MS1 exam 4 UPDATED Exam Questions
and CORRECT Answers
Which statement by a patient who was recently diagnosed with cancer indicates an
understanding of the pathogenesis of cancer?
1.
"My cancer is probably caused by a disorder of my immune system."
2.
"My cancer is probably caused by a disorder of my endocrine system."
3.
"My cancer is probably caused by a disorder on my gastrointestinal system."
4.
"My cancer is probably caused by a disorder in my hematological system." - CORRECT
ANSWER - 1.
"My cancer is probably caused by a disorder of my immune system."
The nurse recognizes that one primary difference between normal and cancer cells is related to
regulated cell death that normal cells undergo as part of the regular cell cycle. What is the term
for this change in cellular function?
1.
Anaplasia
2.
Anchorage dependence
3.
Apoptosis
4.
Contact inhibition - CORRECT ANSWER - 3.
Apoptosis
,A patient being treated for cancer has a tumor designation of Stage IV, T4, N3, M1. What does
this staging indicate to the nurse?
1.
The tumor is small in size.
2.
There is one single tumor to treat.
3.
The tumor will respond to chemotherapy.
4.
The tumor has metastasized with lymph node involvement. - CORRECT ANSWER - 4.
The tumor has metastasized with lymph node involvement.
In providing care to a patient recently diagnosed with cancer that was designated as Stage III T3,
N2, M1, which statement by the patient indicates the need for further teaching?
1.
"I am relieved that the cancer is still local."
2.
"I know that the tumor must be relatively large."
3.
"It looks like the cancer has spread."
4.
"I understand that the N3 means that the cancer is in my lymph nodes." - CORRECT
ANSWER - 1.
"I am relieved that the cancer is still local."
The nurse provides care to a patient who is newly diagnosed with bladder cancer. Which
assessment data collected by the nurse support this diagnosis?
1.
Anorexia
,2.
Constipation
3.
Hematuria
4.
Upper abdominal cramping - CORRECT ANSWER - 3.
Hematuria
The nurse provides education to a patient who is diagnosed with breast cancer and asks about
sites of metastases. Which is the best response by the nurse?
1.
"Your type of cancer rarely spreads outside the chest."
2.
"Your type of cancer may spread to the skin."
3.
"Your type of cancer may spread to the bones."
4.
"Your type of cancer may spread to the stomach." - CORRECT ANSWER - 3.
"Your type of cancer may spread to the bones."
The nurse monitors for which clinical manifestation in the patient with tumor lysis syndrome?
1.
Diarrhea
2.
Fluid overload
3.
Muscle weakness
4.
, Paresthesia of the fingertips - CORRECT ANSWER - 4.
Paresthesia of the fingertips
The nurse is caring for a patient who has developed a pericardial effusion secondary to
lymphoma and recognizes that this patient requires which emergency medical treatment?
1.
Biopsy
2.
Bronchoscopy
3.
Fine needle aspiration
4.
Pericardiocentesis - CORRECT ANSWER - 4.
Pericardiocentesis
A patient is receiving chemotherapy for the treatment of leukemia. While providing care for this
patient, which clinical manifestations would indicate tumor lysis syndrome?
1.
Thrombocytopenia
2.
Respiratory distress
3.
Upper-extremity edema
4.
Cardiac dysrhythmias - CORRECT ANSWER - 4.
Cardiac dysrhythmias
The nurse prioritizes which nursing diagnosis for the patient who develops Syndrome of
Inappropriate Antidiuretic Hormone (SIADH) secondary to lung cancer?
and CORRECT Answers
Which statement by a patient who was recently diagnosed with cancer indicates an
understanding of the pathogenesis of cancer?
1.
"My cancer is probably caused by a disorder of my immune system."
2.
"My cancer is probably caused by a disorder of my endocrine system."
3.
"My cancer is probably caused by a disorder on my gastrointestinal system."
4.
"My cancer is probably caused by a disorder in my hematological system." - CORRECT
ANSWER - 1.
"My cancer is probably caused by a disorder of my immune system."
The nurse recognizes that one primary difference between normal and cancer cells is related to
regulated cell death that normal cells undergo as part of the regular cell cycle. What is the term
for this change in cellular function?
1.
Anaplasia
2.
Anchorage dependence
3.
Apoptosis
4.
Contact inhibition - CORRECT ANSWER - 3.
Apoptosis
,A patient being treated for cancer has a tumor designation of Stage IV, T4, N3, M1. What does
this staging indicate to the nurse?
1.
The tumor is small in size.
2.
There is one single tumor to treat.
3.
The tumor will respond to chemotherapy.
4.
The tumor has metastasized with lymph node involvement. - CORRECT ANSWER - 4.
The tumor has metastasized with lymph node involvement.
In providing care to a patient recently diagnosed with cancer that was designated as Stage III T3,
N2, M1, which statement by the patient indicates the need for further teaching?
1.
"I am relieved that the cancer is still local."
2.
"I know that the tumor must be relatively large."
3.
"It looks like the cancer has spread."
4.
"I understand that the N3 means that the cancer is in my lymph nodes." - CORRECT
ANSWER - 1.
"I am relieved that the cancer is still local."
The nurse provides care to a patient who is newly diagnosed with bladder cancer. Which
assessment data collected by the nurse support this diagnosis?
1.
Anorexia
,2.
Constipation
3.
Hematuria
4.
Upper abdominal cramping - CORRECT ANSWER - 3.
Hematuria
The nurse provides education to a patient who is diagnosed with breast cancer and asks about
sites of metastases. Which is the best response by the nurse?
1.
"Your type of cancer rarely spreads outside the chest."
2.
"Your type of cancer may spread to the skin."
3.
"Your type of cancer may spread to the bones."
4.
"Your type of cancer may spread to the stomach." - CORRECT ANSWER - 3.
"Your type of cancer may spread to the bones."
The nurse monitors for which clinical manifestation in the patient with tumor lysis syndrome?
1.
Diarrhea
2.
Fluid overload
3.
Muscle weakness
4.
, Paresthesia of the fingertips - CORRECT ANSWER - 4.
Paresthesia of the fingertips
The nurse is caring for a patient who has developed a pericardial effusion secondary to
lymphoma and recognizes that this patient requires which emergency medical treatment?
1.
Biopsy
2.
Bronchoscopy
3.
Fine needle aspiration
4.
Pericardiocentesis - CORRECT ANSWER - 4.
Pericardiocentesis
A patient is receiving chemotherapy for the treatment of leukemia. While providing care for this
patient, which clinical manifestations would indicate tumor lysis syndrome?
1.
Thrombocytopenia
2.
Respiratory distress
3.
Upper-extremity edema
4.
Cardiac dysrhythmias - CORRECT ANSWER - 4.
Cardiac dysrhythmias
The nurse prioritizes which nursing diagnosis for the patient who develops Syndrome of
Inappropriate Antidiuretic Hormone (SIADH) secondary to lung cancer?
