, Test Bank For Nurse Practitioner Certification Exam Prep
6th Edition by Margaret A. Fitzgerald 9780803677128
Chapter 1-19 Complete Guide.
ANS: kA
Pacing kactivities kthroughout kthe kday kconserves kenergy, kand knursing kcare kshould
kbe kpaced kas kwell. kFatigue kis ka kcommon kside keffect kof kcancer kand ktreatment;
kand kwhile kadequate ksleep kis kimportant, kan kincrease kin kthe knumber kof khours
kslept kwill knot kresolve kthe kfatigue. kRestriction kof kvisitors kdoes knot kpromote khealthy
kcoping kand kcan kresult kin kfeelings kof kisolation. k- k3. kWhich kof kthe kfollowing kis kthe
kmost kappropriate kintervention kforkthe knurse kto kinclude kwhen kplanning kcare kfor ka
kpatient kexperiencing kfatigue kdue kto kchemotherapy?
a. Prioritization kand kadministration kof knursing kcare kthroughout kthe kday
b. Completing kall knursing kcare kin kthe kmorning kso kthe kpatient kcan krest kthe
kremainder kofkthe kday
c. Completing kall knursing kcare kin kthe kevening kwhen kthe kpatient kis kmore
krestedkd. kLimiting kvisitors, kthus kpromoting kthe kmaximal kamount kof khours
kfor ksleep
ANS: kD
The kearliest ksign kof kinfection kin kan kimmunosuppressed kpatient kcan kbe ka kmild
kfever. kMucositis, kconfusion, kand kdepression kare kpossible kclinical kmanifestations
kbut kare krepresentative kof kless klife-threatening kcomplications. k- k4. kThe knurse kis
kcaring kfor ka kpatient kwho kreceived ka krecent kbone kmarrow ktransplant. kThe knurse
kwould kmonitor kforkwhich kof kthe kfollowing kclinical kmanifestations kthat kcould kindicate
ka kpotentially klife- kthreatening ksituation?
a. kMucositis
kb.
kConfusion
kc.
kDepression
d. kMild ktemperature kelevation
ANS: kB
Primary kprevention kof kcancer kinvolves kavoidance kto kknown kcauses kof kcancer,
ksuch kas ksun kexposure. kSecondary kscreening kinvolves kphysical kand kdiagnostic
kexamination. k- k1.kWhich kof kthe kfollowing koptions kshould kthe knurse k incorporate
kinto kthe kplan kof k care kas ka kprimary kprevention kstrategy kfor kreduction kof kthe krisk
kfor kcancer?
,a. Yearly kmammography kfor kwomen kaged k40 kyears kand kolder
b. Using kskin kprotection kduring ksun kexposure kwhile kat kthe
kbeachkc. kColonoscopy kat kage k50 kand kevery k10 kyears kas
kfollow-up
d. kYearly kprostate-specific kantigen k(PSA) kand kdigital krectal kexam kfor kmen kaged
k50 kandkover
ANS: kA
Early kcolon kcancer kis koften kasymptomatic, kwith koccult kor kfrank kblood kin kthe kstool
kbeing kan kassessment kfinding kin ka kpatient kdiagnosed kwith kcolon kcancer. kIf kpain kis
kpresent, kit kis kusually klower kabdominal kcramping. kConstipation kand kdiarrhea kare
kmore kfrequent kfindings kthan knausea kor kascites. k - k2. kWhile kthe knurse kis kcollecting
ka khealth khistory kon ka kpatient kadmitted kfor kcolon kcancer, kwhich kof kthe kfollowing
kquestions kshould kthe knurse kaskkas ka kpriority?
a. k"Have kyou knoticed kany kblood kin kyour
kstool?"kb. k"Have kyou kbeen kexperiencing
knausea?"
c. k"Do kyou khave kback kpain?"
d. k"Have kyou knoticed kany kswelling kin kyour kabdomen?"
ANS: kD
Aging kis ka knon-modifiable krisk kfactor kfor kthe kdevelopment kof kcancer kwith kan
kassociated kincrease kseen kwith kaging. kIn kterms kof kgender kand kage, klifetime krisk
k is khigher kfor kmales kthan kfemales. kFamily khistory kof k co-morbidities ksuch kas
khypertension kis knot kdirectly kcorrelated kwith kcancer kdevelopment. kCigarette
ksmoking kas ka kteenager kfor kthe kpatient kiska krisk kfactor kbut kmay khave kmitigated
kimpact kat kthis kpoint kin ktime kbased kon kthe kpatient's kstated kage kand klength kof
k time kas ka knon-smoker. k- k5. kWhile kthe knurse kis kobtaining kthe khealth khistory kof ka
k75-year-old kfemale kpatient, kwhich kof kthe kfollowing khas kthe kgreatest kimplication
kfor kthe kdevelopment kof kcancer?
a. Being ka kwoman
b. Family khistory kof khypertension
c. Cigarette ksmoking kas ka
kteenagerkd. kAdvancing kage
ANS: kD
Common ksigns/symptoms kof klung kcancer kinclude kcoughing, khemoptysis, kand
kweight kloss, kshortness kof kbreath kand kchest kpain. kThe knurse kshould kexpect kto
ksee kweight k loss kand kaltered kbreathing kpatterns. kClear ksputum kand korthostatic
kblood kpressure kchangeskwould knot kbe kseen. k- k6. kIn kcaring kfor ka kpatient kadmitted
kwith klung kcancer, kwhich kof kthe kfollowing kshould kthe knurse kexpect kto kfind kon
kassessment?
a. No kuse kof kaccessory kmuscles kduring krespirations
b. Orthostatic khypotension kupon kchange kof
kpositioningkc. kClear ksputum
d. kWeight kloss kcompared kto klast kadmission
, ANS: kA
A kcomprehensive khealth khistory kis kvital kto k treating kand k caring kfor kthe kpatient.
k Often ktimes, ksymptoms kare kvague. kThe knurse kshould kconduct ka ksymptom
kanalysis kto kgather kaskmuch kinformation kas kpossible. kQuestions kshould kaddress kthe
kduration kof kthe ksymptoms kand kinclude
the klocation, kcharacteristics, kaggravating kand krelief kfactors, kand kany ktreatments
ktaken kthus kfar. k- k7. kA kfemale kpatient kcomplains kof ka k"scab kthat kjust kwon't kheal"
kunder kher kleft kbreast. kDuring kyour kconversation, kshe kalso kmentions kchronic
kfatigue, kloss kof kappetite, kand kslight kcough, kattributed kto kallergies. kWhat kis kthe
knurse's kbest kaction?
a. Continue kto kconduct ka ksymptom kanalysis kto kbetter kunderstand kthe kpatient's
ksymptomskand kconcerns.
b. End kthe kappointment kand ktell kthe kpatient kto kuse kskin kprotection kduring ksun
kexposure. kc. kSuggest kfurther ktesting kwith ka kcancer kspecialist kand kprovide kthe
kappropriate kliterature.kd. kTell kher kto kput ka kbandage kon kthe kscab kand kset ka kfollow-
up kappointment kin k1 kweek.
ANS: kB
A knurse kshould kbe kaware kof kpotential kcomplications krelative kto khormonal ktherapy
ksuch kaskthe kdevelopment kof kthrombus kformation. kMassaging ka kcalf kthat kis kswollen
kand kpainful kis knever kcorrect, kbecause kthis kaction kmight kbreak ka kclot, kcausing
kformation kof kan kembolus, kwhich kcould kthen ktravel kto kthe klungs. k - k8. kA kpatient
kwith kprostate kcancer kis ktaking khormonal ktherapy kto kcontrol ktumor kgrowth. kHe
kreports kthat khis kleft kcalf kis kswollen kand kpainful. kWhich kof kthe kfollowing kwould kbe
kthe knurse's kbest kaction?
a. Instruct kthe kpatient kto kkeep kthe kleg kelevated.
b. Measure kthe kcalf kcircumference kand kcompare kthe kmeasurement kwith kthe
kright kcalfkcircumference kmeasurement.
c. Apply kice kto kthe kcalf kafter ka k10-minute kmassage kof kthe karea.
d. Document kassessment kfindings kas kan kexpected kresponse kwith kestrogen ktherapy.
ANS: kA
Individuals kwith ka kfamily khistory kof kbreast kcancer k(especially k1st kdegree krelatives)
kare kat kincreased krisk kfor kdisease koccurrence. kThe knurse kshould kinform kthe kpatient
kof kthe koutcome kmeasures kof kthe kscreening kplan. kThe knurse kshould knot kdissuade
kthe kpatient kfrom kthe kprocess kbased kon kstating kthere kis kno kfamily khistory, kas kthere
kis kno kevidence kthatkan kadequate kfamily khistory khas kbeen kobtained. kSimilarly, kto
k correlate kthe kneed kfor kgenetic ktesting kwith kinsurance kand kno kimplied krisk kcannot
kbe kstated kequivocally.
Although kthe kdecision kis kup kto kthe kpatient kin kthe kfinal kanalysis, kthat kresponse
kdoes knot kaddress krelevant kinformation kabout kthe kpurpose kof kgenetic kscreening. k -
k9. kA kpatient kbeing kevaluated kfor kbreast kcancer kis knot kcertain kwhether kshe kand
kher kfamily kshould kparticipate kin ka kgenetic kscreening kplan ksince kno kone kcan
kguarantee kthe kresults. kWhat kiskthe knurse's kbest kresponse?
a. "If kyou khave ka kfamily khistory kof kbreast kcancer, kthe kchances kfor kyou kto khave
kthis ktype kofkcancer kincrease."
b. "The kdecision kis kup kto kyou kin kthe kfinal kanalysis."
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