Esmeralda Espitia
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Adult health test 3 Quiz on Cancer , created by Esmeralda Espitia on 06/03/2020.

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Esmeralda Espitia
Created by Esmeralda Espitia almost 5 years ago
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Cancer

Question 1 of 27

1

A BRCA test looks for changes in what genes?

Select one or more of the following:

  • BRCA1

  • BRCA2

  • BRCA3

Explanation

Question 2 of 27

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What are the 2 main types of lung cancer?

Select one or more of the following:

  • non-small cell

  • small cell

  • non-large cell

  • large cell

Explanation

Question 3 of 27

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1. A 25 year old patient is inquiring about the methods or ways to detect cancer earlier. The nurse least likely identify this method by stating:

Select one of the following:

  • A. Annual chest x-ray.

  • B. Annual Pap smear for sexually active women only.

  • C. Annual digital rectal examination for persons over age 40.

  • D. Yearly physical and blood examination

Explanation

Question 4 of 27

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2. The removal of entire breast, pectoralis major and minor muscles and neck lymph nodes which is followed by skin grafting is a procedure called:

Select one of the following:

  • A. Simple mastectomy

  • B. Modified radical mastectomy

  • C. Radiation therapy

  • D. Radical mastectomy

Explanation

Question 5 of 27

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3. Chemotherapy is one of the therapeutic modalities for cancer. This treatment is contraindicated to which of the following conditions?

Select one of the following:

  • A. Recent surgery

  • B. Pregnancy

  • C. Bone marrow depression

  • D. All of the above

Explanation

Question 6 of 27

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4. The nurse is preparing Cyclophosphamide (Cytoxan). Safe handling of the drug should be implemented to protect the nurse from injury. Which of the following action by the nurse should be corrected?

Select one of the following:

  • A. The nurse should wear mask and gloves.

  • B. Air bubbles should be expelled on wet cotton.

  • C. Label the hanging IV bottle with “ANTINEOPLASTIC CHEMOTHERAPY” sign.

  • D. Vent vials after mixing.

Explanation

Question 7 of 27

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5. Neoplasm can be classified as either benign or malignant. The following are characteristics of malignant tumor apart from:

Select one of the following:

  • A. Metastasis

  • B. Infiltrates surrounding tissues

  • C. Encapsulated

  • D. Poorly differentiated cells

Explanation

Question 8 of 27

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6. On a clinic visit a client who has a relative with cancer, is asking about the warning signs that may relate to cancer. The nurse correctly identifies the warning signs of cancer by responding:

Select one of the following:

  • A. “If a sore healing took a month or more to heal, cancer should be suspected.”

  • B. “Presence of dry cough is one of the warning signs of cancer.”

  • C. “A lump located only in the breast area may suggest the presence of cancer.”

  • D. “Sudden weight loss of unexplained etiology can be a warning sign of cancer.”

Explanation

Question 9 of 27

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7. In staging and grading neoplasm TNM system is used. TNM stands for:

Select one of the following:

  • A. Time, neoplasm, mode of growth

  • B. Tumor, node, metastasis

  • C. Tumor, neoplasm, mode of growth

  • D. Time, node, metastasis

Explanation

Question 10 of 27

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8. Breast self examination (BSE) is one of the ways to detect breast cancer earlier. The nurse is conducting a health teaching to female clients in a clinic. During evaluation the clients are asked to state what they learned. Which of the following statement made by a client needs further teaching about BSE?

Select one of the following:

  • A. “BSE is done after menstruation.”

  • B. “BSE palpation is done by starting at the center going to the periphery in a circular motion.”

  • C. “BSE can be done in either supine or standing position.”

  • D. “BSE should start from age 20.”

Explanation

Question 11 of 27

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9. A client had undergone radiation therapy (external). The expected side effects include the following apart from:

Select one of the following:

  • A. Hair loss

  • B. Ulceration of oral mucous membranes

  • C. Constipation

  • D. Headache

Explanation

Question 12 of 27

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10. Nurse Janet is assigned in the oncology section of the hospital. Which of the following orders should the nurse question if a client is on radiation therapy?

Select one of the following:

  • A. Analgesics before meals

  • B. Saline rinses every 2 hours

  • C. Aspirin every 4 hours

  • D. Bland diet

Explanation

Question 13 of 27

1

11. Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin integrity should be promoted apart from:

Select one of the following:

  • A. Avoiding the use of ointments, powders and lotion to the area

  • B. Using soft cotton fabrics for clothing

  • C. Washing the area with a mild soap and water and patting it dry not rubbing it.

  • D. Avoiding direct sunshine or cold.

Explanation

Question 14 of 27

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12. Nausea and vomiting is an expected side effect of chemotherapeutic drug use. Which of the following drug should be administered to a client on chemotherapy to prevent nausea and vomiting?

Select one of the following:

  • A. Metochlopramide (Metozol)

  • B. Succimer (Chemet)

  • C. Anastrazole (Arimidex)

  • D. Busulfan (Myleran)

Explanation

Question 15 of 27

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13. Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures what distance should be maintained from the client?

Select one of the following:

  • A. 1 feet

  • B. 2 feet

  • C. 2.5 feet

  • D. 3 feet

Explanation

Question 16 of 27

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14. The following are teaching guidelines regarding radiation therapy except:

Select one of the following:

  • A. The therapy is painless

  • B. To promote safety, the client is assisted by therapy personnel while the machine is in operation.

  • C. The client may communicate all his concerns or needs or discomforts while the machine is operating.

  • D. Safety precautions are necessary only during the time of actual irradiation.

Explanation

Question 17 of 27

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15. Contact of client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?

Select one of the following:

  • A. 1 minute

  • B. 3 minutes

  • C. 5 minutes

  • D. 10 minutes

Explanation

Question 18 of 27

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16. A client is taking Cyclophosphamide (Cytoxan) for the treatment of lymphoma. The nurse is very cautious in administering the medication because this drug poses the fatal side effect of:

Select one of the following:

  • A. Alopecia

  • B. Myeloma

  • C. CNS toxicity

  • D. Hemorrhagic cystitis

Explanation

Question 19 of 27

1

17. Cytarabine (Ara-C) is an antimetabolite that can cause a common cytarabine syndrome which includes the following apart from:

Select one of the following:

  • A. Fever

  • B. Myalgia

  • C. Chest pain

  • D. Diarrhea

Explanation

Question 20 of 27

1

18. To provide relief from the cytarabine syndrome, which drug is given?

Select one of the following:

  • A. Analgesic

  • B. Aspirin

  • C. Steroids

  • D. Allopurinol

Explanation

Question 21 of 27

1

19. Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except:

Select one of the following:

  • A. Doxorubicin (Adriamycin)

  • B. Fluorouracil (Adrucil)

  • C. Mitoxantrone (Novantrone)

  • D. Bleomycin (Blenoxane)

Explanation

Question 22 of 27

1

20. Specific classification of the chemotherapeutic agent, Vincristine (Oncovin) is:

Select one of the following:

  • A. Hormone modulator

  • B. Mitotic inhibitor

  • C. Antineoplastic antibiotic

  • D. Antimetabolite

Explanation

Question 23 of 27

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21. A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given?

Select one of the following:

  • A. Anstrazole (arimidex)

  • B. Estramustine (Emcyt)

  • C. Pclitaxel (Taxol)

  • D. Irinotecan (Camptosar)

Explanation

Question 24 of 27

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22. A client taking a chemotherapeutic agent understands the effects of therapy by stating:

Select one of the following:

  • A. “I will avoid eating hot and spicy foods.”

  • B. “I should stay in my room all the time.”

  • C. “I should limit my fluid intake to about 500 ml per day.”

  • D. “I should notify the physician immediately if a urine color change is observed.”

Explanation

Question 25 of 27

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23. A client is diagnosed with breast cancer. The tumor size is up to 5 cm with axillary and neck lymph node involvement. The client is in what stage of breast cancer?

Select one of the following:

  • A. Stage I

  • B. Stage II

  • C. Stage III

  • D. Stage IV

Explanation

Question 26 of 27

1

24. The classic symptoms that define breast cancer includes the following except:

Select one of the following:

  • A. “pink peel” skin

  • B. Solitary, irregularly shaped mass

  • C. Firm, nontender, nonmobile mass

  • D. Abnormal discharge from the nipple

Explanation

Question 27 of 27

1

25. Surgical procedure to treat breast cancer involves the removal of the entire breast, pectoralis major muscle and the axillary lymph nodes is:

Select one of the following:

  • A. Simple mastectomy

  • B. Modified radical mastectomy

  • C. Halstead Surgery

  • D. Radical mastectomy

Explanation