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NURS 001 CRITICAL CARE NURSING MIDTERM EXAM 2022/2023(JUNE-AUGUST SESSION) (VERIFIED)

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NURS 001 CRITICAL CARE NURSING MIDTERM EXAM 2022/2023(JUNE-AUGUST SESSION) (VERIFIED) 1. Which of the following advice does the nurse offer clients who are undergoing unsealed radiation therapy to reduce exposure? A) Avoid drinking plenty of fluids. B) Avoid eating for 3 hours after therapy. C) Avoid applying skin moisturizers. D) Avoid kissing and sexual contact. Ans: D Feedback: Clients who are undergoing unsealed radiation therapy are advised to avoid kissing and sexual contact due to the spread of radioactivity. Clients are encouraged to drink plenty of fluids to help flush radioactive substances. Client may be asked to apply mild moisturizers and are not asked not to eat after the therapy. 2. The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a stem cell transplant? A) Monitor the client's toilet patterns. B) Monitor the client closely to prevent infection. C) Monitor the client's physical condition. D) Monitor the client's heart rate. Ans: B Feedback: Until transplanted stem cells begin to produce blood cells, these clients have no physiologic means to fight infection, which makes them very prone to infection. They are at high risk for dying from sepsis and bleeding before engraftment. Therefore, a nurse must closely monitor clients and take measures to prevent infection. Monitoring client's toilet patterns, physical condition, and heart rate does not prevent the possibility of the client getting an infection. 3. You are an oncology nurse caring for a client who is taking antineoplastic agents. What adverse symptoms must you monitor for in this client? A) Symptoms of gout B) Symptoms of hypertension C) Symptoms of diarrhea D) Symptoms of anemia Ans: A Feedback: The nurse monitors the client being administered an antineoplastic agent for symptoms of gout because they increase uric acid levels, joint pain, and edema. Administering antineoplastic agents does not cause hypertension, diarrhea, and anemia. 4. You are providing client teaching for a client undergoing chemotherapy. What dietary

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Institution
Critical Care Nursing
Course
Critical care nursing

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NURS 001 MIDTERM EXAM




NURS 001 CRITICAL CARE NURSING MIDTERM EXAM
2022/2023(JUNE-AUGUST SESSION) (VERIFIED)
1. Which of the following advice does the nurse offer clients who are undergoing unsealed
radiation therapy to reduce exposure?
A) Avoid drinking plenty of fluids.
B) Avoid eating for 3 hours after therapy.
C) Avoid applying skin moisturizers.
D) Avoid kissing and sexual contact.
Ans: D
Feedback:
Clients who are undergoing unsealed radiation therapy are advised to avoid kissing and
sexual contact due to the spread of radioactivity. Clients are encouraged to drink plenty
of fluids to help flush radioactive substances. Client may be asked to apply mild
moisturizers and are not asked not to eat after the therapy.


2. The nurse working on a bone marrow unit knows that it is a priority to monitor which of
the following in a client who has just undergone a stem cell transplant?
A) Monitor the client's toilet patterns.
B) Monitor the client closely to prevent infection.
C) Monitor the client's physical condition.
D) Monitor the client's heart rate.
Ans: B
Feedback:
Until transplanted stem cells begin to produce blood cells, these clients have no
physiologic means to fight infection, which makes them very prone to infection. They
are at high risk for dying from sepsis and bleeding before engraftment. Therefore, a
nurse must closely monitor clients and take measures to prevent infection. Monitoring
client's toilet patterns, physical condition, and heart rate does not prevent the possibility
of the client getting an infection.


3. You are an oncology nurse caring for a client who is taking antineoplastic agents. What
adverse symptoms must you monitor for in this client?
A) Symptoms of gout
B) Symptoms of hypertension
C) Symptoms of diarrhea
D) Symptoms of anemia
Ans: A
Feedback:
The nurse monitors the client being administered an antineoplastic agent for symptoms
of gout because they increase uric acid levels, joint pain, and edema. Administering
antineoplastic agents does not cause hypertension, diarrhea, and anemia.


4. You are providing client teaching for a client undergoing chemotherapy. What dietary
Page 1

, NURS 001 MIDTERM EXAM




modifications should you

A) Eat wholesome meals.
B) Avoid spicy and fatty foods.
C) Avoid intake of fluids.
D) Eat warm or hot foods.
Ans: B
Feedback:
The nurse advises a client undergoing chemotherapy to avoid hot and very cold liquids
and spicy and fatty foods. The nurse also encourages the client to have small meals and
appropriate fluid intake.


5. Cancer has many characteristics. What is one of the most discouraging characteristics of
cancer?
A) Large size
B) Carcinogenesis
C) Metastasis
D) Slow growth
Ans: C
Feedback:
Metastasis is one of cancer's most discouraging characteristics because even one
malignant cell can give rise to a metastatic lesion in a distant part of the body. Not all
cancerous tumors are large in size. Carcinogenesis is the process of malignant
transformation, and it is not a characteristic of cancer. Cancer grows rapidly, not slowly.


6. You are a public health nurse giving a talk on the warning signals of cancer to a local
community group. Which of the following are the warning signals of cancer? Select all
that apply.
A) Sores that don't heal
B) Unusual bleeding or discharge
C) Yellow discoloration of body area
D) Tenderness or pain
E) Persistent indigestion
Ans: A, B, E
Feedback:
Seven warning signals of cancer should be familiar to all: (1) a change in bowel habits
or bladder function, (2) sores that do not heal, (3) unusual bleeding or discharge, (4)
thickening or lump in breast or other body parts, (5) persistent indigestion or difficulty
swallowing, (6) a change in a wart or mole, and (7) a persistent nagging cough or
hoarseness.


7. Which of the following can be considered carcinogens?
A) Parasites
B) Medical procedures
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