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1. A nurse is caring for a client who has cancer. The client tells the nurse he does not want
any more chemotherapy treatments. Which of the following responses should the nurse
provide?

- I will inform your provider of your decision to discontinue the treatments

2. A nurse is planning postoperative education for a client who will undergo a radical neck
dissection for cancer of the larynx. The nurse should include which of the following
topics? (select all that apply)

- NPO status, alternative methods of communiation, changes in body image and

swallowing excericises

3. A nurse is caring for a client who has cancer and is experiencing pain. The nurse should
implement which of the following interventions to assist the client with pain relief?

- Encourage the client to listen to soft music

4. A nurse is providing teaching to a client who has cervical cancer and is scheduled to
receive brachytherapy at an ambulatory care clinic. Which of the following statements
by the client indicates an understanding of the teaching?

- I need to lie still in bed during my brachytherapy

5. You know it's just caring for a client who has lung cancer that has messed decided.
Which of the following findings indicates the client is developing superior vena cava
syndrome?

- Facial edema

6. A nurse is caring for her client who has had a left lower lobectomy to treat lung cancer.
Which of the following factors will have a significant impact on the plan of care for this
client?

- Lung cancer usually has metastasized before the client presents with symptoms

7. A nurse is providing teaching to a client who has cancer and is undergoing external
radiation treatment. Which of the following statements by the client indicates an
understanding of the teaching?

- I should use my hand instead of a washcloth to wash the area is being radiated

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8. A nurses came for a client who has end stage lung cancer. Which of the following client
statements should the nurse identify as an indication that the client is experiencing the
bargaining stage of kubler Ross stage of grief?

- I would give anything to live to see my grandchild born

9. A nurse is monitoring a client who has cancer and is receiving chemotherapy by

peripheral IV infusion. The client reports pain at the at the insertion site and the nurse
notes fluid leakage around the catheter. Which of the following actions should the nurse
take first?

- Stop the infusion

10. A nurse is providing discharge teaching to a client who is postoperative following a right
mastectomy for breast cancer. The client will be discharged with two Jackson Pratt
drains. Which of the following pieces of information should the nurse include in the
teaching?

- The draining tubes often are removed at the same time as the stitches

11. A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following intervention should the nurse include in the plan
of care?

- Change the collection pouch in the early morning

12. A nurse is caring for a child who has a diagnosis of terminal brain cancer the mother
states, “I feel numb, and I can't believe this is happening to us.” Which of the following
interventions by the nurse is first priority?

- Encouraged the family’s expression of their feelings

13. The nurse is providing teaching about a living will for a client who has end stage breast
cancer. Which of the following pieces of information should the nurse include in the
teaching?

- The client has the right to change their living will at any time

14. A nurse is caring for a client who has cancer and refuses visitors because of his
debilitated physical appearance. Which of the following comments should the nurse
make?

- Would you like to talk about how you feel?

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15. A nurse on an oncology unit receives report at the beginning of her shift about four
clients who are postoperative. Which of the following clients should the nurse see first?

- A client who is 2 days postoperative following a colectomy due to colorectal cancer

and has an ostomy bag full of bright red, bloody drainage

16. A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he would resume lower intensity activities of daily
living. Which of the following activities should the nurse recommend to the client?

- Washing dishes

17. A nurse is caring for an adolescent client who was recently diagnosed with testicular
cancer. When the nurse asked the client a question, he angrily spits in the nurse's face.
Which of the following responses should the nurse provide?

- You seem to be very upset

18. A nurse is reviewing the medical record of a client who has a prescription for a
combinational oral contraceptive. The nurse should identify that which of the following
findings is a contradiction to receiving this medication?

- Liver disease

19. A nurse is completing a history and physical assessment for a client who has chronic
pancreatitis. Which of the following findings should the nurse identify as a likely cause of
the client’s condition?

- Alcohol use

20. A nurse is teaching a group of clients about skin cancer. The nurse should explain that
basal cell carcinoma originates from which of the following tissues?

- Epidermis

21. A nurse is caring for a client who has just received a diagnosis of cancer. The client
states, “I just don't know what I'm going to do now.” Which of the following responses
should the nurse make?

- Can you explain the concerns you're having right now?

22. A nurse is caring for a client whose surgeon informed him postoperatively that he has a
minimizing malignant neoplasm in the colon. Which of the following statements by the

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client should the nurse identify as an indication that the client understands this
information?

- I have cancer of the colon that has begun to spread

23. A client who has stage two breast cancer asked the nurse about sites of metastasis for
this cancer. Which of the following responses should the nurse provide?

- Breast cancer tends to metastasize to the bones

24. A nurse is talking with a group of women at a Community Center about their current
recommendations for an early detection of breast cancer the nurse should explain which
of the following options?

- Begin annual mammograms at age 40

25. A client comes to the emergency department in severe respiratory distress following left
sided blunt chest trauma. The nurse notes absence breath sounds on the client's left
side and a tracheal shift to the right. For which of the following procedures should the
nurse prep the client?

- Chest tube insertion

26. And nurses caring for a client with a stage 4 ovarian cancer who has a stated to stop
treatment and enter Hospice care period which of the following ethical principles is the
nurses playing by supporting the client in her decision?

- Advocacy

27. A nurse is providing teaching to a client with cancer who is receiving external radiation
therapy which of the following statements by the client indicates an understanding of
the teaching?

- i need to protect the area from sunlight

28. A nurse is teaching a client about the prostate specific antigen (PSA test). Which of the
following directions should the nurse provide?

- You should not ejaculate for 24 hours prior to the PSA test

29. A nurse is performing a breast examination for a female client. Which of the following
techniques should the nurse use first?

- Inspect both breasts simultaneously

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30. A nurse is caring for a client who has regular occupational exposure to sunlight and
presents for evaluation of several skin lesions. Which of the following findings should
alert the nurse to the possibility of malignant Melanoma?

- An irregularly shaped brown lesion with light blue areas on the neck

31. A nurse is preparing to care for a group of clients after receiving change of shift report.
Which of the following clients should the nurse assess first?

- A client who has emphysema and reports dyspnea

32. A nurse is caring for a client who has terminal cancer. The client is proceeding with plans
to build a new home. The nurse identified that this behavior typically indicates which of
the following stages of grief?

- Denial

33. A nurse is planning care for a client who has a wound infection following abdominal
surgery. To promote healing and fight infection, which of the following vitamins and
minerals should the nurse plan to increase in the client's diet?

- vitamin C and zinc

34. A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The
nurse should ensure the client understands that she will receive which of the following
interventions?

- Radioactive infusions or insertions into or near the tumor

35. A charge nurse is observing a new licensed nurse provide care for a client who is
receiving internal radiation therapy for the treatment of cervical cancer. For which of the
following actions by the newly licensed nurse should the charge nurse intervene?

- Borrowing a dosimeter film badge from another nurse before entering the clients
room

36. A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the
following adverse effects should the nurse anticipate from the chemotherapy?

- Pancytopenia

37. A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the clients developing bladder cancer?

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- The client uses tobacco

38. A nurse is teaching a client who has persistent cancer pain about the adverse effects of
opioids. Which of the following statements should the nurse including the teaching?

- Physical dependence is not the same as addiction

39. A nurse is providing dietary teaching to a client who has diverticulitis about preventing
acute attacks. Which of the following foods should the nurse recommend?

- Foods high in fiber

40. A nurse is providing teaching to a client who is scheduled to start taking alendronate
sodium. Which of the following recommendations should the nurse include in the
teaching?

- Discontinue the medication if you develop a heartburn

41. A nurse and a medical surgical unit is caring for a client who is postoperative following a
hip replacement surgery. The client reports feeling apprehensive and restless. Which of
the following findings should the nurse recognize as indication of pulmonary embolism?

- Sudden onset of dyspnea

42. A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should
recognize that to moccasin is which of the following therapeutic effects?

- Anti-estrogenic

43. A nurse is caring for a client who is in the terminal stage of cancer. Which of the
following actions should the nurse take when she observes the client crying?

- Sit and hold the client's hand

44. A nurse is screening a client for skin cancer. When teaching the client about skin cancer
risk, which will find risk factors should the nurse include?

- Excessive exposure to ultraviolet light

45. A nurse is caring for a client who has a new diagnosis of terminal cancer. When the nurse
enters a room to set up the bath equipment, the client says, “I'm not an invalid, you
know. I can take care of myself. Get out and leave me alone.” Which of the following is
an appropriate response by the nurse?
- You seem upset. Let's talk about your concerns

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46. A client recently diagnosed with terminal cancer states to the nurse, “I wish I were dead.
I have no reason to live.” Which of the following responses should the nurse make?

- Have you been thinking about hurting yourself?

47. A nurse is caring for a postmenopausal client who is concerned that she might have an
elevated risk of breast cancer. After conducting a risk assessment, the nurse should
identify which of the following factors as increasing the clients breast cancer risk? Select
all that apply

- Increase breast density, BMI of 32, undergoing hormonal replacement therapy for 10
years

48. A nurse is caring for a client who has been recently diagnosed with cancer. The client
states, “I would rather be dead than go through the treatment of cancer.” Which of the
former responses should the nurse make?

- What concerns you about the cancer treatment

49. A nurse is caring for a client who has terminal pancreatic cancer. When the client states,
“it's devastating that I will not be here to see my child graduate,” the nurse identified the
client is in which of the following stages of grief as identified by kubler Ross?

- Depression

50. A nurse is preparing to administer Cisplatin IV to a client who has lung cancer. The inertia
identified that which of the following findings is an adverse effect of this medication?

- Tinnitus

51. A nurse is completing a medication history for a client who reports using fish oil as a
dietary supplement. Which of the following substances and fish oil should the nurse
recognize as a health benefit to the client?

- omega-3 fatty acids

52. A nurse is providing postoperative discharge teaching to a client following a

panhysterectomy for uterine cancer. Which of the following pieces of information should
the nurse include in the teaching?

- you might experience manifestations of menopause

53. A nurse is assessing a client who has cholecystitis. Which of the following findings should
the nurse expect?

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- Blumberg’s sign

54. A nurse in an oncology clinic is assessing a client who is undergoing treatment for
ovarian cancer. Which of the following statements by the client indicates she is
experiencing psychological distress?

- I keep having nightmares about my upcoming surgery

55. A nurse is reviewing the laboratory findings of a client who has chronic kidney disease.
The client reports significant persistent nausea and muscle weakness. Which of the
following findings should the nurse expect?

- Hyperkalemia

56. A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client
asks, “do you think the doctor was find cancer?” Which of the following responses
should the nurse make?

- It must be difficult for you to not know what the doctor will find

57. A home health nurse is caring for a client who has cancer and is using fentanyl
transdermal patch for pain control period which of the following actions should the
nurse take when caring for this client?

- Avoid using a heating pad on the area with the patch

58. A nurse is teaching the client how to perform a breast self-examination. The nurse
should identify which of the following finding as an indication of breast cancer?

- A nontender, hard lump that is palpated in a breast

59. A Hospice nurse is providing education about palliative care to the partner of a client
who has end stage liver cancer. Which of the following statements by the partner
indicates an understanding of teaching?

- I will continue to talk to him, even when he's sleeping

60. A nurse is teaching a group of young adult clients about health promotion techniques to
reduce the risk of skin cancer. Which of the following instructions should the nurse
include?
- Avoid exposure to the midday sun

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61. A nurse is caring for a client who is receiving radiation therapy for mouth cancer and
reports of dry mouth. Which of the following dietary recommendations should the nurse
provide?

- Use gravies or sauces to soften food

62. A nurse is caring for a group of clients on a medical surgical unit. Which of the following
disorders should the nurse identify as increasing the clients metabolic needs? Select all
that apply

- COPD, cancer, Parkinson's disease, and major burns

63. a nurse performing an admission assessment for a client who has colorectal cancer.
Which of the following amount of festination should the nurse expect to find?

- Abdominal cramps

64. A nurse is providing preoperative teaching to a client who has lung cancer and will
undergo a pneumonectomy. Which of the following statements should the nurse
include? Select all that apply

- You'll have a chest tube in place after surgery, will frequently help you turn cough
and breathe deeply after surgery, and we will give you oxygen to support your
breathing if you need it

65. a nurse is teaching a client who is premenopausal and has a prescription for a
combinational oral contraceptive period which of the following findings should the nurse
include as an adverse effect of oral contraception?

- Deep vein thrombosis

66. In nurses planning care for a client who has cancer and has developed
thrombocytopenia following chemotherapy. Which of the following precautions should
the nurse offer to minimize the adverse effects of thrombocytopenia?

- Remind the client to use an electrical razor

67. It can make to help nurse is teaching a group of clients about Melanoma. Which of the
following characteristics of lesions associated with Melanoma should the nurse including
the teaching?

- Irregular boarder

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68. A nurse is caring for a client who has testicular cancer and is experiencing peripheral
neuropathy as an adverse effect of chemotherapy. Which of the following manifestations
is an expected finding of peripheral neuropathy?

- Tingling of the hands and feet

69. A nurse is providing teaching to the partner of a client who has alcohol use border.
Which of the following statements by the partner indicates an understanding of the
teaching?

- Having six beers in two hours is considered too much

70. A nurse is teaching about secondary prevention actions for colorectal cancer for a health
fair for adults in the community. Which of the following topics should the nurse include?

- Importance of colonoscopy screening starting at age 50

71. A nurse is planning a presentation at a Community Center about risk factors for cancer.
Which of the following types of cancer should the nurse include when discussing familiar
clustering of specific types of cancer?

- Prostate

72. A nurse is planning an educational program for a group of young adults about reducing
the risk of cervical cancer. Which of the following interventions should the nurse
include?

- Get the HPV immunization

73. A nurse is planning a smoking cessation program for a woman of childbearing age.
Which of the following risk is associated with smoking during pregnancy?

- Infant developmental delays

74. A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any
further treatment. The nurse should provide care that facilitates which of the following
outcomes?

- Support self-determination

75. A school nurse is providing care to a student who is angry and states, my parents don't
know I'm gay so I can't visit my girlfriend in the hospital while she receives cancer
treatment. Which of the following forms of grief is the client experiencing?
- Disenfranchised grief

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76. A nurse is caring for a client who has fulminant hepatic failure. Which of the following
procedures should the nurse anticipate for this client?

- Liver transplant

77. The nurse is planning care for a client who has anorexia and nausea due to cancer
treatment. Which of the following interventions should the nurse include?

- limit drinking liquids with food

78. a nurse is caring for a client who has breast cancer period the client has been receiving
radiation therapy for several months and now refuses to undergo further treatment
period which of the following actions should the nurse take?

- Support the client’s decision

79. A nurse is planning a presentation for a group of older adults at a Community Center by
risk factors for cancer which of the following factors increases the risk of developing
cancer after age 60?

- Weakened immune responses

80. A nurse is caring for a client who has a new diagnosis of breast cancer. The client
becomes quiet and withdrawn and says to the nurse, what do you think people will say
about me when I'm gone? Which of the following responses should the nurse make?

- The thought of having cancer may seem hopeless

81. A nurse is collecting a clients health history. Which of the following findings is the
highest risk factor for the clients developing skin cancer?

- Overexposure to sunlight

82. A nurse is reviewing the medical record of a client who has postmenopausal
osteoporosis and a prescription for raloxifene. which of the fine findings in the client’s
medical record should the nurse identify as a contradiction to receiving this medication?

- DVT

83. A nurse is caring for a client who takes scheduled morphine for cancer pain. The client
reports experiencing breakthrough pain. The nurse should anticipate a prescription from
the provider for which of the following medications to treat breakthrough pain?

- Fentanyl

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84. A nurse is teaching in middle-aged female client about disease prevention and health
maintenance. Which of the following diagnostic tests should the nurse recommend as
part of the client’s routine health screening?

- Eye examination every 2 years

85. A nurse is caring for a client who has newly diagnosed with breast cancer that has
metastasized into the spine. The client refuses to discuss treatment options. The nurse
should identify the clients experience which of the following stages of Kubler Ross grief
theory?

- Denial

86. And nurses obtaining a client health history who has cancer of the cervix which of the
following manifestations should the nurse expect?

- Vaginal bleeding

87. A nurse and a provider's office is reviewing a client's medication history. The client asked
the nurse if she should begin taking high dose vitamins as she ages. Which of the
following pieces of information should the nurse provide about high doses of vitamin
supplements question marks

- High doses of water-soluble vitamins can have adverse effects

88. a nurse is collecting a health history from a female client who is undergoing a screening
for breast cancer which of the following factors increases the risk of developing breast
cancer

- Age over 50

89. A nurse is caring for a client who has a lesion on the back of his right hand. The client
asked the nurse which type of skin cancer is the most serious period which of the
following responses by the nurse is appropriate?

- Melanoma

90. A Hospice nurse is caring for a client who has cancer and is taking naproxen 250MG
three times daily PO and gabapentin 1800 MG three times daily PO to manage pain. The
client tells the nurse, I'm having pain that keeps me from doing what I like most of the
time. Which of the following additions should the nurse anticipate to the client’s medical
regiment?

- Oral oxycodone

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91. A nurse is teaching a client with Barrett’s esophagus who was scheduled to undergo an
esophagogastroduodenoscopy to pee which of the following statements should the
nurse include in the teaching?

- This procedure can determine how well the lower part of your esophagus works

92. A nurse is reviewing the laboratory results for a client who has a prescription for
filgrastim. An increase in which of the following values indicates a therapeutic effect of
this medication

- Neutrophilic count

93. A nurse is teaching a community group who lives near a nuclear power plant about
safety precautions related to radiation exposure. A client asked, isn't there something
we should have on hand in case of a nuclear disaster? The nurse should recognize that
the client is referring to which of the following substances

- Potassium iodide

94. A nurses came for a group of clients in a long-term care facility. The nurse should
understand that which of the following clients is eligible for Hospice services at this
time?

- A client who has end stage cirrhosis

95. Nurses in acute mental health facility is participating in a group therapy session during
which clients enact realistic situations to help process past events. Which of the
following types of group therapy is occurring?

- Psychodrama Drama group

96. A nurse is caring for a client who has cancer involving the lumbar vertebrate and has
been prescribed gabapentin. Which of the following therapeutic effects should the nurse
identify for the Cline when taking this medication?

- Reducing cramping aching and burning neuropathic pain

97. A nurse is caring for a female adult client who is experiencing menopause and has a
prescription for estrogen along with progesterone. The nurse should identified that the
provider has prescribed these medications from which of the following reasons?

- Short term use to control urogenital atrophy

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98. A nurses came for a client who's receiving radiation therapy for breast cancer and
reports of metallic taste in her mouth. Which of the following dietary recommendations
of the shared with the client?

- Offer mints

99. Nurses came for a client who has breast cancer and is receiving a combination of
chemotherapy medication. The client expresses confusion about the therapy which of
the following explains to the nurse provide

- The chemotherapy medications act at different stages of self division so more tumor
cells are destroyed

100. A nurse in a dermatology clinic is using the ABC D each method whilst creating
several skin lesions for skin cancer on a client. Which of the following findings should the
nurse report to the provider

- Color variation within a lesion

101. A nurse is caring for a client who has breast cancer and is scheduled for a
mastectomy. The client tells the nurse she is concerned about how her partner will react
to the procedure. Which of the following responses should the nurse make?

- Would you like me to have a member of a breast Cancer Support group visit you?

102. Preparing to administer Raloxifene to a client. Which of the following conditions

is a contradiction for the administration of this medication?

- Dvt

103. A charge nurse is planning an in-service training session about client advocacy
with a group of staff nurses. Which of the following situations should the nurse include
as an example of client advocacy? Select all that apply

- Not a find the provider when the client has questions about the procedure, helping a
client make a list of questions to ask the provider, clarifying the dose of a medication
prescribed for a client who has impaired liver function, and carrying out the end of
life wishes outlined in the living will of an older adult client who has end stage renal
disease

104. nursing and oncology clinic is assessing a client who has end stage Hodgkin’s
lymphoma which of the following findings should the nurse expect?

- Enlarged lymph nodes

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