NURX211 Health Differences Across The Life Span 1
2026 Exam UPDATED EXAM ACTUAL LATEST
VERSIONS 150 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
Abnormal Cellular Growth
A child with Wilms' tumor is receiving dactinomycin (Cosmegen) and vincristine (Oncovin). The
RN should teach the child's parents how to manage which adverse reactions to the drugs?
Constipation and leukopenia
Hyperesthesia and insomnia
Photosensitivity and dysrhythmia
Dyspnea and hypersensitivity reaction - CORRECT ANSWER: *1) These are typical side
effects of the drug combination.
2) These effects are not associated with the drug combination.
3) See 2).
4) See 2).
Abnormal Cellular Growth
A nursing outcome for a patient being treated with steroid hormones for cancer is to decrease the
intake of which of the following?
,Calcium
Phosphorus
Potassium
Sodium - CORRECT ANSWER: 1) Calcium-rich foods help the patient increase protein and
calorie intake during chemotherapy.
2) Phosphorus does not generally cause problems for patients undergoing steroid hormone
chemotherapy.
3) Potassium does not generally cause problems for patients undergoing steroid hormone
chemotherapy.
*4) Fluid retention is often a problem for patients receiving steroid hormones for chemotherapy.
Restricting sodium intake helps prevent this problem.
Abnormal Cellular Growth
A patient is receiving chemotherapy for treatment of leukemia. Which interventions should the
RN implement if the patient develops tumor lysis syndrome?
Rapidly assess vital signs and restrict the patient's fluid intake.
Obtain an order for O2 and place the patient on low flow O2 via nasal cannula.
Increase the patient's fluids and assess for signs and symptoms of electrolyte imbalances.
Assess the patient for respiratory distress and place the patient in high-Fowler's position. -
CORRECT ANSWER: 1) Prevention and treatment of this potentially fatal complication requires
aggressive fluid hydration, not restriction of fluid intake.
2) Oxygen administration is not an indicated intervention for a patient with tumor lysis
syndrome.
,*3) Tumor lysis syndrome arises when the contents of cells destroyed by chemotherapy or
radiation are released into the body, causing electrolyte imbalances. Increasing fluids assists the
kidneys in flushing the material.
4) Respiratory distress is not usually present in a patient with tumor lysis syndrome.
Abnormal Cellular Growth
A patient who is receiving intracavitary radiation therapy for uterine cancer calls the RN and
says that the implant has fallen out of place and is in the bed. Which is the priority nursing
intervention?
Help the patient into a chair, change the linen, and save the implant for the doctor.
Use lead tongs to reinsert the implant into the patient.
Notify the radiologist and stay in the room with the patient.
Use long-handled forceps to pick up the implant and place it in a lead-lined container. -
CORRECT ANSWER: 1) This action prolongs exposure of both patient and nurse to the
radioactive source.
2) Reimplantation would be done by a radiation oncologist. X rays and anesthesia are usually
required for this procedure.
3) This action prolongs exposure of both patient and nurse to the radioactive source.
*4) This action properly applies the principles of time, distance, and shielding.
Abnormal Cellular Growth
, A patient with a colostomy is being discharged. Which instruction should the RN give the patient
to help prevent skin breakdown?
Cut the pouch opening about 1.25 cm (1/2 inch) larger than the stoma.
Wash the area with mild soap and pat dry.
Keep the drainage bag on at all times.
Empty the bag when it is full. - CORRECT ANSWER: 1) The pouch opening should be
trimmed 0.3 cm (1/8 inch) larger than the stoma.
*2) Soap is mildly abrasive, and works well to clean residue around the stoma. The patient
should dry the area by patting rather than rubbing, to avoid irritation and injury to the site.
3) The drainage pouch may not be needed if the patient is able to learn an irrigation routine for
emptying the colon.
4) The drainage bag should be emptied when it is one-third to one-fourth full. Spillage and odor
may result from allowing the bag to become too full.
Abnormal Cellular Growth
A patient with bladder cancer is receiving BCG Live (TheraCys) for treatment. The steps for the
BCG Live instillation will occur in what sequence?
(Using the alphabetical list within the drop-down boxes beside each step (A through D), place the
steps in correct order, with A being the first step, B being the next step, C being the next, etc.,
through D, which would be the last step.)
1
2
3
2026 Exam UPDATED EXAM ACTUAL LATEST
VERSIONS 150 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
Abnormal Cellular Growth
A child with Wilms' tumor is receiving dactinomycin (Cosmegen) and vincristine (Oncovin). The
RN should teach the child's parents how to manage which adverse reactions to the drugs?
Constipation and leukopenia
Hyperesthesia and insomnia
Photosensitivity and dysrhythmia
Dyspnea and hypersensitivity reaction - CORRECT ANSWER: *1) These are typical side
effects of the drug combination.
2) These effects are not associated with the drug combination.
3) See 2).
4) See 2).
Abnormal Cellular Growth
A nursing outcome for a patient being treated with steroid hormones for cancer is to decrease the
intake of which of the following?
,Calcium
Phosphorus
Potassium
Sodium - CORRECT ANSWER: 1) Calcium-rich foods help the patient increase protein and
calorie intake during chemotherapy.
2) Phosphorus does not generally cause problems for patients undergoing steroid hormone
chemotherapy.
3) Potassium does not generally cause problems for patients undergoing steroid hormone
chemotherapy.
*4) Fluid retention is often a problem for patients receiving steroid hormones for chemotherapy.
Restricting sodium intake helps prevent this problem.
Abnormal Cellular Growth
A patient is receiving chemotherapy for treatment of leukemia. Which interventions should the
RN implement if the patient develops tumor lysis syndrome?
Rapidly assess vital signs and restrict the patient's fluid intake.
Obtain an order for O2 and place the patient on low flow O2 via nasal cannula.
Increase the patient's fluids and assess for signs and symptoms of electrolyte imbalances.
Assess the patient for respiratory distress and place the patient in high-Fowler's position. -
CORRECT ANSWER: 1) Prevention and treatment of this potentially fatal complication requires
aggressive fluid hydration, not restriction of fluid intake.
2) Oxygen administration is not an indicated intervention for a patient with tumor lysis
syndrome.
,*3) Tumor lysis syndrome arises when the contents of cells destroyed by chemotherapy or
radiation are released into the body, causing electrolyte imbalances. Increasing fluids assists the
kidneys in flushing the material.
4) Respiratory distress is not usually present in a patient with tumor lysis syndrome.
Abnormal Cellular Growth
A patient who is receiving intracavitary radiation therapy for uterine cancer calls the RN and
says that the implant has fallen out of place and is in the bed. Which is the priority nursing
intervention?
Help the patient into a chair, change the linen, and save the implant for the doctor.
Use lead tongs to reinsert the implant into the patient.
Notify the radiologist and stay in the room with the patient.
Use long-handled forceps to pick up the implant and place it in a lead-lined container. -
CORRECT ANSWER: 1) This action prolongs exposure of both patient and nurse to the
radioactive source.
2) Reimplantation would be done by a radiation oncologist. X rays and anesthesia are usually
required for this procedure.
3) This action prolongs exposure of both patient and nurse to the radioactive source.
*4) This action properly applies the principles of time, distance, and shielding.
Abnormal Cellular Growth
, A patient with a colostomy is being discharged. Which instruction should the RN give the patient
to help prevent skin breakdown?
Cut the pouch opening about 1.25 cm (1/2 inch) larger than the stoma.
Wash the area with mild soap and pat dry.
Keep the drainage bag on at all times.
Empty the bag when it is full. - CORRECT ANSWER: 1) The pouch opening should be
trimmed 0.3 cm (1/8 inch) larger than the stoma.
*2) Soap is mildly abrasive, and works well to clean residue around the stoma. The patient
should dry the area by patting rather than rubbing, to avoid irritation and injury to the site.
3) The drainage pouch may not be needed if the patient is able to learn an irrigation routine for
emptying the colon.
4) The drainage bag should be emptied when it is one-third to one-fourth full. Spillage and odor
may result from allowing the bag to become too full.
Abnormal Cellular Growth
A patient with bladder cancer is receiving BCG Live (TheraCys) for treatment. The steps for the
BCG Live instillation will occur in what sequence?
(Using the alphabetical list within the drop-down boxes beside each step (A through D), place the
steps in correct order, with A being the first step, B being the next step, C being the next, etc.,
through D, which would be the last step.)
1
2
3
