Exam (elaborations)
MS3 FINAL COACHING QUESTIONS AND ANSWERS
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MS3 FINAL COACHING QUESTIONS AND ANSWERS
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MS3 FINAL COACHING QUESTIONS AND ANSWERSA client asks the nurse what PSA is. The nurse should reply that it stands for:
A. Prostate-specific antigen, which is used to screen for prostate cancer.
B. Protein serum antigen, which is used to determine protein levels.
C. Pneumococcal strep antigen, which is a bacteria that causes pneumonia
D. Papanicolaou-specific antigen, which is used to screen for cervical cancer. -
Answers- A. Prostate-specific antigen, which is used to screen for prostate cancer.
A school nurse is planning to give a class on testicular self- examination (TSE) at a local
high school. The nurse plans to include which of the following information on a written
handout to be given to the students?
A. Roll the testicle between the thumb and the forefinger
B. Perform the self- examination every other month
C. Perform the self - examination after a cold shower
D. Expect the self- examination to be slightly painful - Answers- A. Roll the testicle
between the thumb and the forefinger
A client is to receive doxorubicin (Adriamycin) as part of a chemotherapy protocol. The
major life-threatening side effect of Adriamycin that the nurse should assess the client
for is:
A. Cardiotoxicity
B. Pancytopenia
C. Pulmonary fibrosis
D. Ulcerative stomatitis - Answers- A. Cardiotoxicity
A client is receiving external radiation. Teaching concerning this treatment should
include
A. Hydrate the skin each day with lanolin based cream
B. Use a heating pad over the area if it becomes sore
C. Do not wash off any skin markings
D. Expose area to sunlight at least once each day - Answers- C. Do not wash off any
skin markings
A client is prescribed external radiation as part of his cancer treatment. Which of the
following should be included in this client's instructions?
1. Do not wash off the treatment marks.
2. Use an electric razor to shave the treatment area.
3. Wash the skin with soap and water.
4. Avoid applying heat or cold to the area.
,A. 3 and 4
B. 1, 2, 4
C. 1 and 2
D. All except 1 - Answers- B. 1, 2, 4
While a patient is receiving intravenous doxorubicin hydrochloride, the nurse observes
that there is swelling and pain at the IV site. The nurse should do all of the following
except:
A. Stop the administration of the drug immediately
B. Notify the patient's physician
C. Apply a cold compress to the site
D. Apply a warm compress to the site - Answers- C. Apply a cold compress to the site
A client receives a sealed radiation implant to treat cervical cancer. When caring for this
client, the nurse should:
A. Consider the client's urine, feces, and vomitus to be highly radioactive.
B. Consider the client to be radioactive for 10 days after implant removal
C. Allow soiled lines to remain in the room until after the client is discharged.
D. Maintain the client on complete bed rest with bathroom privileges only. - Answers- C.
Allow soiled lines to remain in the room until after the client is discharged.
The client with breast cancer is prescribed Tamoxifen (Nolvadex) 20 mg. daily. The
client states she does not like taking medicine and asks the nurse if the Tamoxifen is
really worth taking. The nurse's best response is which of the following?
A. "This drug is part of your chemotherapy program"
B. "This drug has been found to decrease metastatic breast cancer"
C. "This drug will act as an estrogen in your breast tissue"
D. "This drug will prevent hot flashes since you cannot take hormone replacement" -
Answers- B. "This drug has been found to decrease metastatic breast cancer"
A nurse is caring for a patient with prostate cancer, all but one are signs of prostate
cancer?
A. Rectal pain
B. Urinary incontinence
C. Hematuria
D. Low back pain - Answers- B. Urinary incontinence
A nurse is teaching at a health fair about the early warning signs of cancer. Which of the
following are early warning signs?
1. A sore that does not heal
,2. Change in bladder or bowel habits
3. Family history
4. Unusual discharge
5. Obvious change in nevus
A. 1, 2, and 4
B. All except 3
C. All except 5
D. All of the above - Answers- B. All except 3
For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should
include which intervention in the plan of care?
A. Administering aspirin if the temperature exceeds 102°F (38.8°C)
B. Inspecting the skin of petechiae once every shift
C. Providing for frequent rest periods
D. Placing the client in strict isolation - Answers- B. Inspecting the skin of petechiae
once every shift
A patient tells Nurse Hannah that he has heard that certain foods can increase the
incidence of cancer. Nurse Hannah suggests to the patient that the following food
selections can increase the incidence of cancer except:
A. Tinapa and green beans
B. Grilled liempo and grilled talong
C. Steamed tilapia and steamed vegetable
D. Tocino, onions, and mixed vegetables - Answers- C. Steamed tilapia and steamed
vegetable
The nurse is speaking to a group of women about early detection of breast cancer. The
average age of the women in the group is 47. Following the American Cancer Society
guidelines, the nurse should recommend that the women:
A. Perform breast self-examination annually
B. Have a mammogram annually
C. Have a hormonal receptor assay annually
D. Have a physician conduct a clinical examination every 2 years - Answers- B. Have a
mammogram annually
The nurse is teaching a client who suspects that she has a lump in her breast. The
nurse instructs the client that a diagnosis of breast cancer is confirmed by:
A. Breast self-examination
B. Mammography
C. Fine needle aspiration
D. Chest X-ray - Answers- C. Fine needle aspiration
, A client is receiving chemotherapy to treat breast cancer. Which assessment finding
indicates a fluid and electrolyte imbalance induced by chemotherapy?
A. Urine output of 400 ml in 8 hours
B. Serum potassium level of 3.6 mEq/L
C. Blood pressure of 120/64 to 130/72 mm Hg
D. Dry oral mucous membranes and cracked lips - Answers- D. Dry oral mucous
membranes and cracked lips
The nurse observes a staff member caring for a client with a left unilateral mastectomy.
The nurse would intervene if she notices the staff member is
A. Advising client to restrict sodium intake
B. Taking the blood pressure in the left arm
C. Elevating her left arm above heart level
D. Compressing the drainage device - Answers- B. Taking the blood pressure in the left
arm
Methotrexate is classified as an antimetabolite. When teaching the parents about how
this medication works, the nurse includes the following information
A. It lowers uric acid concentration, which occurs after chemotherapy and radiation.
B. It interferes with folic acid metabolism, which is essential for synthesis of
nucleoproteins required by rapidly dividing cells
C. It suppresses the bone marrow that produces the formed elements of the blood.
D. It decreases the level of amino acid necessary for tumor growth - Answers- B. It
interferes with folic acid metabolism, which is essential for synthesis of nucleoproteins
required by rapidly dividing cells
A client with testicular cancer asks the nurse, "Which is the most common type of
cancer in men?" The nurse replies that it's prostate cancer. Which type of cancer
causes the most deaths in men?
A. Prostate cancer
B. Lung cancer
C. Breast cancer
D. Colon cancer - Answers- B. Lung cancer
A women loses most of her hair as a result of cancer chemotherapy. The nurse
understands that which of the following is true about alopecia?
A. New hair will be gray
B. Avoid use of wigs
C. The hair loss is temporary
D. Pre- chemo hair will return - Answers- C. The hair loss is temporary
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