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 external beam radiation therapy.
B brachytherapy.
C a contact mold.
D systemic radiation.
Question #2
A Malignant tumor with metastasis to surrounding tissue
B Benign fibrocystic disease
C Normal finding
D Malignant tumor
Question #3
A Exposure to chemicals and spermicides
B Smoking and tobacco use
C Inherited gene mutation
D Increased tumor suppressor genes
Question #4
A Antimetabolite
B Nitrosoureas
C Mitotic spindle poisons
D Alkylating
Question #5
A Anxiety related to change in role function
B Fatigue related to deficient blood cells
C Activity intolerance related to side effects of chemotherapy
D Risk for infection related to inadequate defenses
Question #6
A absorption through the gown.
B absorption through the goggles.
C absorption through the gloves.
D inhalation of aerosols.
Question #7
A “I replace my toothbrush every month.”
B “I clean my teeth gently several times per day.”
C “I lubricate my lips with petroleum jelly.”
D “I use an alcohol-based mouthwash every morning.”
Question #8
A Clarify information provided by the physician.
B Provide aseptic care to the incision postoperatively
C Provide time for the patient to discuss her concerns.
D Counsel the patient about the possibility of losing her breast.
Question #9
A Retinoids
B Monoclonal antibodies
C Antimetabolites
D Cytokine
Question #10
A The client begins to shiver.
B The client states he is nauseous.
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 Liver
B Colon
C Reproductive trac
D White blood cells (WBCs)
Question #12
A To remove the tumor from the brain
B To analyze the lymph nodes involved
C To prevent the formation of new cancer cells
D To destroy marginal tissues
Question #13
A They usually grow slowly.
B They grow by expansion.
C They demonstrate cells that are well differentiated.
D They gain access to the blood and lymphatic channels
Question #14
A A psychiatric diagnosis everyone has at one time or another.
B An aberrant psychologic reaction to the chemotherapy.
C A side effect of the neoplastic drugs
D A normal reaction to the diagnosis of cancer.
Question #15
A “You will experience menopause now.”
B “You will continue having your menses every month.”
C “You will be unable to have children.”
D “You will need to practice birth control measures.”
Question #16
A leukopenia
B neutropenia
C thrombocytopenia
D granulocytopenia
Question #17
A hemangioma
B neuroma
C chondroma
D osteoma
Question #18
A Sarcoma
B Carcinoma
C Malignancy
D Leukemia
Question #19
A Initiation
B Promotion
C Progression
D Prolongation
Question #20
A chemotherapy exposure and risk factors.
B signs and symptoms of infection.
C reinforcement of the client’s medication regimen.
D expected chemotherapy-related adverse effects.
Question #21
A Nausea and vomiting
B Bone pain
C Stomatitis
D Extravasation
Question #22
A Emission of abnormal proteins
B Cells colonizing to distant body parts
C Random, rapid growth of the tumor
D Tumor pressure against normal tissues
Question #23
A Monitor the client closely to prevent infection.
B Monitor the client’s toilet patterns.
C Monitor the client’s heart rate.
D Monitor the client’s physical condition.
Question #24
A Practicing relaxation techniques
B Obtaining acupressure treatments
C Using imagery techniques
D Taking prescribed ondansetron
Question #25
A works as a secretary at a medical radiation treatment center
B drinks one glass of wine at dinner each night
C eats red meat such as steaks or hamburgers every day
D uses the treadmill for 30 minutes on 5 days each week
Question #26
A Stage 3 pressure ulcer on the left heel
B Ate 75% of all meals during the day
C White blood cell (WBC) count of 9,000 cells/mm3
D Temperature of 98.3° F (36.8° C)
Question #27
A Green, leafy vegetables
B Ham and bacon
C Fish and poultry
D Eggs and milk
Question #28
A Distant metastasis
B No distant metastasis
C No evidence of primary tumor
D No regional lymph node metastasis
Question #29
A Shield your throat area when near others.
B Flush the toilet twice after every use.
C Use disposable utensils for the next month.
D Prepare food separately from family members.
Question #30
A Allergy history
B Family history
C Blood studies
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 wash my skin with mild soap and water only.”
D “I’ll not use my heating pad during my treatment.”
Question #32
A Providing for frequent rest periods
B Inspecting the skin for petechiae once every shift
C Placing the client in strict isolation
D Administering aspirin if the temperature exceeds 102° F (38.8° C)
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 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 Disconnect I.V. tubing with gloved hands.
B Throw I.V. tubing in the trash after the infusion is stopped.
C Break needles after the infusion is discontinued.
D Wear disposable gloves and protective clothing.
Question #36
A The client begins to shiver.
B The client states he is nauseous.
C The laboratory reports a white blood cell (WBC) count of 1,000/mm3.
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 Allergy history
B Blood studies
C Drug history
Question #40
A “Cancer often skips a generation, so don’t worry about it.”
B “With your family history, there is nothing you can do to prevent getting cancer.”
C “You can’t prevent cancer, but you can have your blood analyzed for tumor markers to see what your risk level is.”
D “If you eat right, exercise, and get enough rest, you can prevent breast cancer.”
Question #41
A S phase
B G1 phase
C G2 phase
D Mitosis
Question #42
A Mitosis
B Carcinogenesis
C Apoptosis
D Angiogenesis
Question #43
A Encourage eating cheese, eggs, and legumes
B Encourage maximum fluid intake
C Stay away from protein beverages.
D Suck on hard candy during treatment.
Question #44
A Exercise 30 minutes 3 times each week.
B Decrease tobacco smoking from one pack/day to half a pack/day
C Use sunscreen when outdoors.
D Obtain a cancer history from her parents.
Question #45
A Cardiac tamponade
B DIC
C Superior vena cava syndrome (SVCS)
D SIADH
Question #46
A Hypophosphatemia
B Hypokalemia
C Increased uric acid excretion
D Hypercalcemia
Question #47
A Take measures to acidify the urine and prevent uric acid crystallization.
B Limit fluids to 1,000 mL daily to prevent accumulation of the drug’s end products after cell lysis.
C Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
D Encourage fluid intake to dilute the urine.
Question #48
A It causes a systemic reaction.
B It functions against disseminated disease.
C It attacks cancer cells during their vulnerable phase.
D It targets normal body cells as well as cancer cells.
Question #49
A Prophylactic
B Reconstructive
C Palliative
D Diagnostic
Question #50
A It treats cancer with lymph node involvement.
B It removes an entire lesion and the surrounding tissue.
C It removes a wedge of tissue for diagnosis.
D It is used to remove cancerous cells using a needle.
Question #51
A Extravasation
B Nadir
C Stomatitis
D Neutropenia
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 Allogeneic
B Autologous
C Homogenic
D Syngeneic
Question #55
A The three drugs have a synergistic effect and act on the cancer cells with different mechanisms.
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 first two drugs are toxic to cancer cells, and the third drug promotes cell growth.
Question #56
A antimetabolite.
B antibiotic
C antiemetic.
D anticoagulant.
Question #57
A Stomatitis
B To prevent metastasis
C Angiogenesis
D Fatigue
Question #58
A Most clients believe the discomfort is well worth the cure for cancer.
B Nausea and vomiting are only a factor for the first 24 hours after treatment.
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 Eat wholesome meals.
C Eat warm or hot foods.
D Avoid intake of fluids.
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 use hats to protect my head from the sun when my hair falls out.”
C “Most of the adverse effects should go away shortly after my last radiation treatment.”
D “I’ll allow myself plenty of time to rest between activities.”