Deck 2: Cellular Regulation

Question 1

A preschool-age child is seen in a pediatric oncology clinic.The nurse assigned to care for the client anticipates a diagnosis of cancer.Which reactions are considered common for the preschool-age child to experience with illnesses and hospitalizations? Select all that apply.

A)Unawareness of the illness and its severity
B)Understanding of what cancer is and how it is treated
C)Thoughts that they caused their illness and are being punished
D)Confusion as to why a parent is unable to make the illness go away
E)Acceptance,especially if able to discuss the disease with children their own age

Answer 1

Thoughts that they caused their illness and are being punished
Confusion as to why a parent is unable to make the illness go away

Question 2

A client with anemia is prescribed synthetic erythropoietin.When teaching the client about the therapeutic effect of this treatment,which is appropriate for the nurse to include?

A)Increase in platelets
B)Increase in red blood cells
C)Decrease in white blood cells
D)Decrease in lymph fluid

Answer 2

Increase in red blood cells

Question 3

The nurse educator is teaching a group of student nurses regarding human growth and development.Which statement by the student nurse indicates that teaching has been effective?

A)"The zygote undergoes differentiation to form a multicellular embryo,which becomes a fetus and then an infant."
B)"Meiosis occurs only in the sex cells of the testes and ovaries."
C)"Mitosis reduces the amount of genetic material by half."
D)"When the two sex cells combine during fertilization,a total of 50 chromosomes are present in the offspring's cells."

Answer 3

"Meiosis occurs only in the sex cells of the testes and ovaries."

Question 4

The nurse is caring for a client who is diagnosed with cancer.Which diagnostic tests may be helpful to assist with treatment options? Select all that apply.

A)Tumor markers
B)Urinalysis
C)Physical assessment
D)MRI
E)Stool analysis

Question 5

The nurse is caring for a toddler who is undergoing treatment for sickle cell crisis.The parents ask the nurse,"Our child has been potty trained for 2 years,but suddenly he's wetting the bed again.What do we do?" How should the nurse respond?

A)"He is likely rebelling because he doesn't like the treatments.You may need to discipline him."
B)"Bedwetting is often a sign of urinary tract infection.I will have the provider check for that."
C)"Toddlers often regress in behaviors when they are sick.Just be patient with him."
D)"Nocturnal enuresis is a side effect of his medications.Once he's done with his treatment,he will stop wetting the bed."

Question 6

A nurse is caring for a client with cancer.The nurse teaches the client about which potentially undesirable cellular alterations that can occur during the cell cycle? Select all that apply.

A)Hyperplasia
B)Differentiation
C)Anaplasia
D)Dysphagia
E)Adaptation

Question 7

A nurse educator is explaining the term hyperplasia to a group of nursing students.Which statement,made by a nursing student,indicates an understanding of why hyperplasia occurs with myocardial infarction?

A)"Heart muscle cells experience hyperplasia with the prolonged need for oxygen."
B)"Heart muscle cells are hyperplastic in response to muscle damage."
C)"Heart muscle cells are hyperplastic when they have lost fluid."
D)"Heart muscle cells experience hyperplasia when they respond to decreased metabolic demands."

Question 8

The nurse instructs a group of community members about ways to reduce the development of cancer.Which participant statements indicate that teaching has been effective? Select all that apply.

A)"I should eat at least two servings of fruits or vegetables each day."
B)"Sunscreen should be applied before spending time outdoors."
C)"I need to cut down on my smoking."
D)"I need to get my home tested for radon."
E)"I need to minimize my child's exposure to secondhand smoke."

Question 9

The nurse has completed a seminar teaching a group in the community about ways to reduce cancer risks.The nurse returns a month later to evaluate the effectiveness of the seminar.Which statements made by members of the group indicate retention and application of the material presented by the nurse to reduce the risk of developing cancer? Select all that apply.

A)"I started using sunscreen when I work outside."
B)"I began drinking two glasses of red wine a day with dinner."
C)"I have reduced my intake of fiber."
D)"I have increased the amount of fried fish in my diet."
E)"I am trying to quit smoking."

Question 10

A nurse educator is teaching student nurses about methods of cellular transport.When instructing on passive transportation,which process will the nurse include in the teaching plan?

A)Endocytosis
B)Facilitated diffusion
C)Exocytosis
D)Phagocytosis

Question 11

The nurse is preparing to perform a health assessment on an adult client who has a family history of cancer.Which questions should the nurse ask the client to assess for the early warning signs of cancer? Select all that apply.

A)"Do you have a cough that is associated with seasonal allergies?"
B)"Have you noticed a change in your appetite?"
C)"Have you noticed any cuts that have not healed?"
D)"Have you had any changes in bowel or bladder habits?"
E)"Have you experienced any problems swallowing?"

Question 12

The nurse is caring for a client with leukemia.Which treatment should the nurse expect to be prescribed for this client?

A)Diuretic therapy
B)Chemotherapy
C)Electrolyte replacement therapy
D)IV fluid therapy

Question 13

The nurse is teaching a class to prospective parents about the role that deoxyribonucleic acid (DNA)plays in the development of the human fetus.Which statement made by the parents indicates understanding of the teaching?

A)"DNA molecules are made up of genes."
B)"DNA is used to form ribosomes."
C)"DNA is outside the nucleus of the cell."
D)"DNA is attached to the endoplasmic reticulum."

Question 14

What independent nursing intervention is important for the nurse to implement for clients who have alterations in cellular regulation?

A)Administer pain and other medications
B)Help the client identify support systems
C)Design a diet that provides proper nutrition
D)Suggest contacting the nurse's spiritual leader

Question 15

The nurse is caring for a pregnant woman with a cellular regulation disorder.The nurse understands that the woman is at higher risk for certain serious complications of pregnancy,so the nurse is planning a client teaching session related to signs and symptoms of these complications.Which condition should the nurse include in her teaching?

A)Gestational diabetes
B)Placenta previa
C)Urinary tract infection
D)Preeclampsia

Question 16

The nurse is preparing a seminar that discusses the risk and incidence of cancer and culture.What information is considered culturally correct when teaching about the risk of developing cancer?

A)African Americans are more likely to develop cancer than any other ethnic group.
B)Native Americans have the highest incidence of prostate cancer.
C)The incidence and mortality rate of all types of cancers are lowest in the Caucasian population.
D)The Hispanic population has the lowest mortality rate of any racial or ethnic group.

Question 17

During a treatment meeting on an oncology unit,the nurse learns that a client is scheduled for chemotherapy before and after surgery.What are the purposes for this client to receive chemotherapy at these specific times? Select all that apply.

A)Eradicate all cancer cells.
B)Shrink the tumor.
C)Kill remaining cancer cells.
D)Allow the immune system to kill cancer cells.
E)Improve wound healing.

Question 18

A client being treated for cancer has a tumor designation of Stage IV,T4,N3,M1.What does this staging indicate to the nurse?

A)The tumor will respond to chemotherapy.
B)The tumor is small in size.
C)The tumor has metastasized with lymph node involvement.
D)There is one single tumor to treat.

Question 19

The nurse is caring for an adolescent client with a strong family history of breast cancer.What should the nurse instruct the client regarding cancer prevention? Select all that apply.

A)Encourage the client to learn more about the disease.
B)Talk to family members who have the disease.
C)Perform monthly breast self-examination.
D)Teach the side effects of cancer treatment.
E)Discuss cancer fears with the healthcare provider.

Question 20

The nurse is caring for a client with sickle cell anemia.The nurse teaches the client that the inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?

A)Hgb A
B)Hgb S
C)Hgb B
D)Hgb E

Question 21

The nurse suspects that a client with severe shortness of breath in the absence of cyanosis is experiencing anemia.Which laboratory tests should the nurse review to confirm anemia? Select all that apply.

A)Serum electrolytes
B)Cardiac enzymes
C)Hemoglobin
D)Blood sugar
E)Hematocrit

Question 22

Which form of anemia can be prevented by a change in diet?

A)Iron deficiency anemia
B)Aplastic anemia
C)Blood loss anemia
D)Hemolytic anemia

Question 23

The nurse is caring for a thin,older adult client who is diagnosed with cancer and is receiving aggressive chemotherapy.The client is experiencing severe side effects from the therapy and has lost 10 pounds in the past week.What should the nurse teach the client to do? Select all that apply.

A)Purchase fast foods and prepared foods.
B)Eat cold foods rather than hot foods.
C)Keep a food diary and record intake.
D)Eat large frequent meals high in calories.
E)Drink liquid supplements to increase intake of nutrients.

Question 24

The nurse is instructing a client with iron deficiency anemia about appropriate menu choices.Which diet choice indicates that teaching has been effective?

A)Tofu with mixed vegetables in curry,milk,whole-wheat bun
B)Broiled fish,lettuce salad,grapefruit half,carrot sticks
C)Pork chop,mashed potatoes and gravy,cauliflower,tea
D)Roast beef,steamed spinach,tomato soup,orange juice

Question 25

A client experiencing fatigue,pallor,and dyspnea on exertion has a complete blood count drawn.Which red blood cell disorder should the nurse anticipate the client is experiencing?

A)Polycythemia
B)Erythropoiesis
C)Herpes simplex
D)Anemia

Question 26

A nurse is providing discharge instructions to a client with iron deficiency anemia who is experiencing glossitis.Which statements will the nurse include in the discharge teaching for this client? Select all that apply.

A)Monitor the condition of the lips and tongue daily.
B)Use an alcohol-based mouthwash every 2 to 4 hours.
C)Provide frequent oral hygiene.
D)Apply a non-petroleum-based lubricating jelly or ointment to the lips after oral care.
E)Use a soft toothbrush or sponge to provide oral care.

Question 27

A client with a history of anemia has started a vegan diet.Which addition to meals should the nurse recommend to help ensure that this client has adequate amounts of iron in the diet? Select all that apply.

A)Legumes
B)Orange juice
C)Yeast
D)Okra
E)Peas

Question 28

The nurse is reviewing data collected during a health history and physical assessment and determines that a client is at risk for developing breast cancer.Which data supports this client's risk for developing breast cancer? Select all that apply.

A)Age 60
B)Breastfed both children
C)Sister had breast cancer
D)Body mass index 22
E)Menopause at age 58

Question 29

A nurse is educating a client with anemia about the pathophysiological mechanisms of anemia.Which should be excluded in the nurse's teaching plan for this client?

A)Altered hemoglobin synthesis
B)Altered DNA synthesis
C)Decreased hemolysis
D)Bone marrow failure

Question 30

The nurse is evaluating a client's understanding of dietary needs to treat dietary deficiency anemia.Which client statement indicates a need for additional teaching?

A)"I will eat more fruits and vegetables,especially green leafy ones,to get more iron in my diet."
B)"I will need to include more protein foods in my diet such as meats,dried beans,and whole-grain breads."
C)"I will decrease foods high in vitamin C,as they decrease my absorption of iron."
D)"I will take vitamins with extra iron in addition to eating a balanced diet with meat to correct my anemia."

Question 31

An older adult client with renal failure is diagnosed with anemia.Based on this data,which cause of anemia will the nurse plan for when providing care?

A)Loss of the kidney hormone erythropoietin
B)A loss of appetite related to elevated blood urea nitrogen (BUN)and creatinine levels
C)The renal dialysis used to treat the chronic renal failure
D)Loss of blood through the urine because the failing kidney does not function properly

Question 32

A client complaining of mouth soreness had gastric bypass surgery 1 year ago.During the assessment,the nurse notes the client's tongue is beefy,red,and smooth and the client's skin appears yellowish.Which additional information is most likely needed before diagnosing this client?

A)Vitamin B₆ levels
B)Vitamin B₁₂ levels
C)Potassium levels
D)Iron levels

Question 33

The nurse is providing discharge instructions to a client being treated for cancer.For which symptoms should the client be instructed to call for help at home? Select all that apply.

A)Difficulty breathing
B)Significant increase in vomiting
C)Desire to end life
D)Improved sense of well-being
E)New onset of bleeding

Question 34

For clients with cancer,what should the nurse regularly monitor to assess for cachexia?

A)Weight
B)Blood pressure
C)Heart rate
D)Temperature

Question 35

A NICU nurse is caring for several newborns with anemia.Which infant with anemia would the nurse be least concerned about?

A)A baby born at 32 weeks' gestation after the mother suffered from abruptio placentae
B)A baby born at 38 weeks' gestation who has a blood group incompatibility with the mother
C)A baby born at 35 weeks' gestation who suffered birth trauma to the head
D)A baby born at 39 weeks' gestation via a scheduled cesarean section

Question 36

In the carcinogenic process,what happens during the initiation stage?

A)DNA changes are passed on to more cells during cell replication.
B)A carcinogen causes permanent damage to DNA.
C)A carcinogen acts repeatedly on cells with damaged DNA.
D)A gene is activated that promotes cell proliferation.

Question 37

A nursing student is preparing an educational program on hemolytic anemia for the residents of an assisted living center.Which extrinsic causes of hemolytic anemia should the student include in the program? Select all that apply.

A)Bacterial infection
B)Thalassemia
C)Blood transfusion reaction
D)Prosthetic heart valves
E)Acetaminophen use

Question 38

The nurse instructs a group of community members on the difference between benign and malignant neoplasms.Which participant statements indicate that teaching has been effective? Select all that apply.

A)"Benign tumors grow slowly."
B)"Malignant tumors are easy to remove."
C)"Benign tumors stay in one area."
D)"Malignant tumors crowd out surrounding tissue."
E)"Malignant tumors can grow back."

Question 39

The home healthcare nurse is preparing a care plan for a client with severe anemia.The client currently lives alone and states,"I can't even walk to the kitchen without getting winded." What would be the priority nursing diagnosis for this client?

A)Hopelessness
B)Activity Intolerance
C)Imbalanced Nutrition,Less than Body Requirements
D)Anxiety

Question 40

The nurse is caring for an older adult client with hemolytic anemia.When planning care for this client,which should the nurse take into consideration regarding this diagnosis?

A)It causes the red blood cells to be microcytic.
B)It is associated with a decrease in the reticulocyte count.
C)It is the result of blood loss.
D)It is a result of the premature destruction of red blood cells.

Question 41

The nurse is providing care to a client who was recently diagnosed with breast cancer.The nurse is providing education regarding the possible treatment options.Which options will the nurse include in the teaching session? Select all that apply.

A)Mastectomy
B)Hormone therapy
C)Lumpectomy
D)Palliative care
E)Radiation

Question 42

While completing a physical examination,the nurse suspects a client has breast cancer.What did the nurse assess in this client? Select all that apply.

A)Rash along the inside of the right arm
B)Left nipple retraction
C)Palpable lump in the upper outer right quadrant
D)Scaliness near the right nipple
E)Pain when extending the left arm

Question 43

A client has colorectal cancer at stage I,T2.What has the tumor invaded?

A)The submucosa of the bowel
B)The muscularis propria of the bowel
C)The perirectal tissues
D)The lymph nodes

Question 44

The nurse is caring for a client with colorectal cancer who is postoperative from a transverse colostomy placement.What area of the bowel is involved?

A)A
B)B
C)C
D)D
E)E

Question 45

A client with colorectal cancer has no metastasis in regional lymph nodes.What can the nurse conclude from this about metastasis of this cancer?

A)The distal lymph nodes and other major organs will also not have metastasis.
B)The tumor has instead metastasized to distal lymph nodes.
C)The nurse cannot conclude anything about metastasis to other areas of the body.
D)The tumor has instead metastasized through the circulatory system to other major organs.

Question 46

The nurse is evaluating care provided to a client recovering from surgery for colorectal cancer.Which outcomes indicate that care has been successful? Select all that apply.

A)Client reports pain level as an 8 on a rating scale of 0 to 10.
B)Client has an hourly urine output of 45 mL.
C)Client performs morning care with assistance.
D)Client states family members will care for the ostomy at home.
E)Client tolerates full liquid diet and is requesting solid food.

Question 47

The nurse is instructing a group of women between the ages of 40 and 50 about early detection of breast cancer.What should the nurse include in this teaching?

A)Perform monthly breast self-exams.
B)See a healthcare provider if there is a strong family history of breast cancer.
C)Have a yearly mammogram.
D)Have a clinical breast exam performed by a healthcare provider every 5 years.

Question 48

A woman has a family history of breast cancer,and genetic testing has revealed a mutation in BRCA2.If this woman develops breast cancer,what is the most likely mechanism for why the cancer developed?

A)The cells' ability to accurately translate the RNA was impaired.
B)The cells underwent mitosis rather than meiosis.
C)The cells' ability to suppress tumor growth was impaired.
D)The cells were stimulated to undergo rapid cell division.

Question 49

The nurse is speaking with a client who wants information regarding colorectal cancer.Which statement indicates the client understood the information presented by the nurse?

A)The risk of colorectal cancer decreases with age.
B)Colorectal cancer can be detected in early stages by measuring the level of the carcinogenic embryonic antigen (CEA).
C)Colorectal cancer occurs more frequently in clients who have a history of inflammatory bowel disease.
D)Colorectal cancer has no symptoms in the early stage and there are no definitive diagnostic tests.

Question 50

A client recovering from surgery to place a permanent colostomy as treatment for colon cancer is concerned that her spouse will no longer find her sexually attractive.Which response by the nurse is the most appropriate?

A)"Tell me more about the concerns you are having."
B)"Would you like me to speak with your husband for you?"
C)"Do not worry about sex right now.It is more important to focus on recovery."
D)"I will refer you to a counselor to talk about your concerns."

Question 51

Why should the nurse tell a client who has undergone surgery for breast cancer to avoid wearing deodorant on the affected side?

A)Deodorant can stimulate tumor growth in remaining cancer cells.
B)Deodorant can inhibit the production of sweat,which stimulates healing.
C)Deodorant can harbor bacteria and increase the client's risk for infection.
D)Deodorant can irritate the skin and slow the healing process.

Question 52

A nurse is caring for a client who has had a double-barrel colostomy.Which is true regarding the proximal stoma? Select all that apply.

A)It is also called the mucous fistula.
B)It diverts feces to the abdominal wall.
C)It expels mucus from the distal colon.
D)It is a functional stoma.
E)It expels mucus from the proximal colon.

Question 53

Which form of breast cancer is the most malignant form?

A)Infiltrating ductal carcinoma
B)Inflammatory carcinoma of the breast
C)Carcinoma of the mammary ducts
D)Paget disease

Question 54

The nurse is providing community teaching related to risk factors for breast cancer for a group of young women.Which woman might the nurse identify as being at a higher risk for developing breast cancer at a young age?

A)A 28-year-old woman who received radiation for a spinal cord tumor at L3 during childhood
B)A 26-year-old woman who had a 32-year-old brother with breast cancer
C)A 34-year-old woman who has breastfed four children
D)A 42-year-old woman who has a second cousin diagnosed with breast cancer at age 58.

Question 55

The nurse provides an educational session for community members about the risk factors for colorectal cancer.Which participant statement indicates that teaching has been effective? Select all that apply.

A)"There is a genetic link in the development of colorectal cancer."
B)"People with other bowel diseases are at increased risk for developing this cancer."
C)"Eating a diet high in red meat reduces the risk for developing this type of cancer."
D)"Eating cereal fiber reduces the risk of developing colorectal cancer."
E)"Taking aspirin and a multivitamin each day reduces the risk of colorectal cancer."

Question 56

A client has just been told that a colectomy and ileostomy are needed to treat a new diagnosis of colon cancer.Which diagnosis should the nurse use to plan this client's preoperative nursing care?

A)Knowledge Deficit
B)Risk for Disuse Syndrome
C)Risk for Perioperative-Positioning Injury
D)Anticipatory Grieving

Question 57

The nurse instructs a client recovering from a mastectomy on ways to prevent lymphedema.Which client statement indicates that teaching has been successful?

A)"I should do the exercises on my affected arm every day."
B)"I have to take no special precautions."
C)"I should avoid cleansing my skin with soap."
D)"Eating fresh fruits and vegetables will prevent my arm from swelling."

Question 58

A client prescribed tamoxifen (Nolvadex)for breast cancer treatment asks the nurse how the medication works.What is the best response by the nurse?

A)"Tamoxifen works by inhibiting the cellular mitosis of breast cancer."
B)"Tamoxifen works by blocking estrogen receptors on breast tissue."
C)"Tamoxifen works by binding to the DNA of breast cancer cells."
D)"Tamoxifen works by inhibiting the metabolism of breast cancer cells."

Question 59

Which complaint by the client should the nurse report to the physician as a potential indication of colorectal cancer?

A)Abdominal pain
B)Constipation
C)Diarrhea
D)Rectal bleeding

Question 60

The nurse is caring for a 78-year-old woman who was recently diagnosed with breast cancer.What consideration may the nurse need to make for this woman that she may not need to make for younger women with breast cancer?

A)Discussing the woman's life expectancy
B)Arranging transportation to appointments
C)Ensuring the woman has adequate emotional support
D)Providing teaching related to breast-conservation treatments

Question 61

A nurse is caring for a client with chronic myeloid leukemia (CML)who is neutropenic.Which interventions will the nurse implement to ensure this client's safety? Select all that apply.

A)Teach the client to maintain good personal hygiene.
B)Encourage the client to eat a diet low in protein.
C)Administer granulocyte colony-stimulating factor (G-CSF)as ordered.
D)Administer neutrophil colony-stimulating factor (N-CSF)as ordered.
E)Administer a prophylactic gram-negative antibiotic.

Question 62

A client who presents with complaints of easily bruising,bleeding gums,and petechiae may be suffering from what complication of leukemia?

A)Thrombocytopenia
B)Anemia
C)Hepatomegaly
D)Neutropenia

Question 63

A nurse is planning care for a client with leukemia.The nurse chooses "Risk for Bleeding" as the nursing diagnosis.Which interventions support this nursing diagnosis? Select all that apply.

A)Educate client to not strain during bowel movements.
B)Use nonelectric razor when providing grooming for client.
C)Limit parenteral injections.
D)Apply pressure to arterial puncture sites for 5 minutes.
E)Encourage client to deep breathe and huff cough frequently.

Question 64

The nurse is teaching a class at a local community center about decreasing risk factors for cancer.Which risk factors should the nurse include in the teaching regarding leukemia? Select all that apply.

A)Smoking
B)Diets low in fat
C)Exposure to infectious agents
D)Bloom syndrome
E)Decreased exercise

Question 65

The nurse is planning care for a client with acute myeloid leukemia (AML).Which diagnoses are priorities for this client to minimize the risk of complications associated with AML? Select all that apply.

A)Risk for Infection
B)Ineffective Thermoregulation
C)Imbalanced Nutrition,Less than Body Requirements
D)Fluid Volume Excess
E)Risk for Bleeding

Question 66

Which type of lung cancer typically spreads by local invasion?

A)Small-cell carcinoma
B)Adenocarcinoma
C)Squamous cell carcinoma
D)Large-cell carcinoma

Question 67

A nurse working in the pediatric intensive care unit (PICU)is caring for a child with leukemia.What is the most common type of leukemia in children?

A)Chronic lymphocytic leukemia
B)Acute lymphocytic (lymphoblastic)leukemia
C)Acute myeloid (myeloblastic)leukemia
D)Chronic myeloid (myelogenous)leukemia.

Question 68

Which individuals are more likely to develop lung cancer without a history of smoking?

A)An individual under age 50
B)An individual with a genetic abnormality on chromosome 6
C)An individual over age 50
D)An individual with a genetic abnormality on chromosome 8

Question 69

A client is receiving chemotherapy for acute lymphocytic leukemia.While providing care for this client,which clinical manifestations would indicate tumor lysis syndrome? Select all that apply.

A)Thrombocytopenia
B)Cardiac arrhythmia
C)Respiratory distress
D)Changes in urine output
E)Upper-extremity edema

Question 70

The nurse is caring for a client in a community clinic who wishes to quit smoking.The client asks the nurse,"If I quit smoking,will my risk of lung cancer be the same as a nonsmoker?" Which is the best response by the nurse?

A)"No one knows for sure what the risk is for someone who quits smoking."
B)"Your risk of lung cancer will be equal to that of a nonsmoker."
C)"Your risk of lung cancer will decline if you quit,but it will remain higher than a nonsmoker's."
D)"Your risk of lung cancer will never drop because the damage has already been done."

Question 71

The nurse is assessing several children with polyps in the colon and rectum.Which child is at highest risk of developing colorectal cancer in adulthood?

A)A 4-year-old with isolated juvenile polyps
B)A 6-month-old with diffuse juvenile polyposis of infancy
C)A 12-year-old with juvenile polyposis coli
D)A 7-year-old with adenomatous polyps

Question 72

A young school-age boy is admitted with newly diagnosed acute lymphocytic leukemia.The multidisciplinary team is meeting to plan care for this child and family.Which statement by the parents should receive priority in the nursing planning process?

A)"His brother is upset about the amount of time we are away from home."
B)"Can we plan a trip out of town sometime this summer?"
C)"We are afraid that he will dislodge his central line at school."
D)"How are we going to pay for his treatment?"

Question 73

The nurse is assisting the healthcare provider with a bone marrow aspiration and biopsy on a client who has leukemia.The client also has thrombocytopenia.Upon completing the test,which intervention is a priority for the nurse?

A)Dispose of the equipment used,and clean the area properly.
B)Label and refrigerate the specimen obtained by the physician.
C)Hold pressure on the wound for approximately 5 minutes.
D)Make certain the client understands the purpose of the test.

Question 74

The nurse is caring for a client who is undergoing diagnostic tests to rule out lung cancer.The client asks the nurse why a computed tomography (CT)scan was ordered.What is the best response by the nurse?

A)"The doctor prefers this test."
B)"To rule out the possibility that your problems are caused by pneumonia."
C)"It is more specific in diagnosing your condition."
D)"Why are you concerned about this test?"

Question 75

The nurse is caring for a client with leukemia who is experiencing neutropenia as a result of chemotherapy.Which action should the nurse include in the plan of care for this client?

A)Replace hand hygiene with gloves.
B)Restrict visitors with communicable illnesses.
C)Restrict fluid intake.
D)Insert an indwelling urinary catheter to prevent skin breakdown.

Question 76

The nurse is assessing an older adult client recently diagnosed with colorectal cancer.What information is important for the nurse to ask for when completing the geriatric assessment?

A)The names,addresses,and birthdates of all of the client's children
B)The client's food diary for the past month
C)A complete list of all medications and supplements the client is currently taking
D)Whether the client has ever had a gastrointestinal disorder that caused diarrhea

Question 77

An adult client reports to the nurse an inability to tolerate usual exercise and the feeling of fatigue.The client states that these symptoms have been gradual over time.Which physical assessment findings,along with the client's verbal complaints,would indicate chronic lymphocytic leukemia (CLL)? Select all that apply.

A)Joint pain
B)Pallor
C)Splenomegaly
D)Abnormal bleeding
E)Edema

Question 78

A nurse is caring for a client recovering from a wedge resection of the left lung for a tumor.What would be appropriate goals for the nursing diagnosis of ineffective airway clearance? Select all that apply.

A)Minimize accumulation of fluid.
B)Participation in care by the client
C)Maintain a patent airway.
D)Maintain current weight.
E)Express feelings and concerns.

Question 79

A pediatric nurse is caring for a child with acute lymphoblastic leukemia (ALL).When providing education to the child's parents regarding this disease,which topics should the nurse include? Select all that apply.

A)ALL is characterized by abnormal proliferation of all bone marrow elements.
B)This form of leukemia is the most common type among children and adolescents.
C)Most cases of ALL result from the malignant transformation of B cells.
D)Malignant lymphocytes are able to effectively maintain immunity.
E)The onset of ALL is usually gradual.

Question 80

The nurse is planning care to address ineffective airway clearance for a client with lung cancer.Which interventions should the nurse include in the client's plan of care? Select all that apply.

A)Suction the airway as needed.
B)Help the client turn,cough,and deep breathe as needed.
C)Provide chest percussion as ordered.
D)Educate the client about smoking cessation.
E)Administer pneumococcal vaccine.