Esmeralda Espitia
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Adult health test 3 Quiz sobre Cancer , criado por Esmeralda Espitia em 06-03-2020.

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Cancer

Questão 1 de 27

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A BRCA test looks for changes in what genes?

Selecione uma ou mais das seguintes:

  • BRCA1

  • BRCA2

  • BRCA3

Explicação

Questão 2 de 27

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What are the 2 main types of lung cancer?

Selecione uma ou mais das seguintes:

  • non-small cell

  • small cell

  • non-large cell

  • large cell

Explicação

Questão 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:

Selecione uma das seguintes:

  • 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

Explicação

Questão 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:

Selecione uma das seguintes:

  • A. Simple mastectomy

  • B. Modified radical mastectomy

  • C. Radiation therapy

  • D. Radical mastectomy

Explicação

Questão 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?

Selecione uma das seguintes:

  • A. Recent surgery

  • B. Pregnancy

  • C. Bone marrow depression

  • D. All of the above

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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.

Explicação

Questão 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:

Selecione uma das seguintes:

  • A. Metastasis

  • B. Infiltrates surrounding tissues

  • C. Encapsulated

  • D. Poorly differentiated cells

Explicação

Questão 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:

Selecione uma das seguintes:

  • 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.”

Explicação

Questão 9 de 27

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

Selecione uma das seguintes:

  • A. Time, neoplasm, mode of growth

  • B. Tumor, node, metastasis

  • C. Tumor, neoplasm, mode of growth

  • D. Time, node, metastasis

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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.”

Explicação

Questão 11 de 27

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

Selecione uma das seguintes:

  • A. Hair loss

  • B. Ulceration of oral mucous membranes

  • C. Constipation

  • D. Headache

Explicação

Questão 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?

Selecione uma das seguintes:

  • A. Analgesics before meals

  • B. Saline rinses every 2 hours

  • C. Aspirin every 4 hours

  • D. Bland diet

Explicação

Questão 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 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?

Selecione uma das seguintes:

  • A. Metochlopramide (Metozol)

  • B. Succimer (Chemet)

  • C. Anastrazole (Arimidex)

  • D. Busulfan (Myleran)

Explicação

Questão 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?

Selecione uma das seguintes:

  • A. 1 feet

  • B. 2 feet

  • C. 2.5 feet

  • D. 3 feet

Explicação

Questão 16 de 27

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 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?

Selecione uma das seguintes:

  • A. 1 minute

  • B. 3 minutes

  • C. 5 minutes

  • D. 10 minutes

Explicação

Questão 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:

Selecione uma das seguintes:

  • A. Alopecia

  • B. Myeloma

  • C. CNS toxicity

  • D. Hemorrhagic cystitis

Explicação

Questão 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:

Selecione uma das seguintes:

  • A. Fever

  • B. Myalgia

  • C. Chest pain

  • D. Diarrhea

Explicação

Questão 20 de 27

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

Selecione uma das seguintes:

  • A. Analgesic

  • B. Aspirin

  • C. Steroids

  • D. Allopurinol

Explicação

Questão 21 de 27

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

Selecione uma das seguintes:

  • A. Doxorubicin (Adriamycin)

  • B. Fluorouracil (Adrucil)

  • C. Mitoxantrone (Novantrone)

  • D. Bleomycin (Blenoxane)

Explicação

Questão 22 de 27

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

Selecione uma das seguintes:

  • A. Hormone modulator

  • B. Mitotic inhibitor

  • C. Antineoplastic antibiotic

  • D. Antimetabolite

Explicação

Questão 23 de 27

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

Selecione uma das seguintes:

  • A. Anstrazole (arimidex)

  • B. Estramustine (Emcyt)

  • C. Pclitaxel (Taxol)

  • D. Irinotecan (Camptosar)

Explicação

Questão 24 de 27

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

Selecione uma das seguintes:

  • 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.”

Explicação

Questão 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?

Selecione uma das seguintes:

  • A. Stage I

  • B. Stage II

  • C. Stage III

  • D. Stage IV

Explicação

Questão 26 de 27

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

Selecione uma das seguintes:

  • A. “pink peel” skin

  • B. Solitary, irregularly shaped mass

  • C. Firm, nontender, nonmobile mass

  • D. Abnormal discharge from the nipple

Explicação

Questão 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:

Selecione uma das seguintes:

  • A. Simple mastectomy

  • B. Modified radical mastectomy

  • C. Halstead Surgery

  • D. Radical mastectomy

Explicação