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 Benign fibrocystic disease
B Malignant tumor
C Normal finding
D Malignant tumor with metastasis to surrounding tissue
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 Antimetabolite
B Alkylating
C Mitotic spindle poisons
D Nitrosoureas
Question #5
A Risk for infection related to inadequate defenses
B Activity intolerance related to side effects of chemotherapy
C Fatigue related to deficient blood cells
D Anxiety related to change in role function
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 replace my toothbrush every month.”
B “I lubricate my lips with petroleum jelly.”
C “I use an alcohol-based mouthwash every morning.”
D “I clean my teeth gently several times per day.”
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 Monoclonal antibodies
B Retinoids
C Cytokine
D Antimetabolites
Question #10
A The I.V. site is red and swollen.
B The client states he is nauseous.
C The laboratory reports a white blood cell (WBC) count of 1,000/mm3.
D The client begins to shiver.
Question #11
A White blood cells (WBCs)
B Liver
C Colon
D Reproductive trac
Question #12
A To prevent the formation of new cancer cells
B To destroy marginal tissues
C To remove the tumor from the brain
D To analyze the lymph nodes involved
Question #13
A They grow by expansion.
B They gain access to the blood and lymphatic channels
C They demonstrate cells that are well differentiated.
D They usually grow slowly.
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 continue having your menses every month.”
C “You will need to practice birth control measures.”
D “You will experience menopause now.”
Question #16
A neutropenia
B leukopenia
C granulocytopenia
D thrombocytopenia
Question #17
A neuroma
B chondroma
C hemangioma
D osteoma
Question #18
A Leukemia
B Carcinoma
C Sarcoma
D Malignancy
Question #19
A Progression
B Promotion
C Prolongation
D Initiation
Question #20
A reinforcement of the client’s medication regimen.
B expected chemotherapy-related adverse effects.
C chemotherapy exposure and risk factors.
D signs and symptoms of infection.
Question #21
A Stomatitis
B Extravasation
C Nausea and vomiting
D Bone pain
Question #22
A Cells colonizing to distant body parts
B Emission of abnormal proteins
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 Using imagery techniques
C Obtaining acupressure treatments
D Taking prescribed ondansetron
Question #25
A eats red meat such as steaks or hamburgers every day
B works as a secretary at a medical radiation treatment center
C uses the treadmill for 30 minutes on 5 days each week
D drinks one glass of wine at dinner each night
Question #26
A Ate 75% of all meals during the day
B Stage 3 pressure ulcer on the left heel
C White blood cell (WBC) count of 9,000 cells/mm3
D Temperature of 98.3° F (36.8° C)
Question #27
A Eggs and milk
B Green, leafy vegetables
C Fish and poultry
D Ham and bacon
Question #28
A No regional lymph node metastasis
B Distant metastasis
C No evidence of primary tumor
D No distant metastasis
Question #29
A Flush the toilet twice after every use.
B Use disposable utensils for the next month.
C Shield your throat area when near others.
D Prepare food separately from family members.
Question #30
A Drug history
B Blood studies
C Family history
D Allergy history
Question #31
A “I’ll wash my skin with mild soap and water only.”
B “I’ll wear protective clothing when outside.”
C “I’ll not use my heating pad during my treatment.”
D “I’m worried I’ll expose my family members to radiation.”
Question #32
A Providing for frequent rest periods
B Placing the client in strict isolation
C Inspecting the skin for petechiae once every shift
D Administering aspirin if the temperature exceeds 102° F (38.8° C)
Question #33
A Administering metoclopramide and dexamethasone as ordered
B Withholding fluids for the first 4 to 6 hours after chemotherapy administration
C Encouraging rhythmic breathing exercises
D Serving small portions of bland food
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 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 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 #37
A Place the client in a private room.
B Have visitors wear dosimeters for safety
C Place a chair next to the bed to allow the spouse to sit.
D Allow visitors to telephone only.
Question #38
A Limit fluids to 1,000 mL/day to minimize stress on the renal tubules.
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 Encourage fluid intake, if possible, to dilute the urine.
Question #39
A Allergy history
B Drug history
C Blood studies
Question #40
A “With your family history, there is nothing you can do to prevent getting cancer.”
B “If you eat right, exercise, and get enough rest, you can prevent breast 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 S phase
B G1 phase
C Mitosis
D G2 phase
Question #42
A Mitosis
B Apoptosis
C Angiogenesis
D Carcinogenesis
Question #43
A Suck on hard candy during treatment.
B Stay away from protein beverages.
C Encourage maximum fluid intake
D Encourage eating cheese, eggs, and legumes
Question #44
A Use sunscreen when outdoors.
B Exercise 30 minutes 3 times each week.
C Obtain a cancer history from her parents.
D Decrease tobacco smoking from one pack/day to half a pack/day
Question #45
A SIADH
B Superior vena cava syndrome (SVCS)
C DIC
D Cardiac tamponade
Question #46
A Increased uric acid excretion
B Hypokalemia
C Hypophosphatemia
D Hypercalcemia
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 Encourage fluid intake to dilute the urine.
D Limit fluids to 1,000 mL daily to prevent accumulation of the drug’s end products after cell lysis.
Question #48
A It functions against disseminated disease.
B It targets normal body cells as well as cancer cells.
C It causes a systemic reaction.
D It attacks cancer cells during their vulnerable phase.
Question #49
A Diagnostic
B Reconstructive
C Palliative
D Prophylactic
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 Nadir
B Stomatitis
C Neutropenia
D Extravasation
Question #52
A “Clients with alopecia will have delay in grey hair.”
B “The hair loss is usually temporary.”
C “New hair growth will return without any change to color or texture.”
D “Wigs can be used after the chemotherapy is completed.”
Question #53
A Tumor lysis syndrome
B Cardiac tamponade
C Disseminated intravascular coagulation (DIC)
D Syndrome of inappropriate antidiuretic hormone release (SIADH)
Question #54
A Autologous
B Syngeneic
C Allogeneic
D Homogenic
Question #55
A The three drugs can be given at lower doses.
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 first two drugs are toxic to cancer cells, and the third drug promotes cell growth.
Question #56
A antibiotic
B antiemetic.
C anticoagulant.
D antimetabolite.
Question #57
A To prevent metastasis
B Angiogenesis
C Stomatitis
D Fatigue
Question #58
A Most clients believe the discomfort is well worth the cure for cancer.
B Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects.
C Nausea and vomiting are only a factor for the first 24 hours after treatment.
D Clinical trials are opening up new cancer treatments all the time.
Question #59
A Eat wholesome meals.
B Avoid spicy and fatty foods.
C Eat warm or hot foods.
D Avoid intake of fluids.
Question #60
A Increased urine output
B Altered mental status
C Hypertension
D Warm, moist skin
Question #61
A “I’ll allow myself plenty of time to rest between activities.”
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 “If I get nauseous, I’ll try to eat several small, bland meals each day.”