Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 15 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A a contact mold.
B systemic radiation.
C external beam radiation therapy.
D brachytherapy.
Question #2
A Malignant tumor
B Benign fibrocystic disease
C Malignant tumor with metastasis to surrounding tissue
D Normal finding
Question #3
A Increased tumor suppressor genes
B Inherited gene mutation
C Exposure to chemicals and spermicides
D Smoking and tobacco use
Question #4
A Alkylating
B Nitrosoureas
C Antimetabolite
D Mitotic spindle poisons
Question #5
A Anxiety related to change in role function
B Fatigue related to deficient blood cells
C Risk for infection related to inadequate defenses
D Activity intolerance related to side effects of chemotherapy
Question #6
A inhalation of aerosols.
B absorption through the gloves.
C absorption through the goggles.
D absorption through the gown.
Question #7
A “I replace my toothbrush every month.”
B “I lubricate my lips with petroleum jelly.”
C “I clean my teeth gently several times per day.”
D “I use an alcohol-based mouthwash every morning.”
Question #8
A Counsel the patient about the possibility of losing her breast.
B Provide aseptic care to the incision postoperatively
C Provide time for the patient to discuss her concerns.
D Clarify information provided by the physician.
Question #9
A Monoclonal antibodies
B Cytokine
C Antimetabolites
D Retinoids
Question #10
A The client begins to shiver.
B The laboratory reports a white blood cell (WBC) count of 1,000/mm3.
C The client states he is nauseous.
D The I.V. site is red and swollen.
Question #11
A White blood cells (WBCs)
B Liver
C Colon
D Reproductive trac
Question #12
A To destroy marginal tissues
B To prevent the formation of new cancer cells
C To remove the tumor from the brain
D To analyze the lymph nodes involved
Question #13
A They gain access to the blood and lymphatic channels
B They demonstrate cells that are well differentiated.
C They grow by expansion.
D They usually grow slowly.
Question #14
A A normal reaction to the diagnosis of cancer.
B A side effect of the neoplastic drugs
C A psychiatric diagnosis everyone has at one time or another.
D An aberrant psychologic reaction to the chemotherapy.
Question #15
A “You will be unable to have children.”
B “You will need to practice birth control measures.”
C “You will continue having your menses every month.”
D “You will experience menopause now.”
Question #16
A thrombocytopenia
B neutropenia
C granulocytopenia
D leukopenia
Question #17
A chondroma
B neuroma
C hemangioma
D osteoma
Question #18
A Carcinoma
B Leukemia
C Sarcoma
D Malignancy
Question #19
A Promotion
B Initiation
C Prolongation
D Progression
Question #20
A expected chemotherapy-related adverse effects.
B reinforcement of the client’s medication regimen.
C chemotherapy exposure and risk factors.
D signs and symptoms of infection.
Question #21
A Extravasation
B Nausea and vomiting
C Bone pain
D Stomatitis
Question #22
A Tumor pressure against normal tissues
B Random, rapid growth of the tumor
C Emission of abnormal proteins
D Cells colonizing to distant body parts
Question #23
A Monitor the client’s toilet patterns.
B Monitor the client’s heart rate.
C Monitor the client closely to prevent infection.
D Monitor the client’s physical condition.
Question #24
A Practicing relaxation techniques
B Using imagery techniques
C Obtaining acupressure treatments
D Taking prescribed ondansetron
Question #25
A works as a secretary at a medical radiation treatment center
B uses the treadmill for 30 minutes on 5 days each week
C eats red meat such as steaks or hamburgers every day
D drinks one glass of wine at dinner each night
Question #26
A Temperature of 98.3° F (36.8° C)
B Ate 75% of all meals during the day
C White blood cell (WBC) count of 9,000 cells/mm3
D Stage 3 pressure ulcer on the left heel
Question #27
A Ham and bacon
B Green, leafy vegetables
C Eggs and milk
D Fish and poultry
Question #28
A Distant metastasis
B No evidence of primary tumor
C No regional lymph node metastasis
D No distant metastasis
Question #29
A Prepare food separately from family members.
B Shield your throat area when near others.
C Flush the toilet twice after every use.
D Use disposable utensils for the next month.
Question #30
A Family history
B Blood studies
C Allergy history
D Drug history
Question #31
A “I’ll not use my heating pad during my treatment.”
B “I’ll wash my skin with mild soap and water only.”
C “I’ll wear protective clothing when outside.”
D “I’m worried I’ll expose my family members to radiation.”
Question #32
A Placing the client in strict isolation
B Providing for frequent rest periods
C Administering aspirin if the temperature exceeds 102° F (38.8° C)
D Inspecting the skin for petechiae once every shift
Question #33
A Withholding fluids for the first 4 to 6 hours after chemotherapy administration
B Encouraging rhythmic breathing exercises
C Serving small portions of bland food
D Administering metoclopramide and dexamethasone as ordered
Question #34
A Sodium level of 142 mEq/L
B Blood pressure of 120/64 to 130/72 mm Hg
C Urine output of 400 ml in 8 hours
D Serum potassium level of 2.6 mEq/L
Question #35
A Wear disposable gloves and protective clothing.
B Throw I.V. tubing in the trash after the infusion is stopped.
C Break needles after the infusion is discontinued.
D Disconnect I.V. tubing with gloved hands.
Question #36
A The laboratory reports a white blood cell (WBC) count of 1,000/mm3.
B The client begins to shiver.
C The I.V. site is red and swollen.
D The client states he is nauseous.
Question #37
A Place a chair next to the bed to allow the spouse to sit.
B Place the client in a private room.
C Have visitors wear dosimeters for safety
D Allow visitors to telephone only.
Question #38
A Encourage fluid intake, if possible, to dilute the urine.
B Limit fluids to 1,000 mL/day to minimize stress on the renal tubules.
C Modify the diet to acidify the urine, thus preventing uric acid crystallization.
D Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
Question #39
A Drug history
B Allergy history
C Blood studies
Question #40
A “You can’t prevent cancer, but you can have your blood analyzed for tumor markers to see what your risk level is.”
B “Cancer often skips a generation, so don’t worry about it.”
C “With your family history, there is nothing you can do to prevent getting cancer.”
D “If you eat right, exercise, and get enough rest, you can prevent breast cancer.”
Question #41
A S phase
B G2 phase
C G1 phase
D Mitosis
Question #42
A Apoptosis
B Carcinogenesis
C Angiogenesis
D Mitosis
Question #43
A Encourage eating cheese, eggs, and legumes
B Stay away from protein beverages.
C Suck on hard candy during treatment.
D Encourage maximum fluid intake
Question #44
A Use sunscreen when outdoors.
B Exercise 30 minutes 3 times each week.
C Decrease tobacco smoking from one pack/day to half a pack/day
D Obtain a cancer history from her parents.
Question #45
A SIADH
B Cardiac tamponade
C DIC
D Superior vena cava syndrome (SVCS)
Question #46
A Hypophosphatemia
B Increased uric acid excretion
C Hypercalcemia
D Hypokalemia
Question #47
A Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
B Encourage fluid intake to dilute the urine.
C Take measures to acidify the urine and prevent uric acid crystallization.
D Limit fluids to 1,000 mL daily to prevent accumulation of the drug’s end products after cell lysis.
Question #48
A It attacks cancer cells during their vulnerable phase.
B It functions against disseminated disease.
C It causes a systemic reaction.
D It targets normal body cells as well as cancer cells.
Question #49
A Prophylactic
B Palliative
C Reconstructive
D Diagnostic
Question #50
A It removes an entire lesion and the surrounding tissue.
B It is used to remove cancerous cells using a needle.
C It removes a wedge of tissue for diagnosis.
D It treats cancer with lymph node involvement.
Question #51
A Nadir
B Extravasation
C Neutropenia
D Stomatitis
Question #52
A “Wigs can be used after the chemotherapy is completed.”
B “Clients with alopecia will have delay in grey hair.”
C “The hair loss is usually temporary.”
D “New hair growth will return without any change to color or texture.”
Question #53
A Cardiac tamponade
B Tumor lysis syndrome
C Disseminated intravascular coagulation (DIC)
D Syndrome of inappropriate antidiuretic hormone release (SIADH)
Question #54
A Homogenic
B Autologous
C Syngeneic
D Allogeneic
Question #55
A The second and third drugs increase the effectiveness of the first drug.
B The first two drugs are toxic to cancer cells, and the third drug promotes cell growth.
C The three drugs have a synergistic effect and act on the cancer cells with different mechanisms.
D The three drugs can be given at lower doses.
Question #56
A antibiotic
B antimetabolite.
C antiemetic.
D anticoagulant.
Question #57
A Fatigue
B Angiogenesis
C To prevent metastasis
D Stomatitis
Question #58
A Nausea and vomiting are only a factor for the first 24 hours after treatment.
B Most clients believe the discomfort is well worth the cure for cancer.
C Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects.
D Clinical trials are opening up new cancer treatments all the time.
Question #59
A Avoid spicy and fatty foods.
B Avoid intake of fluids.
C Eat warm or hot foods.
D Eat wholesome meals.
Question #60
A Increased urine output
B Altered mental status
C Hypertension
D Warm, moist skin
Question #61
A “Most of the adverse effects should go away shortly after my last radiation treatment.”
B “I’ll allow myself plenty of time to rest between activities.”
C “If I get nauseous, I’ll try to eat several small, bland meals each day.”
D “I’ll use hats to protect my head from the sun when my hair falls out.”