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
B Benign fibrocystic disease
C Normal finding
D Malignant tumor with metastasis to surrounding tissue
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 Alkylating
B Nitrosoureas
C Antimetabolite
D Mitotic spindle poisons
Question #5
A Risk for infection related to inadequate defenses
B Activity intolerance related to side effects of chemotherapy
C Anxiety related to change in role function
D Fatigue related to deficient blood cells
Question #6
A absorption through the goggles.
B absorption through the gown.
C absorption through the gloves.
D inhalation of aerosols.
Question #7
A “I use an alcohol-based mouthwash every morning.”
B “I lubricate my lips with petroleum jelly.”
C “I clean my teeth gently several times per day.”
D “I replace my toothbrush every month.”
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 Cytokine
B Antimetabolites
C Monoclonal antibodies
D Retinoids
Question #10
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 #11
A Reproductive trac
B Liver
C White blood cells (WBCs)
D Colon
Question #12
A To analyze the lymph nodes involved
B To destroy marginal tissues
C To prevent the formation of new cancer cells
D To remove the tumor from the brain
Question #13
A They gain access to the blood and lymphatic channels
B They usually grow slowly.
C They demonstrate cells that are well differentiated.
D They grow by expansion.
Question #14
A A side effect of the neoplastic drugs
B A normal reaction to the diagnosis of cancer.
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 experience menopause now.”
C “You will continue having your menses every month.”
D “You will need to practice birth control measures.”
Question #16
A neutropenia
B thrombocytopenia
C leukopenia
D granulocytopenia
Question #17
A hemangioma
B chondroma
C neuroma
D osteoma
Question #18
A Sarcoma
B Malignancy
C Leukemia
D Carcinoma
Question #19
A Prolongation
B Initiation
C Promotion
D Progression
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 Extravasation
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 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 uses the treadmill for 30 minutes on 5 days each week
B works as a secretary at a medical radiation treatment center
C drinks one glass of wine at dinner each night
D eats red meat such as steaks or hamburgers every day
Question #26
A Temperature of 98.3° F (36.8° C)
B Stage 3 pressure ulcer on the left heel
C Ate 75% of all meals during the day
D White blood cell (WBC) count of 9,000 cells/mm3
Question #27
A Green, leafy vegetables
B Fish and poultry
C Eggs and milk
D Ham and bacon
Question #28
A No distant metastasis
B No evidence of primary tumor
C No regional lymph node metastasis
D Distant metastasis
Question #29
A Use disposable utensils for the next month.
B Prepare food separately from family members.
C Shield your throat area when near others.
D Flush the toilet twice after every use.
Question #30
A Drug history
B Family history
C Allergy history
D Blood studies
Question #31
A “I’ll wash my skin with mild soap and water only.”
B “I’ll not use my heating pad during my treatment.”
C “I’ll wear protective clothing when outside.”
D “I’m worried I’ll expose my family members to radiation.”
Question #32
A Administering aspirin if the temperature exceeds 102° F (38.8° C)
B Providing for frequent rest periods
C Inspecting the skin for petechiae once every shift
D Placing the client in strict isolation
Question #33
A Administering metoclopramide and dexamethasone as ordered
B Encouraging rhythmic breathing exercises
C Withholding fluids for the first 4 to 6 hours after chemotherapy administration
D Serving small portions of bland food
Question #34
A Serum potassium level of 2.6 mEq/L
B Sodium level of 142 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 Disconnect I.V. tubing with gloved hands.
C Wear disposable gloves and protective clothing.
D Break needles after the infusion is discontinued.
Question #36
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 #37
A Place the client in a private room.
B Place a chair next to the bed to allow the spouse to sit.
C Allow visitors to telephone only.
D Have visitors wear dosimeters for safety
Question #38
A Encourage fluid intake, if possible, to dilute the urine.
B Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
C Modify the diet to acidify the urine, thus preventing uric acid crystallization.
D Limit fluids to 1,000 mL/day to minimize stress on the renal tubules.
Question #39
A Allergy history
B Blood studies
C Drug 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 Mitosis
B G1 phase
C G2 phase
D S phase
Question #42
A Angiogenesis
B Carcinogenesis
C Apoptosis
D Mitosis
Question #43
A Stay away from protein beverages.
B Suck on hard candy during treatment.
C Encourage eating cheese, eggs, and legumes
D Encourage maximum fluid intake
Question #44
A Decrease tobacco smoking from one pack/day to half a pack/day
B Use sunscreen when outdoors.
C Obtain a cancer history from her parents.
D Exercise 30 minutes 3 times each week.
Question #45
A SIADH
B Superior vena cava syndrome (SVCS)
C DIC
D Cardiac tamponade
Question #46
A Increased uric acid excretion
B Hypercalcemia
C Hypophosphatemia
D Hypokalemia
Question #47
A Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
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 Encourage fluid intake to dilute the urine.
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 Palliative
B Prophylactic
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 treats cancer with lymph node involvement.
D It removes a wedge of tissue for diagnosis.
Question #51
A Stomatitis
B Extravasation
C Neutropenia
D Nadir
Question #52
A “New hair growth will return without any change to color or texture.”
B “Clients with alopecia will have delay in grey hair.”
C “Wigs can be used after the chemotherapy is completed.”
D “The hair loss is usually temporary.”
Question #53
A Disseminated intravascular coagulation (DIC)
B Syndrome of inappropriate antidiuretic hormone release (SIADH)
C Tumor lysis syndrome
D Cardiac tamponade
Question #54
A Allogeneic
B Syngeneic
C Homogenic
D Autologous
Question #55
A The second and third drugs increase the effectiveness of the first drug.
B The three drugs have a synergistic effect and act on the cancer cells with different mechanisms.
C The first two drugs are toxic to cancer cells, and the third drug promotes cell growth.
D The three drugs can be given at lower doses.
Question #56
A antibiotic
B anticoagulant.
C antimetabolite.
D antiemetic.
Question #57
A To prevent metastasis
B Stomatitis
C Angiogenesis
D Fatigue
Question #58
A Nausea and vomiting are only a factor for the first 24 hours after treatment.
B Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects.
C Most clients believe the discomfort is well worth the cure for cancer.
D Clinical trials are opening up new cancer treatments all the time.
Question #59
A Eat warm or hot foods.
B Eat wholesome meals.
C Avoid spicy and fatty foods.
D Avoid intake of fluids.
Question #60
A Hypertension
B Altered mental status
C Warm, moist skin
D Increased urine output
Question #61
A “I’ll use hats to protect my head from the sun when my hair falls out.”
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 “If I get nauseous, I’ll try to eat several small, bland meals each day.”