1. Which intervention is appropriate for the nurse caring for a male client in severe pain
receiving a continuous I.V. infusion of morphine?
a. Assistin... [Show More] g with a naloxone challenge test before therapy begins
b. Discontinuing the drug immediately if signs of dependence appear
c. Changing the administration route to P.O. if the client can tolerate fluids
d. Obtaining baseline vital signs before administrating the first dose.
2. When caring for a client who has a colostomy created as part of a regimen to treat colon
cancer, which activities would help to support the client in accepting changes in
appearance or function? Select all that apply.
a. Explain to the client that the colostomy is only temporary
b. Encourage the client to participate in changing the ostomy
c. Obtain a psychiatric consultation
d. Offer to have a person who is coping with a colostomy visit
e. Encourage the client and family members to express their feelings and concerns.
3. The nurse has received in report that the client receiving chemotherapy has severe
neutropenia. Which of the following does the nurse plan to implement? Select all that
a. Assess for fever
b. Observe for bleeding
c. Administer Neulasta
d. Do not permit fresh flowers or plants in the room
e. Do not allow his 16 year old son to visit
f. Teach the client to omit raw fruits and vegetables from his diet.
4. Which of the following findings would alarm the nurse when caring for a client
receiving chemotherapy who has a platelet count of 17,000/mm3
a. Increasing shortness of breath
b. Diminished bilateral breath sounds
c. Change in mental status
d. Weight gain of 4 pounds in 1 day
5. A 35 years old client with ovarian cancer is prescribed hydroxyurea (Hydrea), an antimetabolite drug. Anti-metabolites are a diverse group of antineoplastic agents that
interfere with various metabolic actions of the cells. The mechanism of action of antimetabolites interferes with:
a. Cell division or mitosis during the M phase of the cell cycle
b. Normal cellular processes during the S phase of the cell cycle
c. The chemical structure of deoxyribonucleic acid (DNA) and chemical binding
between DNA molecules (Cell cycle-nonspecific).
d. One or more stage of ribonucleic acid (RNA) synthesis, DNA synthesis, or both
6. The ABCD method offers one way to assess skin lesions for possible skin cancer. What
does the A stand for?
7. When caring for a male client diagnosed with a brain tumor of the parental lobe, the
nurse expects to assess:
a. Short-term memory impairment
b. Tactile agnosia
d. Contralateral homonymous hemianopia
8. A female client is undergoing tests for multiple myeloma. Diagnostic study findings in
multiple myeloma include:
a. A decreased serum creatinine level
c. Bence Jones protein in the urine
d. A low serum protein level
9. A 35 year old client has been receiving chemotherapy to treat cancer. Which assessment
finding suggests that the client has developed stomatitis (inflammation of the mouth)?
a. White, cottage cheese-like patches on the tongue
b. Yellow tooth discoloration
c. Red, open sores on the oral mucosa
d. Rust-colored sputum
10. 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?
a. Recommending that the client discontinue chemotherapy
b. Proving a solution of hydrogen peroxide and water for use as a mouth rinse
c. Monitoring the client’s platelet and leukocyte counts
d. Checking regularly for signs and symptoms of stomatitis
11. What should a male client over age 52 do to help ensure early identification of prostate
a. Have a digital rectal examination and prostate-specific antigen (PSA) test done
b. Have a transrectal ultrasound every 5 years
c. Perform monthly testicular self-examinations, especially after age 50
d. Have a complete blood count (CBC) and blood urea nitrogen (BUN) and
creatinine levels checked yearly
12. A male 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 may be
appropriate for this client?
a. Anticipatory grieving
b. Impaired swallowing
c. Disturbed body image
d. Chronic low self-esteem
13. A male client is in isolation after receiving an internal radioactive implant to treat
cancer. Two hours later, the nurse discovers the implant in the bed linens. What should
the nurse do first?
a. Stand as far away from the implant as possible and call for help
b. Pick up the implant with long-handled forceps and place it in a lead-linen
c. Leave the room and notify the radiation therapy department immediately
d. Put the implant back in place, using forceps and a shield for self-protection, and
call for help
14. Jeovina with advance breast cancer is prescribed tamoxifen (Nolvadex). When teaching
the client about this drug, the nurse should emphasize the importance of reporting
which adverse reaction immediately?
a. Vision changes
b. Hearing loss
15. A female client with cancer is being evaluated for possible metastasis. Which of the
following is one of the most common metastasis sites for cancer cells?
c. Reproductive tract
d. White blood cells (WBCs)
16. A 34-year old female client is requesting information about mammograms and breast
cancer. She isn’t considered at high risk for breast cancer. What should the nurse tell
a. She should have had a baseline mammogram before age 30
b. She should eat a low-fat diet to further decrease her risk of breast cancer
c. She should perform breast self-examination during the first 5 days of each
d. When she begins having yearly mammograms, breast self-examination will no
longer be necessary.
17. Nurse Brian is developing a plan of care for marrow suppression, the major doselimiting adverse reaction to floxuridine (FUDR). How long after drug administration
does bone marrow suppression become noticeable?
a. 24 hours
b. 2 to 4 days
c. 7 to 14 days
d. 21 to 28 days
18. You are caring for an infant with a diagnosis of sepsis. Which is the priority assessment
for this infant?
a. Skin integrity
d. Respiratory function
19. You are changing the tape on a tracheostomy tube when the patient coughs, and th [Show Less]