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    Exam Review

    1. A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
      A)Chronic blood loss
      B)Dietary iron restrictions
      C)Intestinal malabsorption syndrome
      D)Intestinal parasites
    2. A nurse is planning a menu for a client who has folic acid deficiency anemia. Which of the following foods should the nurse include as high in folate?
      A)½ cup of asparagus
      B)¼ cup of olives
      C)4 slices of roast beef
      D)1 cup part-skim mozzarella cheese
    3. A patient with neutropenia is admitted to the hospital. Which symptom should the nurse prioritize as a potential sign of infection?
      A)Dizziness
      B)Fatigue
      C)Fever
      D)Weight loss
    4. A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?
      A)Soft-boiled eggs are an appropriate source of protein.
      B)The salad bar is a healthy choice when dining out.
      C)Eating at a buffet is a good choice to increase caloric intake.
      D)Bottled water is an appropriate choice to increase fluid intake.
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    Exam Review

    1. A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
      A)"It's okay to feel scared. Let's talk about what you are afraid of."
      B)"I understand your fears. I was a smoker also."
      C)"Don't worry. The important thing is you have now quit smoking."
      D)"Your doctor is a great surgeon. You will be fine."
    2. A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching?
      A)"The medication should be administered in one large dose every day."
      B)"Our child's blood count will need to be monitored routinely for several weeks."
      C)"The medication will be more effective if it is administered with meals."
      D)"Restricting fiber from our child's diet will help absorption of the iron."
    3. Which of the following interventions are appropriate for managing a patient with neutropenia? (Select all that apply)(SATA)
      A)Avoiding fresh flowers in the patient's room
      B)Implementing infection prevention strategies
      C)Administering broad-spectrum antibiotics for febrile episodes
      D)Encouraging high-protein diets
      E)Limiting fluid intake
      F)Performing daily skin assessments
      G)Administering colony-stimulating factors
    4. A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
      A)"Tell me more about your concerns about taking chemotherapy."
      B)"Using nontraditional treatments is not a good Idea. I'd rather you avoid that route."
      C)"Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you."
      D)"A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice."
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    Exam Review

    1. A 68-year-old patient with a history of gastrointestinal bleeding presents with fatigue and pallor. Lab results show low hemoglobin and hematocrit levels. What is the most appropriate initial nursing intervention?
      A)Start iron supplementation immediately.
      B)Check stools for occult blood.
      C)Administer vitamin B12 injections.
      D)Encourage increased dietary intake of iron-rich foods.
    2. A nurse is caring for a client that has recently been diagnosed with terminal cancer. Which of the following actions exemplifies compassion?
      A)Providing nursing care that demonstrates caring service
      B)Providing nursing care that affirms and upholds a code of ethics.
      C)Providing nursing care that is collaborative with other health professions and disciplines
      D)Providing nursing care that incorporates knowledge development from scientific advances.
    3. What nonpharmacological strategies can be incorporated into the care plan for a client with cancer experiencing chronic pain? (Select all that apply)(SATA)
      A)Music therapy
      B)Ignoring pain symptoms to prevent dependency on medications
      C)Physical therapy
      D)Massage therapy.
      E)Hypnosis
      F)Guided imagery
      G)Exclusive reliance on NSAIDS for pain relief
      H)Heat or cold application
      I)Cognitive-behavioral therapy (CBT)
    4. A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?
      A)Artificial lubrication can be used to treat vaginal itching and dryness.
      B)A Papanicolaou (Pap) test should be performed every 6 months.
      C)Resume sexual intercourse in 2 to 3 weeks.
      D)Increased vaginal drainage typically occurs 5 days following surgery.
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    Exam Review

    1. 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)Change in moles
      C)Change in bowel pattern
      D)Bloating
      E)A nonhealing sore
    2. A nurse is preparing a client for a colonoscopy. The client has a family history of colon cancer. Which of the following types of prevention is the nurse demonstrating?
      A)Primary
      B)Tertiary
      C)Secondary
      D)Quaternary
    3. A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
      A)"I should use sunscreen even on cloudy days."
      B)"I should check my skin monthly for any changes."
      C)"I should avoid the use of tanning booths."
      D)"Eating a high fiber diet will reduce my risk for developing skin cancer."
    4. 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)"What is it about the adverse effects that concern you?"
      C)"I will have your provider discuss the adverse effects with you before the treatment begins."
      D)"Someone from the American Cancer Society will be here soon to answer your questions."
    Page 4 of 8

    Exam Review

    1. A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?
      A)Explain to the client that this is an expected adverse effect.
      B)Have the client make an appointment to see the dentist.
      C)Instruct the client to use an electric toothbrush.
      D)Check the value of the client's current platelet count.
    2. A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspect which of the following types of anemia?
      A)Folic acid deficiency anemia
      B)Iron-deficiency anemia
      C)Pernicious anemia
      D)Sickle cell anemia
    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 animal fat in the diet.
      B)Increase complex carbohydrates in the diet.
      C)Increase fatty fish in the diet.
      D)Reduce dietary fiber intake.
    4. A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
      A)Assure the client that the provider will explain what has been planned.
      B)Encourage the client to write down questions to ask the provider.
      C)Explain the various options available for treatment based on the cancer stage.
      D)Provide the client with articles from the Internet that explain colon cancer stages.
    Page 5 of 8

    Exam Review

    1. A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?
      A)Apply cold compresses to painful, swollen joints.
      B)Discourage a high level of fluid intake.
      C)Administer meperidine every 4 hr for pain.
      D)Observe for indications of hypokalemia.
    2. A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse plan to implement?
      A)Vitamin B12 injections
      B)Blood transfusions
      C)Iron supplements
      D)Vitamin B6 supplements
    3. A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?
      A)"The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication."
      B)"I can't believe the doctor graduated from medical school. He doesn't know a thing about treating cancer!"
      C)"The doctor has been so good to me. I know he has tried everything he can. It is just my time."
      D)"Even though I am not hurting right now, I don't feel like I have the energy to get out of bed."
    4. A nurse is caring for a client who was exposed to large amounts of pesticides and is exhibiting vague manifestations associated with this exposure. Which of the following manifestations could be an early vague sign of cancer?(SATA)
      A)Fever
      B)Pain
      C)Weight loss
      D)Uncontrollable bleeding
      E)Itching
      F)Confusion
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