasian
The nurse writes a problem of 'impaired gas exchange' for a client diagnosed with cancer of the lung. Which interventions should be included for the plan of care? (Select all that apply). a. Apply O2 via nasal cannula. b. Have the dietician plan for 6 small meals per day. c. Place the client in resp. isolation. d. Assess vital signs for fever. e. Listen to lung sounds every shift.
a. Apply O2 via nasal cannula. b. Have the dietician plan for 6 small meals per day. d. Assess vital signs for fever. e. Listen to lung sounds every shift.
A patient's partner informs the nurse that the patient wakes up with a startle and gasps for breath several times at night. The nurse understands the patient is experiencing sleep apnea. What are the common risk factors in this patient for sleep apnea? Select all that apply. a. Body mass index (BMI) 30 kg/m2 b. Age 44 years c. Habit of smoking d. Neck circumference 18 inches e. Occasional consumption of alcohol
a. Body mass index (BMI) 30 kg/m2 c. Habit of smoking d. Neck circumference 18 inches
The nurse is aware that continuous positive airway pressure (CPAP) assist the client by: a. Delivers pressurized air to keep the airway open. b. Delivers 100% oxygen to the nasal cavities. c. Decreases fatty accumulation in the neck. d. Prevents increased secretions in the airways.
a. Delivers pressurized air to keep the airway open.
The nurse correctly comprehends the pathophysiology of Prostate cancer when the nurse states clinical symptoms of prostate cancer include (Select all that apply). a. Difficulty in initiating urination b. Minimal hematuria with pain c. Prostate gland appears stony hard d. The client reports weight loss
a. Difficulty in initiating urination b. Minimal hematuria with pain c. Prostate gland appears stony hard
A patient is being tested for sickle cell disease. As the nurse, you know the ________ will assess for abnormal hemoglobin on the red blood cell, but will not differentiate between sickle cell disease and sickle cell trait. Therefore, the patient will need to have what other test to determine this? a. Dithionite test; hemoglobin electrophoresis b. Hemoglobin electrophoresis; sickledex c. Edrophonium test; dithionite test d. Sickledex; edrophonium test
a. Dithionite test; hemoglobin electrophoresis
The nurse has received in report that a client who is receiving chemotherapy for lung cancer has severe neutropenia. Which intervention does the nurse plan to implement? (Select all that apply.) a. Do not permit fresh flowers or plants in the room. b. Do not allow the client's 16-year-old son to visit. c. Observe for bleeding d. Teach the client to omit raw fruits and vegetables from the diet. e. Administer peg filgrastim (Administration of biological response modifiers) f. Access for Fever
a. Do not permit fresh flowers or plants in the room. b. Do not allow the client's 16-year-old son to visit. d. Teach the client to omit raw fruits and vegetables from the diet. e. Administer peg filgrastim (Administration of biological response modifiers) f. Access for Fever
The nurse is teaching a group of teenage boys who are on a baseball team about the risks of chewing tobacco. Which of the following should the nurse instruct the teenagers to report to their parents and physicians? Select all that apply. a. Dysphagia. b. Sensitive teeth. c. Unexplained mouth pain. d. Lump in the neck. e. Decreased saliva. f. White patch on the mucosa.
a. Dysphagia. c. Unexplained mouth pain. d. Lump in the neck. f. White patch on the mucosa.
Which factors in a 64-year-old man diagnosed with head and neck cancer are most likely to have contributed to this health problem? Select all that apply. a. He has worked in a factor for the last 40 years where he is often exposed to chemicals b. His father has head and neck cancer c. His hobby is oil painting d. He uses chewing tobacco and drinks beer daily
a. He has worked in a factor for the last 40 years where he is often exposed to chemicals d. He uses chewing tobacco and drinks beer daily
Chemotherapy may be used in combination with surgery in the treatment of lung cancer. Important nursing considerations with chemotherapy include SATA a. Helping the client deal with depression secondary to the diagnosis and its treatment b. Explaining to the clients the adverse reactions associated with chemotherapy c. Careful observation of the IV site for extraversion d. Careful monitoring of the client total blood count
a. Helping the client deal with depression secondary to the diagnosis and its treatment b. Explaining to the clients the adverse reactions associated with chemotherapy d. Careful monitoring of the client total blood count
During the postoperative assessment of a client with a history of OSA, which assessment finding should cause the nurse the most concern a. Irregular and noisy respirations b. Disorientation and confusion c. Report of dry mouth and sore throat d. A pain report of 8 on a 1-10 scale
a. Irregular and noisy respirations
A 28-year-old female patient asks you when it is best to perform a self-breast exam. Your response is the following: a. It is best to perform a self-breast exam 7 to 10 days after menses. b. It is best to perform a self-breast exam every 6 months on the 1st day of bleeding. c. It is best to perform a self-breast exam on the same time every month of the day. d. It is best to perform a self-breast exam on the day after ovulation.
a. It is best to perform a self-breast exam 7 to 10 days after menses.
What is unique to cancer cells? (Select all that apply) a. Multiple at a faster rate than normal cells. b. Stay in the organ of origination. c. More common in adults over the age of 60. d. Poorly differentiated.
a. Multiple at a faster rate than normal cells. d. Poorly differentiated.
A 52 yr-old female tells the nurse that she has found a painless lump in her right breast during her monthly selfexamination. Which assessment finding would strongly suggest that this client's lump is cancerous? a. Nonmobile mass with irregular edges b. Nonpalpable right axillary lymph nodes c. Eversion of the right nipple and a mobile mass d. Mobile mass that is soft and easily delineated
a. Nonmobile mass with irregular edges
The nurse is volunteering at a community center to teach women about breast cancer. What should the nurse include when discussing risk factors? (Select all that apply) a. Nulliparity b. Age 30 c. Caucasian d. Breast fed an infant for one year. e. Radiation to chest before age 30.
a. Nulliparity c. Caucasian e. Radiation to chest before age 30.
Following a radical prostatectomy for prostate cancer, the patient is incontinent of urine. An appropriate nursing intervention for this patient is to teach the patient a. Pelvic floor muscle training b. The use of belladonna and opium suppositories c. How to perform intermittent self-catheterization d. To restrict oral fluid intake
a. Pelvic floor muscle training
A 16-year-old patient with cystic fibrosis is admitted with increased shortness of breath and possible pneumonia. Which nursing activity is most important to include in the patient's care? a. Perform postural drainage and chest physiotherapy every 4 hours. b. Allow the patient to decide whether she needs aerosolized medications. c. Place the patient in a private room to decrease the risk of further infection. d. Plan activities to allow at least 8 hours of uninterrupted sleep
a. Perform postural drainage and chest physiotherapy every 4 hours.
What is the rationale for using CPAP to treat sleep apnea? a. Positive air pressure holds the airway open b. Negative air pressure holds the airway closed c. Delivery of oxygen facilitates respiratory effort d. Alternating waves of air stimulate breathing
a. Positive air pressure holds the airway open
The nurse understands which of the following about uterine leiomyomas: Select all that apply. a. Post menopausal have an increased risk. b. Genetics can contribute to UL. c. AA are at greater risk. d. Obesity may increase risk. e. UL leads to malignancy of the uterus.
a. Post menopausal have an increased risk. b. Genetics can contribute to UL. c. AA are at greater risk. d. Obesity may increase risk.
Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child? a. Pulmonary secretions are abnormally thick. b. Elevated levels of potassium are found in sweat. c. CF is an autosomal dominant hereditary disorder. d. Obstruction of the endocrine glands occurs
a. Pulmonary secretions are abnormally thick.
A patient has obstructive sleep apnea (OSA). What should the nurse include in the teaching related to ways the patient can minimize the negative effects of OSA? Select all that apply. a. Raise the head end of the bed slightly b. Use an oral appliance that prevents the airway from collapsing. c. Sleep in a side-lying position. d. Avoid consuming alcoholic beverages several hours before going to sleep. e. Take sleeping pills before going to bed.
a. Raise the head end of the bed slightly b. Use an oral appliance that prevents the airway from collapsing. c. Sleep in a side-lying position. d. Avoid consuming alcoholic beverages several hours before going to sleep.
The nurse prepares a teaching poster for placement in a women's health clinic. Which activity should the nurse identify to help prevent breast cancer? (Select all that apply.) a. Refraining from smoking b. Engaging in physical activity c. Completing monthly self-breast exams d. Limiting hormone therapy in duration and dose e. Avoiding exposure to environmental pollution and radiation
a. Refraining from smoking b. Engaging in physical activity d. Limiting hormone therapy in duration and dose e. Avoiding exposure to environmental pollution and radiation
Which of the following factors need(s) to be included in a teaching plan for a child with sickle cell anemia? Select all that apply. a. The child needs to be taken to a physician when sick. b. The parent should make sure the child sleeps in an air-conditioned room. c. Emotional stress should be avoided. d. It is important to keep the child well hydrated.
a. The child needs to be taken to a physician when sick. c. Emotional stress should be avoided.
The patient is diagnosed with early cancer of the prostate. Which assessment data would the patient most likely report? Select all that apply: a. Urinary urgency and frequency. b. Retrograde ejaculation. c. Low back and hip pain. d. States that he has not had any problems. e. Hematuria.
a. Urinary urgency and frequency. d. States that he has not had any problems.
The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? SAA a. instill isotonic eye drops as necessary- due to exophthalmos b. provide several, small, well-balanced meals c. provide rest periods d. keep the environment warm e. encourage frequent visitors and conversation f. weigh the client daily- monitor nutritional status
a. instill isotonic eye drops as necessary- due to exophthalmos b. provide several, small, well-balanced meals c. provide rest periods f. weigh the client daily- monitor nutritional status
A nurse is caring for a client with adrenal hyperfunction. The client screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, "I feel like I am going crazy." How would the nurse respond? a. "I will ask your doctor to order a mental health consult for you." b. "You feel this way because of your hormone levels." c. "Can I bring you information about support groups?" d. "I will close the door to your room and restrict visitors."
b. "You feel this way because of your hormone levels."
Which of the following clients are at risk for developing Cushing's Syndrome? a. A patient with a tumor on the pituitary gland, which is causing too much ACTH to be secreted. b. A patient taking glucocorticoids for several months. c. A patient with a tuberculosis infection. d. A patient who is post-opt from an adrenalectomy
b. A patient taking glucocorticoids for several months.
A pneumonectomy is a surgical procedure sometimes indicated for treatment of non-small-cell lung cancer. A pneumonectomy involves removal of: a. One lobe of a lung b. An entire lung fields c. One or more segments of a lung lobe d. A small, wedge-shaped lung surface
b. An entire lung fields
A patient who is being treated for stage IV lung cancer tells the nurse about new onset of back pain. Which action should the nurse take first? a. Give the patient the prescribed PRN opioid. b. Assess for sensation and strength in the legs. c. Notify the health care provider about the symptoms. d. Teach the patient how to use relaxation to reduce pain
b. Assess for sensation and strength in the legs.
An 8-year-old with cystic fibrosis is admitted to the hospital and will undergo a chest physiotherapy treatment. The therapy should be properly coordinated by the nurse with the respiratory therapy department so that treatment occur during: a. After meals b. Between meals c. After medication d. Around child's play schedule
b. Between meals
A patient with a diagnosis of lung cancer is receiving chemotherapy and reports nausea and loss of appetite resulting in decreased food intake. What should the healthcare provider recommend to promote adequate nutrition? Advise the patient to: a. Eat only favorite foods to increase appetite. b. Eat small meals throughout the day. c. Eat large meals but less frequently throughout the day. d. Eat only when feeling hungry.
b. Eat small meals throughout the day.
A 14-year-old female has sickle cell anemia. Which factors below can increase the patient's risk for developing sickle cell crisis? Select all that apply: a. Shellfish b. Infection c. Dehydration d. Hypoxia e. Low altitudes f. Hemorrhage g. Strenuous exercise
b. Infection c. Dehydration d. Hypoxia f. Hemorrhage g. Strenuous exercise
Which of the following are signs of Breast cancer? Select all that apply. a. Mass is movable and painful. b. Nipple retraction. c. Site of the mass is upper outer quadrant. d. Mass/lump is painless.
b. Nipple retraction. c. Site of the mass is upper outer quadrant. d. Mass/lump is painless.
The nurse is preparing to teach a community group about early warning signs of lung cancer. What information does the nurse include? (Select all that apply.) a. 10-pack-year history of smoking b. Persistent coughing c. Rusty or blood-tinged sputum d. Dyspnea e. Hoarseness f. Fatigue
b. Persistent coughing c. Rusty or blood-tinged sputum d. Dyspnea e. Hoarseness
The nurse instructs the patient that the most definitive way of diagnosing prostate cancer is: a. CT scan followed by an MRI for confirmation. b. Prostate biopsy. c. PSA screening greater than 4 ng/mL. d. Prostate gland with palpable irregularities. e. Transrectal ultrasound.
b. Prostate biopsy.
In the client with terminal lung cancer, the focus of nursing care is on which of the following nursing interventions? a. Prepare the client's will b. Provide pain control c. Provide nutritional support d. Provide emotional support
b. Provide pain control
Maria refuses to acknowledge that her breast was removed. She believes that her breast is intact under the dressing. The nurse should a. Remind Kathy that she needs to accept her diagnosis so that she can begin rehabilitation exercises. b. Recognize that Kathy is experiencing denial, a normal stage of the grieving process. c. Call the MD to change the dressing so Kathy can see the incision. d. Reinforce Kathy's belief for several days until her body can adjust to stress of surgery.
b. Recognize that Kathy is experiencing denial, a normal stage of the grieving process.
Which modifiable risk factor should the nurse identify for the development of cancer of the prostate in a client? (Select all that apply) a. Previous exposure to chemicals b. The client has a diet high in red meat c. Cigarette smoking d. Parasitic infections of the bladder e. The client just celebrated his 55th birthday
b. The client has a diet high in red meat c. Cigarette smoking
Which modifiable risk factor should the nurse identify for the development of cancer of the prostate in a client? (select all that apply) a. Previous exposure to chemicals b. The client has a diet high in red meat c. Cigarette smoking d. Parasitic infections of the bladder e. The client just celebrated his 55th birthday.
b. The client has a diet high in red meat c. Cigarette smoking
You're educating the parents of an 8-month-old, who was recently diagnosed with cystic fibrosis, about the disease. You explain to the parents that the child has a gene mutation on the ____________. The gene that is specifically mutated is called? a. endocrine glands; Hbg S gene b. exocrine glands; CFTR gene c. endocrine glands; Chromosome 21 d. exocrine glands; HTT gene
b. exocrine glands; CFTR gene
A client with hypothyroidism complains of a low pulse rate despite taking the daily prescribed dose of Synthroid. What should the nurse advise the client? a. "Take the daily dose of Synthroid as prescribed and take your pulse again. " b. "It is not unusual for a person with hypothyroidism to have a lower than normal pulse rate on stressful days." c. "Do you have other symptoms for example- feelings of fatigue and cold?" d. "Do not worry I will call the physician for advice on how to proceed."
c. "Do you have other symptoms for example- feelings of fatigue and cold?"
The nurse in a physician's office notes that a regular client's voice is hoarse, a change from previous visits. The most appropriate question to ask the client would be: a. "Would you like a prescription for throat lozenges?" b. "Do you smoke?" c. "How long has your voice been hoarse?" d. "Do you have a sore throat?"
c. "How long has your voice been hoarse?"
A nurse cares for a client who has a family history of cystic fibrosis. The client asks, "Will my children have cystic fibrosis?" How would the nurse respond? a. "Since many of your family members are carriers, your children will also be carriers of the gene." b. "Cystic fibrosis is an autosomal recessive disorder. If you are a carrier, your children will have the disorder." c. "Since you have a family history of cystic fibrosis, I would encourage you and your partner to be tested." d. "Cystic fibrosis is caused by a protein that controls the movement of chloride. Adjusting your diet will decrease the spread of this disorder."
c. "Since you have a family history of cystic fibrosis, I would encourage you and your partner to be tested." Cystic fibrosis is an autosomal recessive disorder in which both gene alleles must be mutated for the disorder to be expressed. The nurse would encourage both the client and partner to be tested for the abnormal gene. The other statements are not true.
You're educating the parents of a 12 year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which statement by the parents demonstrates they understood your instructions? a. "We will limit fluid intake during the day to 1-2L a day" b. "Cold showers are best to help with pain associated with sickling" c. "We will avoid traveling to high altitude locations" d. "It is important we refuse all future vaccinations unless absolutely necessary"
c. "We will avoid traveling to high altitude locations"
An 80 y.o. male client is diagnosed with prostate cancer and is asymptomatic. Which treatment would the nurse discuss with him? a. Radiation therapy every day for 4 weeks. b. Bilateral orchiectomy. c. Active surveillance. d. Penile implants to maintain sexual functioning
c. Active surveillance.
Which clinical manifestation in a client who smokes two packs of cigarettes per day should be explored further for head and neck cancer? a. Unplanned weight gain of 15 pounds b. Decreased sense of taste c. Difficulty swallowing d. Persistent bad breath
c. Difficulty swallowing
One of the most effective treatments of uterine leiomyomas is: a. Hysterectomy b. NSAIDs c. GnRh agonists d. Oral contraceptives
c. GnRh agonists
What health promotion activity should the nurse stress to the client who has xerostomia as a result of radiation therapy for head and neck cancer? a. Carrying a medical alert card b. Increasing carbohydrate and fat intake c. Having a dental examination twice per year d. Using only water-soluble lubricants on the irradiated skin
c. Having a dental examination twice per year
The client with Adrenal Insufficiency should have which diet to prevent sodium and fluid loss? a. High fiber, low carbohydrate b. Low protein, low carbohydrate c. High sodium, high protein d. High potassium, low protein
c. High sodium, high protein
You're assisting a patient with performing chest physiotherapy. It is very important the patient _____________ during the therapy sessions. a. Bear down b. Use the incentive spirometer c. Huff cough d. Use a peak flow meter
c. Huff cough
A patient with Addison's disease comes to the emergency department with complaints of N/V/D, and fever. The nurse would expect which of the following orders? a. parenteral injections of ACTH b. IV administration of vasopressors c. IV administration of hydrocortisone d. IV administration of D5W with 20mEq of KCl
c. IV administration of hydrocortisone
The nurse instructs the patient that the most definitive way of diagnosing prostate cancer is a. PSA screening greater than 4 ng/mL b. Prostate gland with palpable irregularities or induration is suspected to be malignant c. Prostate Biopsy d. CT scan followed by and MRI for confirmation
c. Prostate Biopsy
The patient is scheduled for a sleep study test to see if the patient has mild sleep apnea. What should the nurse teach the patient to do until the test can be completed? a. Take sleep medications b. Use the spouse's continuous positive airway pressure (CPAP) mask c. Sleep in a side-lying position d. Do not use pillows when sleeping
c. Sleep in a side-lying position
A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse's assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first? a. Adjust the room temperature b. Give a bolus of IV fluids c. Start O2 d. Administer meperidine (Demerol) 75mg IV push
c. Start O2
The nurse is aware that the client with Cystic Fibrosis has difficulty breathing due to: a. Blood in the sputum causing clotting in the airways. b. Dysphagia and aspiration of food particles. c. Thick, sticky mucus blocking airways. d. Salty sputum causing coughing and wheezing
c. Thick, sticky mucus blocking airways.
A patient with irritative and obstructive bladder symptoms has an enlarged prostate on digital rectal examination (DRE) and an elevated PSA level. The nurse will anticipate that the patient will need teaching about: a. Uroflowmetry studies. b. Cystourethroscopy. c. Transrectal ultrasonography (TRUS). d. Magnetic resonance imaging (MRI).
c. Transrectal ultrasonography (TRUS).
The client with stage 3 cancer of the lung has the following: a. Tumor is not detectable and no metastasis. b. Tumor is less than 3 cm., and one lymph node is positive. c. Tumor is greater than 6 cm and lymph nodes are positive. d. The tumor involves both lung but no lymph nodes are involved.
c. Tumor is greater than 6 cm and lymph nodes are positive.
A patient tells the nurse that she is afraid that she has sleep apnea. She says that she does not feel rested in the morning and that she snores. Her husband says that he notices that she seems to stop breathing on several occasions during the night. The client asks the nurse how sleep apnea is diagnosed. Which answer from the nurse is correct? a. "You will need a CT scan of your neck and head" b. "The doctor usually does multiple sleep latency test" c. "You will have to wear a halter monitor for 7 days to track your sleep" d. "You will most likely need a PSG test or a sleep study test"
d. "You will most likely need a PSG test or a sleep study test"
Cystic fibrosis is an autosomal recessive genetic disorder. Which option below best describes what most likely happens for a child to develop this condition? a. One parent, who is a carrier of the mutated gene, has to pass it to the child b. One of the parents has to have cystic fibrosis in order to pass it to their offspring c. Both of the parents must have cystic fibrosis in order for the child to develop it d. Both parents, who are carriers of the mutated gene, each pass one mutated gene to the child
d. Both parents, who are carriers of the mutated gene, each pass one mutated gene to the child
Cystic fibrosis is an autosomal recessive genetic disorder. Which option below best describes what most likely happens for a child to develop this condition? a. One parent, who is a carrier of the mutated gene, has to pass it to the child. b. One of the parents has to have cystic fibrosis in order to pass it to their offspring. c. Both of the parents must have cystic fibrosis in order for the child to develop it d. Both parents, who are carriers of the mutated gene, each passes one mutated gene to the child.
d. Both parents, who are carriers of the mutated gene, each passes one mutated gene to the child.
The nurse is caring for a client with adrenal insufficiency. What priority physical assessment would the nurse perform? a. Respiratory assessment b. Skin assessment c. Neurologic assessment d. Cardiac assessment
d. Cardiac assessment
The nurse is conducting an education session for a group of smokers in a "stop smoking" class. Which finding would the nurse state as the most common early sign of lung cancer? : a. Dyspnea on exertion b. Foamy, blood-tinged sputum c. Wheezing sound on inspiration d. Cough or change in a chronic cough
d. Cough or change in a chronic cough
A home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition? a. Delirium b. Semi consciousness c. Hyperventilation d. Hypoxia
d. Hypoxia
The health care provider orders a blood test for prostate-specific antigen (PSA) when an enlarged prostate is palpated during a routine examination of a 56-year-old man. When the patient asks the nurse the purpose of the test, the nurse's response is based on the knowledge that a. Elevated levels of PSA are indicative of metastatic cancer of the prostate. b. PSA testing is the "gold standard" for making a diagnosis of prostate cancer. c. Baseline PSA levels are necessary to determine whether treatment is effective. d. PSA levels are usually elevated in patients with cancer of the prostate.
d. PSA levels are usually elevated in patients with cancer of the prostate.
The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child? a. Platelet count b. Hematocrit level c. Hemoglobin level d. Partial thromboplastin time
d. Partial thromboplastin time
What is the gold standard test for diagnosing cystic fibrosis? a. Urea breath test b. Chest radiographs c. Sputum culture d. Sweat test
d. Sweat test
A client with a 40 pack year smoking cigarettes history comes to the clinic. The nurse suspects neck cancer due to: a. Painful lesion on the back of the neck by the hairline. b. Bilateral enlarged tonsillar lymph nodes. c. Redness and swelling of the submental lymph node. d. Unilateral non painful lump of the neck.
d. Unilateral non painful lump of the neck.
The nurse is teaching the mother of a child with cystic fibrosis how to do postural drainage. The nurse should tell the mother to: a. Use the heel of her hand during percussion. b. Change the child's position every 20 minutes. c. Do percussion after the child eats and at bedtime. d. Use cupped hands during percussion.
d. Use cupped hands during percussion.
Nurse Lucia is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms: a. After the first menstrual period and annually thereafter. b. Every 3 years between ages 20 and 40 and annually thereafter. c. After the birth of the first child and every 2 years thereafter. d. Yearly after age 40.
d. Yearly after age 40.