Cancer!
1. A nurse is reinforcing teaching at an in-service about cancer at a staff meeting which of the following
information should the nurse include about adenocarcinoma?
a. Pancreatic cancer doesn't usually present as an adenocarcinoma
b. many brain tumors or adenocarcinomas
c. colorectal adenocarcinomas tend to have high treatment response rate
d. Most prostate cancers are slow growing adenocarcinomas
Answer: D. Most prostate cancers are slow growing adenocarcinomas
2. A nurse is caring for a client who has prostate surgery and has experiencing erectile dysfunction which of
the following treatment options should the nurse understand can be utilized for this client? SATA
a. Vacuum devices
b. Prescribed medication
c. Pelvic floor physical therapy
d. Penile implant
e. Indwelling urinary catheter
Answer: A. Vacuum devices, C. Pelvic Floor PT, D. Penile Implant
3. Case study- a nurse is caring for a client at an outpatient clinic
- which findings should the nurse report to the healthcare provider ?
Answer:
4. A nurse is preparing medications for an older adult client who has kidney cancer. Which of the following
should the nurse anticipate?
a. The clients Cancer Treatments might need to be adjusted
b. The client might have to receive multiple chemotherapy agent
c. The client might experience spinal cord compression
d. The client might experience hypercalcemia
Answer: B. The client might have to receive multiple chemotherapy agent or
A. The clients’ cancer treatments might need to be adjusted!!!!!!!
5. A nurse is caring for a client who has advanced age cancer and is experiencing disorganized cognition
altered awareness and confusion Which of the following complications of cancer should the nurse
understand this client is experiencing?
a. Deliriumb. Neuropathy
c. Concentration problems
d. Fatigue
Answer: A. Delirium
6. A client is being treated with chemotherapy for squamous cell carcinomas which of the following
methods should the nurse anticipate for this chemotherapy?
a. oral chemotherapy
b. a topical application
c. Injection using an implanted port
d. a subcutaneous application
Answer: B. a topical application
7. a nurse is reinforcing education to clients about breast cancer at a community health event which of the
following statements should the nurse include in the training?
a. client should begin screening mammography annually by the age of 30
b. breast cancer can occur in any part of the breast but ductal breast cancer is most common
c. Breastfeeding increases the risk of breast cancer in women over 40 years of age
d. Clients who have BRCA1 or BRCA2 gene changes have decreased risk for breast cancer
Answer: B. breast cancer can occur in any part of the breast but ductal breast cancer is most common
8. A nurse is assisting with planning a cancer awareness and screening event for the public in a local
community center which of the following types of screening should the nurse plan to include for this type of
event?
a. screening for brca1 or brca2 gene
b. prostate antigen screen
c. Screening for skin cancer on plantar surfaces of the feet
d. Screening for pancreatic cancer
Answer: C. Screening for skin cancer on plantar surfaces of the feet
9. NGN Case study
- My nurses reviewing the medical record of a client recently admitted to the hospital which of the following
findings should the nurse report to the healthcare provider?
***Not sure***
Answer:
10. A nurse is screening a client for cancer risk factors. The nurse records that the client is a 65 year old male
clinically obese with a history of past smoking and drinks moderately which of the following is a primary risk
factor for prostate cancer?
a. 65 year old
b. male
c. obese
d. history of smoking and drinking
Answer: a. 65 year old
11. A nurses reinforcing teaching to a client who has breast cancer and is receiving Brachytherapy about
how to address breast tennis and bruising which of the following statements should the nurse include in the
instructions?
a. You should use a supportive underwire brab. c. d. You should request to be changed to chemotherapy instead
you should wear a breast binder
you should wear a bra with a soft cup
Answer: D. you should wear a bra with a soft cup
12. A nurse is reinforcing teaching to a client who was recently diagnosed with cancer until the nurse they
are worried about infertility following radiation treatment which of the following intervention should the
nurse recommend?
a. c. d. Use fertility medications during treatment
b. Use radiation shielding techniques
use chemotherapy instead of radiation
Use surgical interventions to remove the cancer
Answer: B. Use radiation shielding techniques
13. NGN CASE STUDY
Answer: I was just caring for a client on a medical unit
14. A nurse is assisting with the creation of a plan of care for prostate screening and high risk populations
which of the following is an important consideration?
a. dietary factors can increase the risk of prostate cancer mortality by as much as 50%
b. prostate cancer mortality is more than double for black American males than for men and every
other group
c. d. the best way to determine prostate cancer risk is to have a CT
occupational talks and exposure among Factory workers increases rate of prostate cancer by
30%
Answer: B. Prostate cancer mortality is more than double for black American males than for men and every
other group
15. A nurses reinforcing and teaching to a client who has colorectal cancer and is undergoing radiation
therapy about how to relieve nausea which of the following recommendations should miners get this
client?
a. increase your physical activity
b. c. take a histamine type 2 receptor antagon
eat bland snacks, such as crackers
d. wear loose comfortable clothing
Answer: C. eat bland snacks such as crackers
16. A nurse is caring for a client who has Stage 4 lung cancer and was prescribed opioid medication for pain
management the client is unable to engage in most physical activity which of the following manifestations
should the nurse anticipate?
a. Impaction
b. diarrhea
c. mucositis
d. Bleeding
Answer: Impaction17. A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect
intestinal contents out of the body which of the following post-surgical manifestations require nursing
interventions to avoid a serious complication?
a. the client has a loss of appetite following surgery
b. the client is experiencing mild pain at the surgical site when sitting
c. a client requires the use of a colostomy bag
d. the client has absent bowel sounds in lower abdominal quadrant
Answer: D. the client has absent bowel sounds in lower abdominal quadrant
18. A nurse is caring for a client who has kidney cancer and has been told it has metastasized. Which of the
following statements should the nurse make when the client asked what metastasis means?
Metastasis occurs when cancerous growth are located in the kidneys and also the other parts of
a. the body
b. c. d. metastasis is when a group of kidney cells have changed to more closely resemble intestinal
metastasis occurs when cancer cells grow until they run into space and stop growing
Metastasis means a group of abnormal kidney cells is localized to a single location
Answer: A. Metastasis occurs when cancerous growth are located in the kidneys and also the other parts of
the body
19. A nurse's reinforcing education to a client who has a central nervous system tumor. Which of the
following information should the nurse include in the teaching?
a. Most CNS tumors are spinal tumors
b. Ependymomas are primarily brain tumors
c. Malignant brain tumors often originate from another part of the body
d. Primary CNS tumors commonly spread to other parts of the body
Answer: C. Malignant brain tumors often originate from another part of the body
20. My nurses reinforcing education to a client about a recent diagnosis of pancreatic cancer which of the
following information should the nurse include in the client teaching?
a. pancreatic cancer is distinguished based off the layers of the pancreas
b. Pancreatic cancers are classified as either Endocrine pancreatic cancer or exocrine pancreatic
cancer
c. Pancreatic cancer typically develops from a polyp
d. The pancreas’ location increases the risk that the cancer will spread into nearby structures and
blood vessels
Answer: D. The pancreas’ location increases the risk that the cancer will spread into nearby structures and
blood vessels
21. A nurse is caring for a client who has prostate cancer which of the following manifestations does the
nurse attribute to advancing disease process?
a. b. c. d. An enlarged liver or gallbladder
Anemia due to long-term bleeding
Blood in the urine or semen
A dark colored or elevated lesionAnswer: C. Blood in the urine or semen
22. NGN CASE STUDY
- a nurse is care for a client on a medical unit select firefightings that require follow-up
23. A client has a family history of breast cancer wants to know whether they have a substantially increased
risk of developing breast cancer which of the following statements should the nurse use to address the
client's concern?
a. b. c. d. increasing your level of physical activity can help reduce risk level
When possible avoid radiation exposure to your chest or breasts
You can be screened for BRCA1 or BRCA2 gene mutations
You may benefit from hormone replacement therapy
Answer: C. You can be screened for BRCA1 or BRCA2 gene mutations
24. A nurse is caring for a client who has a high risk for breast cancer and has been prescribed an MRI scan.
the client ask why the mammogram was not prescribed which of the following statements should the nurse
make ?
a. b. c. d. The MRI is a more comfortable test than the mammogram
The MRI is less costly than the mammogram
The MRI is more sensitive to diagnostic testing tools
The MRI is the only test that can identify cancerous cells
Answer: C. The MRI is more sensitive to diagnostic testing tools
25. A nurse is caring for a client who has brain cancer and his undergoing radiation therapy which of the
following manifestation to the nurse report immediately?
a. seizures
b. swelling of the extremities
c. Hematuria
d. chest pain and dyspnea
Answer: A. Seizure
26. A nurses reinforcing teaching to a client who is receiving treatment for a malignant melanoma about
prescribed radionuclide bones scan. which of the following should the nurse include in the teaching?
a. b. c. d. this test is used to determine that the primary cancer has metastasized to the Bone
this test is used to evaluate if the Bones have weakened during treatment
this test is used to determine if radiation should be used to treat the cancer
This test is used to determine whether or not physical therapy should be used as part of the
treatment plan
Answer: A. this test is used to determine that the primary cancer has metastasized to the Bone
27. NGN CASE STUDY
- A nurse is caring for a client and an outpatient clinic
Answer:28. A nurse is caring for a client who has prostate cancer and had a prostatectomy which of the following
should the nurse understand is the potential complication of prostate surgery?
a. Erectile dysfunction
b. Cystitis
c. Testicular torsion
d. Paralytic ileus
Answer: A. Erectile Dysfunction
29. Our nurses assistant is a care of a client who is receiving chemotherapy for breast cancer which of the
following actions should the nurse understand should occur during administration of oral chemotherapy?
a. Face shield
b. Chemotherapy gloves
c. Chemotherapy gown
d. Specialized chemotherapy mask
Answer: B. Chemotherapy gloves
30. A nurse is assisting in planning a training session for newly licensed nurses to discuss commonly missed
or misdiagnosed cancer as a result in higher mortality rates which of the following types of cancer should
the nurse include in the discussion?
a. Pancreatic cancer
b. Skin cancer
c. Prostate cancer
d. Breast cancer
Answer: A. Pancreatic cancer
31. NGN CASE STUDY a nurse is caring for a client on an oncology unit
- which of the following healthcare provider prescription should the nurse anticipate when planning care for
this client? SATA
***NOT SURE***QUIZLET
Answer:
Give packed red blood cells
Instruct the client to use a soft toothbrush
Initiate fall precautions
Administer corticosteroids
32. A nurse is caring for a client who has a suspected brain tumor. Which of the following diagnostic test
should the nurse understand is more frequently used to diagnose brain tumors?
a. Blood test tumor markers
b. Cholangiopancreatography
c. CT scan
d. Fecal occult blood test (FOBT)
Answer: C. CT scan
33. And I just reinforcing teaching to a client who has cancer about angiography which of the following
statements should the nurse include in the teaching?a. b. treatment
c. d. located
angiography collects tissue to be studied under a microscope to identify cancer cells
angiography is used to see what blood vessels are supplying the tumor to assist with
angiography identifies the presence of bone tumors
angiography causes cancer cells to light up and identify areas in the body where cancer is
Answer: B. angiography is used to see what blood vessels are supplying the tumor to assist with treatment
34. A nurse is reviewing the laboratory report of a client’s most recent pap smear that indicates moderately
abnormal cervical cells were present. Based on the description of the cells, which of the following changes
of precancerous cell growth to the client’s cervix should the nurse identify?
a. Dysplasia
b. Hyperplasia
c. Malignant
d. Metaplasia
Answer: A. Dysplasia
35. A nurse is caring for a client who recently started treatment for stage 1 Hodgkin's lymphoma and
describes the falling to the nurse my arms and hands feel so tight and heavy I can't put my ring on and I'm
having trouble doing everyday things around the house because my fingers won't move normally then there
should understand that the client is experiencing which of the following complications associated with
cancer and cancer treatment?
a. mucositis
b. Fatigue
c. Peripheral neuropathy
d. lymphedema
Answer: D. Lymphedema