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    Exam Review

    1. A nurse working with clients who experience alopecia knows that which is the best method of helping clients manage the psychosocial impact of this problem?
      A)Assisting the client to pre-plan for this event
      B)Reassuring the client that alopecia is temporary
      C)Telling the client that there are worse side effects
      D)Teaching the client ways to protect the scalp
    2. A nurse is providing education to a new 55-year-old African-American client about screening for prostate cancer. What action by the nurse is most appropriate?
      A)Let the client know that he should be screened annually as an African American.
      B)Inform the client that recommendations vary, so screening is a personal choice.
      C)Give the client written information that discourages screening until age 70.
      D)Teach the client that he is in a high-risk group and should discuss screening.
    3. A nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following actions should the nurse take?
      A)Explain that the provider will see him and determine a course of action.
      B)Suggest genetic testing so the client can understand his risks.
      C)Tell the client that it is unlikely that he has bone cancer.
      D)Ask the client why he thinks the pain isn't a result of hiking.
    4. A nurse is preparing to administer 0.9% sodium chloride 1,200 mL. IV to infuse over 24 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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    Exam Review

    1. A nurse has taught a client about dietary changes that can reduce the chances of developing cancer: What statement by the client indicates the nurse needs to provide additional teaching?
      A)I'm so glad I don't have to give up my juicy steaks."
      B)"I'll have to cut down on the amount of bacon I eat."
      C)"Vegetables, fruit, and high-fiber grains are important."
      D)"Foods high in vitamin A and vitamin C are important."
    2. The nurse is caring for a client who has prostate cancer. Which of the following manifestations does the nurse attribute to advancing disease process?
      A)Anemia due to long-term bleeding
      B)An enlarged liver or gallbladder
      C)Blood in the urine or semen
      D)A dark-colored or elevated lesion
    3. A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
      A)"I agree. Sometimes the adverse effects can be worse than the disease."
      B)"Someone from the American Cancer Society will be here soon to answer your questions."
      C)"I will have your provider discuss the adverse effects with you before the treatment begins."
      D)"What is it about the adverse effects that concern you?"
    4. A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.)(SATA)
      A)Nagging cough
      B)Bloating
      C)Change in moles
      D)Change in bowel pattern
      E)A nonhealing sore
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    Exam Review

    1. A nurse is preparing to administer ampicillin 500 mg via intermittent IV bolus over 30 min. Available is 500 mg ampicillin in 50 ml. dextrose 5% in water (DSW). The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions?
      A)Wash with plain soap and water.
      B)Apply moist heat.
      C)Sit in the sun for 10 min per day.
      D)Apply hydrating lotions.
    3. A nurse is providing an education program about dietary interventions to reduce the risk for prostate cancer. Which of the following information should the nurse include?
      A)Increase fatty fish in the diet.
      B)Reduce dietary fiber intake.
      C)Increase complex carbohydrates in the diet.
      D)Increase animal fat in the diet.
    4. A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?
      A)Take the client's temperature once per shift.
      B)Insert an indwelling catheter to monitor sediment in the urine.
      C)Limit the number of health care workers entering the room.
      D)Provide the client with fresh fruit to avoid constipation.
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    Exam Review

    1. A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?
      A)All visitors from entering the client's room
      B)Fresh flowers and potted plants in the room
      C)Activities that could result in bleeding
      D)Oral fluid intake to between meals only
    2. A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?
      A)"It is normal to be fatigued even for months afterward."
      B)"Are you getting adequate rest and sleep each day?"
      C)Try adding more vitamins B and C to your diet."
      D)"This is not normal and I'll let the primary health care provider know."
    3. A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms?
      A)Jerking movements of the extremities
      B)Extremities that turned blue when exposed to cold
      C)Tingling feeling in the extremities
      D)Spasms of the extremities
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    Exam Review

    1. A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide, and fluorouracil for breast cancer. Which side effect seen in the client would the nurse report to the primary health care provider immediately?
      A)Nausea and vomiting
      B)Shortness of breath
      C)Mucositis
      D)Hair loss
    2. A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?
      A)Erectile dysfunction
      B)Cystitis
      C)Paralytic ileus
      D)Testicular torsion
    3. A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
      A)Have the client floss 4 times daily.
      B)Tell the client to expect dark stools following chemotherapy.
      C)Have the client swish with commercial mouthwash before therapy.
      D)Administer an antiemetic prior to the procedure.
    4. The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack of understanding?
      A)"This condition makes it more difficult to examine my breasts."
      B)"I understand that hormone-based drugs have serious adverse effects."
      C)"One cup of coffee in the morning should be enough for me."
      D)"This condition will become malignant over time."
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    Exam Review

    1. The nurse working with oncology clients understands that which age-related change increases the older client's susceptibility to infection during chemotherapy?
      A)Diminished nutritional stores
      B)Poor physical reserves
      C)Existing cognitive deficits
      D)Decreased immune function
    2. A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client? WBC 1,400/mm3 RBC 4.3 x 1012 /L Hgb 12.1 g/dL Hct 36.5% Platelets 170,000/mm3 Albumin 14.5 g/dL
      A)The client should receive an erythropoiesis stimulating agent.
      B)The client has an increased risk of infection.
      C)The client has an increased risk for bleeding.
      D)The client should receive a diet with increased protein.
    3. A nurse is providing teaching to a client who has a new diagnosis of testicular cancer. Which of the following information should the nurse include in the teaching? (Select all that apply.)(SATA)
      A)Testicular cancer typically occurs between ages 15 and 35.
      B)An early manifestation is a painful scrotal lump.
      C)Sperm are no longer viable after diagnosis.
      D)Testicular cancer occurs in both testicles equally.
      E)Close male relatives are at an increased risk of developing testicular cancer.
    4. A nurse is assessing a female client who is taking hormone therapy for breast cancer. What assessment finding requires the nurse to notify the primary health care provider immediately?
      A)Irregular menses
      B)Ongoing breast tenderness
      C)Red, warm, swollen calf
      D)Edema in the lower extremities
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