MS Practice Questions: CANCER

A nurse is providing teaching to a client with cancer who is receiving external radiation therapy. Which of the following statements by the client indicates an understanding of the teaching? A. "i need to protect the area from sunlight" B. "Im going to apply a heating pad to the area after each treatment" C. "Ill massage the area once per day" D. "Ill wash of the marking after each therapy treatment"

A. "i need to protect the area from sunlight"

A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3. Which of the following interventions should the nurse include? A. Avoid IM injections B. Assess the client for ecchymosis once per shift C. Do not allow the client to have visitors D. Encourage daily flossing between teeth

A. Avoid IM injections

A nurse is planning care for a client who is receiving chemo and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? SATA A. mix powdered skim milk into liquid milk B. add a raw egg to fruit smoothies C. add a slice of cheese to hot vegetables D. Add honey to hot tea E. Mix yogurt into fresh fruit

A. mix powdered skim milk into liquid milk C. add a slice of cheese to hot vegetables E. Mix yogurt into fresh fruit - dairy products are good sources of protein. Mixing powdered skim milk into liquid milk can provide the client with additional protein. Adding cheese to a vegetable can increase the client's protein intake. Adding yogurt to fresh fruit will increase the client's protein intake.

A nurse is caring for a client who recently had chemo and now has myelosuppression. Which of the following interventions should the nurse anticipate? A. prohibit visitors from bringing fresh flowers and plants into Cleint's room B. Encourage frequent visits from family and friends C. Ensure thorough cleaning of the client's room and bathroom daily D. Replace wound dressing every other day E. Use dedicated equipment such as stethoscopes

A. prohibit visitors from bringing fresh flowers and plants into Client's room C. Ensure thorough cleaning of the client's room and bathroom daily E. Use dedicated equipment such as stethoscopes

A nurse is teaching a group of clients about skin cancer. The nurse should explain that basal cell carcinoma originates from which of the following tissues? A. Subcutaneous B. Epidermis C. Dermis D. stratum corneum

B. Epidermis

A nurse is caring for a client who is scheduled to receive transcutaneous electrical nurse stimulation (TENS) for pain management. The client asks the nurse how a TENS unit helps relieve pain. Which of the following response should the nurse make? A. It provides a distraction from the pain B. It modulates the transmission of the pain impulse C. it promotes increased circulation to the painful area D. it elicits a relaxation response

B. It modulates the transmission of the pain impulse

A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? A. Basal cell carcinoma B. Melanoma C. Actinic Keratosis D. Squamous cell carcinoma

B. Melanoma - are malignant neoplasms with atypical melanocytes in the epidermis, the dermis, and sometimes the subcutaneous cells. It is the most lethal type of skin cancer, ofter causing metastases in the bone, liver, lungs, spleen, CNS, and lymph nodes.

A nurse is planning care for a client who has cancer and has developed thrombocytopenia following chemo. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia? A. monitor visitors for manifestations of infection B. remind the client to use an electric razor C. encourage frequent rest periods D. instruct the client to rinse mouth daily with normal saline

B. Remind the client to use an electric razor Thrombocytopenia is a decrease in the client's blood platelet count, which places the client at risk for bleeding due to the blood's inability to clot.

A nurse is providing teaching to a client who has stomatitis due to chemo and radiation therapy. Which of the following statements by the client indicates a need for further teaching? A. i will use a soft toothbrush or foam swab for oral care B. i will use lemon and glycerin swabs after meals C. I will remove my dentures expect while eating D. I will rinse my mouth frequently with hydrogen peroxide solution

B. i will use lemon and glycerin swabs after meals

A nurse is providing teaching to a client who is receiving chemo and has developed neutropenia. Which of the following statements indicates that the client needs further instructions? A. "ill keep an antibacterial hand gel in my purse." B. "My partner will have to take care of the cat's litter boxes for a while." C. "I'm planning a large gathering of friends and family for the holidays." D. "I will eat canned fruits and vegetables."

C. "I'm planning a large gathering of friends and family for the holidays."

A charge nurse is observing a newly licensed nurse providing care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge nurse intervene? A. leaving soiled linens in a container in the client's room B. instructing visitors to remain 2 m (6 feet) away from the client C. Borrowing a dosimeter film badge from another nurse before entering the client's room D. Removing an extra IV pole from the client's room to be used for another client

C. Borrowing a dosimeter film badge from another nurse before entering the client's room

A nurse in a dermatology clinic is using the ABCDE method while screening lesions for skin cancer on a client. Which of the following findings should the nurse report to the provider? A. symmetric shape B. Border regularity C. Color variation within a lesion D. Diameter >4mm

C. Color variation within a lesion

A nurse is monitoring a client who has cancer and is receiving chemo by peripheral IV infusions. The client reports pain at the insertion site, and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first? A. take a photograph of the peripheral IV site B. obtain and record the client's vital signs C. Stop the infusion D. identify all medications administered through the IV site for the past 24 hr

C. Stop the infusion

A nurse is providing teaching to a client who is preoperative for a renal biopsy. Which of the following statements should the nurse make? A. You will be NPO for 8 hr following the procedure B. An allergy to shellfish is a contraindication to this procedure C. You will need to be on bed rest following the procedure D. A creatine clearance is needed prior to the procedure

C. You will need to be on bed rest following the procedure

A nurse is teaching a group of young adult clients about health promotion techniques to reduce the risk of skin cancer. Which of the following instructions should the nurse include? A. Apply a board-spectrum sunscreen 5 min before sun exposure B. wear a sun visor instead of hat when outside in the sun C. avoid exposure to the midday sun D. Use a tanning booth instead of sunbathing outdoors

C. avoid exposure to the midday sun - instruct client to avoid skin exposure to the sun, especially during the midday hours of 1000 to 1600 when the sun rays are the strongest

A nurse is screening a client for skin cancer. When teaching the client about skin cancer risk, which of the following risk factors should the nurse include? A. cigarette smoking B. low fiber diet C. excessive exposure to ultra-violet light D. Human papillomavirus

C. excessive exposure to ultra-violet light - excessive exposure to ultraviolet light (e.g from sunlight or tanning beds), Occupational exposure to chemical carcinogens, and chronic skin irritation are risk factors for skin cancer.

A nurse is caring for a client who is receiving chemo to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy? A. gingival hyperplasia B. Hirsutism C. pancytopenia D. weight gain

C. pancytopenia - a deficiency of WBCs, RBCs, and platelet count (expected adverse effect of chemo)

A nurse is preparing a client for a bone-marrow biopsy. Which of the following pieces of information should the nurse include in preoperative teaching? A. You'll receive heavy sedation, so you. might even sleep during the procedure B. you'll have to lie on your back throughout the procedure C. you'll feel a painful pulling sensation when the doctor withdraws the marrow D. expect the procedure to take about an hour

C. you'll feel a painful pulling sensation when the doctor withdraws the marrow

A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/m^3. Which of the following foods should the nurse prohibit the family members from bringing to the client? A. Fried chicken from a fast food restaurant B. A case of canned nutritional supplements C. A factory-sealed box of chocolates D. A fresh fruit basket

D. A fresh fruit basket

A nurse is caring for a client who has regular occupational exposure to sunlight and presents for evaluation of several skin lesions. which of the following findings should alert the nurse to the possibility of malignant melanoma? A. A pearly papule that is 0.5 cm (0.20 in) wide with raised, indistinct borders on the upper right shoulder B. several flat, pigmented, circumscribed areas of various sizes over the bridge of the nose C. a raised circumscribed lesion on the face that contains yellow-white purulent material D. An irregularly shaped brown lesion with light blue areas on the neck

D. An irregularly shaped brown lesion with light blue areas on the neck - manifestations include a change in color, size, or shape of a skin lesion with irregular borders in hues of blue, white, and red tones

A home health nurse is planning care for a client who is receiving chemo and has neutropenia. Which of the following foods should the nurse include in the client's plan of care? A. soft-boiled eggs B. Brie cheese made with unpasteurized milk C. Cold deli-meat sandwiches D. Baked Chicken

D. Baked chicken - well-cooked meats, including baked chicken, do not pose a threat to clients who have neutropenia and may be included in the client's dietary plan.

A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome A. irregular cardiac rhythm B. numbness in the hands C. muscle cramps D. Facial edema

D. Facial edema

A nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A ill limit pushing the button so i don't get an overdose B. If i push the button and still have pain after 2 minutes, ill push it again C. ill ask my niece to push the button when i am sleeping D. I can still use my transcutaneous electrical nerve stimulation unit while i'm pushing the PCA button

D. I can still use my transcutaneous electrical nerve stimulation unit while i'm pushing the PCA button

A community health nurse is teaching a group of clients about melanoma. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching? A. one solid color B. symmetrical shape C. <6 mm in diameter D. irregular border

D. Irregular bord - The nurse should instruct the client on the use of the ABCDE pneumonic when monitoring skin lesions Asymmetry of shape Border irregularity Color variation within one lesion Diameter of >6mm Evolution of any feature

A nurse is collecting a client's health history. Which of the following findings is the highest risk factor for the client developing skin cancer? A. Age over 60 B. Genetic predisposition C. Light-skinned race D. Overexposure to sunlight

D. Overexposure to sunlight

A nurse is caring for a client who is receiving radiation therapy for mouth cancer and reports a dry mouth. Which of the following dietary recommendations should the nurse provide? A. offers graham crackers B. avoid foods containing citrus C. rinse the mouth with an alcohol-based mouthwash before eating D. Use gravies or sauces to soften food

D. Use gravies or sauces to soften food

A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. Which of the following dietary recommendations should the nurse share with the client? A. eat with metal utensils B. limit coffee C. avoid citrus foods D. offer mints

D. offer mints