Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
Chapter 15: Cancer
x x
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
x x x x x
MULTIPLExCHOICE
1. Axpatientxwhoxisxscheduledxforxaxbreastxbiopsyxasksxthexnursexthexdifferencexbetweenxaxbenignxt
umorxandxaxmalignantxtumor.xWhichxanswerxbyxthexnursexisxaccurate?
a. “Benignxtumorsxdoxnotxcausexdamagextoxotherxtissues.”
b. “Benignxtumorsxarexlikelyxtoxrecurxinxthexsamexlocation.”
c. “Malignantxtumorsxmayxspreadxtoxotherxtissuesxorxorgans.”
d. “Malignantxcellsxreproducexmorexrapidlyxthanxnormalxcells.”
ANS:x C
Thexmajorxdifferencexbetweenxbenignxandxmalignantxtumorsxisxthatxmalignantxtumorsxinvadexadjace
ntxtissuesxandxspreadxtoxdistantxtissuesxandxbenignxtumorsxdoxnotxmetastasize.xThexotherxstatementsxar
exinaccurate.xBothxtypesxofxtumorsxmayxcausexdamagextoxadjacentxtissues.
Malignantxcellsxdoxnotxreproducexmorexrapidlyxthanxnormalxcells.xBenignxtumorsxdoxnotxusually
xrecur.
DIF: CognitivexLevel:xUnderstandx(comprehension)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xPhysiologicalxIntegrity
2. Thexnursexisxcaringxforxaxpatientxreceivingxintravesicalxbladderxchemotherapy.xThexnursexs
houldxmonitorxforxwhichxadversexeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:x C
NURSINGTB.COM
, Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
NURSINGTB.COM
Thexadversexeffectsxofxintravesicalxchemotherapyxarexconfinedxtoxthexbladder.xThexotherxadvers
exeffectsxarexassociatedxwithxsystemicxchemotherapy.
DIF: CognitivexLevel:xApplyx(application) TOP:
NursingxProcess:xEvaluationxMSC:x NCLEX:xPhysiologicalxIntegrity
3. Thexnursexisxcaringxforxaxpatientxwhoxsmokesx2xpacks/day.xWhichxactionxbyxthexnursexcouldxh
elpxreducexthexpatient’sxriskxofxlungxcancer?
a. Teachxthexpatientxaboutxthexsevenxwarningxsignsxofxcancer.
b. Planxtoxmonitorxthexpatient’sxcarcinoembryonicxantigenx(CEA)xlevel.
c. Teachxthexpatientxaboutxannualxchestxx-raysxforxlungxcancerxscreening.
d. Discussxrisksxassociatedxwithxcigarettesxduringxeachxpatientxencounter.
ANS:x D
Teachingxaboutxthexrisksxassociatedxwithxcigarettexsmokingxisxrecommendedxatxeveryxpatientxe
ncounterxbecausexcigarettexsmokingxisxassociatedxwithxmultiplexhealthxproblems.xThexotherxo
ptionsxmayxdetectxlungxcancerxthatxisxalreadyxpresentxbutxdoxnotxreducexthexrisk.
DIF:x x CognitivexLevel:xApplyx(application)
TOP:x NursingxProcess:xImplementationx x x MSC:x NCLEX:xHealthxPromotionxandxMaintenance
NURSINGTB.COM
, Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
4. Thexnursexshouldxsuggestxwhichxfoodxchoicexforxaxpatientxscheduledxtoxreceivexexternal-
beamxradiationxforxabdominalxcancer?
a. Fruitxsalad
b. Bakedxchicken
c. Creamedxbroccoli
d. Toastedxwheatxbread
ANS:x B
Proteinxisxneededxforxwoundxhealing.xToxminimizexthexdiarrheaxthatxisxassociatedxwithxbowelxra
diation,xthexpatientxshouldxavoidxfoodsxhighxinxroughage,xsuchxasxfruitsxandxwholexgrains.xLacto
sexintolerancexmayxdevelopxsecondaryxtoxradiation,xsoxdairyxproductsxshouldxalsoxbexavoided.
DIF: CognitivexLevel:xApplyx(application)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xPhysiologicalxIntegrity
5. Duringxaxroutinexhealthxexamination,xax40-yr-
oldxpatientxtellsxthexnursexaboutxaxfamilyxhistoryxofxcolonxcancer.xWhichxactionxshouldxthexnurs
extakexnext?
a. Schedulexaxsigmoidoscopyxtoxprovidexbaselinexdata.
b. Obtainxmorexinformationxaboutxthexpatient’sxrelatives.
c. Teachxthexpatientxaboutxthexneedxforxaxcolonoscopyxatxagex50.
d. Teachxthexpatientxhowxtoxdoxhomextestingxforxfecalxoccultxblood.
ANS:x B
Thexpatientxmayxbexatxincreasedxriskxforxcolonxcancer,xbutxthexnurse’sxfirstxactionxshouldxbexfurth
erxassessment.xThexotherxactionsxmayxbexappropriate,xdependingxonxthexinformationxthatxisxobtai
nedxfromxthexpatientxwithxfurtherxquestioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
DIF: CognitivexLevel:xAnalyzex(analysis)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xHealthxPromotionxandxMaintenance
6. AxpatientxwhoxisxdiagnosedxwithxcervicalxcancerxclassifiedxasxTis,xN0,xM0xasksxthexnursexwhatxt
hexlettersxandxnumbersxmean.xWhichxresponsexbyxthexnursexisxaccurate?
a. “Thexcancerxinvolvesxonlyxthexcervix.”
b. “Thexcancerxcellsxlookxlikexnormalxcells.”
c. “Furtherxtestingxisxneededxtoxdeterminexthexspreadxofxthexcancer.”
d. “Itxisxdifficultxtoxdeterminexthexoriginalxsitexofxthexcervicalxcancer.”
ANS:x A
Cancerxinxsituxindicatesxthatxthexcancerxisxlocalizedxtoxthexcervixxandxisxnotxinvasivexatxthisxtime.
xCellxdifferentiationxisxnotxindicatedxbyxclinicalxstaging.xBecausexthexcancerxisxinxsitu,xthexoriginx
isxthexcervix.xFurtherxtestingxisxnotxindicatedxgivenxthatxthexcancerxhasxnotxspread.
DIF: CognitivexLevel:xApplyx(application)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xPhysiologicalxIntegrity
7. Thexnursexteachesxaxpatientxwhoxisxscheduledxforxaxprostatexneedlexbiopsyxaboutxthexprocedure.
Whichxstatementxbyxthexpatientxindicatesxthatxteachingxwasxeffective?
a. “Thexbiopsyxwillxremovexthexcancerxinxmyxprostatexgland.”
b. “ThexbiopsyxwillxdeterminexhowxmuchxlongerxIxhavextoxlive.”
c. “Thexbiopsyxwillxhelpxdecidexthextreatmentxforxmyxenlargedxprostate.”
d. “Thexbiopsyxwillxindicatexwhetherxthexcancerxhasxspreadxtoxotherxorgans.”
NURSINGTB.COM
Chapter 15: Cancer
x x
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
x x x x x
MULTIPLExCHOICE
1. Axpatientxwhoxisxscheduledxforxaxbreastxbiopsyxasksxthexnursexthexdifferencexbetweenxaxbenignxt
umorxandxaxmalignantxtumor.xWhichxanswerxbyxthexnursexisxaccurate?
a. “Benignxtumorsxdoxnotxcausexdamagextoxotherxtissues.”
b. “Benignxtumorsxarexlikelyxtoxrecurxinxthexsamexlocation.”
c. “Malignantxtumorsxmayxspreadxtoxotherxtissuesxorxorgans.”
d. “Malignantxcellsxreproducexmorexrapidlyxthanxnormalxcells.”
ANS:x C
Thexmajorxdifferencexbetweenxbenignxandxmalignantxtumorsxisxthatxmalignantxtumorsxinvadexadjace
ntxtissuesxandxspreadxtoxdistantxtissuesxandxbenignxtumorsxdoxnotxmetastasize.xThexotherxstatementsxar
exinaccurate.xBothxtypesxofxtumorsxmayxcausexdamagextoxadjacentxtissues.
Malignantxcellsxdoxnotxreproducexmorexrapidlyxthanxnormalxcells.xBenignxtumorsxdoxnotxusually
xrecur.
DIF: CognitivexLevel:xUnderstandx(comprehension)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xPhysiologicalxIntegrity
2. Thexnursexisxcaringxforxaxpatientxreceivingxintravesicalxbladderxchemotherapy.xThexnursexs
houldxmonitorxforxwhichxadversexeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:x C
NURSINGTB.COM
, Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
NURSINGTB.COM
Thexadversexeffectsxofxintravesicalxchemotherapyxarexconfinedxtoxthexbladder.xThexotherxadvers
exeffectsxarexassociatedxwithxsystemicxchemotherapy.
DIF: CognitivexLevel:xApplyx(application) TOP:
NursingxProcess:xEvaluationxMSC:x NCLEX:xPhysiologicalxIntegrity
3. Thexnursexisxcaringxforxaxpatientxwhoxsmokesx2xpacks/day.xWhichxactionxbyxthexnursexcouldxh
elpxreducexthexpatient’sxriskxofxlungxcancer?
a. Teachxthexpatientxaboutxthexsevenxwarningxsignsxofxcancer.
b. Planxtoxmonitorxthexpatient’sxcarcinoembryonicxantigenx(CEA)xlevel.
c. Teachxthexpatientxaboutxannualxchestxx-raysxforxlungxcancerxscreening.
d. Discussxrisksxassociatedxwithxcigarettesxduringxeachxpatientxencounter.
ANS:x D
Teachingxaboutxthexrisksxassociatedxwithxcigarettexsmokingxisxrecommendedxatxeveryxpatientxe
ncounterxbecausexcigarettexsmokingxisxassociatedxwithxmultiplexhealthxproblems.xThexotherxo
ptionsxmayxdetectxlungxcancerxthatxisxalreadyxpresentxbutxdoxnotxreducexthexrisk.
DIF:x x CognitivexLevel:xApplyx(application)
TOP:x NursingxProcess:xImplementationx x x MSC:x NCLEX:xHealthxPromotionxandxMaintenance
NURSINGTB.COM
, Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
4. Thexnursexshouldxsuggestxwhichxfoodxchoicexforxaxpatientxscheduledxtoxreceivexexternal-
beamxradiationxforxabdominalxcancer?
a. Fruitxsalad
b. Bakedxchicken
c. Creamedxbroccoli
d. Toastedxwheatxbread
ANS:x B
Proteinxisxneededxforxwoundxhealing.xToxminimizexthexdiarrheaxthatxisxassociatedxwithxbowelxra
diation,xthexpatientxshouldxavoidxfoodsxhighxinxroughage,xsuchxasxfruitsxandxwholexgrains.xLacto
sexintolerancexmayxdevelopxsecondaryxtoxradiation,xsoxdairyxproductsxshouldxalsoxbexavoided.
DIF: CognitivexLevel:xApplyx(application)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xPhysiologicalxIntegrity
5. Duringxaxroutinexhealthxexamination,xax40-yr-
oldxpatientxtellsxthexnursexaboutxaxfamilyxhistoryxofxcolonxcancer.xWhichxactionxshouldxthexnurs
extakexnext?
a. Schedulexaxsigmoidoscopyxtoxprovidexbaselinexdata.
b. Obtainxmorexinformationxaboutxthexpatient’sxrelatives.
c. Teachxthexpatientxaboutxthexneedxforxaxcolonoscopyxatxagex50.
d. Teachxthexpatientxhowxtoxdoxhomextestingxforxfecalxoccultxblood.
ANS:x B
Thexpatientxmayxbexatxincreasedxriskxforxcolonxcancer,xbutxthexnurse’sxfirstxactionxshouldxbexfurth
erxassessment.xThexotherxactionsxmayxbexappropriate,xdependingxonxthexinformationxthatxisxobtai
nedxfromxthexpatientxwithxfurtherxquestioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'sxMedicalxSurgicalxNursingx11thxEditionxHardingxTestxBank
DIF: CognitivexLevel:xAnalyzex(analysis)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xHealthxPromotionxandxMaintenance
6. AxpatientxwhoxisxdiagnosedxwithxcervicalxcancerxclassifiedxasxTis,xN0,xM0xasksxthexnursexwhatxt
hexlettersxandxnumbersxmean.xWhichxresponsexbyxthexnursexisxaccurate?
a. “Thexcancerxinvolvesxonlyxthexcervix.”
b. “Thexcancerxcellsxlookxlikexnormalxcells.”
c. “Furtherxtestingxisxneededxtoxdeterminexthexspreadxofxthexcancer.”
d. “Itxisxdifficultxtoxdeterminexthexoriginalxsitexofxthexcervicalxcancer.”
ANS:x A
Cancerxinxsituxindicatesxthatxthexcancerxisxlocalizedxtoxthexcervixxandxisxnotxinvasivexatxthisxtime.
xCellxdifferentiationxisxnotxindicatedxbyxclinicalxstaging.xBecausexthexcancerxisxinxsitu,xthexoriginx
isxthexcervix.xFurtherxtestingxisxnotxindicatedxgivenxthatxthexcancerxhasxnotxspread.
DIF: CognitivexLevel:xApplyx(application)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xPhysiologicalxIntegrity
7. Thexnursexteachesxaxpatientxwhoxisxscheduledxforxaxprostatexneedlexbiopsyxaboutxthexprocedure.
Whichxstatementxbyxthexpatientxindicatesxthatxteachingxwasxeffective?
a. “Thexbiopsyxwillxremovexthexcancerxinxmyxprostatexgland.”
b. “ThexbiopsyxwillxdeterminexhowxmuchxlongerxIxhavextoxlive.”
c. “Thexbiopsyxwillxhelpxdecidexthextreatmentxforxmyxenlargedxprostate.”
d. “Thexbiopsyxwillxindicatexwhetherxthexcancerxhasxspreadxtoxotherxorgans.”
NURSINGTB.COM
