Oncology/Autoimmune Saunders NCLEX questions
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SAUNDERS NCLEX ONCOLOGY Module 10 Exam Saunders PN Cancer Assessment HESI C
98 terms 100 terms 25 terms 32 terms
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The nurse is reviewing the laboratory results of a client 1
diagnosed with multiple myeloma. Which would the nurse
expect to note specifically in this disorder? Findings indicative of multiple myeloma are an increased number of plasma cells
in the bone marrow, anemia, hypercalcemia caused by the release of calcium
1. from the deteriorating bone tissue, and an elevated blood urea nitrogen level. An
Increased calcium level increased white blood cell count may or may not be present and is not related
specifically to multiple myeloma.
2.
Increased white blood cells
3.
Decreased blood urea nitrogen level
4.
Decreased number of plasma cells in the bone marrow
The nurse is developing a plan of care for the client with 1
multiple myeloma and includes which priority
intervention in the plan? Hypercalcemia caused by bone destruction is a priority concern in the client with
multiple myeloma. The nurse should administer fluids in adequate amounts to
1. maintain a urine output of 1.5 to 2 L/day; this requires about 3 L of fluid intake per
Encouraging fluids day. The fluid is needed not only to dilute the calcium overload but also to
prevent protein from precipitating in the renal tubules. Options 2, 3, and 4 may be
2. components of the plan of care but are not the priority in this client.
Providing frequent oral care
3.
Coughing and deep breathing
4.
Monitoring the red blood cell count
,A client is admitted to the hospital with a suspected 4
diagnosis of Hodgkin's disease. Which assessment finding
would the nurse expect to note specifically in the client? Hodgkin's disease is a chronic progressive neoplastic disorder of lymphoid tissue
characterized by the painless enlargement of lymph nodes with progression to
1. extralymphatic sites, such as the spleen and liver. Weight loss is most likely to be
Fatigue noted. Fatigue and weakness may occur but are not related significantly to the
disease.
2.
Weakness
3.
Weight gain
4.
Enlarged lymph nodes
The nurse is caring for a client with bladder cancer and 1, 2, 6
bone metastasis. What signs/symptoms would the nurse
recognize as indications of a possible oncological Oncological emergencies include sepsis, disseminated intravascular coagulation,
emergency? Select all that apply. syndrome of inappropriate antidiuretic hormone, spinal cord compression,
hypercalcemia, superior vena cava syndrome, and tumor lysis syndrome.
1. Blockage of blood flow to the venous system of the head resulting in facial
Facial edema in the morning edema is a sign of superior vena cava syndrome. A serum calcium level of 12
mg/dL indicates hypercalcemia. Numbness and tingling of the lower extremities
2. could be a sign of spinal cord compression. Mild hypokalemia and weight loss are
Serum calcium level of 12 mg/dL not oncological emergencies. A sodium level of 136 mg/dL is a normal level.
3.
Weight loss of 20 lb in 1 month
4.
Serum sodium level of 136 mg/dL
5.
Serum potassium level of 3.4 mg/dL
6.
Numbness and tingling of the lower extremities
,A client who has been receiving radiation therapy for 2
bladder cancer tells the nurse that it feels as if she is
voiding through the vagina. The nurse interprets that the A vesicovaginal fistula is a genital fistula that occurs between the bladder and
client may be experiencing which condition? vagina. The fistula is an abnormal opening between these two body parts and, if
this occurs, the client may experience drainage of urine through the vagina. The
1. client's complaint is not associated with options 1, 3, or 4.
Rupture of the bladder
2.
The development of a vesicovaginal fistula
3.
Extreme stress caused by the diagnosis of cancer
4.
Altered perineal sensation as a side effect of radiatio
A client is diagnosed with multiple myeloma and the 4
client asks the nurse about the diagnosis. The nurse bases
the response on which description of this disorder? Multiple myeloma is a B-cell neoplastic condition characterized by abnormal
malignant proliferation of plasma cells and the accumulation of mature plasma
1. cells in the bone marrow. Options 1 and 2 are not characteristics of multiple
Altered red blood cell production myeloma. Option 3 describes the leukemic process.
2.
Altered production of lymph nodes
3.
Malignant exacerbation in the number of leukocytes
4.
Malignant proliferation of plasma cells within the bone
The nurse is teaching a client about the risk factors 1
associated with colorectal cancer. The nurse determines
that further teaching is necessary related to colorectal Colorectal cancer risk factors include age older than 50 years, a family history of
cancer if the client identifies which item as an associated the disease, colorectal polyps, and chronic inflammatory bowel disease.
risk factor?
1.
Age younger than 50 years
2.
History of colorectal polyps
3.
Family history of colorectal cancer
4.
Chronic inflammatory bowel disease
, The nurse is assessing the perineal wound in a client who 2
has returned from the operating room following an
abdominal perineal resection and notes serosanguineous Immediately after surgery, profuse serosanguineous drainage from the perineal
drainage from the wound. Which nursing intervention is wound is expected. Therefore the nurse should change the dressing as
most appropriate? prescribed. A Penrose drain should not be clamped because this action will cause
the accumulation of drainage within the tissue. The nurse does not need to notify
1. the HCP at this time. Penrose drains and packing are removed gradually over a
Clamp the Penrose drain. period of 5 to 7 days as prescribed. The nurse should not remove the perineal
packing.
2.
Change the dressing as prescribed.
3.
Notify the health care provider (HCP).
4.
Remove and replace the perineal packing.
The nurse is reviewing the history of a client with bladder 2
cancer. The nurse expects to note documentation of
which most common symptom of this type of cancer? The most common symptom in clients with cancer of the bladder is hematuria. The
client also may experience irritative voiding symptoms such as frequency,
1. urgency, and dysuria, and these symptoms often are associated with carcinoma in
Dysuria situ. Dysuria, urgency, and frequency of urination are also signs of a bladder
infection.
2.
Hematuria
3.
Urgency on urination
4.
Frequency of urination
Save
Students also studied
SAUNDERS NCLEX ONCOLOGY Module 10 Exam Saunders PN Cancer Assessment HESI C
98 terms 100 terms 25 terms 32 terms
Br00kieM0nster Preview lcmitchell729 Preview Hevin49 Preview mya
The nurse is reviewing the laboratory results of a client 1
diagnosed with multiple myeloma. Which would the nurse
expect to note specifically in this disorder? Findings indicative of multiple myeloma are an increased number of plasma cells
in the bone marrow, anemia, hypercalcemia caused by the release of calcium
1. from the deteriorating bone tissue, and an elevated blood urea nitrogen level. An
Increased calcium level increased white blood cell count may or may not be present and is not related
specifically to multiple myeloma.
2.
Increased white blood cells
3.
Decreased blood urea nitrogen level
4.
Decreased number of plasma cells in the bone marrow
The nurse is developing a plan of care for the client with 1
multiple myeloma and includes which priority
intervention in the plan? Hypercalcemia caused by bone destruction is a priority concern in the client with
multiple myeloma. The nurse should administer fluids in adequate amounts to
1. maintain a urine output of 1.5 to 2 L/day; this requires about 3 L of fluid intake per
Encouraging fluids day. The fluid is needed not only to dilute the calcium overload but also to
prevent protein from precipitating in the renal tubules. Options 2, 3, and 4 may be
2. components of the plan of care but are not the priority in this client.
Providing frequent oral care
3.
Coughing and deep breathing
4.
Monitoring the red blood cell count
,A client is admitted to the hospital with a suspected 4
diagnosis of Hodgkin's disease. Which assessment finding
would the nurse expect to note specifically in the client? Hodgkin's disease is a chronic progressive neoplastic disorder of lymphoid tissue
characterized by the painless enlargement of lymph nodes with progression to
1. extralymphatic sites, such as the spleen and liver. Weight loss is most likely to be
Fatigue noted. Fatigue and weakness may occur but are not related significantly to the
disease.
2.
Weakness
3.
Weight gain
4.
Enlarged lymph nodes
The nurse is caring for a client with bladder cancer and 1, 2, 6
bone metastasis. What signs/symptoms would the nurse
recognize as indications of a possible oncological Oncological emergencies include sepsis, disseminated intravascular coagulation,
emergency? Select all that apply. syndrome of inappropriate antidiuretic hormone, spinal cord compression,
hypercalcemia, superior vena cava syndrome, and tumor lysis syndrome.
1. Blockage of blood flow to the venous system of the head resulting in facial
Facial edema in the morning edema is a sign of superior vena cava syndrome. A serum calcium level of 12
mg/dL indicates hypercalcemia. Numbness and tingling of the lower extremities
2. could be a sign of spinal cord compression. Mild hypokalemia and weight loss are
Serum calcium level of 12 mg/dL not oncological emergencies. A sodium level of 136 mg/dL is a normal level.
3.
Weight loss of 20 lb in 1 month
4.
Serum sodium level of 136 mg/dL
5.
Serum potassium level of 3.4 mg/dL
6.
Numbness and tingling of the lower extremities
,A client who has been receiving radiation therapy for 2
bladder cancer tells the nurse that it feels as if she is
voiding through the vagina. The nurse interprets that the A vesicovaginal fistula is a genital fistula that occurs between the bladder and
client may be experiencing which condition? vagina. The fistula is an abnormal opening between these two body parts and, if
this occurs, the client may experience drainage of urine through the vagina. The
1. client's complaint is not associated with options 1, 3, or 4.
Rupture of the bladder
2.
The development of a vesicovaginal fistula
3.
Extreme stress caused by the diagnosis of cancer
4.
Altered perineal sensation as a side effect of radiatio
A client is diagnosed with multiple myeloma and the 4
client asks the nurse about the diagnosis. The nurse bases
the response on which description of this disorder? Multiple myeloma is a B-cell neoplastic condition characterized by abnormal
malignant proliferation of plasma cells and the accumulation of mature plasma
1. cells in the bone marrow. Options 1 and 2 are not characteristics of multiple
Altered red blood cell production myeloma. Option 3 describes the leukemic process.
2.
Altered production of lymph nodes
3.
Malignant exacerbation in the number of leukocytes
4.
Malignant proliferation of plasma cells within the bone
The nurse is teaching a client about the risk factors 1
associated with colorectal cancer. The nurse determines
that further teaching is necessary related to colorectal Colorectal cancer risk factors include age older than 50 years, a family history of
cancer if the client identifies which item as an associated the disease, colorectal polyps, and chronic inflammatory bowel disease.
risk factor?
1.
Age younger than 50 years
2.
History of colorectal polyps
3.
Family history of colorectal cancer
4.
Chronic inflammatory bowel disease
, The nurse is assessing the perineal wound in a client who 2
has returned from the operating room following an
abdominal perineal resection and notes serosanguineous Immediately after surgery, profuse serosanguineous drainage from the perineal
drainage from the wound. Which nursing intervention is wound is expected. Therefore the nurse should change the dressing as
most appropriate? prescribed. A Penrose drain should not be clamped because this action will cause
the accumulation of drainage within the tissue. The nurse does not need to notify
1. the HCP at this time. Penrose drains and packing are removed gradually over a
Clamp the Penrose drain. period of 5 to 7 days as prescribed. The nurse should not remove the perineal
packing.
2.
Change the dressing as prescribed.
3.
Notify the health care provider (HCP).
4.
Remove and replace the perineal packing.
The nurse is reviewing the history of a client with bladder 2
cancer. The nurse expects to note documentation of
which most common symptom of this type of cancer? The most common symptom in clients with cancer of the bladder is hematuria. The
client also may experience irritative voiding symptoms such as frequency,
1. urgency, and dysuria, and these symptoms often are associated with carcinoma in
Dysuria situ. Dysuria, urgency, and frequency of urination are also signs of a bladder
infection.
2.
Hematuria
3.
Urgency on urination
4.
Frequency of urination
