NURS 405 Final Top Hat Review questions with
correct answers
What type of surgery is a surgical mastectomy done when a patient has
no signs of cancer in either breast?
a. prophylactic surgery
b. reconstructive surgery
c. neoadjuvant surgery
d. primary surgery Correct Answer-a. prophylactic surgery
You are taking care of a patient who is receiving 4 weeks of radiation to
the breast for breast cancer. Your patients says she is afraid of losing her
hair. What would be the most appropriate response for your patient?
a. radiation does not cause alopecia
b. radiation only causes alopecia when given over 6 months or more
c. only radiation given in an unsealed source causes alopecia
d. radiation only causes alopecia in the area that it goes through Correct
Answer-d. radiation only causes alopecia in the area that it goes through
Your patient had a lumpectomy of her right breast. The pathologist did
not see clear margins in the specimen sent to the lab after surgery. Her
oncologist suggests radiation and chemotherapy to kill any microscopic
cancer cells left after surgery. What type of radiation is this?
a. neo-adjuvant therapy
b. adjuvant therapy
c. primary therapy
Your patient has received I31 for thyroid cancer. You know it is an
unsealed radiation treatment. What principles will you use to keep
yourself safe?
a. distance, time, mask with face shield or goggles
b. distance, protective gown, time
c. N95, shielding, time
d. distance, shielding, time Correct Answer-d. distance, shielding, time
What type of radiation is most often given for prostate cancer?
a. external beam radiation
b. brachytherapy sealed source
c. brachytherapy unsealed source Correct Answer-b. brachytherapy
sealed source
What type of radiation is most often given for breast cancer?
a. external beam radiation
b. brachytherapy sealed source
c. brachytherapy unsealed source Correct Answer-a. external beam
radiation
What type of radiation is most often given for thyroid cancer?
a. external beam radiation
What method of giving chemotherapy is used for lung cancer?
a. intraperitoneal therapy
b. intrathecal therapy
c. intravesicular therapy
d. intra-pleural therapy Correct Answer-d. intra-pleural therapy
What method of giving chemotherapy is used for ovarian cancer?
a. intraperitoneal therapy
b. intrathecal therapy
c. intravesicular therapy
d. intra-pleural therapy Correct Answer-a. intraperitoneal therapy
What method of giving chemotherapy is used for bladder cancer?
a. intraperitoneal therapy
b. intrathecal therapy
c. intravesicular therapy
d. intra-pleural therapy Correct Answer-c. intravesicular therapy
What is the method of giving chemotherapy directly into the cerebral
spinal fluid?
, a. intraperitoneal therapy
b. intrathecal therapy
c. intravesicular therapy
d. intra-pleural therapy Correct Answer-b. intrathecal therapy
Your patient was given a vesicant and you are monitoring the patient's
vital signs and CVC site. Why are you monitoring the CVC site?
a. a vesicant can cause a painful bump that fills with fluid
b. a vesicant can leak into the subcutaneous tissue causing tissue
destruction
c. a vesicant only causes a flare reaction
d. a vesicant is another name for a monoclonal antibody Correct
Answer-b. a vesicant can leak into the subcutaneous tissue causing tissue
destruction
You are assigned to take care of a patient that has been given
chemotherapy within the last 12 hours. What type of precaution should
you take? (Select all that apply.)
a. cover the toilet with a chux when flushing urine from bedpan
b. wear chemotherapy rated gloves to take care of patient
c. limit exposure to blood and body fluids of patient for 2 days
d. flush the toilet twice when emptying any body fluids into the toilet
e. wear a mask with a face shield whenever close to the patient Correct
Answer-a. cover the toilet with a chux when flushing urine from bedpan
c. limit exposure to blood and body fluids of patient for 2 days
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