Nursing 3: Final Exam, Rasmussen-
FINAL – questions with answers
The nurse is giving a group presentation on cancer prevention and recognition. Which statement by
an older adult client indicates understanding of the nurse's instructions?
"Cigarette smoking always causes lung cancer."
"Taking multivitamins will prevent me from developing cancer."
"If I have only one shot of whiskey a day, I probably will not develop cancer."
"I need to report the pain going down my legs to my health care provider." - ** VERIFIED
ANSWERS **✔✔”I need to report the pain going down my legs to my health care provider."
The nurse is teaching a 47-year-old woman about recommended screening practices for breast
cancer. Which statement by the client indicates understanding of the nurse's instructions?
"My mother and grandmother had breast cancer, so I am at risk."
"I get a mammogram every 2 years since I turned 30."
"A clinical breast examination is performed every month since I turned 40."
"A computed tomography (CT) scan will be done every year after I turn 50." - ** VERIFIED
ANSWERS **✔✔”My mother and grandmother had breast cancer, so I am at risk."
A 72-year-old client recovering from lung cancer surgery asks the nurse to explain how she
developed cancer when she has never smoked. Which factor may explain the possible cause?
A diagnosis of diabetes treated with insulin and diet
An exercise regimen of jogging 3 miles four times a week
A history of cardiac disease
Advancing age - ** VERIFIED ANSWERS **✔✔Advancing age
,The nurse reviews the chart of a client admitted with a diagnosis of glioblastoma with a T1NXM0
classification. Which explanation does the nurse offer when the client asks what the terminology
means?
"Two lymph nodes are involved in this tumor of the glial cells, and another tumor is present."
"The brain tumor measures about 1 to 2 cm and shows no regional lymph nodes and no distant
metastasis."
"This type of tumor in the brain is small with some lymph node involvement; another tumor is
present somewhere else in your body."
"Glioma means this tumor is benign, so I will have to ask your health care provider the reason for
the chemotherapy and radiation." - ** VERIFIED ANSWERS **✔✔”The brain tumor measures
about 1 to 2 cm and shows no regional lymph nodes and no distant metastasis."
The nurse manager in a long-term care facility is developing a plan for primary and secondary
prevention of colorectal cancer. Which tasks associated with the screening plan will be delegated to
nursing assistants within the facility?
Testing of stool specimens for occult blood
Teaching about the importance of dietary fiber
Referring clients for colonoscopy procedures
Giving vitamin and mineral supplements - ** VERIFIED ANSWERS **✔✔Testing of stool
specimens for occult blood
The nurse presents a cancer prevention program to teens. Which instruction will have the greatest
impact in cancer prevention?
Avoid asbestos.
Wear sunscreen.
Get the human papilloma virus (HPV) vaccine.
Do not smoke cigarettes - ** VERIFIED ANSWERS **✔✔Do not smoke cigarettes
The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has which
symptom?
Vomiting
Back pain
,Frequent urination
Cyanosis of the toes - ** VERIFIED ANSWERS **✔✔Back pain
The nurse explains to a client that which risk factor of those listed most likely contributed to the
client's primary liver carcinoma?
Infection with hepatitis B virus
Consuming a diet high in animal fat
Exposure to radon
Familial polyposis - ** VERIFIED ANSWERS **✔✔Infection with hepatitis B virus
Which type of cancer has been associated with Down syndrome?
Breast cancer
Colorectal cancer
Malignant melanoma
Leukemia - ** VERIFIED ANSWERS **✔✔Leukemia
The nurse is assessing a client with lung cancer. Which symptom does the nurse anticipate finding?
Easy bruising
Dyspnea
Night sweats
Chest wound - ** VERIFIED ANSWERS **✔✔Dyspnea
Which activity performed by the community health nurse best reflects primary prevention of cancer?
Assisting women to obtain free mammograms
Teaching a class on cancer prevention
Encouraging long-term smokers to get a chest x-ray
Encouraging sexually active women to get annual Papanicolaou (Pap) smears - ** VERIFIED
ANSWERS **✔✔Teaching a class on cancer prevention
, A 52-year-old client relates to the nurse that she has never had a mammogram because she is
terrified that she will have cancer. Which response by the nurse is therapeutic?
"Don't worry, most lumps are discovered by women during breast self-examination."
"Does anyone in your family have breast cancer?"
"Finding a cancer in the early stages increases the chance for cure."
"Have you noticed a lump or thickening in your breast?" - ** VERIFIED ANSWERS **✔✔”Finding a
cancer in the early stages increases the chance for cure."
Which information must the organ transplant nurse emphasize before a client is discharged?
"Taking immunosuppressant medications increases your risk for cancer and the need for
screenings."
"You are at increased risk for cancer when you reach 60 years of age."
"Immunosuppressant medications will decrease your risk for developing cancers."
"After 6 months, you may stop immunosuppressant medications, and your risk for cancer will be
the same as that of the general population." - ** VERIFIED ANSWERS **✔✔”Taking
immunosuppressant medications increases your risk for cancer and the need for screenings."
The home health nurse is caring for a client who has a history of a kidney transplant and takes
cyclosporine (Sandimmune) and prednisone (Deltasone) to prevent rejection. Which assessment
finding is most important to communicate to the transplant team?
Temperature of 96.6° F
Reports of joint pain
Pink and dry oral mucosa
Palpable lump in the client's axilla - ** VERIFIED ANSWERS **✔✔Palpable lump in the client's
axilla
A client who is scheduled to undergo radiation for prostate cancer is admitted to the hospital by the
nurse. Which statement by the client is most important to communicate to the health care provider?
"I am allergic to iodine."
"My urinary stream is very weak."
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