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