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Gastric & Colon Cancer NCLEX - AHII Test
1 Exam Questions And Answers 100% Pass
" A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative
period, the
nurse notes bloody drainage from the nasogastric tube. Which of the following is the appropriate
nursing intervention?"
"a) notify the physician
b) measure abdominal girth
c) irrigate the nasogastric tube
d) continue to monitor the drainage (CORRECT)" - answer✔d) continue to monitor the drainage
(CORRECT)"Following gastrectomy, drainage from the nasogastric tube is normally bloody for
24 hours postoperatively, changes to brown-tinged, and is then to yellow or clear. Because
bloody drainage is expected in the immediate postoperative period, the nurse should continue to
monitor the drainage. The nurse does not need to notify the physician at this time. Measuring
abdominal girth is performed to detect the development of distention. Following gastrectomy, a
nasogastric tube should not be irrigated unless there are specific physician orders to do so.
"1. While being prepared for a biopsy, the patient asks the nurse what the difference is between a
benign tumor and a malignant tumor. The nurse explains that a benign tumor differs from a
malignant tumor in that benign tumors
"a. do not cause damage to adjacent tissue.
b. do not spread to other tissues and organs.
c. are simply an overgrowth of normal cells.
d. frequently recur in the same site." - answer✔b. do not spread to other tissues and organs. The
major difference between benign and malignant tumors is that malignant tumors invade adjacent
tissues and spread to distant tissues and benign tumors never metastasize. Both types of tumors
may cause damage to adjacent tissues. The cells differ from normal in both benign and malignant
tumors. Benign tumors usually do not recur.
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"11. The nurse is interviewing a male client about his past medical history. Which preexisting
condition may lead the nurse to suspect that a client has colorectal cancer?
"a. Duodenal ulcers
b. Hemorrhoids
c. Weight gain
d. Polyps" - answer✔Answer D. Colorectal polyps are common with colon cancer. Duodenal
ulcers and hemorrhoids aren't preexisting conditions of colorectal cancer. Weight loss — not
gain — is an indication of colorectal cancer.
"74. The community nurse is conducting a health promotion program and the topic of the
discussion relates to the risk factors for gastric cancer. Which risk factor, if identified by a client,
indicates a need for further discussion?
"a) smoking
b) a high-fat diet
c) foods containing nitrates
d) a diet of smoked, highly salted, and spiced food" - answer✔b) a high-fat diet - A high-fat diet
plays a role in the development of cancer of the pancreas. Options A, C, and D are risk
factorsrelated to gastric cancer.
"75. A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative
period, the nurse notes bloody drainage from the nasogastric tube. Which of the following is the
appropriate nursing intervention?
"a) notify the physician
b) measure abdominal girth
c) irrigate the nasogastric tube
d) continue to monitor the drainage - answer✔D)Following gastrectomy, drainage from the
nasogastric tube is normally bloody for 24 hours postoperatively, changes to brown-tinged, and
is then to yellow or clear. Because bloody drainage is expected in the immediate postoperative
period, the nurse should continue to monitor the drainage. The nurse does not need to notify the
physician at this time. Measuring abdominal girth is performed to detect the development of
distention. Following gastrectomy, a nasogastric tube should not be irrigated unless there are
specific physician orders to do so.
"A client has been diagnosed with colon cancer of the rectum. While
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completing the preoperative checklist the client asks the nurse "Where
will my stoma be?" The nurse's best response is
A. right upper quadrant. B. left upper quadrant C. right lower quadrant D. left lower quadrant -
answer✔D) LLQ"Rationale: A client with cancer of the rectum will
have an abdominoperineal resection. The anal canal will be closed and a
stoma will be formed from the proximal sigmoid colon in the left lower
quadrant of the abdomen. The other 3 answers are in correlation with earlier sections of the colon
which is further from the rectum"
A client undergoes a colonoscopy for colorectal cancer screening. During the procedure three
small polyps were removed. Which nursing procedures are necessary when caring for the client
immediately after the colonoscopy? "A. Monitor vital signs and inform her that there may be a
small amount of blood in her stool.
B. Observe for signs and symptoms of bowel perforation, monitor vital signs, and inform her that
there may be a small amount of blood in her stool and to report excessive blood loss.
C. Observe for signs and symptoms of bowel perforation, monitor vital signs, and inform her to
follow a clear liquid diet.
D. Monitor vital signs and inform her that there may be a small amount of blood in her stool, and
tell her not to drive for two days." - answer✔1. B - Rationale: After a colonoscopy the nurse
should observe the patient closely for signs of bowel perforation (rectal bleeding, abdominal pain
and distention, malaise, fever, and mucopurulent drainage). Vital signs should be monitored until
stable. Due to the polyp removal, there may be some blood, but excessive bleeding is not
expected and must be reported. As well as monitoring vital signs and instructing the patient that
a small amount of blood may be present, it is very important to educate and instruct to report
excessive blood loss. The patient may resume a normal diet but is instructed to increase fluid
intake due to fluids lost through laxatives and the NPO period. The patient should not drive for
several hours after the procedure, until effects of any sedatives have worn off.
A client with cancer of the colon who is receiving chemotherapy tells a nurse that some foods on
the metal tray taste bitter. The nurse would try ti limit which of the following foods that is most
likely to cause this taste for the client? "a) cantaloupe
b) potatoes
c) beef
d) custard" - answer✔beef: meat is perceived as bitter by clients with cancer
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"A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The
nurse identifies which intervention as the highest priority in nursing plan of care?
"a) Monitoring temperature
b) Ambulation three times daily
c) Monitoring the platelet count
d) Monitoring for pathological fractures" - answer✔Monitoring the PLT count"Answer: C
Thrombocytopenia indicates a decrease in the number of platelets in the circulating blood. A
major concern is monitoring for the preventing bleeding. Option A elates to monitoring for
infection, particularly if leukopenia is present. Option B & D, although important in the plan of
care, are not related directly to thrombocytopenia."
A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at
any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the
client to expect: "a. hair loss.
b. stomatitis.
c. fatigue.
d. vomiting. - answer✔Answer C. Radiation therapy may cause fatigue, skin toxicities, and
anorexia regardless of the treatment site. Hair loss, stomatitis, and vomiting are site-specific, not
generalized, adverse effects of radiation therapy.
"A gastrectomy is performed on a client with gastric cancer. Int he immediate postoperative
period, the nurse notes bloody drainage from the nasogastric tube. Which of the following is the
appropriate nursing intervention.
"1. Notify the physician
2. Measure the abdominal girth
3. Irrigate the nasogastric tube
4. Continue to monitor the drainage - answer✔4. Continue to monitor the drainage Following
gastrectomy, drainage from the nasogastric tube is normally bloody for 24 hours postoperatively,
changes to brown-tinged, and is then to yellow or clear. Because bloody drainage is expected in
the immediate post-operative period, the nurse should continue to monitor the drainage. The
nurse does not need to notify the physician at this time. Measuring abdominal girth is performed
to detect the development of distention. Following gastrectomy, a nasogastric tube should not be
irrigated unless there are specific physician perscriptions to do so.
