Question 1

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

Accepted Answer

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

Question 2

A nurse working in an outpatient dermatology clinic is caring for a client who has been diagnosed with a lentigo maligna.Which statement is inappropriate for the nurse to include in the client's teaching plan?

Accepted Answer

A)  The lesion is also called Robertson freckle. 
B)  The lesion is a precursor to melanoma. 
C)  The lesion is a tan or black patch on the skin that looks like a freckle. 
D)  The lesion grows slowly, becoming mottled, dark, thick, and nodular.

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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 5

A client with prostate cancer is being discharged from the hospital.Which educational topic is inappropriate for this client?

Accepted Answer

A)  Provide information on doses of complementary herbs. 
B)  Teach the client and his family noninvasive methods of pain control. 
C)  Stress the importance of keeping client appointments with healthcare providers. 
D)  Provide the client and the client's family information on support groups.

Question 6

A nurse is providing discharge teaching for a client with iron deficiency anemia.The client has been prescribed ferrous sulfate and has been told to increase the intake of foods that are naturally high in iron.Which client statements indicate a need for further education? Select all that apply.

Accepted Answer

A)  "I will take my ferrous sulfate tablet with my morning oatmeal." 
B)  "I will decrease my intake of green leafy vegetables while taking my ferrous sulfate tablet." 
C)  "I will increase my fluid intake while I am taking my ferrous sulfate." 
D)  "I will take my ferrous sulfate tablet on an empty stomach." 
E)  "I will decrease milk intake while taking my ferrous sulfate tablet."

Question 7

The nurse is providing care to a client who is receiving treatment for sickle cell disease.The client is at risk for infection.Which medication does the nurse expect to administer to this client?

Accepted Answer

A)  Acetaminophen 
B)  Penicillin 
C)  Morphine sulfate 
D)  Tamoxifen

Question 8

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

Accepted Answer

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 9

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.

Accepted Answer

A)  Risk for Infection 
B)  Ineffective Thermoregulation 
C)  Imbalanced Nutrition 
D)  Fluid Volume Excess 
E)  Risk for Ineffective Protection (Bleeding)

Question 10

A client recovering from a hysterectomy does not want to take the prescribed estrogen replacement therapy because of the fear of developing breast cancer.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "The risk of breast cancer is slightly increased for women who opt to take estrogen replacement therapy." 
B)  "Perhaps you should consider an estrogen-progestin combination therapy." 
C)  "The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications." 
D)  "Taking estrogen replacement is required after a hysterectomy."

Question 11

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.

Accepted Answer

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 12

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.

Accepted Answer

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

Question 13

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.

Accepted Answer

A)  Legumes 
B)  Orange juice 
C)  Brewer's yeast 
D)  Okra 
E)  Peas

Question 14

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?

Accepted Answer

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

Question 15

A client being treated with chemotherapy for cancer complains of fatigue,pallor,progressive weakness,exertional dyspnea,headache,and tachycardia.Which diagnosis should the nurse use as the priority when planning this client's care?

Accepted Answer

A)  Powerlessness 
B)  Imbalanced Nutrition, Less than Body Requirements 
C)  Activity Intolerance 
D)  Ineffective Coping

Question 16

A nursing instructor is teaching a group of student nurses about the cultural implications of prostate cancer.Which statement will the nursing instructor include?

Accepted Answer

A)  "African-American men are at lowest risk for prostate cancer." 
B)  "Asian- and Native American men have the highest risk for developing prostate cancer." 
C)  "Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer." 
D)  "A diet low in dairy increases a man's risk for developing prostate cancer."

Question 17

The nurse accompanies the healthcare provider into the client's room and listens as the diagnosis of cancer is shared with the client and family.Once the healthcare provider leaves the room,the nurse notes that the client and family are teary-eyed regarding the diagnosis.What is the nurse's most appropriate intervention at this time?

Accepted Answer

A)  Arrange for the client to complete a medical power of attorney form. 
B)  Provide emotional support in coping with the diagnosis. 
C)  Provide teaching about the treatment options for this form of cancer. 
D)  Help the client and family remain realistic about prognosis.

Question 18

During an assessment,the nurse notes leukoplakia when examining the client's mouth.The client is a smoker and explains to the nurse that it has been there for more than a month.After documenting the finding and informing the healthcare provider,what should the nurse anticipate next?

Accepted Answer

A)  Antifungal medication will be prescribed. 
B)  A biopsy will be performed. 
C)  An order to provide thorough mouth care 
D)  A dental consult

Question 19

A child has recently been diagnosed with leukemia.The client's sibling is 6 years old and expressing feelings of anger and guilt.This reaction by the sibling is very upsetting to the parents.How should the nurse explain the sibling's behavior?

Accepted Answer

A)  "This behavior is abnormal. I will have the physician refer you to a psychologist." 
B)  "This behavior is just the sibling's way to get attention." 
C)  "This is a normal response. Your other child is also affected by the diagnosis and anger and guilt are expected feelings for a 6-year-old." 
D)  "Your other child should not be so upset. The cancer is easily treated."

Question 20

The nurse is caring for a client who has a continuous bladder irrigation running following a prostatectomy.During the shift,a total of 1500 mL of irrigant is infused.The Foley bag is emptied twice for the shift with totals of 850 mL and 950 mL.What is the client's actual urine output for the shift?

Accepted Answer

A)  300 mL 
B)  250 mL 
C)  100 mL 
D)  950 mL

Exam 2: Cellular Regulation