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2024 ONCOLOGY I HURST CONTENT POST TEST EXAM WITH CORRECT ANSWERS
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2024 ONCOLOGY I HURST CONTENT POST TEST EXAM WITH CORRECT ANSWERS
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2024 ONCOLOGY I HURSTCONTENT POST TEST EXAM WITH
CORRECT ANSWERS
The nurse is educating a group of college students about cancer prevention
and screening. Which secondary prevention actions should the nurse
include?
Select All That Apply
1. Annual mamogram starting at age 40.
2. Maintain normal body weight.
3. Cancer support group.
4. Colonoscopy beginning at age 50.
5. Limit or eliminate alcohol intake. - CORRECT-ANSWERS1, 4
Rationale
1., & 4. Correct: Secondary prevention includes screenings to pick up on
cancer early. Screening is very important because then we have a greater
chance for cure or control. Annual mamogram starting at age 40 with two
views of each breast is recommended if the client has no family history of
breast cancer. Colonoscopy at age 50, then every 10 years after that if there
has been no problem is also recommended.
2. Incorrect: Maintaining a normal body weight is considered primary
prevention (ways to help prevent the actual occurrence of cancer).
3. Incorrect: Support groups and rehabilitation programs are considered
tertiary prevention (focuses on the management of long term care for clients
with complex treatments for cancer).
5. Incorrect: Limiting or eliminating alcohol intake is considered primary
prevention.
The nurse is preparing a class on cancer prevention. Which risk factor should
the nurse discuss with the class as being a preventable risk factor?
Select All That Apply
1. Smoking tobacco
2. Drinking alcohol
3. Eating a high fiber diet
4. Increasing fish consumption
5. Protect skin from sunlight by using tanning beds - CORRECT-ANSWERS1, 2
Rationale
, 1., & 2. Correct: Tobacco is the #1 cause of preventable cancer. Alcohol plus
tobacco are co-carcinogenic.
3. Incorrect: A low fiber diet is bad. You don't have much motility in your
intestines, so you are retaining carcinogens longer.
4. Incorrect: Increasing fish consumption is a good thing. You want to avoid
increased red meat consumption and animal fat.
5. Incorrect: Tanning beds are just as bad as exposure to sunlight. Both
cause exposure to ultra-violet radiation.
A client is scheduled to be admitted to the surgical unit post total
laryngectomy. What nursing intervention should the nurse include in the plan
of care?
Select All That Apply
1. Position left-side lying, supine.
2. Place on clear liquid diet after peristalsis returns.
3. Monitor tracheostomy for pulsations with heart beat.
4. Provide mouth care every 2 hours.
5. Maintain a humidified environment. - CORRECT-ANSWERS3, 4, 5
Rationale
3.,4., & 5. Correct: If a client's trach is pulsating with the heartbeat, you need
to notify the primary healthcare provider immediately, as this could lead to
rupture of the innominate artery. Frequent mouth care will decrease the
bacterial count in the mouth. We are trying to prevent pneumonia. When
breathing in and out through a trach, the client will not be able to warm,
filter, and humidify the air. The air is really dry, so it irritates the trach. That
is why when the client first gets the trach it has a lot of secretions. A
humidified environment will help.
1. Incorrect: Where is the surgery? At the neck. Swelling! So place mid-
fowlers, head of bed 35-45 degrees.
2. Incorrect: Peristalsis can disrupt the suture line. NG tube feedings will be
provided to protect the suture line.
The nurse is preparing discharge teaching instructions for a client post right
radical mastectomy with reconstruction. What instruction should the nurse
include?
Select All That Apply
1. Squeeze tennis ball with right hand every 2-4 hours while awake.
2. No blood pressure readings in right arm for one year.
3. Wear gloves when gardening.
4. Wear your watch on the left wrist.
5. Brush your hair with your left hand until pain free. - CORRECT-ANSWERS1,
3, 4
Rationale
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