NUR 108 Cancer
1. A nurse who is teaching smoking cessation to a group of healthy adult smokers is
participating in what type of prevention activity?
A. Primary
B. Secondary
C. Tertiary
D. Non specific
Answer
A. Primary
2. The nurse teaches the client with chronic cancer pain about optimal pain control. Which of
the following recommendations is most effective for pain control?
A. Get used to some pain and use less medication to avoid addiction
B. Take prescribed analgesics following around-the-clock dosing to prevent recurrent pain
C. Take pain medicine only when pain returns
D. Take enough pain medicine around the clock to enable so you can sleep 12 hours per day to
block pain
Answer
B. Take prescribed analgesics following around-the-clock dosing to prevent recurrent pain
3. A client with cancer is being cared for by a new nurse. His pain is increasing in severity. The
nurse recognizes that effective pain management care plan would include the following
interventions. Select all that apply
A. Admin long acting or sustained release oral pain medications regularly around-the-clock
B. Admin immediate-release medication for breakthrough pain
C. Avoid long acting opioids due to concerns about addiction
D. Use music for distraction
E. Substitute acetaminophen for all narcotics to decrease risk of opioid tolerance
F. Use pian rating scale to measure effectiveness of interventions
Answer
A, B, D & F
,4. When assessing the client with lung cancer that appears dyspneic, the nurse observes which
of the following behaviors?
A. Euphoria
B. Anger
C. Anxiety
D. Laziness
Answer
C. Anxiety
5. The nurse is planning care for a 37 year old client undergoing high dose chemo. What
should the nurse consider as the most reliable early indicator of infection in a neutropenic client?
A. Fever
B. Chills
C. Tachycardia
D. Dyspnea
Answer
A. Fever
6. A 16 yr old client with cancer expresses concern about hair loss to their nurse. Which
statement best supports expression of the client's concerns?
A. "I completely understand how you feel. Don't worry, your hair will grow back"
B. "Yes that would be scary to lose your hair. You are right to feel that way"
C. "If I were you, I would check the latest research on ways to promote hair growth"
D. "Tell me more about your concerns"
Answer
D. Tell me more about your concerns
7. Cancer
Answer
Uncontrolled and unregulated growth of cells 2nd most common cause of death in US
, 8. Prevention and Early Detection of Cancer
Answer
Limit alcohol use Get regular physical activity
Maintain a normal body weight Obtain regular colorectal screenings
Avoid cigarette smoking and other tobacco use Get regular mammograms and pap tests
Use sunscreen with SPF 15 or higher
Practice health dietary habits, reduced fat consumption and increased fruit and vegetable
consumption
9. Benign Neoplasm
Answer
Well differentiated
Retain most the morphologic and functional characteristics of the normal cells, but have
excessive growth, no metastasis.
Mode of growth - replication and mitosis, no metastasis, expansive Usually encapsulated,
slightly vascular, fairly normal cell characteristics Recurrence rare
10. Malignant Neoplasm
Answer
Cells can invade and metastasize, abnormal growth patterns, multiple abnormal functions
Range from well differentiated to undifferentiated
Major difference from benign is ability to invade other tissue and metastasize Rarely
encapsulated, cells abnormal and become more unlike parent cells Moderate to marked
vascularity
Mode of growth is infiltrative and expansive Possible recurrence
11. Grade
Answer
The appearance of cells and the degree of differentiation are evaluated pathologically.
Histologic examination of cell appearance
4 grades used based on the degree to which the cells resemblance to original tissue
1. A nurse who is teaching smoking cessation to a group of healthy adult smokers is
participating in what type of prevention activity?
A. Primary
B. Secondary
C. Tertiary
D. Non specific
Answer
A. Primary
2. The nurse teaches the client with chronic cancer pain about optimal pain control. Which of
the following recommendations is most effective for pain control?
A. Get used to some pain and use less medication to avoid addiction
B. Take prescribed analgesics following around-the-clock dosing to prevent recurrent pain
C. Take pain medicine only when pain returns
D. Take enough pain medicine around the clock to enable so you can sleep 12 hours per day to
block pain
Answer
B. Take prescribed analgesics following around-the-clock dosing to prevent recurrent pain
3. A client with cancer is being cared for by a new nurse. His pain is increasing in severity. The
nurse recognizes that effective pain management care plan would include the following
interventions. Select all that apply
A. Admin long acting or sustained release oral pain medications regularly around-the-clock
B. Admin immediate-release medication for breakthrough pain
C. Avoid long acting opioids due to concerns about addiction
D. Use music for distraction
E. Substitute acetaminophen for all narcotics to decrease risk of opioid tolerance
F. Use pian rating scale to measure effectiveness of interventions
Answer
A, B, D & F
,4. When assessing the client with lung cancer that appears dyspneic, the nurse observes which
of the following behaviors?
A. Euphoria
B. Anger
C. Anxiety
D. Laziness
Answer
C. Anxiety
5. The nurse is planning care for a 37 year old client undergoing high dose chemo. What
should the nurse consider as the most reliable early indicator of infection in a neutropenic client?
A. Fever
B. Chills
C. Tachycardia
D. Dyspnea
Answer
A. Fever
6. A 16 yr old client with cancer expresses concern about hair loss to their nurse. Which
statement best supports expression of the client's concerns?
A. "I completely understand how you feel. Don't worry, your hair will grow back"
B. "Yes that would be scary to lose your hair. You are right to feel that way"
C. "If I were you, I would check the latest research on ways to promote hair growth"
D. "Tell me more about your concerns"
Answer
D. Tell me more about your concerns
7. Cancer
Answer
Uncontrolled and unregulated growth of cells 2nd most common cause of death in US
, 8. Prevention and Early Detection of Cancer
Answer
Limit alcohol use Get regular physical activity
Maintain a normal body weight Obtain regular colorectal screenings
Avoid cigarette smoking and other tobacco use Get regular mammograms and pap tests
Use sunscreen with SPF 15 or higher
Practice health dietary habits, reduced fat consumption and increased fruit and vegetable
consumption
9. Benign Neoplasm
Answer
Well differentiated
Retain most the morphologic and functional characteristics of the normal cells, but have
excessive growth, no metastasis.
Mode of growth - replication and mitosis, no metastasis, expansive Usually encapsulated,
slightly vascular, fairly normal cell characteristics Recurrence rare
10. Malignant Neoplasm
Answer
Cells can invade and metastasize, abnormal growth patterns, multiple abnormal functions
Range from well differentiated to undifferentiated
Major difference from benign is ability to invade other tissue and metastasize Rarely
encapsulated, cells abnormal and become more unlike parent cells Moderate to marked
vascularity
Mode of growth is infiltrative and expansive Possible recurrence
11. Grade
Answer
The appearance of cells and the degree of differentiation are evaluated pathologically.
Histologic examination of cell appearance
4 grades used based on the degree to which the cells resemblance to original tissue
