Chapter 19: Concepts of Cancer
Development
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse caring for oncology clients knows that which form of metastasis is the most
common?
a. Bloodborne
b. Direct invasion
c. Lymphatic spread
d. Via bone marrow
ANS: A
Bloodborne metastasis is the most common way for cancer to metastasize. Direct
invasion and lymphatic spread are other methods. Bone marrow is not a medium in
which cancer spreads, although cancer can occur in the bone marrow.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Cancer development MSC: Client Needs Category:
Physiological Integrity: Physiological Adaptation
2. A nurse is assessing a client with glioblastoma. What assessment is most important?
a. Abdominal palpation
b. Abdominal percussion
c. Lung auscultation
d. Neurologic examination
, ANS: D
A glioblastoma arises in the brain. The most important assessment for this client is the
neurologic examination.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Cancer development MSC: Client Needs Category:
Physiological Integrity: Reduction of Risk Potential
3. A nurse has taught a client about dietary changes that can reduce the chances of
developing cancer. What statement by the client indicates the nurse needs to provide
additional teaching?
a. “Foods high in vitamin A and vitamin C are important.”
b. “I’ll have to cut down on the amount of bacon I eat.”
c. “I’m so glad I don’t have to give up my juicy steaks.”
d. “Vegetables, fruit, and high-fiber grains are important.”
ANS: C
To decrease the risk of developing cancer, one should cut down on the consumption
of red meats and animal fat. The other statements are correct.
DIF: Remembering TOP: Integrated Process: Nursing Process: Evaluation
KEY: Cancer development, Health teaching MSC: Client
Needs Category: Health Promotion and Maintenance
4. A client is in the oncology clinic for a first visit since being diagnosed with cancer.
The nurse reads in the client’s chart that the cancer classification is TISN0M0. What
does the nurse conclude about this client’s cancer?
a. The primary site of the cancer cannot be determined.
b. Regional lymph nodes could not be assessed.
c. There are multiple lymph nodes involved already.
d. There are no distant metastases noted in the report.
Development
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse caring for oncology clients knows that which form of metastasis is the most
common?
a. Bloodborne
b. Direct invasion
c. Lymphatic spread
d. Via bone marrow
ANS: A
Bloodborne metastasis is the most common way for cancer to metastasize. Direct
invasion and lymphatic spread are other methods. Bone marrow is not a medium in
which cancer spreads, although cancer can occur in the bone marrow.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Cancer development MSC: Client Needs Category:
Physiological Integrity: Physiological Adaptation
2. A nurse is assessing a client with glioblastoma. What assessment is most important?
a. Abdominal palpation
b. Abdominal percussion
c. Lung auscultation
d. Neurologic examination
, ANS: D
A glioblastoma arises in the brain. The most important assessment for this client is the
neurologic examination.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Cancer development MSC: Client Needs Category:
Physiological Integrity: Reduction of Risk Potential
3. A nurse has taught a client about dietary changes that can reduce the chances of
developing cancer. What statement by the client indicates the nurse needs to provide
additional teaching?
a. “Foods high in vitamin A and vitamin C are important.”
b. “I’ll have to cut down on the amount of bacon I eat.”
c. “I’m so glad I don’t have to give up my juicy steaks.”
d. “Vegetables, fruit, and high-fiber grains are important.”
ANS: C
To decrease the risk of developing cancer, one should cut down on the consumption
of red meats and animal fat. The other statements are correct.
DIF: Remembering TOP: Integrated Process: Nursing Process: Evaluation
KEY: Cancer development, Health teaching MSC: Client
Needs Category: Health Promotion and Maintenance
4. A client is in the oncology clinic for a first visit since being diagnosed with cancer.
The nurse reads in the client’s chart that the cancer classification is TISN0M0. What
does the nurse conclude about this client’s cancer?
a. The primary site of the cancer cannot be determined.
b. Regional lymph nodes could not be assessed.
c. There are multiple lymph nodes involved already.
d. There are no distant metastases noted in the report.
