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Lewis Med Surg - Chap 16 – Cancer Test Bank Exam Practice Questions and Answers
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Lewis Med Surg - Chap 16 – Cancer Test Bank Exam Practice Questions and Answers Chapter 16: Cancer Chapter 16: Cancer Test Bank MULTIPLE CHOICE 1. A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. Which answer ...

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  • October 23, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis med surg chap 16 cancer test bank exam p

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  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Lewis Med Surg - Chap 16 – Cancer Test
Bank Exam Practice Questions and
Answers

Chapter 16: Cancer


Chapter 16: Cancer


Test Bank


MULTIPLE CHOICE


1. A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign

tumor and a malignant tumor. Which answer by the nurse is correct?


a. "Benign tumors do not cause damage to other tissues."


b. "Benign tumors are likely to recur in the same location."


c. "Malignant tumors may spread to other tissues or organs."


d. "Malignant cells reproduce more rapidly than normal cells." - Ans:✔✔-ANS: C



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FIRST PUBLISH OCTOBER 2024




The major difference between benign and malignant tumors is that malignant tumors invade adjacent

tissues and spread to distant tissues and benign tumors never metastasize. The other statements are

inaccurate. Both types of tumors may cause damage to adjacent tissues. Malignant cells do not

reproduce more rapidly than normal cells. Benign tumors do not usually recur.


DIF: Cognitive Level: Understand (comprehension) REF: 253


TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity


2. The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should

monitor for which adverse effect?


a. Nausea


b. Alopecia


c. Mucositis


d. Hematuria - Ans:✔✔-ANS: D


The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects

are associated with systemic chemotherapy.


DIF: Cognitive Level: Apply (application) REF: 261


TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity



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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




3. The nurse is caring for a patient who smokes 2 packs/day. To reduce the patient's risk of lung cancer,

which action by the nurse is best?


a. Teach the patient about the seven warning signs of cancer.


b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level.


c. Discuss the risks associated with cigarettes during every patient encounter.


d. Teach the patient about the use of annual chest x-rays for lung cancer screening. - Ans:✔✔-ANS: C


Teaching about the risks associated with cigarette smoking is recommended at every patient encounter

because cigarette smoking is associated with multiple health problems. A tumor must be at least 0.5 cm

large before it is detectable by current screening methods and may already have metastasized by that

time. Oncofetal antigens such as CEA may be used to monitor therapy or detect tumor reoccurrence, but

are not helpful in screening for cancer. The seven warning signs of cancer are actually associated with

fairly advanced disease.


DIF: Cognitive Level: Apply (application) REF: 255-256


TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance


4. The nurse should include which food choice when providing dietary teaching for a patient scheduled

to receive external beam radiation for abdominal cancer?


a. Fresh fruit salad


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




b. Roasted chicken


c. Whole wheat toast


d. Cream of potato soup - Ans:✔✔-ANS: B


To minimize the diarrhea that is commonly associated with bowel radiation, the patient should avoid

foods high in roughage, such as fruits and whole grains. Lactose intolerance may develop secondary to

radiation, so dairy products should also be avoided.


DIF: Cognitive Level: Apply (application) REF: 268


TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity


5. During a routine health examination, a 40-year-old patient tells the nurse about a family history of

colon cancer. Which action should the nurse take next?


a. Teach the patient about the need for a colonoscopy at age 50.


b. Teach the patient how to do home testing for fecal occult blood.


c. Obtain more information from the patient about the family history.


d. Schedule a sigmoidoscopy to provide baseline data about the patient. - Ans:✔✔-ANS: C




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