Evolve Cancer NCLEX Questions

Evolve Cancer NCLEX Questions ScienceMedicineOncology Sam_Niederhelman Save Cancer nclex questions 26 terms Sarah_Crum3Preview Chemotherapy NCLEX Questions

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tahmsonPreview Oncology NCLEX practice question...30 terms arensdorfPreview Ch. 15- 14 terms am A 33-year-old patient has recently been diagnosed with stage II cervical cancer. What should the nurse understand about the patient's cancer?It is in situ.It has metastasized.It has spread locally.It has spread extensively.It has spread locally.Stage II cancer is associated with limited local spread. Stage 0 denotes cancer in situ; stage I denotes tumor limited to the tissue of origin with localized tumor growth. Stage III denotes extensive local and regional spread. Stage IV denotes metastasis.The patient and his family are upset that the patient is going through procedures to diagnose cancer. What nursing actions should the nurse use first to facilitate their coping with this situation (select all that apply)?Select all that apply.Maintain hope.Exhibit a caring attitude.Plan realistic long-term goals.Give them antianxiety medications.Be available to listen to fears and concerns.Teach them about all the types of cancer that could be diagnosed.Maintain hope.Exhibit a caring attitude.Be available to listen to fears and concerns.

The laboratory reports that the cells from the patient's tumor biopsy are Grade II. What should the nurse know about this histologic grading?Cells are abnormal and moderately differentiated.Cells are very abnormal and poorly differentiated.Cells are immature, primitive, and undifferentiated.Cells differ slightly from normal cells and are well-differentiated.Cells are abnormal and moderately differentiated.Grade II cells are more abnormal than Grade I and moderately differentiated. Grade I cells differ slightly from normal cells and are well- differentiated. Grade III cells are very abnormal and poorly differentiated. Grade IV cells are immature, primitive, and undifferentiated; the cell origin is difficult to determine.When caring for the patient with cancer, what does the nurse understand as the response of the immune system to antigens of the malignant cells?Metastasis Tumor angiogenesis Immunologic escape Immunologic surveillance Immunologic surveillance Immunologic surveillance is the process where lymphocytes check cell surface antigens and detect and destroy cells with abnormal or altered antigenic determinants to prevent these cells from developing into clinically detectable tumors. Metastasis is increased growth rate of the tumor, increased invasiveness, and spread of the cancer to a distant site in the progression stage of cancer development. Tumor angiogenesis is the process of blood vessels forming within the tumor itself. Immunologic escape is the cancer cells' evasion of immunologic surveillance that allows the cancer cells to reproduce.The patient was told that he would have intraperitoneal chemotherapy. He asks the nurse when the IV will be started for the chemotherapy.What should the nurse teach the patient about this type of chemotherapy delivery?It is delivered via an Ommaya reservoir and extension catheter.It is instilled in the bladder via a urinary catheter and retained for 1 to 3 hours.A Silastic catheter will be percutaneously placed into the peritoneal cavity for chemotherapy administration.The arteries supplying the tumor are accessed with surgical placement of a catheter connected to an infusion pump.A Silastic catheter will be percutaneously placed into the peritoneal cavity for chemotherapy administration.Intraperitoneal chemotherapy is delivered to the peritoneal cavity via a temporary percutaneously inserted Silastic catheter and drained from this catheter after the dwell time in the peritoneum. The Ommaya reservoir is used for intraventricular chemotherapy. Intravesical bladder chemotherapy is delivered via a urinary catheter. Intraarterial chemotherapy is delivered via a surgically placed catheter that delivers chemotherapy via an external or internal infusion pump.

The female patient is having whole brain radiation for brain metastasis. She is concerned about how she will look when she loses her hair. What is the best response by the nurse to this patient?"When your hair grows back it will be patchy." "Don't use your curling iron and that will slow down the loss." "You can get a wig now to match your hair so you will not look different." "You should contact "Look Good, Feel Better" to figure out what to do about this." "You can get a wig now to match your hair so you will not look different." What can the nurse do to facilitate cancer prevention for the patient in the promotion stage of cancer development?Teach the patient to exercise daily.Teach the patient promoting factors to avoid.Tell the patient to have the cancer surgically removed now.Teach the patient which vitamins will improve the immune system.Teach the patient promoting factors to avoid.Previous administrations of chemotherapy agents to a cancer patient have resulted in diarrhea. Which dietary modification should the nurse recommend?A bland, low-fiber diet A high-protein, high-calorie diet A diet high in fresh fruits and vegetables A diet emphasizing whole and organic foods A bland, low-fiber diet Patients experiencing diarrhea secondary to chemotherapy and/or radiation therapy often benefit from a diet low in seasonings and roughage before the treatment. Foods should be easy to digest and low in fat. Fresh fruits and vegetables are high in fiber and should be minimized during treatment. Whole and organic foods do not prevent diarrhea.

The patient has been diagnosed with non-small cell lung cancer. Which type of targeted therapy will most likely be used for this patient to suppress cell proliferation and promote programmed tumor cell death?Proteasome inhibitors BCR-ABL tyrosine kinase inhibitors CD20 monoclonal antibodies (MoAb) Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TK) Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TK) The nurse is caring for a patient suffering from anorexia secondary to chemotherapy. Which strategy would be most appropriate for the nurse to use to increase the patient's nutritional intake?Increase intake of liquids at mealtime to stimulate the appetite.Serve three large meals per day plus snacks between each meal.Avoid the use of liquid protein supplements to encourage eating at mealtime.Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods.Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods.The nurse can increase the nutritional density of foods by adding items high in protein and/or calories (such as peanut butter, skim milk powder, cheese, honey, or brown sugar) to foods the patient will eat. Increasing fluid intake at mealtime fills the stomach with fluid and decreases the desire to eat. Small frequent meals are best tolerated. Supplements can be helpful.The patient is receiving biologic and targeted therapy for ovarian cancer. What medication should the nurse expect to administer before therapy to combat the most common side effects of these medications?Morphine sulfate Ibuprofen (Advil) Ondansetron (Zofran) Acetaminophen (Tylenol) Acetaminophen (Tylenol) Acetaminophen is administered before therapy and every 4 hours to prevent or decrease the intensity of the severe flu-like symptoms, especially with interferon which is frequently used for ovarian cancer. Morphine sulfate and ibuprofen will not decrease flu-like symptoms.Ondansetron is an antiemetic, but not used first to combat flu-like symptoms of headache, fever, chills, myalgias, etc.