Exam (elaborations) NUR 2392 / NUR2392 MDC 2 Exam 1 NCLEX Style Questions And Answers (NUR2392)
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Course
NUR 2392 / NUR2392 (NUR2392)
Institution
Rasmussen College
MDC 2 Exam 1 NCLEX Style Practice Questions Flashcards
A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a
chemotherapy-induced complication?
Urine output of 400 ml in 8 hours
Serum potassium level of 2.6 mEq/L
Blood pressure of 120/64 to 130/72 mm H...
A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a
chemotherapy-induced complication?
Urine output of 400 ml in 8 hours
Serum potassium level of 2.6 mEq/L
Blood pressure of 120/64 to 130/72 mm HgSodium level of 142 mEq/L, Serum potassium
level of 2.6 mEq/L
A client receiving external radiation to the left thorax to treat lung cancer has a nursing diagnosis
of Risk for impaired skin integrity. Which intervention should be part of this client's care plan?
Avoiding using soap on the irradiated areas Applying talcum powder to the irradiated areas daily
after bathing
Wearing a lead apron during direct contact with the client
Removing thoracic skin markings after each radiation treatment, Avoiding using soap on the
irradiated areas
A nurse is caring for a client who is receiving chemotherapy and has a platelet count of
30,000/mm3. Which statement by the client indicates a need for additional teaching?
"I floss my teeth every morning."
"I use an electric razor to shave."
"I take a stool softener every morning."
"I removed all the throw rugs from the house.", "I floss my teeth every morning."
A nurse is caring for a client receiving chemotherapy. Which assessment finding places the client
at the greatest risk for an infection?
White blood cell (WBC) count of 9,000 cells/mm3
Stage 3 pressure ulcer on the left heel
Temperature of 98.3° F (36.8° C)
Ate 75% of all meals during the day, Stage 3 pressure ulcer on the left heel
A client received chemotherapy 24 hours ago. Which precautions are necessary when caring for
the client?
Wear sterile gloves.
Place incontinence pads in the regular trash container.
Wear personal protective equipment when handling blood, body fluids, and feces.
Provide a urinal or bedpan to decrease the likelihood of soiling linens., Wear personal
protective equipment when handling blood, body fluids, and feces.
Palliation refers to
The spread of cancer cells from the primary tumor to distant sites.
Hair loss related to the treatment of cancer.
Relief of symptoms associated with disease and promotion of comfort and quality of life.
,The lowest point of white blood cell depression after therapy that has toxic effects on bone
marrow., Relief of symptoms associated with disease and promotion of comfort and quality
of life.
Which is a sign or symptom of septic shock?
Hypertension
Warm, moist skin
Altered mental status
Increased urine output, Altered mental status
A client is receiving radiation therapy and asks the nurse about oral hygiene. What teaching
specific to the client's situation should the nurse include?
Gargle after each meal.
Floss before going to bed.
Treat cavities immediately.
Use a soft toothbrush and allow it to air dry before storing., Use a soft toothbrush and allow it to
air dry before storing.
The nurse is providing client teaching for a client undergoing chemotherapy. What dietary
modifications should the nurse advise?
Eat wholesome meals.
Avoid spicy and fatty foods.
Avoid intake of fluids.
Eat warm or hot foods., Avoid spicy and fatty foods.
An oncology nurse is caring for a client who relates that certain tastes have changed. The client
states that "meat tastes bad." What nursing intervention can be used to increase protein intake for
a client with taste changes?
Stay away from protein beverages. Encourage maximum fluid intake.
Encourage eating cheese, eggs, and legumesSuck on hard candy during treatment.,
Encourage eating cheese, eggs, and legumes
You are a clinic nurse. One of your clients has found she is at high risk for breast cancer. She
asks you what can be done to reduce her risk. What is a means of reducing the risk for breast
cancer?
Palliative surgery
Prophylactic surgery
Curative surgery
Reduction surgery, Prophylactic surgery
Which oncologic emergency involves the accumulation of fluid in the pericardial space?
,What should the nurse tell a client who is about to begin chemotherapy and is anxious about hair
loss?
The client should consider getting a wig or cap prior to beginning treatment.
Alopecia related to chemotherapy is relatively uncommon.
The hair will grow back within 2 months post therapy. The client should consider getting a
wig or cap prior to beginning treatment.
The nurse working on a bone marrow unit knows that it is a priority to monitor which of the
following in a client who has just undergone a stem cell transplant?
Monitor the client's toilet patterns.
Monitor the client closely to prevent infection.
Monitor the client's physical condition.Monitor the client's heart rate., Monitor the client
closely to prevent infection.
The client is diagnosed with a benign brain tumor. Which of the following features of a benign
tumor is of most concern to the nurse?
Random, rapid growth of the tumor
Cells colonizing to distant body parts
Tumor pressure against normal tissues
Emission of abnormal proteins, Tumor pressure against normal tissues
A client with metastatic pancreatic cancer underwent surgery to remove a malignant tumor in the
pancreas. Despite the tumor being removed, the physician informs the client that chemotherapy
must be started. Why might the physician opt for chemotherapy?
To prevent metastasis
Angiogenesis
Stomatitis
Fatigue, To prevent metastasis
The nurse at the clinic explains to the patient that the surgeon will be removing a mole on the
patient's back that has the potential to develop into cancer. The nurse informs the patient that this
is what type of procedure?
Diagnostic
Palliative
Prophylactic
Reconstructive, Prophylactic
A nurse is caring for a client after a bone marrow transplant. What is the nurse's priority in caring
for the client?
Monitor the client's toilet patterns.
Monitor the client to prevent sepsis.
Monitor the client's physical condition.
Monitor the client's heart rate., Monitor the client to prevent sepsis.
, A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion
according to the TNM staging system as follows: Tis, N0, M0. What does this classification
mean?
No evidence of primary tumor, no abnormal regional lymph nodes, and no evidence of distant
metastasis
Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis
Can't assess tumor or regional lymph nodes and no evidence of metastasis
Carcinoma in situ, no demonstrable metastasis of the regional lymph nodes, and ascending
degrees of distant metastasis, Carcinoma in situ, no abnormal regional lymph nodes, and no
evidence of distant metastasis
A client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that
the client has developed stomatitis/mucositis?
White, cottage cheese-like patches on the tongue
Yellow tooth discoloration
Red, open sores on the oral mucosa
Rust-colored sputum, Red, open sores on the oral mucosa
For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include
which intervention in the care plan?
Administering aspirin if the temperature exceeds 102° F (38.8° C)
Inspecting the skin for petechiae once every shift
Providing for frequent rest periods
Placing the client in strict isolation, Inspecting the skin for petechiae once every shift
Which statement by a client undergoing external radiation therapy indicates the need for further
teaching?
"I'll wash my skin with mild soap and water only."
"I'll not use my heating pad during my treatment."
"I'll wear protective clothing when outside.""I'm worried I'll expose my family members to
radiation.", "I'm worried I'll expose my family members to radiation."
Which is a growth-based classification of tumors?
Sarcoma
Carcinoma
Malignancy
Leukemia, Malignancy
Which type of surgery is used in an attempt to relieve complications of cancer?
Palliative
Prophylactic
Reconstructive
Salvage, Palliative
A young female client has received chemotherapeutic medications and asks about any effects the
treatments will have related to her sexual health. The most appropriate statement by the nurse is
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