Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
Chapter m15:mCancer
Harding:mLewis’smMedical-SurgicalmNursing,m11thmEdition
MULTIPLEmCHOICE
1. A mpatient mwhomismscheduled mformambreast mbiopsymasksmthemnursemthemdifferencembetweenmambeni
gnmtumormand mammalignant mtumor.mWhichmanswermbymthemnursemismaccurate?
a. “Benignmtumorsmdomnot mcausemdamagemtomothermtissues.”
b. “Benignmtumorsmaremlikelymtomrecurminmthemsamemlocation.”
c. “Malignant mtumorsmmaymspread mtomothermtissuesmormorgans.”
d. “Malignant mcellsmreproducemmoremrapidlymthanmnormalmcells.”
ANS:m C
Themmajormdifferencembetweenmbenignmand mmalignant mtumorsmismthat mmalignant mtumorsminvademadj
acent mtissuesmand mspread mtomdistant mtissuesmand mbenignmtumorsmdomnot mmetastasize.mThemothermstate
mentsmareminaccurate.mBothmtypesmof mtumorsmmaymcausemdamagemtomadjacent mtissues.
Malignant mcellsmdomnot mreproducemmoremrapidlymthanmnormalmcells.mBenignmtumorsmdomnot musu
allymrecur.
DIF: CognitivemLevel:mUnderstand m(comprehension)
TOP:m NursingmProcess:mImplementation MSC:m NCLEX:mPhysiologicalmIntegrity
2. Themnursemismcaringmformampatient mreceivingmintravesicalmbladdermchemotherapy.mThemnur
semshould mmonitormformwhichmadversemeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:m C
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, Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
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Themadversemeffectsmof mintravesicalmchemotherapymaremconfined mtomthembladder.mThemothermadv
ersemeffectsmaremassociated mwithmsystemicmchemotherapy.
DIF: CognitivemLevel:mApply m(application) TOP:
NursingmProcess:mEvaluation mMSC:m NCLEX:mPhysiologicalmIntegrity
3. Themnursemismcaringmformampatient mwhomsmokesm2mpacks/day.mWhichmactionmbymthemnursemco
uld mhelpmreducemthempatient’smriskmof mlungmcancer?
a. Teachmthempatient mabout mthemsevenmwarningmsignsmof mcancer.
b. Planmtommonitormthempatient’smcarcinoembryonicmantigenm(CEA)mlevel.
c. Teachmthempatient mabout mannualmchest mx-raysmformlungmcancermscreening.
d. Discussmrisksmassociated mwithmcigarettesmduringmeachmpatient mencounter.
ANS:m D
Teachingmabout mthemrisksmassociated mwithmcigarettemsmokingmismrecommended mat meverympatie
nt mencountermbecausemcigarettemsmokingm ismassociated mwithmmultiplemhealthmproblems.m Them
othermoptionsmmaymdetect mlungmcancermthat mismalreadympresent mbut mdomnot mreducemthemrisk.
DIF:m m CognitivemLevel:mApply m(application)
TOP:m NursingmProcess:mImplementation m m m MSC:m NCLEX:mHealth mPromotion mand mMaintenance
NURSINGTB.COM
, Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
4. Themnursemshould msuggest mwhichmfood mchoicemformampatient mscheduled mtomreceivemexternal-
beammradiationmformabdominalmcancer?
a. Fruit msalad
b. Baked mchicken
c. Creamed mbroccoli
d. Toasted mwheat mbread
ANS:m B
Proteinmismneeded mformwound mhealing.mTomminimizemthemdiarrheamthat mismassociated mwithmbowe
lmradiation,mthempatient mshould mavoid mfoodsmhighminmroughage,msuchmasmfruitsmand mwholemgrain
s.mLactosemintolerancemmaymdevelopmsecondarymtomradiation,msomdairymproductsmshould malsomb
emavoided.
DIF: CognitivemLevel:mApply m(application)
TOP:m NursingmProcess:mImplementation MSC:m NCLEX:mPhysiologicalmIntegrity
5. Duringmamroutinemhealthmexamination,mam40-yr-
old mpatient mtellsmthemnursemabout mamfamilymhistorymof mcolonmcancer.mWhichmactionmshould mthem
nursemtakemnext?
a. Schedulemamsigmoidoscopymtomprovidembaselinemdata.
b. Obtainmmoreminformationmabout mthempatient’smrelatives.
c. Teachmthempatient mabout mthemneed mformamcolonoscopymat magem50.
d. Teachmthempatient mhow mtomdomhomemtestingmformfecalmoccult mblood.
ANS:m B
Thempatient mmaymbemat mincreased mriskmformcolonmcancer,mbut mthemnurse’smfirst mactionmshould mbem
furthermassessment.mThemothermactionsmmaymbemappropriate,mdependingmonmtheminformationmthat
mismobtained mfrommthempatient mwithmfurthermquestioning.
NURSINGTB.COM
, Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
NURSINGTB.COM
NURSINGTB.COM
k
Chapter m15:mCancer
Harding:mLewis’smMedical-SurgicalmNursing,m11thmEdition
MULTIPLEmCHOICE
1. A mpatient mwhomismscheduled mformambreast mbiopsymasksmthemnursemthemdifferencembetweenmambeni
gnmtumormand mammalignant mtumor.mWhichmanswermbymthemnursemismaccurate?
a. “Benignmtumorsmdomnot mcausemdamagemtomothermtissues.”
b. “Benignmtumorsmaremlikelymtomrecurminmthemsamemlocation.”
c. “Malignant mtumorsmmaymspread mtomothermtissuesmormorgans.”
d. “Malignant mcellsmreproducemmoremrapidlymthanmnormalmcells.”
ANS:m C
Themmajormdifferencembetweenmbenignmand mmalignant mtumorsmismthat mmalignant mtumorsminvademadj
acent mtissuesmand mspread mtomdistant mtissuesmand mbenignmtumorsmdomnot mmetastasize.mThemothermstate
mentsmareminaccurate.mBothmtypesmof mtumorsmmaymcausemdamagemtomadjacent mtissues.
Malignant mcellsmdomnot mreproducemmoremrapidlymthanmnormalmcells.mBenignmtumorsmdomnot musu
allymrecur.
DIF: CognitivemLevel:mUnderstand m(comprehension)
TOP:m NursingmProcess:mImplementation MSC:m NCLEX:mPhysiologicalmIntegrity
2. Themnursemismcaringmformampatient mreceivingmintravesicalmbladdermchemotherapy.mThemnur
semshould mmonitormformwhichmadversemeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:m C
NURSINGTB.COM
, Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
NURSINGTB.COM
Themadversemeffectsmof mintravesicalmchemotherapymaremconfined mtomthembladder.mThemothermadv
ersemeffectsmaremassociated mwithmsystemicmchemotherapy.
DIF: CognitivemLevel:mApply m(application) TOP:
NursingmProcess:mEvaluation mMSC:m NCLEX:mPhysiologicalmIntegrity
3. Themnursemismcaringmformampatient mwhomsmokesm2mpacks/day.mWhichmactionmbymthemnursemco
uld mhelpmreducemthempatient’smriskmof mlungmcancer?
a. Teachmthempatient mabout mthemsevenmwarningmsignsmof mcancer.
b. Planmtommonitormthempatient’smcarcinoembryonicmantigenm(CEA)mlevel.
c. Teachmthempatient mabout mannualmchest mx-raysmformlungmcancermscreening.
d. Discussmrisksmassociated mwithmcigarettesmduringmeachmpatient mencounter.
ANS:m D
Teachingmabout mthemrisksmassociated mwithmcigarettemsmokingmismrecommended mat meverympatie
nt mencountermbecausemcigarettemsmokingm ismassociated mwithmmultiplemhealthmproblems.m Them
othermoptionsmmaymdetect mlungmcancermthat mismalreadympresent mbut mdomnot mreducemthemrisk.
DIF:m m CognitivemLevel:mApply m(application)
TOP:m NursingmProcess:mImplementation m m m MSC:m NCLEX:mHealth mPromotion mand mMaintenance
NURSINGTB.COM
, Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
4. Themnursemshould msuggest mwhichmfood mchoicemformampatient mscheduled mtomreceivemexternal-
beammradiationmformabdominalmcancer?
a. Fruit msalad
b. Baked mchicken
c. Creamed mbroccoli
d. Toasted mwheat mbread
ANS:m B
Proteinmismneeded mformwound mhealing.mTomminimizemthemdiarrheamthat mismassociated mwithmbowe
lmradiation,mthempatient mshould mavoid mfoodsmhighminmroughage,msuchmasmfruitsmand mwholemgrain
s.mLactosemintolerancemmaymdevelopmsecondarymtomradiation,msomdairymproductsmshould malsomb
emavoided.
DIF: CognitivemLevel:mApply m(application)
TOP:m NursingmProcess:mImplementation MSC:m NCLEX:mPhysiologicalmIntegrity
5. Duringmamroutinemhealthmexamination,mam40-yr-
old mpatient mtellsmthemnursemabout mamfamilymhistorymof mcolonmcancer.mWhichmactionmshould mthem
nursemtakemnext?
a. Schedulemamsigmoidoscopymtomprovidembaselinemdata.
b. Obtainmmoreminformationmabout mthempatient’smrelatives.
c. Teachmthempatient mabout mthemneed mformamcolonoscopymat magem50.
d. Teachmthempatient mhow mtomdomhomemtestingmformfecalmoccult mblood.
ANS:m B
Thempatient mmaymbemat mincreased mriskmformcolonmcancer,mbut mthemnurse’smfirst mactionmshould mbem
furthermassessment.mThemothermactionsmmaymbemappropriate,mdependingmonmtheminformationmthat
mismobtained mfrommthempatient mwithmfurthermquestioning.
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, Lewis'smMedicalmSurgicalmNursingm11thmEditionmHardingmTest mBan
k
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