1. A client’s cancer is staged by the TNM classification as T1, N3, M1. What is the nurse’s
interpretation of this classification?
2. The nurse is planning a cancer education event in an Asian community center. The nurse plans to
present information specifically on which types of cancer?
...
NURS 202 FINAL EXAM-study guide (updated 11-15-2014) 2014-2015
NURS 202 FINAL EXAM 2014/2015
QUESTIONS ONLY
Smartprep Examinations
1. A client’s cancer is staged by the TNM classification as T1, N3, M1. What is the nurse’s
interpretation of this classification?
2. The nurse is planning a cancer education event in an Asian community center. The nurse plans to
present information specifically on which types of cancer?
3. The nurse is interested in primary prevention for cancer. Which activity does the nurse most likely
participate in?
4. A client who has just had a mastectomy is crying. When the nurse asks about her crying, the client
responds, “I know I shouldn’t cry because this surgery may well save my life.” What is the nurse’s
best response?
5. A client is on chemotherapy and has a platelet count of 25,000. Which intervention is most
important to teach this client?
, NURS 202 FINAL EXAM-study guide (updated 11-15-2014) 2014-2015
6. The student nurse overhears several staff members referring to a client who is receiving
chemotherapy as having “chemo brain.” The student asks the instructor what that means. Which
response by the instructor is best?
7. A nurse manager on an oncology nursing unit notes an increased incidence of infection and serious
consequences for clients on the unit. Which action by the nursing manager is most beneficial in this
situation?
, NURS 202 FINAL EXAM-study guide (updated 11-15-2014) 2014-2015
8. A client with advanced cancer is being treated with intravenous mithramycin (Mithracin). Which
clinical manifestation indicates that the treatment is effective?
9. A client has late-stage colon cancer with metastasis to the spine and bones. Which nursing
intervention does the nurse add to the care plan to address a priority problem?
10. The nurse notes that each time the mechanical ventilator delivers a breath to a client with acute
respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the
nurse’s best intervention?
11. The nurse is caring for several clients on the respiratory floor. Which client does the nurse assess
most carefully for the development of acute respiratory distress syndrome (ARDS)?
12. The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who is receiving
mechanical ventilation and positive end-expiratory pressure (PEEP). The alarm sounds, indicating
decreased pressure in the system. What is the nurse’s best action?
13. The nurse is caring for a client who has been intubated and placed on a ventilator for treatment of
acute respiratory distress syndrome (ARDS). Aside from assessing oxygenation, what is the nurse’s
priority action?
14. The nurse is caring for a client who is intubated with an endotracheal tube and on a mechanical
ventilator. The client is able to make sounds. What is the nurse’s first action?
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