NURS 1102 Passpoint-Oncologic {Revised} – Fairleigh Dickinson University | NURS1102 Passpoint - Oncologic {A Grade}

NURS 1102 Passpoint-Oncologic – Fairleigh Dickinson University 150+ pages of questions and answers Question 1 See full question A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? You Selected: • Shallow breathing and increasing lethargy Correct response: • Shallow breathing and increasing lethargy Explanation: Remediation: Question 2 See full question A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia. The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm3 and 25,000/mm3. Then the drug is stopped. When should treatment resume? You Selected: • When the WBC count rises to 50,000/mm3 Correct response: • When the WBC count rises to 50,000/mm3 Explanation:Remediation: Question 3 See full question A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to: You Selected: • inform the client or legal guardian of their rights to execute an advance directive. Correct response: • inform the client or legal guardian of their rights to execute an advance directive. Explanation: Remediation: Question 4 See full question Which nursing goal is appropriate for a client with multiple myeloma? You Selected: • Decrease episodes of nausea and vomiting. Correct response: • Achieve effective management of bone pain. Explanation: Remediation: Question 5 See full question A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks many questions. The nurse's best course of action is to: You Selected:• explain to the client that she should discuss her questions with her health care provider (HCP). Correct response: • tell the client as much as she wants to know and is able to understand. Explanation: Remediation: Question 6 See full question A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node dissection about lymphedema. The nurse should tell the client that lymphedema occurs: You Selected: • at any time after surgery. Correct response: • at any time after surgery. Explanation: Remediation: Question 7 See full question A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will be most effective in helping the client cope? You Selected: • Identify available resources for the client and family. Correct response: • Identify available resources for the client and family. Explanation:Remediation: Question 8 See full question A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse can best support the coping behaviors of a client with cancer by: You Selected: • relieving the client of decision making as much as possible. Correct response: • helping the client identify available resources. Explanation: Remediation: Question 9 See full question A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s statement as indicating which stage of adaptation to dying? You Selected: • depression Correct response: • anger Explanation: Remediation: Question 10 See full question A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the nurse's bestresponse? You Selected:• "We need to consider your family history of breast cancer first." Correct response: • "The incidence of breast cancer increases with age." Explanation: Remediation: Question 11 See full question The primary reason that a herpes simplex virus (HSV) infection is a serious concern to a client with human immunodeficiency virus (HIV) infection is that it: You Selected: • causes severe electrolyte imbalances. Correct response: • is an acquired immunodeficiency virus (AIDS)–defining illness. Explanation: Remediation: Question 12 See full question A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the client to report which possible sign of cervical cancer? You Selected: • leg edema Correct response: • light bleeding or watery vaginal discharge Explanation: Remediation:Question 13 See full question A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns regarding his sexuality. The nurse should base the response on the knowledge that the client: You Selected: • should retain normal sexual drive and function. Correct response: • should retain normal sexual drive and function. Explanation: Remediation: Question 14 See full question After surgery for gastric cancer, a client is scheduled to undergo radiation therapy. The nurse should include which information in the teaching plan? You Selected: • management of alopecia Correct response: • nutritional intake Explanation: Remediation: Question 15 See full question A client states, "I do not want any more tests. Who cares what kind of leukemia I have? I just want to be treated now." Which is the nurse's best response? You Selected: • "I understand how you feel."Correct response: • "Your treatment can be more effective if it is based on more specific information about your disease." Explanation: Remediation: Question 16 See full question In assessing a client in the early stage of chronic lymphocytic leukemia (CLL), the nurse should determine if the client has: You Selected: • Headache. Correct response: • Unintentional weight loss. Explanation: Remediation: Question 17 See full question When the client who has had a modified radical mastectomy returns from the operating room to the recovery room, what should the nurse do first? You Selected: • Check the client’s dressings for drainage. Correct response: • Ensure that the client’s airway is free of obstruction. Explanation: Remediation: Question 18 See full questionA client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client tells the nurse that he is concerned about the effect that losing a testicle will have on his manhood. Which information about orchiectomy should form the basis for the nurse’s response? You Selected: • Sperm count increases in the remaining testicle. Correct response: • Sexual drive and libido are unchanged. Explanation: Remediation: Question 19 See full question The nurse notes that a placebo has been prescribed when a client requests pain medication. Which statement is most accurate about the use of placebos in the client’s plan of care? You Selected: • The use of placebos violates the client’s right to ethical care. Correct response: • The use of placebos violates the client’s right to ethical care. Explanation: Remediation: Question 20 See full question A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis is appropriate for this client?You Selected: • Disturbed body image Correct response: • Anticipatory grieving Explanation: Question 21 See full question During a breast examination, which finding most strongly suggests that a client has breast cancer? You Selected: • Multiple firm, round, freely movable masses that change with the menstrual cycle Correct response: • A fixed nodular mass with dimpling of the overlying skin Explanation: Remediation: Question 22 See full question During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis? You Selected: • Recommending that the client discontinue chemotherapy Correct response: • Providing a solution of viscous lidocaine for use as a mouth rinseExplanation: Remediation: Question 23 See full question A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication? You Selected: • Urine output of 400 ml in 8 hours Correct response: • Serum potassium level of [2.6 mEq/L (2.6 mmol/L)} Explanation: Remediation: Question 24 See full question A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which client statement indicates an accurate understanding of appropriate ways to deal with this deficit? You Selected: • "I'll bowl with my team after discharge." Correct response: • "I'll play card games with my friends." Explanation: Remediation: Question 25 See full questionA nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society (Canadian Cancer Society) guidelines, the nurse should recommend that the women: You Selected: • have a physician conduct a clinical examination every 2 years. Correct response: - - - - - - - -- - - - Continued