After change-of-shift report on the oncology unit, which patient should the nurse assess
first?
A. Patient who has a platelet count of 82,000/µL after chemotherapy
B. Patient who has xerostomia after receiving head and neck radiation
C. Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
D. Patient who is worried about getting the prescribed long-acting opioid on time -
Answer C. Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
A hospitalized patient who has received chemotherapy for leukemia develops
neutropenia. Which observation by the nurse would indicate a need for further
teaching?
A. The patient ambulates around the room.
B. The patient's visitors bring in fresh peaches.
C. The patient cleans with a warm washcloth after having a stool.
D. The patient uses soap and shampoo to shower every other day. - Answer B. The
patient's visitors bring in fresh peaches.
A patient who has severe pain associated with terminal pancreatic cancer is being
cared for at home by family members. Which finding by the nurse indicates that teaching
regarding pain management has been effective?
A. The patient uses the ordered opioid pain medication whenever the pain is greater
than 5 (0 to 10 scale).
B. The patient agrees to take the medications by the IV route in order to improve
analgesic effectiveness.
C. The patient takes opioids around the clock on a regular schedule and uses additional
doses when breakthrough pain occurs.
D. The patient states that nonopioid analgesics may be used when the maximal dose of
the opioid is reached without adequate pain relief. - Answer C. The patient takes opioids
around the clock on a regular schedule and uses additional doses when breakthrough
pain occurs.
,A patient who is scheduled for a breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
A. "Benign tumors do not cause damage to other tissues."
B. "Benign tumors are likely to recur in the same location."
C. "Malignant tumors may spread to other tissues or organs."
D. "Malignant cells reproduce more rapidly than normal cells." - Answer C. "Malignant
tumors may spread to other tissues or organs."
The nurse at the clinic is interviewing a 64-yr-old woman who is 5 feet, 3 inches tall and
weighs 125 lb (57 kg). The patient has not seen a health care provider for 20 years. She
walks 5 miles most days and has a glass of wine two or three times a week. Which topics
will the nurse plan to include in patient teaching about cancer screening and decreasing
cancer risk (select all that apply)?
A. Pap testing
B. Tobacco use
C. Sunscreen use
D. Mammography
E. Colorectal screening - Answer A, C, D, E
The nurse reviews the laboratory results of a patient who is receiving chemotherapy.
Which laboratory result is most important to report to the health care provider?
A. Hematocrit 30%
B. Platelets 95,000/µL
C. Hemoglobin 10 g/L
D. White blood cells (WBC) 2700/µL - Answer D. White blood cells (WBC) 2700/µL
The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet
choices. Which snack choice by the patient indicates that the teaching has been
effective?
A. Lime sherbert
B. Blueberry yogurt
C. Fresh strawberries
D. Cream cheese bagel - Answer B. Blueberry yogurt
A nurse is providing community education on the warning signs of cancer. Which signs
, are included? Select all that apply.
A. A sore that does not heal
B. Unusual bleeding; changes in menstrual patterns
C. Indigestion or trouble swallowing
D. Near-daily abdominal pain
E. Obvious change in a mole - Answer A, B, C, E
A patient is put on twice-daily acetaminophen (Tylenol) for osteoarthritis. What finding in
the patient's health history would lead the nurse to consult with the provider over the
choice of medication?
A. 25-pack year smoking history
B. Drinking 3 to 5 beers a day
C. Previous peptic ulcer
D. Taking warfarin (Coumadin) - Answer B. Drinking 3 to 5 beers a day
A faculty member explains the concepts of addiction, tolerance and dependence to
students Which information is accurate? Select all that apply.
A. Addiction is a chronic physiologic disease process.
B. Physical dependence and addiction are the same thing.
C. Pseudoaddiction can result in withdrawal symptoms.
D. Tolerance is a normal response to regular opioid use.
E. Tolerance is said to occur when opioid effects decrease. - Answer A, B, C, D, E
A nurse is assessing pain on a confused older patient who has difficulty with verbal
expression. What pain assessment tool would the nurse choose for this assessment?
A. Numeric rating scale
B. erbal Descriptor Scale
C. FACES Pain Scale
D. Pasero - Answer C. FACES Pain Scale
A nurse is preparing to give a patient ketorolac (Toradol) intravenously for pain. Which
assessment finding would lead the nurse to consult with the provider?
A. Bilateral lung crackles
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