Nsg 3463 Exam QUESTIONS WITH CORRECT ANSWERS 2024/2025 A+
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Course
Nsg 3463
Institution
Nsg 3463
Nsg 3463 Exam QUESTIONS WITH CORRECT
ANSWERS 2024/2025 A+
Chapter 21 cancer development.
1.
The nurse is giving a group presentation on cancer prevention and recognition. Which statement by an
older adult client indicates understanding of the nurse's instructions?
A "Cigarette smoking always ...
Nsg 3463 Exam QUESTIONS WITH CORRECT
ANSWERS 2023/2024 A+
Chapter 21 cancer development.
1.
The nurse is giving a group presentation on cancer prevention and recognition. Which statement by an
older adult client indicates understanding of the nurse's instructions?
A "Cigarette smoking always causes lung cancer."
B "Taking multivitamins will prevent me from developing cancer."
C "If I have only one shot of whiskey a day, I probably will not develop cancer."
D "I need to report the pain going down my legs to my health care provider."
ANS: D
Pain in the back of the legs could indicate prostate cancer in an older man. Cigarette smoking is
implicated in causing lung cancer and other types of cancer, but it does not always cause cancer.
Investigation is ongoing about the efficacy of vitamins A and C in cancer prevention. Limiting alcohol to
one drink per day is only one preventive measure.
2.
The nurse is teaching a 47-year-old woman about recommended screening practices for breast cancer.
Which statement by the client indicates understanding of the nurse's instructions?
A "My mother and grandmother had breast cancer, so I am at risk."
B "I get a mammogram every 2 years since I turned 30."
C "A clinical breast examination is performed every month since I turned
40." D "A computed tomography (CT) scan will be done every year after I
turn 50." ANS: A
A strong family history of breast cancer indicates a risk for breast cancer. Annual rather than biannual
screening may be indicated for a strong family history. An annual mammogram is performed after age
40 or in younger clients with a strong family history. The client may perform a self-breast examination
monthly; a clinical examination by a health care provider is indicated annually. Annual CT breast scans
after age 50 are not a current recommendation.
3.
A 72-year-old client recovering from lung cancer surgery asks the nurse to explain how she developed
cancer when she has never smoked. Which factor may explain the possible cause?
A A diagnosis of diabetes treated with insulin and diet
B An exercise regimen of jogging 3 miles four times a week
C A history of cardiac disease
A++
D Advancing age
, Nsg 3463 Exam QUESTIONS WITH CORRECT
ANSWERS 2023/2024 A+
ANS: D
Advancing age is the single most important risk factor for cancer. As a person ages, immune protection
decreases. Diabetes is not known to cause lung cancer. Regular exercise is not a risk factor for lung
cancer, nor does having cardiac disease predispose a person to lung cancer.
4.
The nurse reviews the chart of a client admitted with a diagnosis of glioblastoma with a T1NXM0
classification. Which explanation does the nurse offer when the client asks what the terminology
means?
A "Two lymph nodes are involved in this tumor of the glial cells, and another tumor is present."
B "The brain tumor measures about 1 to 2 cm and shows no regional lymph nodes and no distant
metastasis."
C "This type of tumor in the brain is small with some lymph node involvement; another tumor is present
somewhere else in your body."
D "Glioma means this tumor is benign, so I will have to ask your health care provider the reason for the
chemotherapy and radiation."
ANS: B
T1 means that the tumor is increasing in size to about 2 cm, and that no regional lymph nodes are
present in the brain. M0 means that no distant metastasis has occurred. NX means that no regional
lymph nodes can be assessed. A glioma is a benign tumor of the brain, but the client is diagnosed with a
glioblastoma, which means a malignant tumor of the glial cells of the brain.
5.
The nurse manager in a long-term care facility is developing a plan for primary and secondary
prevention of colorectal cancer. Which tasks associated with the screening plan will be delegated to
nursing assistants within the facility?
A Testing of stool specimens for occult blood
B Teaching about the importance of dietary
fiber C Referring clients for colonoscopy
procedures
D Giving vitamin and mineral
supplements ANS: A
Testing of stool specimens for occult blood is done according to a standardized protocol and can be
delegated to nursing assistants. Client education is within the scope of practice of the RN, not of the
LPN or nursing assistant. Referral for further care is best performed by the RN. Administration of
medications is beyond the nursing assistant's scope of practice and should be done by licensed nursing
personnel.
6.
A++
, Nsg 3463 Exam QUESTIONS WITH CORRECT
ANSWERS 2023/2024 A+
The nurse presents a cancer prevention program to teens. Which instruction will have the greatest
impact in cancer prevention?
A Avoid asbestos.
B Wear
sunscreen.
C Get the human papilloma virus (HPV)
vaccine. D Do not smoke cigarettes.
ANS: D
All of these actions are part of cancer prevention; however, tobacco is the single most important source
of preventable carcinogenesis. Asbestos may be found in older homes and buildings. Most schools have
been through an asbestos abatement program so should not pose a risk. It would be important to share
with teens who may be involved in the construction industry during the summer to be aware of
asbestos risks. Although asbestos may present a risk for lung cancer, it is not a likely exposure for teens.
Lifetime exposure to the sun and the use of tanning beds will increase the risk for cancer, but not as
much as tobacco use. The HPV vaccine will decrease the risk for cervical cancer, but will not have as
much of an impact on cancer prevention as avoiding tobacco.
7.
The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has which
symptom?
A Vomiting
B Back pain
C Frequent urination
D Cyanosis of the toes
ANS: B
Typical sites of breast cancer metastasis include bone (manifested by back pain), lung, liver, and brain.
Signs of metastasis to the spine may include numbness, pain, paresthesias and tingling, and loss of bowel
and bladder control, but not vomiting. Although frequent urination may be a sign of bladder cancer,
incontinence is more indicative of spinal metastasis. Cyanosis of the toes indicates decreased tissue
perfusion, often related to atherosclerotic disease.
8.
The nurse explains to a client that which risk factor of those listed most likely contributed to the client's
primary liver carcinoma?
A Infection with hepatitis B virus
B Consuming a diet high in animal
A++
fat C Exposure to radon
, Nsg 3463 Exam QUESTIONS WITH CORRECT
ANSWERS 2023/2024 A+
D Familial polyposis
ANS: A
Hepatitis B and C are risk factors for primary liver cancer. Alcohol abuse is also a risk factor for the
development of liver cancer. Consuming a diet high in animal fat may predispose a person to colon or
breast cancer. Exposure to radon is a risk factor for lung cancer. Familial polyposis is a risk factor for
colorectal cancer.
9.
Which type of cancer has been associated with Down syndrome?
A Breast cancer
B Colorectal cancer
C Malignant melanoma
D Leukemia
ANS: D
Leukemia is associated with Down syndrome and Turner syndrome. Breast cancer is often found
clustered in families, not in association with Down syndrome. Colorectal cancer is associated with
familial polyposis. Malignant melanoma is associated with familial clustering and sun exposure.
10.
The nurse is assessing a client with lung cancer. Which symptom does the nurse anticipate
finding? A Easy bruising
B Dyspnea
C Night sweats
D Chest
wound ANS: B
Dyspnea is a sign of lung cancer, as are cough, hoarseness, shortness of breath, bloody sputum, arm or
chest pain, and dysphagia. Easy bruising is a nonspecific finding. Night sweats is a symptom of the
lymphomas. A chest wound is not specific to lung cancer.
11.
Which activity performed by the community health nurse best reflects primary prevention of cancer?
A Assisting women to obtain free mammograms
B Teaching a class on cancer prevention
C Encouraging long-term smokers to get a chest x-ray
A++
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