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Adult health test 3 Test sobre Cancer , creado por Esmeralda Espitia el 06/03/2020.

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Cancer

Pregunta 1 de 27

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A BRCA test looks for changes in what genes?

Selecciona una o más de las siguientes respuestas posibles:

  • BRCA1

  • BRCA2

  • BRCA3

Explicación

Pregunta 2 de 27

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What are the 2 main types of lung cancer?

Selecciona una o más de las siguientes respuestas posibles:

  • non-small cell

  • small cell

  • non-large cell

  • large cell

Explicación

Pregunta 3 de 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:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 4 de 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:

Selecciona una de las siguientes respuestas posibles:

  • A. Simple mastectomy

  • B. Modified radical mastectomy

  • C. Radiation therapy

  • D. Radical mastectomy

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

  • A. Recent surgery

  • B. Pregnancy

  • C. Bone marrow depression

  • D. All of the above

Explicación

Pregunta 6 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 7 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Metastasis

  • B. Infiltrates surrounding tissues

  • C. Encapsulated

  • D. Poorly differentiated cells

Explicación

Pregunta 8 de 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:

Selecciona una de las siguientes respuestas posibles:

  • 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.”

Explicación

Pregunta 9 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Time, neoplasm, mode of growth

  • B. Tumor, node, metastasis

  • C. Tumor, neoplasm, mode of growth

  • D. Time, node, metastasis

Explicación

Pregunta 10 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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.”

Explicación

Pregunta 11 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Hair loss

  • B. Ulceration of oral mucous membranes

  • C. Constipation

  • D. Headache

Explicación

Pregunta 12 de 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?

Selecciona una de las siguientes respuestas posibles:

  • A. Analgesics before meals

  • B. Saline rinses every 2 hours

  • C. Aspirin every 4 hours

  • D. Bland diet

Explicación

Pregunta 13 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 14 de 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?

Selecciona una de las siguientes respuestas posibles:

  • A. Metochlopramide (Metozol)

  • B. Succimer (Chemet)

  • C. Anastrazole (Arimidex)

  • D. Busulfan (Myleran)

Explicación

Pregunta 15 de 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?

Selecciona una de las siguientes respuestas posibles:

  • A. 1 feet

  • B. 2 feet

  • C. 2.5 feet

  • D. 3 feet

Explicación

Pregunta 16 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 17 de 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?

Selecciona una de las siguientes respuestas posibles:

  • A. 1 minute

  • B. 3 minutes

  • C. 5 minutes

  • D. 10 minutes

Explicación

Pregunta 18 de 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:

Selecciona una de las siguientes respuestas posibles:

  • A. Alopecia

  • B. Myeloma

  • C. CNS toxicity

  • D. Hemorrhagic cystitis

Explicación

Pregunta 19 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Fever

  • B. Myalgia

  • C. Chest pain

  • D. Diarrhea

Explicación

Pregunta 20 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Analgesic

  • B. Aspirin

  • C. Steroids

  • D. Allopurinol

Explicación

Pregunta 21 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Doxorubicin (Adriamycin)

  • B. Fluorouracil (Adrucil)

  • C. Mitoxantrone (Novantrone)

  • D. Bleomycin (Blenoxane)

Explicación

Pregunta 22 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Hormone modulator

  • B. Mitotic inhibitor

  • C. Antineoplastic antibiotic

  • D. Antimetabolite

Explicación

Pregunta 23 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Anstrazole (arimidex)

  • B. Estramustine (Emcyt)

  • C. Pclitaxel (Taxol)

  • D. Irinotecan (Camptosar)

Explicación

Pregunta 24 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • 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.”

Explicación

Pregunta 25 de 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?

Selecciona una de las siguientes respuestas posibles:

  • A. Stage I

  • B. Stage II

  • C. Stage III

  • D. Stage IV

Explicación

Pregunta 26 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. “pink peel” skin

  • B. Solitary, irregularly shaped mass

  • C. Firm, nontender, nonmobile mass

  • D. Abnormal discharge from the nipple

Explicación

Pregunta 27 de 27

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

Selecciona una de las siguientes respuestas posibles:

  • A. Simple mastectomy

  • B. Modified radical mastectomy

  • C. Halstead Surgery

  • D. Radical mastectomy

Explicación