NURS 220 Final
A patient who is scheduled for a breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." - answerC
The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse
should monitor for which adverse effect?
a. Nausea
b. Hematuria
c. Alopecia
d. Xerostomia - answerB
A patient who is scheduled for a breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." - answerC
The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse
should monitor for which adverse effect?
a. Nausea
b. Hematuria
c. Alopecia
d. Xerostomia - answerB
The nurse is caring for a patient who smokes two packs/day. Which action by the nurse
could help reduce the patient's risk of lung cancer?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level.
c. Teach the patient about annual chest x-rays for lung cancer screening.
d. Discuss risks associated with cigarette smoking during each patient encounter. -
answerD
,The nurse should suggest which food choice when providing dietary teaching for a
patient scheduled to receive external-beam radiation for abdominal cancer?
a. Fruit salad
b. Creamed broccoli
c. Baked chicken
d. Toasted wheat bread - answerC
During a routine health examination, a 40-yr-old patient tells the nurse about a family
history of colon cancer. Which action should the nurse take next?
a. Obtain more information about the family history.
b. Schedule a sigmoidoscopy to provide baseline data.
c. Teach the patient about the need for a colonoscopy at age 50.
d. Teach the patient how to do home testing for fecal occult blood. - answerA
A patient who is diagnosed with cervical cancer classified as Tis, N0, M0 asks the nurse
what the letters and numbers mean. Which response by the nurse is accurate
a. "The cancer involves only the cervix."
b. "The cancer cells look like normal cells."
c. "Further testing is needed to determine the spread of the cancer."
d. "It is difficult to determine the original site of the cervical cancer." - answerA
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the
procedure. Which statement, if made by the patient, indicates that teaching was
effective?
a. "The biopsy will remove the cancer in my prostate gland."
b. "The biopsy will determine how much longer I have to live."
c. "The biopsy will help decide the treatment for my enlarged prostate."
d. "The biopsy will indicate whether the cancer has spread to other organs." - answerC
The nurse teaches a postmenopausal patient with stage III breast cancer about the
expected outcomes of cancer treatment. Which patient statement indicates that the
teaching has been effective?
a. "After cancer has not recurred for 5 years, it is considered cured."
b. "The cancer will be cured if the entire tumor is surgically removed."
c. "I will need follow-up examinations for many years after treatment before I can be
considered cured."
d. "Cancer is never cured, but the tumor can be controlled with surgery, chemotherapy,
and radiation." - answerC
,A patient with a large stomach tumor attached to the liver is scheduled for a debulking
procedure. Which information should the nurse teach the patient about the outcome of
this procedure?
a. Pain will be relieved by cutting sensory nerves in the stomach.
b. Relief of pressure in the stomach will promote better nutrition.
c. Decreasing the tumor size will improve the effects of other therapy.
d. Tumor growth will be controlled by the removal of malignant tissue. - answerC
External-beam radiation is planned for a patient with cervical cancer. What instructions
should the nurse give to the patient to prevent complications from the effects of the
radiation?
a. Test all stools for the presence of blood.
b. Maintain a high-residue, high-fiber diet.
c. Clean the perianal area carefully after every bowel movement.
d. Inspect the mouth and throat daily for the appearance of thrush. - answerC
A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells
the nurse, "I am so tired I can hardly get out of bed in the morning." Which intervention
should the nurse add to the plan of care?
a. Minimize activity until the treatment is completed.
b. Establish time to take a short walk almost every day.
c. Consult with a psychiatrist for treatment of depression.
d. Arrange for delivery of a hospital bed to the patient's home. - answerB
The nurse is caring for a patient with colon cancer who is scheduled for external
radiation therapy to the abdomen. Which information obtained by the nurse would
indicate a need for patient teaching?
a. The patient has a history of dental caries.
b. The patient swims several days each week.
c. The patient snacks frequently during the day.
d. The patient showers each day with mild soap. - answerB
A patient undergoing external radiation has developed a dry desquamation of the skin in
the treatment area. The nurse teaches the patient about the management of the skin
reaction. Which statement, if made by the patient, indicates the teaching was effective
a. "I can use ice packs to relieve itching."
b. "I will scrub the area with warm water."
c. "I can buy aloe vera gel to use on my skin."
d. "I will expose my skin to a sun lamp each day." - answerC
, A patient with metastatic cancer of the colon experiences severe vomiting after each
administration of chemotherapy. Which action, if taken by the nurse, is appropriate?
a. Have the patient eat large meals when nausea is not present.
b. Offer dry crackers and carbonated fluids during chemotherapy.
c. Administer prescribed antiemetics 1 hour before the treatments.
d. Give the patient a glass of a citrus fruit beverage during treatments. - answerC
The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action
is most important for the nurse to take?
a. Infuse the medication over a short period of time.
b. Stop the infusion if swelling is observed at the site.
c. Administer the chemotherapy through a small-bore catheter.
d. Hold the medication unless a central venous line is available. - answerB
A chemotherapy drug that causes alopecia is prescribed for a patient. Which action
should the nurse take to support the patient's self-esteem?
a. Encourage the patient to purchase a wig or hat to wear when hair loss begins.
b. Suggest that the patient limit social contacts until regrowth of the hair occurs.
c. Teach the patient to wash hair gently with mild shampoo to minimize hair loss.
d. Inform the patient that hair usually grows back once chemotherapy is complete. -
answerA
A patient who has ovarian cancer is crying and tells the nurse, "My husband rarely
visits. He just doesn't care." The husband indicates to the nurse that he does not know
what to say to his wife. Which nursing diagnosis is appropriate for the nurse to add to
the plan of care?
a. Compromised family coping related to disruption in lifestyle
b. Impaired home maintenance related to perceived role changes
c. Risk for caregiver role strain related to burdens of caregiving responsibilities
d. Dysfunctional family processes related to effect of illness on family members -
answerD
A patient receiving head and neck radiation for larynx cancer has ulcerations over the
oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse
give to this patient?
a. Remove food debris from the teeth and oral mucosa with a stiff toothbrush.
b. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
c. Gargle and rinse the mouth several times a day with an antiseptic mouthwash.
d. Rinse the mouth before and after each meal and at bedtime with a saline solution. -
answerD
A patient who is scheduled for a breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." - answerC
The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse
should monitor for which adverse effect?
a. Nausea
b. Hematuria
c. Alopecia
d. Xerostomia - answerB
A patient who is scheduled for a breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." - answerC
The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse
should monitor for which adverse effect?
a. Nausea
b. Hematuria
c. Alopecia
d. Xerostomia - answerB
The nurse is caring for a patient who smokes two packs/day. Which action by the nurse
could help reduce the patient's risk of lung cancer?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level.
c. Teach the patient about annual chest x-rays for lung cancer screening.
d. Discuss risks associated with cigarette smoking during each patient encounter. -
answerD
,The nurse should suggest which food choice when providing dietary teaching for a
patient scheduled to receive external-beam radiation for abdominal cancer?
a. Fruit salad
b. Creamed broccoli
c. Baked chicken
d. Toasted wheat bread - answerC
During a routine health examination, a 40-yr-old patient tells the nurse about a family
history of colon cancer. Which action should the nurse take next?
a. Obtain more information about the family history.
b. Schedule a sigmoidoscopy to provide baseline data.
c. Teach the patient about the need for a colonoscopy at age 50.
d. Teach the patient how to do home testing for fecal occult blood. - answerA
A patient who is diagnosed with cervical cancer classified as Tis, N0, M0 asks the nurse
what the letters and numbers mean. Which response by the nurse is accurate
a. "The cancer involves only the cervix."
b. "The cancer cells look like normal cells."
c. "Further testing is needed to determine the spread of the cancer."
d. "It is difficult to determine the original site of the cervical cancer." - answerA
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the
procedure. Which statement, if made by the patient, indicates that teaching was
effective?
a. "The biopsy will remove the cancer in my prostate gland."
b. "The biopsy will determine how much longer I have to live."
c. "The biopsy will help decide the treatment for my enlarged prostate."
d. "The biopsy will indicate whether the cancer has spread to other organs." - answerC
The nurse teaches a postmenopausal patient with stage III breast cancer about the
expected outcomes of cancer treatment. Which patient statement indicates that the
teaching has been effective?
a. "After cancer has not recurred for 5 years, it is considered cured."
b. "The cancer will be cured if the entire tumor is surgically removed."
c. "I will need follow-up examinations for many years after treatment before I can be
considered cured."
d. "Cancer is never cured, but the tumor can be controlled with surgery, chemotherapy,
and radiation." - answerC
,A patient with a large stomach tumor attached to the liver is scheduled for a debulking
procedure. Which information should the nurse teach the patient about the outcome of
this procedure?
a. Pain will be relieved by cutting sensory nerves in the stomach.
b. Relief of pressure in the stomach will promote better nutrition.
c. Decreasing the tumor size will improve the effects of other therapy.
d. Tumor growth will be controlled by the removal of malignant tissue. - answerC
External-beam radiation is planned for a patient with cervical cancer. What instructions
should the nurse give to the patient to prevent complications from the effects of the
radiation?
a. Test all stools for the presence of blood.
b. Maintain a high-residue, high-fiber diet.
c. Clean the perianal area carefully after every bowel movement.
d. Inspect the mouth and throat daily for the appearance of thrush. - answerC
A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells
the nurse, "I am so tired I can hardly get out of bed in the morning." Which intervention
should the nurse add to the plan of care?
a. Minimize activity until the treatment is completed.
b. Establish time to take a short walk almost every day.
c. Consult with a psychiatrist for treatment of depression.
d. Arrange for delivery of a hospital bed to the patient's home. - answerB
The nurse is caring for a patient with colon cancer who is scheduled for external
radiation therapy to the abdomen. Which information obtained by the nurse would
indicate a need for patient teaching?
a. The patient has a history of dental caries.
b. The patient swims several days each week.
c. The patient snacks frequently during the day.
d. The patient showers each day with mild soap. - answerB
A patient undergoing external radiation has developed a dry desquamation of the skin in
the treatment area. The nurse teaches the patient about the management of the skin
reaction. Which statement, if made by the patient, indicates the teaching was effective
a. "I can use ice packs to relieve itching."
b. "I will scrub the area with warm water."
c. "I can buy aloe vera gel to use on my skin."
d. "I will expose my skin to a sun lamp each day." - answerC
, A patient with metastatic cancer of the colon experiences severe vomiting after each
administration of chemotherapy. Which action, if taken by the nurse, is appropriate?
a. Have the patient eat large meals when nausea is not present.
b. Offer dry crackers and carbonated fluids during chemotherapy.
c. Administer prescribed antiemetics 1 hour before the treatments.
d. Give the patient a glass of a citrus fruit beverage during treatments. - answerC
The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action
is most important for the nurse to take?
a. Infuse the medication over a short period of time.
b. Stop the infusion if swelling is observed at the site.
c. Administer the chemotherapy through a small-bore catheter.
d. Hold the medication unless a central venous line is available. - answerB
A chemotherapy drug that causes alopecia is prescribed for a patient. Which action
should the nurse take to support the patient's self-esteem?
a. Encourage the patient to purchase a wig or hat to wear when hair loss begins.
b. Suggest that the patient limit social contacts until regrowth of the hair occurs.
c. Teach the patient to wash hair gently with mild shampoo to minimize hair loss.
d. Inform the patient that hair usually grows back once chemotherapy is complete. -
answerA
A patient who has ovarian cancer is crying and tells the nurse, "My husband rarely
visits. He just doesn't care." The husband indicates to the nurse that he does not know
what to say to his wife. Which nursing diagnosis is appropriate for the nurse to add to
the plan of care?
a. Compromised family coping related to disruption in lifestyle
b. Impaired home maintenance related to perceived role changes
c. Risk for caregiver role strain related to burdens of caregiving responsibilities
d. Dysfunctional family processes related to effect of illness on family members -
answerD
A patient receiving head and neck radiation for larynx cancer has ulcerations over the
oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse
give to this patient?
a. Remove food debris from the teeth and oral mucosa with a stiff toothbrush.
b. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
c. Gargle and rinse the mouth several times a day with an antiseptic mouthwash.
d. Rinse the mouth before and after each meal and at bedtime with a saline solution. -
answerD
