MSN 277 EXAM 2 LATEST ACTUAL
EXAM Questions and Answers Graded
A+
While being prepared for a biopsy of a lump in the right breast, the patient asks the
nurse about 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. - Correct answer-ANS:
C
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,The major difference between benign and malignant tumors is that malignant
tumors invade adjacent tissues and spread to distant tissues and benign tumors
never metastasize. The other statements are inaccurate. Both types of tumors may
cause damage to adjacent tissues. Malignant cells do not reproduce more rapidly
than normal cells. Benign tumors do not usually recur.
. A patient is receiving intravesical bladder chemotherapy. The nurse will monitor
for
a.
nausea.
b.
alopecia.
c.
mucositis.
d.
hematuria. - Correct answer-ANS: D
The adverse effects of intravesical chemotherapy are confined to the bladder. The
other adverse effects are associated with systemic chemotherapy.
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,The nurse in the outpatient clinic is caring for a 50-year-old who smokes heavily.
To reduce the patients risk of dying from lung cancer, which action will be best for
the nurse to take?
a.
Educate the patient about the seven warning signs of cancer.
b.
Plan to monitor the patients carcinoembryonic antigen (CEA) level.
c.
Discuss the risks associated with cigarettes during every patient encounter.
d.
Teach the patient about the use of annual chest x-rays for lung cancer screening. -
Correct answer-ANS: C
Education about the risks associated with cigarette smoking is recommended at
every patient encounter, since cigarette smoking is associated with multiple health
problems. A tumor must be at least 0.5 cm large before it is detectable by current
screening methods and may already have metastasized by that time. Oncofetal
antigens such as CEA may be used to monitor therapy or detect tumor
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, reoccurrence, but are not helpful in screening for cancer. The seven warning signs
of cancer are actually associated with fairly advanced disease.
After the nurse has finished teaching a patient who is scheduled to receive external
beam radiation for abdominal cancer about appropriate diet, which dietary
selection by the patient indicates that the teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup - Correct answer-ANS: B
To minimize the diarrhea that is commonly associated with bowel radiation, the
patient should avoid foods high in roughage, such as fruits and whole grains.
Lactose-intolerance may develop secondary to radiation, so dairy products also
should be avoided.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
EXAM Questions and Answers Graded
A+
While being prepared for a biopsy of a lump in the right breast, the patient asks the
nurse about 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. - Correct answer-ANS:
C
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,The major difference between benign and malignant tumors is that malignant
tumors invade adjacent tissues and spread to distant tissues and benign tumors
never metastasize. The other statements are inaccurate. Both types of tumors may
cause damage to adjacent tissues. Malignant cells do not reproduce more rapidly
than normal cells. Benign tumors do not usually recur.
. A patient is receiving intravesical bladder chemotherapy. The nurse will monitor
for
a.
nausea.
b.
alopecia.
c.
mucositis.
d.
hematuria. - Correct answer-ANS: D
The adverse effects of intravesical chemotherapy are confined to the bladder. The
other adverse effects are associated with systemic chemotherapy.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,The nurse in the outpatient clinic is caring for a 50-year-old who smokes heavily.
To reduce the patients risk of dying from lung cancer, which action will be best for
the nurse to take?
a.
Educate the patient about the seven warning signs of cancer.
b.
Plan to monitor the patients carcinoembryonic antigen (CEA) level.
c.
Discuss the risks associated with cigarettes during every patient encounter.
d.
Teach the patient about the use of annual chest x-rays for lung cancer screening. -
Correct answer-ANS: C
Education about the risks associated with cigarette smoking is recommended at
every patient encounter, since cigarette smoking is associated with multiple health
problems. A tumor must be at least 0.5 cm large before it is detectable by current
screening methods and may already have metastasized by that time. Oncofetal
antigens such as CEA may be used to monitor therapy or detect tumor
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, reoccurrence, but are not helpful in screening for cancer. The seven warning signs
of cancer are actually associated with fairly advanced disease.
After the nurse has finished teaching a patient who is scheduled to receive external
beam radiation for abdominal cancer about appropriate diet, which dietary
selection by the patient indicates that the teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup - Correct answer-ANS: B
To minimize the diarrhea that is commonly associated with bowel radiation, the
patient should avoid foods high in roughage, such as fruits and whole grains.
Lactose-intolerance may develop secondary to radiation, so dairy products also
should be avoided.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
