Adaptive Quiz Week 1 Questions

14. A patient reports a facial lesion that has recently grown and is changing in appearance. The patient is on oral methoxsalen. What condition should the nurse expect? A: Melanoma B: Actinic Keratosis C: Basal cell carcinoma D: Photosensitizing Effect

A: Melanoma (Pts who take this med have a greater risk for melanoma, commonly taken for psoriasis or other skin issues)

1. A nurse caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? SATA A: PALLOR B: FATIGUE C: JAUNDICE D: MULTIPLE BRUISES E: GENERALIZED EDEMA

A- Pallor B- Fatigue D- Multiple Bruises

9. A farmer seeks medical care for a large crusty patch of skin on the cheek. The patient states that even after using different remedies, it still bleeds easily and has not gotten better. From the patient's history the nurse suspects skin cancer. Which factor in the client's history helped the nurse form this conclusion? A: Exposure to radiation B: Location of the lesion C: Self-treatment of lesions D: Contact with soil contaminants

A: Exposure to radiation

11. The nurse is performing a skin assessment of a client. Which findings in the client may indicate a risk for skin cancer? SATA A: Lesion B: Lumps C: Rashes D: Bruising E: Dryness

A: Lesion B: Lumps C: Rashes

21. The Nurse is caring for a patient in the PACU. The patient had a suprapubic prostatectomy for prostate cancer and his CBI in place. Which primary goal is the nurse trying to achieve with the CBI? A: Stimulate continuous formation of urine B: Facilitate the measurement of urinary output C: Prevent the development of clots in the bladder D: Provide continuous pressure on the prostatic fossa

C: Prevent the development of clots in the bladder.

12. While completing an assessment, the nurse finds that a client has decreased thickness and excessive dryness of the epidermis. Which clinical finding is associated with this skin assessment? A: Skin tears B: Skin Cancer C: Skin Fragility D: Skin hyperplasia

C: Skin Fragility

19. A 75 year old male with a history of prostate cancer is admitted for a prostatectomy. The patient's PSA levels have been increasing. This finding should prompt the nurse to include what in the patient's care plan? A: Measure intake and output B: Institute seizure precautions C: Monitor the plasma pH for acidosis D: Handle the client gently when turning

D: Handle the patient gently when turning. (increasing levels could mean the cancer has metastasized into the bone, which increases the risk for fractures).

20. A nurse is caring for a patient with a diagnosis of prostate cancer. The nurse should teach the patient that which serum level will be monitored throughout the course of the disease? A: Albumin B: Creatinine C: Blood Urea Nitrogen (BUN) D: Prostate-Specific Antigen (PSA)

D: PSA (Prostate specific Antigen)

2. A nurse is obtaining a health history from the parents of a toddler who had recently been diagnosed with acute lymphocytic leukemia. Which early physiological changes does the nurse expect the parents to report? SATA A: PALE SKIN B: LOSS OF HAIR C: EATING LESS FOOD D: SORES IN THE MOUTH E: PURPLISH SPONS ON THE SKIN

A- Pale skin C- Eating less food E- Purplish spots on the skin

18. The nurse reviews the medical records of four male patients. Which patient will the nurse assess MOST closely for developing prostate cancer. A: Black 55 year old B: White 45 year old C: Asian 55 year old D: Hispanic 45 year old

A: Black 55 year old (prostate cancer is rare before age 55, black men tend to develop prostate cancer at an earlier age, black men develop this more than any other ethnic group)

25. A patient is diagnosed with Hodgkin disease. Which lymph nodes does the nurse expect to be affected first? A: Cervical B: Axillary C: Inguinal D: Mediastinal

A: Cervical (Painless enlargement of the cervical lymph nodes are often the first sign of Hodgkin disease)

5. A nurse is assessing a child with leukemia who is undergoing chemotherapy. Which side effect does the nurse anticipate? A: EPITAXIS B: TACHYCARDIA C: FLUSHED SKIN D: INCREASED TEMPERATURE

A: Epistaxis (bloody nose)

29. A nurse is assessing a 55 year old patient who is experiencing postmenopausal bleeding. The tentative diagnosis is endometrial cancer. Which finding in the patients history are risk factors associated with endometrial cancer? SATA A: Obesity B: Multiparity C: Cigarette smoking D: Early onset of menopause E: Family history of endometrial cancer F: Previous hormone therapy replacement

A: Obesity C: Cigarette smoking E: Family history of endometrial cancer F:Previous hormone replacement therapy

22. A young adult male patient is undergoing tests to confirm the diagnosis of Hodgkin lymphoma. The wife states "Don't you think it is unlikely for someone like my husband to have cancer"? The nurse's response is based on what information about Hodgkin lymphoma? A: More likely to affect women than men B: Diagnosed during adolescence and young adulthood C: Primarily a disease of older rather than younger adults D: Common among populations of Asian heritage

B: Diagnosed during adolescence and young adulthood (most often occurs between ages of 15 and 35 years, and after age 55. More prevalent in men than women)

15. A patient is admitted with a suspected malignant melanoma on the arm. When performing the physical assessment, who would the nurse expect to find? A: Large area of petechiae B: Red birthmark that has recently become lighter in color C: Brown or black mole with red white or blue areas D: Patchy loss of skin pigmentation

C: Brown or black mole with red, white or blue areas. ( melanomas have an irregular shape and lack uniformity in color)

26. An 11 year old patient is admitted with enlarged supraventricular lymph nodes, fatigue, and a low grade fever. She also has a persistent nonproductive cough. In light of these findings, the nurse knows to gear education toward preparation for which therapies? A: Intravenous (IV) fluids and nutritional therapy B: Bloodwork and oxygenation therapy C: IV fluids and antibiotic therapy D: Computed tomography (CT) and lymph node biopsy

D: CT and lymph node biopsy.

24. A patient has colorectal cancer and is receiving cetuximab. Which process does cetuximab inhibit? A: Proteasome activity B: BCR-ABL tyrosine kinase (TK) C: Anaplastic Lymphoma Kinase D: Epidermal growth factor receptors (EGFR's)

D: Epidermal growth factor receptors (common drug used to treat colorectal cx)

10. A nurse is teaching a client self-management of skin cancer. Which statement made by the patient indicates need for further learning? A: I should use sunscreen when going out B: I should limit sun exposure to between 7am and 12pm C: I should wear a hat and opaque clothing when going out D: I should go for a monthly examination of cancerous and precancerous lesions

B: I should limit sun exposure to between 7 am and 12 pm (Wrong peak hours)

23. Which group of patient's should the nurse anticipate to have the highest incidence of Non-Hodgkin lymphoma? A: Children B: Older adults C: Young adults D: Middle-aged persons

B: Older Adults

17. A nurse finds that a patient a dysuria, hesitancy, urinary urgency, and leaking. The lab reports reveal serum PSA levels of 5 ng/ml and elevated prostatic acid phosphatase (PAP) levels. Which disease condition does the nurse suspect? A: Orchitis B: Hydrocele C: Prostatitis D: Prostate Cancer

D: Prostate cancer (Normal PSA is 0-4 ng/ml)

28. A patient who works in the leather industry complains of a bloody discharge and persistent pain after the treatment of sinusitis. The patient has a history of smoking. The nurse suggests the patient consult a primary healthcare provider immediately. Which risk does the nurse suspect in the patient? A: Epistaxis B: Facial Trauma C: Fracture of the nose D: Tumor of the nasal cavity

D: Tumor of the nasal cavity

7. A nurse is performing an assessment on a client with probable acute lymphocytic leukemia (ALL). Which clinical manifestation will the nurse expect to be present? A: Alopecia B: Insomnia C: Ecchymosis D: Hypertension

C: Ecchymosis (a discoloration of the skin resulting from bleeding underneath, typically caused by bruising)

3. A nurse plans to take the temperature of a 4 year old child with a diagnosis of Leukemia who has a fever. Which thermometers with the MOST accurate results can the nurse use safely for this child? SATA A: DIGITAL, RECTAL B: ELECTRONIC, ORAL C: INFRARED, TYMPANIC D: SENSOR, EAR-BASED E: CHEMICAL DOT, AXILLA

C: Infrared, Tympanic- E: Chemical dot, axilla

8. When providing care to a 6 year old child with leukemia, a nurse notes blood on the pillowcase and sever bloody tissues. What blood component value on the child's laboratory results should the nurse verify? A: Platelets B: Neutrophils C: Erythrocytes D: Lymphoblasts

A: Platelets

13. What does the nurse infer from this image? (oblong brown discolored spot) A: Actinic Keratosis B: Dysplastic nevus C: Basal cell carcinoma D: Malignant Melanoma

B: Dysplastic nevus (irregular shaped moles)

27. A nurse is performing an assessment on a 5th grader who had been admitted to the pediatric unit with a diagnosis of acute lymphocytic leukemia (ALL). What early clinical findings should the nurse expect to identify? A: Nosebleeds and papilledema B: Fatigue and ecchymotic areas C: Abdominal pain and reddened complexion D: Enlargement of the axillary and groin lymph nodes

B: Fatigue and eccymotic areas

16. For which clinical manifestation should the nurse assess a client with melanoma? A: Firm, nodular lesions with a crusty top B: Irregularly shaped, pigmented papule C: Small papule with dry, rough brown scale D: Pearly papule with a central crater and waxy border

B: Irregularly shaped, pigmented papule.

4. A client with a history of chronic myelogenous leukemia and splenomegaly is admitted to the hospital. What should the nurse expect to identify when completing the admission? A: INCREASED URINARY OUTPUT B: TENDER MASS IN THE LEFT UPPER ABDOMEN C: ELEVATED ERYTHROCYTES, PLATELETS, AND GRANULOCYTES D: POLYDIPSIA, INCREASED APPETITE, AND URINARY FREQUENCY

B: Tender mass in the left upper abdomen

6. A 4 year old child is found to have acute lymphoblastic leukemia. One of the parents tells the nurse, "We just had a discussion with our pediatrician about starting chemo, consolidation therapy, and radiation therapy. We're so confused and don't know what to do. We want to do what is best for our child, but we don't want any unnecessary suffering." What is the best response by the nurse? A: There are support groups for parents w/children who have leukemia B: The new treatment protocols have been shown to have excellent results C: Let me get you the telephone number of the Leukemia Society, where you can get some advice. D: Maybe you could talk with your healthcare provider about getting a second opinion from a specialist in leukemia.

D: "Maybe you could talk with your healthcare provider about getting a second opinion from a specialist in leukemia."