Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
Chapterg15:gCancer
Harding:gLewis’sgMedical-SurgicalgNursing,g11thgEdition
MULTIPLEgCHOICE
1. Agpatientgwhogisgscheduledgforgagbreastgbiopsygasksgthegnursegthegdifferencegbetweengagbenig
ngtumorgandgagmalignantgtumor.gWhichganswergbygthegnursegisgaccurate?
a. “Benigngtumorsgdognotgcausegdamagegtogothergtissues.”
b. “Benigngtumorsgareglikelygtogrecurgingthegsameglocation.”
c. “Malignantgtumorsgmaygspreadgtogothergtissuesgorgorgans.”
d. “Malignantgcellsgreproducegmoregrapidlygthangnormalgcells.”
ANS:g C
Thegmajorgdifferencegbetweengbenigngandgmalignantgtumorsgisgthatgmalignantgtumorsginvadegadja
centgtissuesgandgspreadgtogdistantgtissuesgandgbenigngtumorsgdognotgmetastasize.gThegothergstateme
ntsgareginaccurate.gBothgtypesgofgtumorsgmaygcausegdamagegtogadjacentgtissues.
Malignantgcellsgdognotgreproducegmoregrapidlygthangnormalgcells.gBenigngtumorsgdognotgusua
llygrecur.
DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
2. Thegnursegisgcaringgforgagpatientgreceivinggintravesicalgbladdergchemotherapy.gThegnurs
egshouldgmonitorgforgwhichgadversegeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:g C
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
NURSINGTB.COM
Thegadversegeffectsgofgintravesicalgchemotherapygaregconfinedgtogthegbladder.gThegothergadve
rsegeffectsgaregassociatedgwithgsystemicgchemotherapy.
DIF: CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gEvaluationgMSC:g NCLEX:gPhysiologicalgIntegrity
3. Thegnursegisgcaringgforgagpatientgwhogsmokesg2gpacks/day.gWhichgactiongbygthegnursegcoul
dghelpgreducegthegpatient’sgriskgofglunggcancer?
a. Teachgthegpatientgaboutgthegsevengwarninggsignsgofgcancer.
b. Plangtogmonitorgthegpatient’sgcarcinoembryonicgantigeng(CEA)glevel.
c. Teachgthegpatientgaboutgannualgchestgx-raysgforglunggcancergscreening.
d. Discussgrisksgassociatedgwithgcigarettesgduringgeachgpatientgencounter.
ANS:g D
Teachinggaboutgthegrisksgassociatedgwithgcigarettegsmokinggisgrecommendedgatgeverygpatie
ntgencountergbecausegcigarettegsmokinggisgassociatedgwithgmultipleghealthgproblems.gThego
thergoptionsgmaygdetectglunggcancergthatgisgalreadygpresentgbutgdognotgreducegthegrisk.
DIF:g g CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementationg g g MSC:g NCLEX:gHealthgPromotiongandgMaintenance
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
4. Thegnursegshouldgsuggestgwhichgfoodgchoicegforgagpatientgscheduledgtogreceivegexternal-
beamgradiationgforgabdominalgcancer?
a. Fruitgsalad
b. Bakedgchicken
c. Creamedgbroccoli
d. Toastedgwheatgbread
ANS:g B
Proteingisgneededgforgwoundghealing.gTogminimizegthegdiarrheagthatgisgassociatedgwithgbowel
gradiation,gthegpatientgshouldgavoidgfoodsghighgingroughage,gsuchgasgfruitsgandgwholeggrains.g
Lactosegintolerancegmaygdevelopgsecondarygtogradiation,gsogdairygproductsgshouldgalsogbegav
oided.
DIF: CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
5. Duringgagroutineghealthgexamination,gag40-yr-
oldgpatientgtellsgthegnursegaboutgagfamilyghistorygofgcolongcancer.gWhichgactiongshouldgthegn
ursegtakegnext?
a. Schedulegagsigmoidoscopygtogprovidegbaselinegdata.
b. Obtaingmoreginformationgaboutgthegpatient’sgrelatives.
c. Teachgthegpatientgaboutgthegneedgforgagcolonoscopygatgageg50.
d. Teachgthegpatientghowgtogdoghomegtestinggforgfecalgoccultgblood.
ANS:g B
Thegpatientgmaygbegatgincreasedgriskgforgcolongcancer,gbutgthegnurse’sgfirstgactiongshouldgbegf
urthergassessment.gThegothergactionsgmaygbegappropriate,gdependinggongtheginformationgthatgis
gobtainedgfromgthegpatientgwithgfurthergquestioning.
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
NURSINGTB.COM
NURSINGTB.COM
k
Chapterg15:gCancer
Harding:gLewis’sgMedical-SurgicalgNursing,g11thgEdition
MULTIPLEgCHOICE
1. Agpatientgwhogisgscheduledgforgagbreastgbiopsygasksgthegnursegthegdifferencegbetweengagbenig
ngtumorgandgagmalignantgtumor.gWhichganswergbygthegnursegisgaccurate?
a. “Benigngtumorsgdognotgcausegdamagegtogothergtissues.”
b. “Benigngtumorsgareglikelygtogrecurgingthegsameglocation.”
c. “Malignantgtumorsgmaygspreadgtogothergtissuesgorgorgans.”
d. “Malignantgcellsgreproducegmoregrapidlygthangnormalgcells.”
ANS:g C
Thegmajorgdifferencegbetweengbenigngandgmalignantgtumorsgisgthatgmalignantgtumorsginvadegadja
centgtissuesgandgspreadgtogdistantgtissuesgandgbenigngtumorsgdognotgmetastasize.gThegothergstateme
ntsgareginaccurate.gBothgtypesgofgtumorsgmaygcausegdamagegtogadjacentgtissues.
Malignantgcellsgdognotgreproducegmoregrapidlygthangnormalgcells.gBenigngtumorsgdognotgusua
llygrecur.
DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
2. Thegnursegisgcaringgforgagpatientgreceivinggintravesicalgbladdergchemotherapy.gThegnurs
egshouldgmonitorgforgwhichgadversegeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:g C
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
NURSINGTB.COM
Thegadversegeffectsgofgintravesicalgchemotherapygaregconfinedgtogthegbladder.gThegothergadve
rsegeffectsgaregassociatedgwithgsystemicgchemotherapy.
DIF: CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gEvaluationgMSC:g NCLEX:gPhysiologicalgIntegrity
3. Thegnursegisgcaringgforgagpatientgwhogsmokesg2gpacks/day.gWhichgactiongbygthegnursegcoul
dghelpgreducegthegpatient’sgriskgofglunggcancer?
a. Teachgthegpatientgaboutgthegsevengwarninggsignsgofgcancer.
b. Plangtogmonitorgthegpatient’sgcarcinoembryonicgantigeng(CEA)glevel.
c. Teachgthegpatientgaboutgannualgchestgx-raysgforglunggcancergscreening.
d. Discussgrisksgassociatedgwithgcigarettesgduringgeachgpatientgencounter.
ANS:g D
Teachinggaboutgthegrisksgassociatedgwithgcigarettegsmokinggisgrecommendedgatgeverygpatie
ntgencountergbecausegcigarettegsmokinggisgassociatedgwithgmultipleghealthgproblems.gThego
thergoptionsgmaygdetectglunggcancergthatgisgalreadygpresentgbutgdognotgreducegthegrisk.
DIF:g g CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementationg g g MSC:g NCLEX:gHealthgPromotiongandgMaintenance
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
4. Thegnursegshouldgsuggestgwhichgfoodgchoicegforgagpatientgscheduledgtogreceivegexternal-
beamgradiationgforgabdominalgcancer?
a. Fruitgsalad
b. Bakedgchicken
c. Creamedgbroccoli
d. Toastedgwheatgbread
ANS:g B
Proteingisgneededgforgwoundghealing.gTogminimizegthegdiarrheagthatgisgassociatedgwithgbowel
gradiation,gthegpatientgshouldgavoidgfoodsghighgingroughage,gsuchgasgfruitsgandgwholeggrains.g
Lactosegintolerancegmaygdevelopgsecondarygtogradiation,gsogdairygproductsgshouldgalsogbegav
oided.
DIF: CognitivegLevel:gApplyg(application)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gPhysiologicalgIntegrity
5. Duringgagroutineghealthgexamination,gag40-yr-
oldgpatientgtellsgthegnursegaboutgagfamilyghistorygofgcolongcancer.gWhichgactiongshouldgthegn
ursegtakegnext?
a. Schedulegagsigmoidoscopygtogprovidegbaselinegdata.
b. Obtaingmoreginformationgaboutgthegpatient’sgrelatives.
c. Teachgthegpatientgaboutgthegneedgforgagcolonoscopygatgageg50.
d. Teachgthegpatientghowgtogdoghomegtestinggforgfecalgoccultgblood.
ANS:g B
Thegpatientgmaygbegatgincreasedgriskgforgcolongcancer,gbutgthegnurse’sgfirstgactiongshouldgbegf
urthergassessment.gThegothergactionsgmaygbegappropriate,gdependinggongtheginformationgthatgis
gobtainedgfromgthegpatientgwithgfurthergquestioning.
NURSINGTB.COM
, Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBan
k
NURSINGTB.COM
NURSINGTB.COM
