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Nursing 202 Exam 2 Questions
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Nursing 202 Exam 2 Questions Nursing 202 Exam 2 Questions Nursing 202 Exam 2 Questions
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Nursing 202 Exam 2 QuestionsA nurse is assessing a client with a family history of cancer. Which finding requires immediate follow-
up?
A. The client has gained 10 lb (4.5 kg) over the past year.
B. The client reports knee pain upon rising.
C. The client reports a feeling of a lump in the throat.
D. The client has a blood pressure of 135/80 mmHg and a pulse rate of 70 beats/minute. - verified
answer C. The client reports a feeling of a lump in the throat.
The sensation of a lump in the throat is one of the warning signs of esophageal cancer and requires
immediate follow-up. Other symptoms of esophageal cancer include dysphagia, substernal pain,
regurgitation of undigested food, foul breath, and hiccups. A weight gain of 10 lb in a year, a blood
pressure of 135/80 mmHg, and a pulse rate of 70 beats/minute are normal findings. Although the
nurse should ultimately investigate the complaint of pain in the knees upon rising, this finding isn't
the priority at this time.
A client, age 42, visits the gynecologist. After examining the client, the healthcare provider suspects
cervical cancer. What will be most important for the nurse to include in assessing the client's health
history?
A. the onset of sexual activity
B. smoking history
C. diet and exercise
D. history of human papillomavirus infection - verified answer D. history of human
papillomavirus infection
The nurse would assess for risk factors associated with cervical cancer. The most important risk
factor for cervical cancer is human papillomavirus infection. The onset of sexual activity may
indirectly increase the risk of cervical cancer. Smoking is a risk factor for cervical cancer but not the
most important one. Diet and exercise are not important risk factors for cervical cancer.
A client who is receiving chemotherapy expresses concern at the thought of losing hair on the head.
The nurse's best response is:
,A. "Don't worry about your hair loss. A good wig can disguise that."
B. "No one knows how long it will take your hair to grow back. You'll have to learn to cope with its
loss."
C. "A little hair loss shouldn't concern you. You have more serious things to worry about."
D. "Your hair loss will be temporary. Would you like to tell me about your concerns?" - verified
answer D. "Your hair loss will be temporary. Would you like to tell me about your concerns?"
Alopecia, which can occur with the administration of some chemotherapeutic agents, is
psychologically disturbing for many clients even though the loss is temporary. Clients should be
reassured that their hair will grow back. The nurse should encourage the client to discuss any
concerns and should explore the various options available to the client (e.g., caps, wigs, scarves,
turbans).
Telling the client not to worry about hair loss or that there are more serious worries trivializes the
client's concerns. Telling the client to learn to cope with hair loss conveys negativity and harsh
judgment and is likely to demoralize the client.
A client with a modified radical mastectomy is being discharged. The client has been very reluctant
to discuss the surgery or her situation. The nurse making assignments should delegate the client's
care to the:
A. unlicensed assistive personnel (UAP) because the client is stable and being discharged.
B. same nurse who has cared for her the past 3 days, for continuity of care.
C. nurse in orientation who needs experience in discharge instructions.
D. nurse with the most bed baths, because this client will not need a bath. - verified answer B.
same nurse who has cared for her the past 3 days, for continuity of care.
Continuity of care is crucial for this client to feel more comfortable about asking questions and
discussing her care at home. A UAP does not have the educational preparation (registered nursing
license) to provide discharge instructions. It is not appropriate to assign this client to a nurse in
orientation or one who needs assistance; the priority need is continuity of care.
Which outcome is expected of a nursing referral to a cancer support group? The client can:
A. choose the best treatment options.
,B. find financial help.
C. obtain home health care.
D. cope with cancer. - verified answer D. cope with cancer.
Support groups are designed to educate clients and their families experiencing cancer about the
disease and methods of coping positively with it. These are self-help and support groups monitored
by professionals and cancer survivors who have undergone a training course that helps them to
facilitate small groups.
The family of an older adult with terminal cancer asks about having hospice services. What should
the nurse tell the family?
Hospice care:
A. focuses only on the needs of the client.
B. can only be provided in the inpatient setting.
C. is staffed exclusively by professional health care workers.
D. focuses on supportive care for the client and family. - verified answer D. focuses on
supportive care for the client and family.
Hospice care focuses on supportive care for the client and family. Care for the family may continue
throughout the bereavement period. Hospice care involves care of the client at home as well as in an
inpatient setting. Although professional care is provided in hospice, family members, volunteers, and
unlicensed nursing personnel (UAP) also participate in the care of the client.
The nurse teaches the client with chronic cancer pain about optimal pain control. Which
recommendation is most effective for pain control?
A. Get used to some pain, and use a little less medication than needed to keep from being addicted.
B. Take prescribed analgesics on an around-the-clock schedule to prevent recurrent pain.
C. Take analgesics only when pain returns.
D. Take enough analgesics around the clock so that you can sleep 12 to 16 hours a day to block the
pain. - verified answer B. Take prescribed analgesics on an around-the-clock schedule to prevent
recurrent pain.
, The regular administration of analgesics provides a consistent serum level of medication, which can
help prevent breakthrough pain. Therefore, taking the prescribed analgesics on a regular schedule is
the best way to manage chronic cancer-related pain. There is little risk for the client with cancer-
related pain to become addicted. Sleeping 12 to 16 hours a day would not allow the client to
participate in usual daily activities or preferred activities.
Which strategy will be most effective in improving transcultural communications with oncology
clients and their families?
A. Use touch to show concern and caring for the client.
B. Focus attention on verbal communication skills only.
C. Establish a rapport and listen to their concerns.
D. Maintain eye contact at all times. - verified answer C. Establish a rapport and listen to their
concerns.
It is important to establish rapport with the client and family by listening to verbal and nonverbal
concern and showing respect for cultural differences. The use of touch or eye contact is culture-
specific and cannot be generalized as an intervention for all individuals with cancer.
Miscommunication between individuals of different cultures is often caused by language differences,
rules of communication, age, and gender.
he nurse is teaching the client who is receiving chemotherapy and the family how to manage
possible nausea and vomiting at home. What information should the nurse include in the teaching
plan?
A. Eating frequent, small meals.
B. Include soft foods in the diet.
C. Drink a milkshake made with fruit every day.
D. Limit the amount of fluid intake. - verified answer A. Eating frequent, small meals.
To reduce the adverse effects of chemotherapy such as nausea and vomiting, the nurse can suggest
that the client eat small meals more frequently, which will be better tolerated while maintaining
adequate nutrition. It is not necessary to eat soft food or milkshakes blended with fruit. Fluid intake
should be encouraged to avoid dehydration.
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