Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
Chapter 15: Cancer
g g
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
g g g g g
MULTIPLEgCHOICE
1. Agpatientgwhogisgscheduledgforgagbreastgbiopsygasksgthegnursegthegdifferencegbetweengagbenigngt
umorgandgagmalignantgtumor.gWhichganswergbygthegnursegisgaccurate?
a. “Benigngtumorsgdognotgcausegdamagegtogothergtissues.”
b. “Benigngtumorsgareglikelygtogrecurgingthegsameglocation.”
c. “Malignantgtumorsgmaygspreadgtogothergtissuesgorgorgans.”
d. “Malignantgcellsgreproducegmoregrapidlygthangnormalgcells.”
ANS:g C
Thegmajorgdifferencegbetweengbenigngandgmalignantgtumorsgisgthatgmalignantgtumorsginvadegadjace
ntgtissuesgandgspreadgtogdistantgtissuesgandgbenigngtumorsgdognotgmetastasize.gThegothergstatementsgar
eginaccurate.gBothgtypesgofgtumorsgmaygcausegdamagegtogadjacentgtissues.
Malignantgcellsgdognotgreproducegmoregrapidlygthangnormalgcells.gBenigngtumorsgdognotgusually
grecur.
DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
2. Thegnursegisgcaringgforgagpatientgreceivinggintravesicalgbladdergchemotherapy.gThegnursegs
houldgmonitorgforgwhichgadversegeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:g C
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
NURSINGTB.COM
Thegadversegeffectsgofgintravesicalgchemotherapygaregconfinedgtogthegbladder.gThegothergadvers
egeffectsgaregassociatedgwithgsystemicgchemotherapy.
DIF: CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gEvaluationgMSC:g NCLEX:gPhysiologicalgIntegrity
3. Thegnursegisgcaringgforgagpatientgwhogsmokesg2gpacks/day.gWhichgactiongbygthegnursegcouldgh
elpgreducegthegpatient’sgriskgofglunggcancer?
a. Teachgthegpatientgaboutgthegsevengwarninggsignsgofgcancer.
b. Plangtogmonitorgthegpatient’sgcarcinoembryonicgantigeng(CEA)glevel.
c. Teachgthegpatientgaboutgannualgchestgx-raysgforglunggcancergscreening.
d. Discussgrisksgassociatedgwithgcigarettesgduringgeachgpatientgencounter.
ANS:g D
Teachinggaboutgthegrisksgassociatedgwithgcigarettegsmokinggisgrecommendedgatgeverygpatientge
ncountergbecausegcigarettegsmokinggisgassociatedgwithgmultipleghealthgproblems.gThegothergo
ptionsgmaygdetectglunggcancergthatgisgalreadygpresentgbutgdognotgreducegthegrisk.
DIF:g g CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementationg g g MSC:g NCLEX:gHealthgPromotiongandgMaintenance
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
4. Thegnursegshouldgsuggestgwhichgfoodgchoicegforgagpatientgscheduledgtogreceivegexternal-
beamgradiationgforgabdominalgcancer?
a. Fruitgsalad
b. Bakedgchicken
c. Creamedgbroccoli
d. Toastedgwheatgbread
ANS:g B
Proteingisgneededgforgwoundghealing.gTogminimizegthegdiarrheagthatgisgassociatedgwithgbowelgra
diation,gthegpatientgshouldgavoidgfoodsghighgingroughage,gsuchgasgfruitsgandgwholeggrains.gLacto
segintolerancegmaygdevelopgsecondarygtogradiation,gsogdairygproductsgshouldgalsogbegavoided.
DIF: CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
5. Duringgagroutineghealthgexamination,gag40-yr-
oldgpatientgtellsgthegnursegaboutgagfamilyghistorygofgcolongcancer.gWhichgactiongshouldgthegnurs
egtakegnext?
a. Schedulegagsigmoidoscopygtogprovidegbaselinegdata.
b. Obtaingmoreginformationgaboutgthegpatient’sgrelatives.
c. Teachgthegpatientgaboutgthegneedgforgagcolonoscopygatgageg50.
d. Teachgthegpatientghowgtogdoghomegtestinggforgfecalgoccultgblood.
ANS:g B
Thegpatientgmaygbegatgincreasedgriskgforgcolongcancer,gbutgthegnurse’sgfirstgactiongshouldgbegfurth
ergassessment.gThegothergactionsgmaygbegappropriate,gdependinggongtheginformationgthatgisgobtai
nedgfromgthegpatientgwithgfurthergquestioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
DIF: CognitivegLevel:gAnalyzeg(analysis)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gHealthgPromotiongandgMaintenance
6. AgpatientgwhogisgdiagnosedgwithgcervicalgcancergclassifiedgasgTis,gN0,gM0gasksgthegnursegwhatgt
heglettersgandgnumbersgmean.gWhichgresponsegbygthegnursegisgaccurate?
a. “Thegcancerginvolvesgonlygthegcervix.”
b. “Thegcancergcellsglookglikegnormalgcells.”
c. “Furthergtestinggisgneededgtogdeterminegthegspreadgofgthegcancer.”
d. “Itgisgdifficultgtogdeterminegthegoriginalgsitegofgthegcervicalgcancer.”
ANS:g A
Cancergingsitugindicatesgthatgthegcancergisglocalizedgtogthegcervixgandgisgnotginvasivegatgthisgtime.
gCellgdifferentiationgisgnotgindicatedgbygclinicalgstaging.gBecausegthegcancergisgingsitu,gthegoriging
isgthegcervix.gFurthergtestinggisgnotgindicatedggivengthatgthegcancerghasgnotgspread.
DIF: CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
7. Thegnursegteachesgagpatientgwhogisgscheduledgforgagprostategneedlegbiopsygaboutgthegprocedure.
Whichgstatementgbygthegpatientgindicatesgthatgteachinggwasgeffective?
a. “Thegbiopsygwillgremovegthegcancergingmygprostateggland.”
b. “ThegbiopsygwillgdetermineghowgmuchglongergIghavegtoglive.”
c. “Thegbiopsygwillghelpgdecidegthegtreatmentgforgmygenlargedgprostate.”
d. “Thegbiopsygwillgindicategwhethergthegcancerghasgspreadgtogothergorgans.”
NURSINGTB.COM
Chapter 15: Cancer
g g
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
g g g g g
MULTIPLEgCHOICE
1. Agpatientgwhogisgscheduledgforgagbreastgbiopsygasksgthegnursegthegdifferencegbetweengagbenigngt
umorgandgagmalignantgtumor.gWhichganswergbygthegnursegisgaccurate?
a. “Benigngtumorsgdognotgcausegdamagegtogothergtissues.”
b. “Benigngtumorsgareglikelygtogrecurgingthegsameglocation.”
c. “Malignantgtumorsgmaygspreadgtogothergtissuesgorgorgans.”
d. “Malignantgcellsgreproducegmoregrapidlygthangnormalgcells.”
ANS:g C
Thegmajorgdifferencegbetweengbenigngandgmalignantgtumorsgisgthatgmalignantgtumorsginvadegadjace
ntgtissuesgandgspreadgtogdistantgtissuesgandgbenigngtumorsgdognotgmetastasize.gThegothergstatementsgar
eginaccurate.gBothgtypesgofgtumorsgmaygcausegdamagegtogadjacentgtissues.
Malignantgcellsgdognotgreproducegmoregrapidlygthangnormalgcells.gBenigngtumorsgdognotgusually
grecur.
DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
2. Thegnursegisgcaringgforgagpatientgreceivinggintravesicalgbladdergchemotherapy.gThegnursegs
houldgmonitorgforgwhichgadversegeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:g C
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
NURSINGTB.COM
Thegadversegeffectsgofgintravesicalgchemotherapygaregconfinedgtogthegbladder.gThegothergadvers
egeffectsgaregassociatedgwithgsystemicgchemotherapy.
DIF: CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gEvaluationgMSC:g NCLEX:gPhysiologicalgIntegrity
3. Thegnursegisgcaringgforgagpatientgwhogsmokesg2gpacks/day.gWhichgactiongbygthegnursegcouldgh
elpgreducegthegpatient’sgriskgofglunggcancer?
a. Teachgthegpatientgaboutgthegsevengwarninggsignsgofgcancer.
b. Plangtogmonitorgthegpatient’sgcarcinoembryonicgantigeng(CEA)glevel.
c. Teachgthegpatientgaboutgannualgchestgx-raysgforglunggcancergscreening.
d. Discussgrisksgassociatedgwithgcigarettesgduringgeachgpatientgencounter.
ANS:g D
Teachinggaboutgthegrisksgassociatedgwithgcigarettegsmokinggisgrecommendedgatgeverygpatientge
ncountergbecausegcigarettegsmokinggisgassociatedgwithgmultipleghealthgproblems.gThegothergo
ptionsgmaygdetectglunggcancergthatgisgalreadygpresentgbutgdognotgreducegthegrisk.
DIF:g g CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementationg g g MSC:g NCLEX:gHealthgPromotiongandgMaintenance
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
4. Thegnursegshouldgsuggestgwhichgfoodgchoicegforgagpatientgscheduledgtogreceivegexternal-
beamgradiationgforgabdominalgcancer?
a. Fruitgsalad
b. Bakedgchicken
c. Creamedgbroccoli
d. Toastedgwheatgbread
ANS:g B
Proteingisgneededgforgwoundghealing.gTogminimizegthegdiarrheagthatgisgassociatedgwithgbowelgra
diation,gthegpatientgshouldgavoidgfoodsghighgingroughage,gsuchgasgfruitsgandgwholeggrains.gLacto
segintolerancegmaygdevelopgsecondarygtogradiation,gsogdairygproductsgshouldgalsogbegavoided.
DIF: CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
5. Duringgagroutineghealthgexamination,gag40-yr-
oldgpatientgtellsgthegnursegaboutgagfamilyghistorygofgcolongcancer.gWhichgactiongshouldgthegnurs
egtakegnext?
a. Schedulegagsigmoidoscopygtogprovidegbaselinegdata.
b. Obtaingmoreginformationgaboutgthegpatient’sgrelatives.
c. Teachgthegpatientgaboutgthegneedgforgagcolonoscopygatgageg50.
d. Teachgthegpatientghowgtogdoghomegtestinggforgfecalgoccultgblood.
ANS:g B
Thegpatientgmaygbegatgincreasedgriskgforgcolongcancer,gbutgthegnurse’sgfirstgactiongshouldgbegfurth
ergassessment.gThegothergactionsgmaygbegappropriate,gdependinggongtheginformationgthatgisgobtai
nedgfromgthegpatientgwithgfurthergquestioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
DIF: CognitivegLevel:gAnalyzeg(analysis)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gHealthgPromotiongandgMaintenance
6. AgpatientgwhogisgdiagnosedgwithgcervicalgcancergclassifiedgasgTis,gN0,gM0gasksgthegnursegwhatgt
heglettersgandgnumbersgmean.gWhichgresponsegbygthegnursegisgaccurate?
a. “Thegcancerginvolvesgonlygthegcervix.”
b. “Thegcancergcellsglookglikegnormalgcells.”
c. “Furthergtestinggisgneededgtogdeterminegthegspreadgofgthegcancer.”
d. “Itgisgdifficultgtogdeterminegthegoriginalgsitegofgthegcervicalgcancer.”
ANS:g A
Cancergingsitugindicatesgthatgthegcancergisglocalizedgtogthegcervixgandgisgnotginvasivegatgthisgtime.
gCellgdifferentiationgisgnotgindicatedgbygclinicalgstaging.gBecausegthegcancergisgingsitu,gthegoriging
isgthegcervix.gFurthergtestinggisgnotgindicatedggivengthatgthegcancerghasgnotgspread.
DIF: CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
7. Thegnursegteachesgagpatientgwhogisgscheduledgforgagprostategneedlegbiopsygaboutgthegprocedure.
Whichgstatementgbygthegpatientgindicatesgthatgteachinggwasgeffective?
a. “Thegbiopsygwillgremovegthegcancergingmygprostateggland.”
b. “ThegbiopsygwillgdetermineghowgmuchglongergIghavegtoglive.”
c. “Thegbiopsygwillghelpgdecidegthegtreatmentgforgmygenlargedgprostate.”
d. “Thegbiopsygwillgindicategwhethergthegcancerghasgspreadgtogothergorgans.”
NURSINGTB.COM
