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 a contact mold.
D external beam radiation therapy.
Question #2
A Malignant tumor
B Malignant tumor with metastasis to surrounding tissue
C Normal finding
D Benign fibrocystic disease
Question #3
A Exposure to chemicals and spermicides
B Inherited gene mutation
C Increased tumor suppressor genes
D Smoking and tobacco use
Question #4
A Antimetabolite
B Alkylating
C Nitrosoureas
D Mitotic spindle poisons
Question #5
A Risk for infection related to inadequate defenses
B Fatigue related to deficient blood cells
C Anxiety related to change in role function
D Activity intolerance related to side effects of chemotherapy
Question #6
A absorption through the goggles.
B absorption through the gown.
C inhalation of aerosols.
D absorption through the gloves.
Question #7
A “I clean my teeth gently several times per day.”
B “I use an alcohol-based mouthwash every morning.”
C “I replace my toothbrush every month.”
D “I lubricate my lips with petroleum jelly.”
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 Antimetabolites
B Monoclonal antibodies
C Retinoids
D Cytokine
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 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 remove the tumor from the brain
D To prevent the formation of new cancer cells
Question #13
A They gain access to the blood and lymphatic channels
B They demonstrate cells that are well differentiated.
C They usually grow slowly.
D They grow by expansion.
Question #14
A A normal reaction to the diagnosis of cancer.
B A psychiatric diagnosis everyone has at one time or another.
C An aberrant psychologic reaction to the chemotherapy.
D A side effect of the neoplastic drugs
Question #15
A “You will continue having your menses every month.”
B “You will need to practice birth control measures.”
C “You will experience menopause now.”
D “You will be unable to have children.”
Question #16
A granulocytopenia
B leukopenia
C neutropenia
D thrombocytopenia
Question #17
A osteoma
B hemangioma
C neuroma
D chondroma
Question #18
A Malignancy
B Leukemia
C Sarcoma
D Carcinoma
Question #19
A Promotion
B Initiation
C Progression
D Prolongation
Question #20
A reinforcement of the client’s medication regimen.
B expected chemotherapy-related adverse effects.
C signs and symptoms of infection.
D chemotherapy exposure and risk factors.
Question #21
A Bone pain
B Stomatitis
C Nausea and vomiting
D Extravasation
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 physical condition.
B Monitor the client’s heart rate.
C Monitor the client closely to prevent infection.
D Monitor the client’s toilet patterns.
Question #24
A Practicing relaxation techniques
B Taking prescribed ondansetron
C Using imagery techniques
D Obtaining acupressure treatments
Question #25
A uses the treadmill for 30 minutes on 5 days each week
B eats red meat such as steaks or hamburgers every day
C works as a secretary at a medical radiation treatment center
D drinks one glass of wine at dinner each night
Question #26
A Stage 3 pressure ulcer on the left heel
B Ate 75% of all meals during the day
C Temperature of 98.3° F (36.8° C)
D White blood cell (WBC) count of 9,000 cells/mm3
Question #27
A Ham and bacon
B Eggs and milk
C Fish and poultry
D Green, leafy vegetables
Question #28
A No regional lymph node metastasis
B No distant metastasis
C No evidence of primary tumor
D Distant metastasis
Question #29
A Shield your throat area when near others.
B Prepare food separately from family members.
C Use disposable utensils for the next month.
D Flush the toilet twice after every use.
Question #30
A Family history
B Drug history
C Blood studies
D Allergy 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’m worried I’ll expose my family members to radiation.”
D “I’ll wear protective clothing when outside.”
Question #32
A Inspecting the skin for petechiae once every shift
B Administering aspirin if the temperature exceeds 102° F (38.8° C)
C Providing for frequent rest periods
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 Blood pressure of 120/64 to 130/72 mm Hg
B Serum potassium level of 2.6 mEq/L
C Urine output of 400 ml in 8 hours
D Sodium level of 142 mEq/L
Question #35
A Break needles after the infusion is discontinued.
B Throw I.V. tubing in the trash after the infusion is stopped.
C Disconnect I.V. tubing with gloved hands.
D Wear disposable gloves and protective clothing.
Question #36
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 #37
A Have visitors wear dosimeters for safety
B Place the client in a private room.
C Place a chair next to the bed to allow the spouse to sit.
D Allow visitors to telephone only.
Question #38
A Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
B Encourage fluid intake, if possible, to dilute the urine.
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 Blood studies
B Drug history
C Allergy history
Question #40
A “If you eat right, exercise, and get enough rest, you can prevent breast cancer.”
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 “Cancer often skips a generation, so don’t worry about it.”
Question #41
A G1 phase
B S phase
C Mitosis
D G2 phase
Question #42
A Apoptosis
B Mitosis
C Carcinogenesis
D Angiogenesis
Question #43
A Encourage eating cheese, eggs, and legumes
B Stay away from protein beverages.
C Encourage maximum fluid intake
D Suck on hard candy during treatment.
Question #44
A Obtain a cancer history from her parents.
B Use sunscreen when outdoors.
C Decrease tobacco smoking from one pack/day to half a pack/day
D Exercise 30 minutes 3 times each week.
Question #45
A Superior vena cava syndrome (SVCS)
B DIC
C Cardiac tamponade
D SIADH
Question #46
A Increased uric acid excretion
B Hypophosphatemia
C Hypercalcemia
D Hypokalemia
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 Encourage fluid intake to dilute the urine.
D Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.
Question #48
A It targets normal body cells as well as cancer cells.
B It functions against disseminated disease.
C It attacks cancer cells during their vulnerable phase.
D It causes a systemic reaction.
Question #49
A Prophylactic
B Palliative
C Reconstructive
D Diagnostic
Question #50
A It removes an entire lesion and the surrounding tissue.
B It treats cancer with lymph node involvement.
C It removes a wedge of tissue for diagnosis.
D It is used to remove cancerous cells using a needle.
Question #51
A Neutropenia
B Nadir
C Extravasation
D Stomatitis
Question #52
A “The hair loss is usually temporary.”
B “Wigs can be used after the chemotherapy is completed.”
C “New hair growth will return without any change to color or texture.”
D “Clients with alopecia will have delay in grey hair.”
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 Autologous
B Homogenic
C Allogeneic
D Syngeneic
Question #55
A The first two drugs are toxic to cancer cells, and the third drug promotes cell growth.
B The second and third drugs increase the effectiveness of the first drug.
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 antiemetic.
B anticoagulant.
C antibiotic
D antimetabolite.
Question #57
A Stomatitis
B Angiogenesis
C To prevent metastasis
D Fatigue
Question #58
A Clinical trials are opening up new cancer treatments all the time.
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 Nausea and vomiting are only a factor for the first 24 hours after treatment.
Question #59
A Eat wholesome meals.
B Avoid spicy and fatty foods.
C Avoid intake of fluids.
D Eat warm or hot foods.
Question #60
A Hypertension
B Altered mental status
C Increased urine output
D Warm, moist skin
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.”