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