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Exam 2 Modules 4-7 Questions and Complete Solutions Graded A+
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Exam 2 Modules 4-7 Questions and Complete Solutions Graded A+
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Exam 2 Modules 4-7 Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
,a nurse is assessing a client with a genetic history of cancer. which assessment finding requires
immediate nursing intervention?
1. blood pressure 140/90
2. nagging cough with hoarseness
3. nasal congestion for several days
4. muscle tension in cervical spine - Answer: 2. nagging cough with hoarseness
the nurse understands that normal cells and benign cells share which characteristics? SATA
1. no migration
2. orderly growth
3. tight adherence
4. specific morphology
5. large nuclear-to-cytoplasmic ratio - Answer: 1. no migration
2. orderly growth
3. tight adherence
4. specific morphology
which primary prevention strategy does the nurse recommend to a client concerned about development
of cancer?
1. removal of a mole on the abdomen
2. have a fecal occult blood test annually
3. obtain a baseline colonoscopy at 50 years old
4. women should speak to their provider about a mammogram - Answer: 1. removal of a mole on the
abdomen
A client asks the nurse why his colorectal cancer is being tested for genetic mutations even though no
one else in the family has ever had cancer. What is the nurse's best response?
,A. "Colorectal cancer is rare and most cases are caused by a genetic mutation."
B. "The results of this testing will indicate what caused your cancer so you can avoid further exposure."
C. "Many tumors have one or more genetic differences that can help determine the most effective
treatment options."
D. "Genetic testing of tumor cells can help determine the stage of your cancer and whether it has spread
to other organs." - Answer: C. "Many tumors have one or more genetic differences that can help
determine the most effective treatment options."
An older client reports all of the following changes since his last checkup. Which changes alert the nurse
to the possibility of prostate cancer? Select all that apply.
A. Bloody urine
B. Constipation intermittent with diarrhea
C. Erectile dysfunction
D. Night sweats and fever
E. Persistent pain in the lower back and legs
F. Reduced urine stream - Answer: A. Bloody urine
D. Night sweats and fever
E. Persistent pain in the lower back and legs
F. Reduced urine stream
Which specific cancer types have a higher rate of occurrence among the Hispanic/Latino population of
the United States compared with the non-Hispanic white population? Select all that apply.
A. Breast
B. Colorectal
C. Gall bladder
D. Liver
E. Lung
, F. Prostate
G. Stomach - Answer: C. Gall bladder
D. Liver
G. Stomach
How does a mutation in a suppressor gene, such as BRCA1, increase the risk for cancer development?
A. Converting a proto-oncogene into an oncogene
B. Removing the control over proto-oncogene expression
C. Reducing the amount of cyclins produced by the oncogenes
D. Inhibiting the recognition of abnormal cells through immunosurveillance - Answer: B. Removing the
control over proto-oncogene expression
A client's cancer is staged as T1, N2, M1 according to the TNM classification system. How does the nurse
interpret this report?
A. The client has two tumors that are nonresponsive to treatment.
B. The client has leukemia confined to the bone marrow.
C. The client has a 2-cm tumor with one regional lymph node involved and no distant metastasis.
D. The client has a small primary tumor extension into three lymph nodes and one site of distant
metastasis. - Answer: D. The client has a small primary tumor extension into three lymph nodes and
one site of distant metastasis.
Which statements made by a 62-year-old client alert the nurse to the possibility that he may be at
increased genetic risk for cancer development? Select all that apply.
A. An older aunt died from a brain tumor while she had breast cancer.
B. He had two benign colon polyps removed during his most recent routine colonoscopy.
C. His sister died from cancer of the appendix.
D. His brother is being treated for breast cancer.
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