c The nurse is preparing a community presentation on the prevention of cancer.

Which of the following

should be included as a primary risk factor for developing laryngeal cancer?
a.) chronic allergy
b.) chewing tobacco
c.) exposure to airborne environmental toxins
d.) smoking

c
Which of the following signs and symptoms would the nurse include in a teaching plan as an early
warning sign of laryngeal cancer?

a.) dysphagia
b.) hoarseness
c.) airway obstruction
d.) stomatitis

c
A client has just turned from post-anesthesia care unit (PICU) after undergoing a laryngectomy. Which
of the following interventions should the nurse include in the plan of care?

a.) maintain the head of the bed at 30 to 40 degrees

b.) teach the client how to use esophageal speech
c.) initiate small feedings of soft foods
d.) irrigate drainage tunes as needed

c
Which of the following areas is a priority to evaluate when completing discharge planning for a client
who has had a lobectomy for treatment of lung cancer?

a. the support available to assist the client at home

b) the distance of the client lives from the hospital
c) the client's ability to do home blood pressure monitoring
d) the client's knowledge of the causes of lung cancer

c The factor that would have little influence in predisposing an individual to cancer of the larynx would be:

a) air pollution
b) poor dental hygiene
c) heavy alcohol consumption
d) chronic respiratory disease

c A nurse is instructing a client in how to perform a testicular self-examination (TSE). The nurse tells the
client:

a) to examine the testicles while lying down

b) that the best time for the examination is after a shower
c) to gently feel the testicle with one finger to feel for a growth
d) that testicular exams should be done at least every 6 months

c A community nurse is conducting a health promotion program at a local school and is discussing the risk
factors associated with cancer. Which of the following, if identified by a student as a risk factor, indicates a
need for further instructions
a) viral factors
b) stress
c) low-fat and high-fiber diets
d) exposure to radiations

ãc A client with cancer is receiving chemotherapy and develops thrombocytopenia. A nurse identifies which
interventions as the highest priority in the nursing plan of care?

a) ambulation three times daily

b) monitoring temperature
c) monitoring the platelet count
d) monitoring for pathological fractures

c a nurse is monitoring the laboratory results of a client preparing to receive chemotherapy. The nurse
would determine that the white blood cell (WBC) count is normal if which of the following results were
present?

a) 3000 to 8000
b) 4000 10,000
c) 7000 to 15,000
d) 2000 to 5000

 c
A community health nurse is instructing a group of female clients about breast self- examination (BSE).
The nurse would instruct the clients to perform the exam:

a) at the onset on menstruation

b) one week after menstruation begins
c) every month during ovulation
d) weekly at the same time of day

c
A nurse is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the
following in the care of this client?

a) removal of antiembolism stockings twice a day

b) assisting with range-of-motion leg exercises
c) elevating the knee gatch on the bed
d) checking placement of pneumatic compression boots

 c
A client is diagnosed as having a bowel tumor. Several diagnostic tests are prescribed. A nurse
understands that which of the following test will confirm the diagnosis of malignancy?

a) magnetic resonance imaging (MRI)

b) computerized tomography (CT) scan
c) abdominal ultrasound
d) biopsy of the tumor

c
A client is diagnosed with multiple myeloma. The client asks a nurse about the diagnosis. The nurse
bases the response on which of the following descriptions of this disorder?

a) malignant exacerbation in the number of leukocytes

b) altered red blood cell production
c) altered production of lymph nodes
d) malignant proliferation of plasma cells and tumors within the bone

c A nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the
following would the nurse expect to specifically note in this disorder?

a) decreased number of plasma cells in the bone marrow

b) increased white blood cells
c) increased calcium level
d) decreased blood urea and nitrogen (BUN)

c A nurse is developing a plan of care for a client with multiple myeloma. The nurse includes which
priority intervention in the plan of care?

a) coughing and deep breathing

b) forcing fluids
c) monitoring the red blood cell count
d) providing frequent oral care

c A client is receiving external radiation to the neck for cancer of the larynx. The most likely side effect to
be expected is:

a) constipation
b) dyspnea
c) sore throat
d) diarrhea

c
A cervical radiation implant is placed in a client for treatment of cervical cancer. A nurse initiates what
most appropriate activity order for this client?

a) out of bed in a chair only

b) ambulate to the bathroom only
c) bed rest
d) out of bed ad lib

ãc
A client hospitalized for insertion of an internal cervical radiation implant. While giving care, a nurse
finds the radiation implant in the bed. The initial reaction by the nurse is to:

a) call the physician

b) pickup the implant with gloved hands and flush it down the toilet
c) reinsert the implant into the vagina immediately
d) pick up the implant with long-handled forceps and place it in a lead container

c
A nurse is caring for a client experiencing hematologic toxicity as a result of chemotherapy. The nurse
develops a plan of care for the client. The nurse plans to:

a) restrict all visitors

b) restrict fluid intake
c) insert an indwelling catheter to prevent skin down
d) restrict fresh fruits and vegetables in the diet
 c A nurse is reviewing the laboratory results of a client receiving chemotherapy. The platelet count is
10,000/mm3. On the basis of this laboratory value, the priority nursing assessment is which of the
following?

a) assess level of consciousness

b) assess temperature
c) assess bowel sounds
d) assess skin turgor

 

1.) D ..... 2.) B ..... 3.) A .....4.) a ..... 5) b



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11) c .... 12) d .... 13) d .... 14) c .... 15) b



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