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Nursing Fundamentals and Assessment Exam 1 Questions With Complete Solutions
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Nursing Fundamentals and Assessment Exam 1 QuestionsWith Complete Solutions
(Cellular Regulation Interactive Review)
A patient with breast cancer asks the nurse why 6 weeks of daily
radiation treatments is necessary. What is the nurse's best
response?
A) "Your cancer is widespread and requires more than the usual
amount of radiation treatment."
B) "The cost of larger doses of radiation for a shorter period of
time is justified by the results."
C) "Research has shown more cancer cells are killed if the
radiation is given in smaller doses over a longer period of time."
D) "It is less likely your hair will fall out or you will become
anemic if radiation is given in smaller doses over a longer period
of time." Correct Answer "Research has shown more cancer
cells are killed if the radiation is given in smaller doses over a
longer period of time."
Rationale: smaller doses of radiation over a longer period of
time provide plenty of opportunity to target the cancer cells
while hopefully minimizing the potential damage to normal
tissues and cells
(Cellular Regulation Interactive Review)
Upon entering the room, the nurse finds the patient, who has just
had a mastectomy, crying. When the nurse asks about her
crying, the patient states, "I know I shouldn't cry because this
surgery may well save my life." What is the nurse's best
response?
,A) "It is okay to cry; mourning the loss of your breast is
important for getting past this."
B) "I know this is hard, but chances of survival are greatly
improved now."
C) "Would you like to talk to someone who also has had a
mastectomy?"
D) "How have you coped with difficult situations in the past?"
Correct Answer "It is okay to cry; mourning the loss of your
breast is important for getting past this."
Rationale: Mouring or grieving for a perceived body image is a
perfectly healthy response to adapting to your new image. All
other options don't really address the PATIENTS feelings about
the loss of her breasts.
(Cellular Regulation Interactive Review)
What priority intervention will the nurse employ to prevent
injury to the patient with bone cancer?
A) Using a lift sheet when repositioning the patient
B) Positioning the patient so the heels do not touch the mattress
C) Providing small, frequent meals rich in calcium and
phosphorus
D) Applying pressure for a full 5 minutes after intramuscular
injections Correct Answer Using a lift sheet when repositioning
the patient
Rationale: bone destruction resulting from bone cancer can
cause fractures when moving the patient by their extremities or
trunk during repositioning. A lift sheet will evenly distribute the
patient's weight.
,(Cellular Regulation Interactive Review)
Which findings during a female breast examination should the
nurse report as suspicious for breast cancer?
A) Multiple nodules of round, lumpy, tender tissue in both
breasts
B) A single soft, mobile, lobular nodule that is nontender
C) A poorly defined, firm lump that is nontender and
nonmovable
D) A single soft lump that is well-defined and tender Correct
Answer A poorly defined, firm lump that is nontender and
nonmovable
Rationale: a poorly defined, firm lump that is fixed to the skin
and non-moveable is a characteristic of breast cancer. All of the
other choices are associated with benign tumors (not capable of
metastasis)
(Cellular Regulation Interactive Review)
Which statement is important to include in the teaching for a
patient who has received an injection of iodine-131?
A) "Do not share a toilet with anyone else for 3 days."
B) "You need to save all your urine for the next 7 days."
C) "No special precautions are needed, because this is a weak
type of radiation."
D) "You need to avoid contact with everyone except family
members until the radiation device is removed." Correct
Answer "Do not share a toilet with anyone else for 3 days."
Rationale: Iodine-131 is a radioactive isotope that can
potentially stay radioactive for days after injection. Isolation
from sharing a toilet with others is to maintain safety for family
, members until the remaining isotope has been completely
removed and is non-radioactive. The other options are either
unnecessary or wrong.
(Collaboration Interactive Review)
A nurse working in a free clinic has recognized the need for
health promotion for pregnant teenagers. The nurse works to
develop a consortium of healthcare experts from several
disciplines across the region to work toward improving the
nutrition of pregnant teenagers. This is an example of what type
of collaboration?
A) Nurse-patient collaboration
B) Nurse-nurse collaboration
C) Interprofessional collaboration
D) Interorganizational collaboration Correct Answer
Interorganizational Collaboration
Rationale: Collaboration of healthcare experts throughout the
region is considered interorganizational collaboration.
(Collaboration Interactive Review)
During a new nurse' orientation to the unit, a nurse explains why
collaboration is valued. Which outcome is a key patient care
outcome that occurs when collaboration is correctly used?
A) Governmental accrediting agencies give more favorable
reviews to the agency.
B) There are fewer errors that occur in patient care.
C) Agencies can offer higher salaries due to the cross-training of
staff.
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