A) A patient just diagnosed with cancer asks the RN, "How are my malignant cells different from my healthy

cells?" The RN's best response is: a. "Well, cancer cells have a high correlation to a person's hygiene." b. "Cancer cells proliferate abnormally, ignoring growth related signals." c. "Malignant cells are tumors but not cancerous and will not harm you." d. "Malignant cells are inflamed oral tissues." B) A student nurse who just finished patient teaching on benign tumors knows her teaching was effective when the patient states: a. "Benign tumors are cancerous tumors." b. "Malignant tumors are nothing to worry about." c. "Benign tumors do not spread by metastasis and malignant tumors gain access to blood and lymphatic channels." d. Malignant tumors do not spread by metastasis, and benign tumors gain access to blood and lymphatic channels." C). Cancer cells metastasize by the following modes: a. Through lymphatic spread, hematogenous spread and angiogenesis. b. Through sexual contact and intimacy. c. By sharing beverages chap stick with someone with cancer. d. Some cancers are metastasized by activating the angiotensive-aldosteron-renin cycle. D) During patient teaching a patient the RN should focus on which of the following: a. Family history b. Sun exposure c. Smoking cessation d. Military involvement E. How are neoplasms classified? a. By the type of the cell that the tumor it resembles, and is therefore presumes to be the origin of the tumor b. By color and their effect of erythrocytes c. Depending on the length of time of growth and its effect on patient's emotional status d. Its reaction to tumor specific antigen's which contain protein: CEA and PSA F. An SN explains to her RN the grade and stage of malignant cells, RN knows SN understands the material when SN states: a. Grading and staging depends on the blanching and/or skin break down of the bony prominences of the posterior side of body b. Grading refers to the classification of tumor cells. Grading systems seek to define where the tumor originated, its structure and behavior. Staging determines the size the existence of metastisis. c. Depends on the presence of protein TSA on the membrane of the cancer cell d. When a tumor reaches stage IV the patient is not a candidate for surgery.

G. An SN explains to the RN the TNM grading classification system. The RN understanding more teaching is needed if the SN states: a. N refers the lymph node involvement b. M refers to the extent of mestasis c. T refers to the type of cancer d. T refers to the time of cancer onset. H. RN is doing a physical assessment on patient with stage IV CA of the liver on chemo. RN notices patient presents with normal findings: a. Wt loss, anorexia, bleeding, pain, fatigue, indigestion, trouble swallowing, fever, cough, malaise b. Alopecia, weight gain, Increased H/H, Pupura, ecchymosis, ALOC c. Distended abdomen, LE edema, strong equal BIL pulses d. Increased urinary output, ascites, upper extremity edema, JVD I. Patient asks RN what are different ways to detect cancer. Select all that apply: a. PET scan b. Endoscopy c. X-ray d. Mamogram e. WBC count J. A patient demonstrates he understands the process of having a PET scan when he correctly states to the RN: a. He may need inhale or be injected with a radioactive substance. b. He needs to discontinue aspirin regimen at least 3 days prior to the PET scan. c. He may be sedated for the progress of the scan. d. He will need to fully empty his bladder prior to the PET scan. K. When the RN is teaching the client about surgery options, she correctly states: a. Surgery is the only way to treat cancer. b. Reconstructive surgery is also known as curative surgery. c. Prophylactic surgery involves biopsying an organ to see if cancer metastasized to that organ. d. Prophylactic surgery involves removing nonvital tissues or organs that are likely to develop cancer. L. The nurses role in the diagnostic phase of cancer care are all of the following EXCEPT: a. Help relieve the patients fear and anxiety by explaining tests and procedures so the patient will know what to expect. b. Encourage the patient and family to voice their fears about tests and possible results. c. Support the patient and family throughout the test process and reinforce and clarify any unclear information. d. Inform the patient and family of the results from the diagnostic tests.

M. The RN is correctly prepares the patient preoperatively when he/she: a. Prepares the PACU bed by providing clean linens and four pillows. b. Ensures there is a crash cart at the bedside in the operating room. c. RN completes a thorough pre-operative assessment for factors that may affect the patient (for example, coagulation disorders, allergies, any lab results that may effect post-op complications). d. Starts two medium bore IV access sites. N. The RN correctly assess the patient postoperatively when he/she: a. The patient receives ordered pain medication when they receive a 7 on the FLACC pain scale. b. The RN assess the patients LOC after the surgery and for possible complications (such as: infection, bleeding, wound dehiscence and fluid electrolyte imbalance.) c. The RN teaches the patient proper technique TCDB. d. The RN encourages the patient's use of community resources such as the American Cancer Society. O. The RN who is discharging, knows the patient and family understand discharge teaching when they correctly state: a. "We will immediately call the Physician if my temperature is 99.9." b. "I will be able to shower as much as I want when I get home." c. "I will take a stool softener in order to prevent straining when using the bathroom" d. "I can return to my bowling league with my new 20lb. ball tomorrow night." P. The patient tells the RN, "My physician said I might be a candidate for biotherapy." The patient asks the RN how biotherapy works. The RN's best response includes all of the following EXCEPT: a. Biotherapy involves the use of mice and antigens in order to see how its immune system responds. b. Biotherapy involves the use of biological response modifiers. c. Biotherapy uses cancer vaccines that may help your body fight the cancer and keep it from returning. d. Biotherapy is a treatment that uses the patient's own immune system to treat cancer.

U. The nurse understands that which of the following factors are priority in managing a patient undergoing chemotherapy? a. Monitoriting fluid and electrolyte status b. Applying warm compresses

c. Monitoring ABGs d. Monitoring blood glucose V. A nurse is assessing a male patient who is receiving his second administration of chemotherapy for prostate cancer. When obtaining the patients health history, what assessment finding would the nurse expect to observe related to chemotherapy side effects? a. Lack of sleep at night b. Fatigue c. Constipation d. Nausea and Vomiting W. A patient with cancer has pain that is increasing in severity. All of the following nursing interventions are necessary to manage the patients pain EXCEPT: a. Administer immediate-release medication such as oxycodone for breakthrough pain. b. Nonpharmacological interventions such as music for distraction c. Use of scheduled long-acting opoids around the clock d. Substitute Tylenol to avoid tolerance to the medications X. A nurse is educating a female patient on the risk factors related to the development of lung cancer. The patient demonstrates understanding when she states: SELECT ALL THAT APPLY: a. "Lung cancer is 10 times more common in cigarette smokers than nonsmokers." b. "Secondhand smoke increases my risk of lung cancer." c. "I need to eat more fruits and vegetables." d. "A chronic cough can cause lung cancer." AA. Pt with Lung CA scheduled for a Pneumonectomy needs further teaching when he states to RN: a. Im glad my lung will grow back after the procedure is done b. I will only have one lung left c. I will need to hold a pillow to my chest where the surgery is down when I cough d. When I wake up I will have a Chest tube drain attached to me

BB. RN performs the following when patient undergoing biopsy procedure (SELECT ALL THAT APPLY A. Informed consent B. Maintain patient NPO status C. Drink a full glass of water before D. Teach patient proper splinting, IS and TCDB to perform post-op

CC. RN knowsa pt with Lung Cancer isexperiencing SIADH when the patients lab values are: a. K 5.5 b. Na 130 c. Na 150 d. K 3.4 DD. The RN responsibilities when caring for a terminally ill patient with cancer are the following except a. b. c. d. Ensure pts family receives valet parking when visiting pt at the hospital Pain management Symptom management Giving patient autonomy and independence