NURS 150Practical Nursing Theory 2

Week 4

Review Questions

1. The nurse is receiving a client with a radioactive implant for the treatment of cervical cancer. The
nurse:

a. Places the client in a private room.

b. Places a chair next to the bed to allow the spouse to sit.
c. Encourages frequent visits by the client's 10yearold grandson.
d. Assigns care to a nursing assistant who is trying to get pregnant.

2. After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted
to the hospital. The client's cancer therapy consisted of radiation and chemotherapy. When developing
the care plan for this client, which nursing diagnosis takes priority?

a. Risk for injury.

b. Imbalanced nutrition: Less than body requirements.
c. Risk for infection.
d. Anxiety.

3. The nurse is invited to present a teaching program to parents of school-age children. Which topic
would be of greatest value for decreasing cancer risks?

a. Pool and water safety.

b. Breast and testicular self-exams.
c. Hand washing and infection prevention.
d. Sun safety and use of sunscreen.

4. The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue
and weakness after his first week of radiation therapy. Which response by the nurse would best reassure
this patient?

a. These symptoms usually result from radiation therapy; however, we will continue
to monitor your laboratory and X-ray studies.
b. These symptoms are part of your disease and can't be helped.
c. Don't be concerned about these symptoms. Everybody feels this way after having
radiation therapy.
d. This is a good sign. It means that only the cancer cells are dying.

5. A client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that
the client has developed stomatitis?

a. White, cottage cheeselike patches on the tongue.

b. Yellow tooth discoloration.
c. Red, open sores on the oral mucosa.
d. Rust-colored sputum.
6. A 16-year-old female patient experiences alopecia resulting from chemotherapy, prompting the
nursing diagnoses of disturbed body image and situational low self-esteem. What action by the patient
would best indicate that the patient is meeting the goal of improved body image and self-esteem?

1
 NURS 150Practical Nursing Theory 2
Week 4

a. The patient requests that her family bring her makeup and a wig.
b. The patient begins to discuss the future with her family.
c. The patient reports less disruption from pain and discomfort.
d. The patient cries openly when discussing her disease.

7. A nurse is teaching a community class about how to decrease the risk of cancer. Which food
should the nurse recommend?

a. Low-fat hot dogs.

b. Smoked ham.
c. Oranges.
d. Medium-rare steak.

8. While doing a health history, a client tells you that her mother, her grandmother, and her sister died
of breast cancer. The client wants to know what she can do to keep from getting cancer. What would be
your best response?

a. You can't prevent cancer, but you can have your blood analyzed for tumor
markers to see what your risk level is.
b. If you eat right, exercise, and get enough rest, you can always prevent breast
cancer.
c. With your family history, there is nothing you can do to prevent getting cancer.
d. Cancer often skips a generation, so don't worry about it.

9. A 53-year-old female client complains of unusual vaginal discharge and heavier, more painful
periods than usual. This clients symptoms may be possible warning signs of which type of cancer?

a. Cervical.
b. Lung.
c. Breast.
d. Colon.

10. A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment. The patient
asks the nurse what the most common side effect of chemotherapy is. What would be the best answer
the nurse could give?

a. Alopecia.
b. Nausea and vomiting.
c. Altered glucose metabolism.
d. Increased appetite.