RN Oncology A Relias A Preparation Newest Verified
Exam With Complete Questions And Correct Detailed
Answers| Newest Exam!!!
Traditionally, nurses have been involved with tertiary
cancer prevention. However, an increasing emphasis is
being placed on both primary and secondary prevention.
What would be an example of primary prevention?
A)Yearly Pap tests
B)Testicular self-examination
C)Teaching patients to wear sunscreen
D)Screening mammograms - Answers-C - Primary
prevention is concerned with reducing the risks of cancer
in healthy people through practices such as use of
sunscreen. Secondary prevention involves detection and
screening to achieve early diagnosis, as demonstrated by
Pap tests, mammograms, and testicular exams.
The nurse is caring for a 39-year-old woman with a family
history of breast cancer. She requested a breast tumor
marking test and the results have come back positive. As
a result, the patient is requesting a bilateral mastectomy.
This surgery is an example of what type of oncologic
surgery?
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A)Salvage surgery
B)Palliative surgery
C)Prophylactic surgery
D)Reconstructive surgery - Answers-C - Prophylactic
surgery is used when there is an extensive family history
and nonvital tissues are removed. Salvage surgery is an
additional treatment option that uses an extensive surgical
approach to treat the local recurrence of a cancer after the
use of a less extensive primary approach. Palliative
surgery is performed in an attempt to relieve complications
of cancer, such as ulceration, obstruction, hemorrhage,
pain, and malignant effusion. Reconstructive surgery may
follow curative or radical surgery in an attempt to improve
function or obtain a more desirable cosmetic effect.
The nurse is caring for a patient who is to begin receiving
external radiation for a malignant tumor of the neck. While
providing patient education, what potential adverse effects
should the nurse discuss with the patient?
A)Impaired nutritional status
B)Cognitive changes
C)Diarrhea
D)Alopecia - Answers-A - Alterations in oral mucosa,
change and loss of taste, pain, and dysphasia often occur
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as a result of radiotherapy to the head and neck. The
patient is at an increased risk of impaired nutritional
status. Radiotherapy does not cause cognitive changes.
Diarrhea is not a likely concern for this patient. Radiation
only results in alopecia when targeted at the whole brain;
radiation of other parts of the body does not lead to hair
loss.
The public health nurse is presenting a health-promotion
class to a group at a local community center. Which
intervention most directly addresses the leading cause of
cancer deaths in North America?
A)Monthly self-breast exams
B)Smoking cessation
C)Annual colonoscopies
D)Monthly testicular exams - Answers-B - Cancer is
second only to cardiovascular disease as a leading cause
of death in the United States. Although the numbers of
cancer deaths have decreased slightly, more than 570,000
Americans were expected to die from a malignant process
in 2011. The leading causes of cancer death in the United
States, in order of frequency, are lung, prostate, and
colorectal cancer in men and lung, breast, and colorectal
cancer in women, so smoking cessation is the health
promotion initiative directly related to lung cancer.
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A nurse who works in an oncology clinic is assessing a
patient who has arrived for a 2-month follow-up
appointment following chemotherapy. The nurse notes that
the patients skin appears yellow. Which blood tests should
be done to further explore this clinical sign?
A)Liver function tests (LFTs)
B)Complete blood count (CBC)
C)Platelet count
D)Blood urea nitrogen and creatinine - Answers-A - Yellow
skin is a sign of jaundice and the liver is a common organ
affected by metastatic disease. An LFT should be done to
determine if the liver is functioning. A CBC, platelet count
and tests of renal function would not directly assess for
liver disease.
The school nurse is teaching a nutrition class in the local
high school. One student states that he has heard that
certain foods can increase the incidence of cancer. The
nurse responds, Research has shown that certain foods
indeed appear to increase the risk of cancer. Which of the
following menu selections would be the best choice for
potentially reducing the risks of cancer?
A)Smoked salmon and green beans
B)Pork chops and fried green tomatoes