Nursing 230 Exam 1 Review Questions With Complete
Solutions
A 20-year-old man who has been diagnosed with testicular
cancer is about to begin treatment, including intense
chemotherapy, radiation, and surgery. He says to the nurse, "I'm
scared that I'll never be able to be a father." The most
appropriate response by the nurse is:
1. "You're young. You'll beat this cancer and have a long and
happy life."
2. "Tell me what you mean about your fear of never being a
father."
3. "Cancer treatment has really improved, and more people are
surviving it."
4. "Your doctor is really good and has a high cure rate. He'll take
care of you. " Correct Answers 2
A 34-year-old patient who is a 5-year survivor of Hodgkin's
disease continues to have symptoms related to chemotherapy
treatment. The patient is a computer expert and enjoys Internet
discussion groups. Which of the following is the best resource a
nurse can recommend to help the patient access a survivorship
care plan?
1. Association of Cancer Online Resources (ACOR)
2. National Coalition for Cancer Survivorship
,3. American Cancer Society (ACS)
4. National Cancer Institute (NCI) Correct Answers 1
A 45-year-old patient who has recurrent cancer is having
nightmares and obsessive thoughts about the disease, is unable
to focus on anything else, and has a breakdown in relationships
with her family. These symptoms are associated with:
1. Chemotherapy-related cognitive impairment (CRCI).
2. Cancer-related fatigue (CRF).
3. Family dysfunction caused by cancer.
4. Posttraumatic stress disorder (PTSD). Correct Answers 4
A 50-year-old patient who has completed systemic
chemotherapy and radiation for breast cancer tells you that she is
having difficulty remembering things and paying attention to a
television show for over 5 minutes. Interventions that may help
the patient include: (Select all that apply.)
1. Stop reading any nonessential materials.
2. Identify a trusted support person to help with banking and bill
payment.
3. Rest as much as possible and do not exercise.
,4. Try listening to a book on tape and see if that helps
understanding.
5. Eat as much protein and as many vitamin K—enriched foods
as possible.
6. Write appointments on your calendar and keep a list to
organize what you are to do. Correct Answers 2,4,6
A 60-year-old breast cancer survivor was told by her physician
that she is experiencing late effects of chemotherapy and chest
radiation. Which of the following are known late effects of
cancer treatment? (Select all that apply.)
1. Impaired immune function
2. Heart failure
3. Osteoporosis
4. Loss of sense of smell
5. Abnormal liver function Correct Answers 1,2,3,5
A child in remission for leukemia and her mother come to the
pediatrician's office for a routine physical examination. The
nurse asks the child whether she is having continued symptoms.
Her mom says, "I don't know why you want all of this
information about her cancer treatment. The leukemia is gone."
The best response from the nurse in support of the child and
mother would be:
, 1. "The doctor likes to keep the records complete on all of her
patients."
2. "Just because she is in remission does not mean that it will
stay that way."
3. "Children sometimes have delayed effects from treatment; we
need this information to plan her care properly." Correct
Answers 3
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics Correct Answers 4
A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient?
Solutions
A 20-year-old man who has been diagnosed with testicular
cancer is about to begin treatment, including intense
chemotherapy, radiation, and surgery. He says to the nurse, "I'm
scared that I'll never be able to be a father." The most
appropriate response by the nurse is:
1. "You're young. You'll beat this cancer and have a long and
happy life."
2. "Tell me what you mean about your fear of never being a
father."
3. "Cancer treatment has really improved, and more people are
surviving it."
4. "Your doctor is really good and has a high cure rate. He'll take
care of you. " Correct Answers 2
A 34-year-old patient who is a 5-year survivor of Hodgkin's
disease continues to have symptoms related to chemotherapy
treatment. The patient is a computer expert and enjoys Internet
discussion groups. Which of the following is the best resource a
nurse can recommend to help the patient access a survivorship
care plan?
1. Association of Cancer Online Resources (ACOR)
2. National Coalition for Cancer Survivorship
,3. American Cancer Society (ACS)
4. National Cancer Institute (NCI) Correct Answers 1
A 45-year-old patient who has recurrent cancer is having
nightmares and obsessive thoughts about the disease, is unable
to focus on anything else, and has a breakdown in relationships
with her family. These symptoms are associated with:
1. Chemotherapy-related cognitive impairment (CRCI).
2. Cancer-related fatigue (CRF).
3. Family dysfunction caused by cancer.
4. Posttraumatic stress disorder (PTSD). Correct Answers 4
A 50-year-old patient who has completed systemic
chemotherapy and radiation for breast cancer tells you that she is
having difficulty remembering things and paying attention to a
television show for over 5 minutes. Interventions that may help
the patient include: (Select all that apply.)
1. Stop reading any nonessential materials.
2. Identify a trusted support person to help with banking and bill
payment.
3. Rest as much as possible and do not exercise.
,4. Try listening to a book on tape and see if that helps
understanding.
5. Eat as much protein and as many vitamin K—enriched foods
as possible.
6. Write appointments on your calendar and keep a list to
organize what you are to do. Correct Answers 2,4,6
A 60-year-old breast cancer survivor was told by her physician
that she is experiencing late effects of chemotherapy and chest
radiation. Which of the following are known late effects of
cancer treatment? (Select all that apply.)
1. Impaired immune function
2. Heart failure
3. Osteoporosis
4. Loss of sense of smell
5. Abnormal liver function Correct Answers 1,2,3,5
A child in remission for leukemia and her mother come to the
pediatrician's office for a routine physical examination. The
nurse asks the child whether she is having continued symptoms.
Her mom says, "I don't know why you want all of this
information about her cancer treatment. The leukemia is gone."
The best response from the nurse in support of the child and
mother would be:
, 1. "The doctor likes to keep the records complete on all of her
patients."
2. "Just because she is in remission does not mean that it will
stay that way."
3. "Children sometimes have delayed effects from treatment; we
need this information to plan her care properly." Correct
Answers 3
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics Correct Answers 4
A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient?
