NURS 426- Final Exam Questions and Correct Answers
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Course
NUR 426
Institution
NUR 426
The nurse is teaching a wellness class to a group of women at their workplace. Which findings represent the highest risk for developing cancer? A. Body mass index of 35 kg/m2 and smoking cigarettes for 20 years B. Family history of colorectal cancer and consumes a high-fiber diet C. Limits fat cons...
NURS 426- Final Exam Questions and
Correct Answers
The nurse is teaching a wellness class to a group of women at their workplace. Which
findings represent the highest risk for developing cancer?
A. Body mass index of 35 kg/m2 and smoking cigarettes for 20 years
B. Family history of colorectal cancer and consumes a high-fiber diet
C. Limits fat consumption and has regular mammography and Pap screenings
D. Exercises five times every week and does not consume alcoholic beverages ✅A.
Body mass index of 35 kg/m2 and smoking cigarettes for 20 years
The nurse is caring for a patient suffering from anorexia secondary to chemotherapy.
Which strategy would be most appropriate to increase the patient's nutritional intake?
A. Increase intake of liquids at mealtime to stimulate the appetite.
B. Serve three large meals per day plus snacks between each meal.
C. Avoid the use of liquid protein supplements to encourage eating at mealtimes.
D. Add items such as skim milk powder, cheese, honey, or peanut butter to selected
foods. ✅D. Add items such as skim milk powder, cheese, honey, or peanut butter to
selected foods.
Which nursing diagnosis is most appropriate for a patient experiencing
myelosuppression secondary to chemotherapy for cancer treatment?
A. Acute pain
B. Hypothermia
C. Powerlessness
D. Risk for infection ✅D. Risk for infection
Previous administrations of chemotherapy agents to a cancer patient have resulted in
diarrhea. Which dietary modification should the nurse recommend?
A. A bland, low-fiber diet
B. A high-protein, high-calorie diet
C. A diet high in fresh fruits and vegetables
D. A diet emphasizing whole and organic foods ✅A. A bland, low-fiber diet
A 33-yr-old patient has recently been diagnosed with stage II cervical cancer. Which
statement by the nurse best explains the diagnosis?
A. "The cancer is found at the point of origin only."
B. "Tumor cells have been identified in the cervical region."
C. "The cancer has been identified in the cervix and the liver."
D. "Your cancer was identified in the cervix and has limited local spread." ✅D. "Your
cancer was identified in the cervix and has limited local spread."
, Which statement by the nurse most facilitates patient cancer prevention during the
promotion stage of cancer development?
A. "Exercise every day for 30 minutes."
B. "Follow smoking cessation recommendations."
C. "Following a vitamin regime is highly recommended."
D. "I recommend excision of the cancer as soon as possible." ✅B. "Follow smoking
cessation recommendations."
The patient is told that her adenoma tumor is not encapsulated but has normally
differentiated cells and surgery will be needed. The patient asks the nurse what this
means. What should the nurse tell the patient?
A. It will recur.
B. It has metastasized.
C. It is probably benign.
D. It is probably malignant. ✅C. It is probably benign.
The laboratory reports that the cells from the patient's tumor biopsy are grade II. What
should the nurse know about this histologic grading?
A. Cells are abnormal and moderately differentiated.
B. Cells are very abnormal and poorly differentiated.
C. Cells are immature, primitive, and undifferentiated.
D. Cells differ slightly from normal cells and are well-differentiated. ✅A. Cells are
abnormal and moderately differentiated.
A female patient is having chemotherapy for brain metastasis. She is concerned about
how she will look when she loses her hair. What is the best response by the nurse to
this patient?
A. "When your hair grows back, it will be patchy."
B. "Don't use your curling iron, and that will slow down the loss."
C. "You can get a wig now to match your hair so you will not look different."
D. "You should contact "Look Good, Feel Better" to figure out what to do about this."
✅C. "You can get a wig now to match your hair so you will not look different."
Which patient is statistically and medically at the highest risk of developing cancer?
A. A 68-yr-old white woman who has BRCA-1 gene and is obese
B. A 56-yr-old African American man with hepatitis C who drinks alcohol daily
C. An 18-yr-old Hispanic man who eats fast food once per week and drink alcohol
D. An 80-yr-old Asian woman with coronary artery disease on blood pressure
medication. ✅B. A 56-yr-old African American man with hepatitis C who drinks alcohol
daily
The patient and his family are upset that the patient is going through procedures to
diagnose cancer. What nursing actions should the nurse use first to facilitate their
coping with this situation (select all that apply.)?
A. Maintain hope.
B. Exhibit a caring attitude.
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