Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
Chapter k15:kCancer
Harding:kLewis’skMedical-SurgicalkNursing,k11thkEdition
MULTIPLEkCHOICE
1. A k patient k whokisk scheduled kforkakbreast kbiopsyk asksk theknursek thek differencek betweenk ak benignk t
umork and k ak malignant k tumor.k Whichk answerk byk thek nursek isk accurate?
a. “Benignk tumorsk dok not k causek damagek tok otherk tissues.”
b. “Benignk tumorsk arek likelyk tok recurk ink thek samek location.”
c. “Malignant k tumorsk mayk spread k tok otherk tissuesk ork organs.”
d. “Malignant k cellsk reproducek morek rapidlyk thank normalk cells.”
ANS:k C
Thek majork differencek betweenk benignk and kmalignant k tumorsk isk thatk malignant k tumorsk invadek adjace
nt k tissuesk and kspread ktok distantktissuesk andkbenignktumorsk doknotkmetastasize.k Thek otherk statementsk ar
ek inaccurate.k Bothk typesk of k tumorsk mayk causek damagek tok adjacent k tissues.
Malignant k cellsk dok not k reproducekmorek rapidlykthanknormalk cells.k Benignk tumorsk doknotk usually
k recur.
DIF: CognitivekLevel:k Understand k(comprehension)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Physiologicalk Integrity
2. Thek nursek isk caringk fork ak patient kreceivingk intravesicalk bladderkchemotherapy.k Thek nurseks
hould k monitork fork whichk adversek effect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:k C
NURSINGTB.COM
, Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
NURSINGTB.COM
Thekadversekeffectsk of kintravesicalk chemotherapyk arek confined ktokthekbladder.k Thek otherk advers
ek effectsk arek associated k withk systemick chemotherapy.
DIF: Cognitivek Level:k Apply k (application) TOP:
NursingkProcess:kEvaluation k MSC:k NCLEX:k Physiologicalk Integrity
3. Thek nursek isk caringk fork ak patient kwhoksmokesk 2kpacks/day.kWhichk actionk byktheknursekcould kh
elpk reducek thek patient’sk riskk of k lungk cancer?
a. Teachk thek patient k about k thek sevenk warningk signsk of k cancer.
b. Plank tok monitork thek patient’sk carcinoembryonick antigenk (CEA)k level.
c. Teachk thek patient k about k annualk chest k x-raysk fork lungk cancerk screening.
d. Discussk risksk associated k withk cigarettesk duringk eachk patient k encounter.
ANS:k D
Teachingk aboutk thek risksk associatedk withk cigarettek smokingk isk recommendedk atk everyk patient k e
ncounterk becausek cigarettek smokingk isk associatedk withk multiplek healthk problems.k Thek otherk o
ptionsk mayk detect k lungk cancerk that k isk alreadyk present k but k dok not k reducek thek risk.
DIF:k k Cognitivek Level:k Apply k(application)
TOP:k Nursingk Process:k Implementation k k k MSC:k NCLEX:k Health k Promotion k and k Maintenance
NURSINGTB.COM
, Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
4. Thek nursek should k suggest k whichk food k choicek fork ak patient k scheduled k tok receivek external-
beamk radiationk fork abdominalk cancer?
a. Fruit k salad
b. Baked k chicken
c. Creamed k broccoli
d. Toasted kwheat k bread
ANS:k B
Proteink isk needed kforkwoundkhealing.k Tok minimizek thek diarrheak thatk isk associated k withk bowelk ra
diation,k thek patient k shouldk avoidk foodskhighk ink roughage,k suchk askfruitskandk wholek grains.k Lacto
sek intolerancek mayk developk secondaryk tok radiation,k sok dairyk productsk should k alsok bek avoided.
DIF: CognitivekLevel:k Apply k(application)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Physiologicalk Integrity
5. Duringk ak routinek healthk examination,k ak 40-yr-
old k patient k tellsk theknursek aboutkakfamilyk historyk of kcolonk cancer.k Whichk actionk should k thek nurs
ek takek next?
a. Schedulek ak sigmoidoscopyk tok providek baselinek data.
b. Obtaink morek informationk about k thek patient’sk relatives.
c. Teachk thek patient k about k thek need k fork ak colonoscopyk at k agek 50.
d. Teachk thek patient k how k tok dok homek testingk fork fecalk occult k blood.
ANS:k B
Thek patient k mayk bek at k increased k riskk forkcolonk cancer,k but ktheknurse’sk first k actionk should kbek furth
erk assessment.k Thek otherk actionsk mayk bek appropriate,k dependingk onk thek informationk that k isk obtai
ned k fromk thek patient k withk furtherk questioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
DIF: CognitivekLevel:k Analyzek(analysis)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Health k Promotion kand k Maintenance
6. A k patient k whokiskdiagnosed kwithkcervicalk cancerk classified k askTis,k N0,kM0kasksk thek nursekwhat k t
hek lettersk and k numbersk mean.k Whichk responsek byk thek nursek isk accurate?
a. “Thek cancerk involvesk onlyk thek cervix.”
b. “Thek cancerk cellsk lookk likek normalk cells.”
c. “Furtherk testingk isk needed k tok determinek thek spread k of k thek cancer.”
d. “It k isk difficult k tok determinek thek originalk sitek of k thek cervicalk cancer.”
ANS:k A
Cancerk ink situk indicatesk that kthekcancerk isk localized k tokthekcervixk and kisk not kinvasivek at kthisk time.
k Cellk differentiationk isknot kindicatedkbykclinicalk staging.k Becausek thek cancerk iskink situ,kthekorigink
isk thek cervix.k Furtherk testingk isk not k indicated k givenk that k thek cancerk hask not k spread.
DIF: CognitivekLevel:k Apply k(application)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Physiologicalk Integrity
7. Thek nursek teachesk ak patient k whok isk scheduled k fork ak prostatek needlek biopsyk about k thek procedure.
Whichk statement k byk thek patient k indicatesk that k teachingk wask effective?
a. “Thek biopsyk willk removek thek cancerk ink myk prostatek gland.”
b. “Thek biopsyk willk determinek how k muchk longerk I k havek tok live.”
c. “Thekbiopsyk willk helpk decidek thek treatment k fork myk enlarged k prostate.”
d. “Thek biopsyk willk indicatek whetherk thek cancerk hask spread k tok otherk organs.”
NURSINGTB.COM
Chapter k15:kCancer
Harding:kLewis’skMedical-SurgicalkNursing,k11thkEdition
MULTIPLEkCHOICE
1. A k patient k whokisk scheduled kforkakbreast kbiopsyk asksk theknursek thek differencek betweenk ak benignk t
umork and k ak malignant k tumor.k Whichk answerk byk thek nursek isk accurate?
a. “Benignk tumorsk dok not k causek damagek tok otherk tissues.”
b. “Benignk tumorsk arek likelyk tok recurk ink thek samek location.”
c. “Malignant k tumorsk mayk spread k tok otherk tissuesk ork organs.”
d. “Malignant k cellsk reproducek morek rapidlyk thank normalk cells.”
ANS:k C
Thek majork differencek betweenk benignk and kmalignant k tumorsk isk thatk malignant k tumorsk invadek adjace
nt k tissuesk and kspread ktok distantktissuesk andkbenignktumorsk doknotkmetastasize.k Thek otherk statementsk ar
ek inaccurate.k Bothk typesk of k tumorsk mayk causek damagek tok adjacent k tissues.
Malignant k cellsk dok not k reproducekmorek rapidlykthanknormalk cells.k Benignk tumorsk doknotk usually
k recur.
DIF: CognitivekLevel:k Understand k(comprehension)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Physiologicalk Integrity
2. Thek nursek isk caringk fork ak patient kreceivingk intravesicalk bladderkchemotherapy.k Thek nurseks
hould k monitork fork whichk adversek effect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:k C
NURSINGTB.COM
, Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
NURSINGTB.COM
Thekadversekeffectsk of kintravesicalk chemotherapyk arek confined ktokthekbladder.k Thek otherk advers
ek effectsk arek associated k withk systemick chemotherapy.
DIF: Cognitivek Level:k Apply k (application) TOP:
NursingkProcess:kEvaluation k MSC:k NCLEX:k Physiologicalk Integrity
3. Thek nursek isk caringk fork ak patient kwhoksmokesk 2kpacks/day.kWhichk actionk byktheknursekcould kh
elpk reducek thek patient’sk riskk of k lungk cancer?
a. Teachk thek patient k about k thek sevenk warningk signsk of k cancer.
b. Plank tok monitork thek patient’sk carcinoembryonick antigenk (CEA)k level.
c. Teachk thek patient k about k annualk chest k x-raysk fork lungk cancerk screening.
d. Discussk risksk associated k withk cigarettesk duringk eachk patient k encounter.
ANS:k D
Teachingk aboutk thek risksk associatedk withk cigarettek smokingk isk recommendedk atk everyk patient k e
ncounterk becausek cigarettek smokingk isk associatedk withk multiplek healthk problems.k Thek otherk o
ptionsk mayk detect k lungk cancerk that k isk alreadyk present k but k dok not k reducek thek risk.
DIF:k k Cognitivek Level:k Apply k(application)
TOP:k Nursingk Process:k Implementation k k k MSC:k NCLEX:k Health k Promotion k and k Maintenance
NURSINGTB.COM
, Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
4. Thek nursek should k suggest k whichk food k choicek fork ak patient k scheduled k tok receivek external-
beamk radiationk fork abdominalk cancer?
a. Fruit k salad
b. Baked k chicken
c. Creamed k broccoli
d. Toasted kwheat k bread
ANS:k B
Proteink isk needed kforkwoundkhealing.k Tok minimizek thek diarrheak thatk isk associated k withk bowelk ra
diation,k thek patient k shouldk avoidk foodskhighk ink roughage,k suchk askfruitskandk wholek grains.k Lacto
sek intolerancek mayk developk secondaryk tok radiation,k sok dairyk productsk should k alsok bek avoided.
DIF: CognitivekLevel:k Apply k(application)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Physiologicalk Integrity
5. Duringk ak routinek healthk examination,k ak 40-yr-
old k patient k tellsk theknursek aboutkakfamilyk historyk of kcolonk cancer.k Whichk actionk should k thek nurs
ek takek next?
a. Schedulek ak sigmoidoscopyk tok providek baselinek data.
b. Obtaink morek informationk about k thek patient’sk relatives.
c. Teachk thek patient k about k thek need k fork ak colonoscopyk at k agek 50.
d. Teachk thek patient k how k tok dok homek testingk fork fecalk occult k blood.
ANS:k B
Thek patient k mayk bek at k increased k riskk forkcolonk cancer,k but ktheknurse’sk first k actionk should kbek furth
erk assessment.k Thek otherk actionsk mayk bek appropriate,k dependingk onk thek informationk that k isk obtai
ned k fromk thek patient k withk furtherk questioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'sk Medicalk Surgicalk Nursingk 11thk Editionk Hardingk Test k Bank
DIF: CognitivekLevel:k Analyzek(analysis)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Health k Promotion kand k Maintenance
6. A k patient k whokiskdiagnosed kwithkcervicalk cancerk classified k askTis,k N0,kM0kasksk thek nursekwhat k t
hek lettersk and k numbersk mean.k Whichk responsek byk thek nursek isk accurate?
a. “Thek cancerk involvesk onlyk thek cervix.”
b. “Thek cancerk cellsk lookk likek normalk cells.”
c. “Furtherk testingk isk needed k tok determinek thek spread k of k thek cancer.”
d. “It k isk difficult k tok determinek thek originalk sitek of k thek cervicalk cancer.”
ANS:k A
Cancerk ink situk indicatesk that kthekcancerk isk localized k tokthekcervixk and kisk not kinvasivek at kthisk time.
k Cellk differentiationk isknot kindicatedkbykclinicalk staging.k Becausek thek cancerk iskink situ,kthekorigink
isk thek cervix.k Furtherk testingk isk not k indicated k givenk that k thek cancerk hask not k spread.
DIF: CognitivekLevel:k Apply k(application)
TOP:k Nursingk Process:k Implementation MSC:k NCLEX:k Physiologicalk Integrity
7. Thek nursek teachesk ak patient k whok isk scheduled k fork ak prostatek needlek biopsyk about k thek procedure.
Whichk statement k byk thek patient k indicatesk that k teachingk wask effective?
a. “Thek biopsyk willk removek thek cancerk ink myk prostatek gland.”
b. “Thek biopsyk willk determinek how k muchk longerk I k havek tok live.”
c. “Thekbiopsyk willk helpk decidek thek treatment k fork myk enlarged k prostate.”
d. “Thek biopsyk willk indicatek whetherk thek cancerk hask spread k tok otherk organs.”
NURSINGTB.COM
