Bladder Cancer
Choose the letter of the correct answer. Gooluck! :-)
- 1.
A male client is receiving the cell cycle–nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
- A.
It interferes with deoxyribonucleic acid (DNA) replication only.
- B.
It interferes with ribonucleic acid (RNA) transcription only.
- C.
It interferes with DNA replication and RNA transcription.
- D.
It destroys the cell membrane, causing lysis.
Correct Answer
C. It interferes with DNA replication and RNA transcription.Explanation
Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.Rate this question:
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- 2.
The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
- A.
Rupture of the bladder
- B.
The development of a vesicovaginal fistula
- C.
Extreme stress caused by the diagnosis of cancer
- D.
Altered perineal sensation as a side effect of radiation therapy
Correct Answer
B. The development of a vesicovaginal fistulaExplanation
A vesicovaginal fistula is a genital fistula that occurs between the bladder and vagina. The fistula is an abnormal opening between these two body parts and, if this occurs, the client may experience drainage of urine through the vagina.Rate this question:
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- 3.
A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should nurse Katrina conclude?
- A.
The skin wasn’t lubricated before the pouch was applied.
- B.
The pouch faceplate doesn’t fit the stoma.
- C.
A skin barrier was applied properly.
- D.
Stoma dilation wasn’t performed.
Correct Answer
B. The pouch faceplate doesn’t fit the stoma.Explanation
If the pouch faceplate doesn’t fit the stoma properly, the skin around the stoma will be exposed to continuous urine flow from the stoma, causing excoriation and red, weeping, and painful skin. A lubricant shouldn’t be used because it would prevent the pouch from adhering to the skin. When properly applied, a skin barrier prevents skin excoriation. Stoma dilation isn’t performed with an ileal conduit, although it may be done with a colostomy if ordered.Rate this question:
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- 4.
Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?
- A.
"Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
- B.
"Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
- C.
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
- D.
"Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"
Correct Answer
D. "Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"Explanation
The client is showing signs of anxiety reaction to a stressful event. Recognizing the client’s anxiety conveys acceptance of his behavior and will allow for verbalization of feelings and concerns.Rate this question:
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- 5.
A male client is being transferred to the nursing unit for admission after receiving a radium implant for bladder cancer. The nurse in-charge would take which priority action in the care of this client?
- A.
Place client on reverse isolation.
- B.
Admit the client into a private room.
- C.
Encourage the client to take frequent rest periods.
- D.
Encourage family and friends to visit.
Correct Answer
B. Admit the client into a private room.Explanation
The client who has a radiation implant is placed in a private room and has a limited number of visitors. This reduces the exposure of others to the radiation.Rate this question:
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- 6.
Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
- A.
Intraventricular administration
- B.
Intravesical administration
- C.
Intravascular administration
- D.
Intrathecal administration
Correct Answer
B. Intravesical administrationExplanation
Medications administered intravesically are instilled into the bladder. Intraventricular administration involves the ventricles of the brain. Intravascular administration involves blood vessels. Intrathecal administration involves the fluid surrounding the brain and spinal cord.Rate this question:
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- 7.
A client has been diagnosed as having bladder cancer, and a cystectomy and an ileal conduit are scheduled. Preoperatively, the nurse plans to:
- A.
Limit fluid intake for 24 hours
- B.
Teach the procedure for irrigation of the stoma
- C.
Teach muscle-tightening exercises
- D.
Provide cleansing enemas and laxatives as ordered
Correct Answer
D. Provide cleansing enemas and laxatives as ordered -
- 8.
A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:
- A.
Strain his urine
- B.
Increase his fluid intake
- C.
Report urinary frequency
- D.
Avoid prolonged sitting
Correct Answer
A. Strain his urineExplanation
Iridium seeds can be expelled during urination, so the client should be taught to strain his urine and report to the doctor if any of the seeds are expelled. Increasing fluids, reporting urinary frequency, and avoiding prolonged sitting are not necessaryRate this question:
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- 9.
What is the most common type of Bladder Cancer?
- A.
Squamous Cell Carcinoma
- B.
Transistional cell carcinoma
- C.
Epithelial hyperplasia
Correct Answer
B. Transistional cell carcinoma -
- 10.
What percentage of bladder cancers does squamous cell carcinoma account for?
- A.
3%
- B.
5%
- C.
50%
- D.
95%
- E.
75%
Correct Answer
A. 3% -
- 11.
Transitional cell carcinoma (TCC) is
- A.
A poorly differentiated carcinoma often without any papillary growth
- B.
A benign proliferation of urothelium in response to inflammation or irritation
- C.
A type of malignancy that arises from the urothelial lining of the urinary tract
- D.
A cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.
Correct Answer
C. A type of malignancy that arises from the urothelial lining of the urinary tract -
- 12.
How does bladder cancer rate on the most commonly occurring GU cancer in adults list?
- A.
1st
- B.
2nd
- C.
4th
- D.
8th
Correct Answer
B. 2nd -
- 13.
Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?
- A.
3 times greater
- B.
4 times greater
- C.
5 times greater
- D.
2 times greater
Correct Answer
B. 4 times greater -
- 14.
Occupational exposure to pizza making has been linked to bladder cancer
- A.
True
- B.
False
Correct Answer
B. False -
- 15.
Aniline dyes have been linked to cancer
- A.
True
- B.
False
Correct Answer
A. True -
- 16.
Occupational exposure to aromatic amines cannot cause cancer
- A.
True
- B.
False
Correct Answer
B. False -
- 17.
Can coffee cause bladder tumors?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 18.
Artificial sweeteners, pelvic irradiation and chronic cystitis can't cause cancer
- A.
True
- B.
False
Correct Answer
B. False -
- 19.
How many grades of cancer are there?
- A.
5
- B.
4
- C.
3
- D.
6
- E.
8
Correct Answer
B. 4 -
- 20.
Response is poor to radiation
- A.
Grade 3
- B.
Grade 1
- C.
Grade 2
- D.
Grade 4
Correct Answer
C. Grade 2 -
- 21.
Does not respond at all to radiation
- A.
Grade 2
- B.
Grade 3
- C.
Grade 1
- D.
Grade 4
Correct Answer
D. Grade 4 -
- 22.
Resistant
- A.
Grade 1
- B.
Grade 2
- C.
Grade 3
- D.
Grade 4
Correct Answer
A. Grade 1 -
- 23.
Does respond to radiation
- A.
Grade 3
- B.
Grade 4
- C.
Grade 2
- D.
Grade 1
Correct Answer
A. Grade 3 -
- 24.
Well differentiated but fully malignant
- A.
Grade 1
- B.
Grade 2
- C.
Grade 3
- D.
Grade 4
Correct Answer
C. Grade 3 -
- 25.
High degree of malignancy, usually anaplastic CA
- A.
Grade 2
- B.
Grade 1
- C.
Grade 4
- D.
Grade 3
Correct Answer
C. Grade 4 -
- 26.
Lowest degree of malignancy
- A.
Grade 1
- B.
Grade 2
- C.
Grade 3
- D.
Grade 4
Correct Answer
A. Grade 1 -
- 27.
Very low degree of malignancy
- A.
Grade 2
- B.
Grade 3
- C.
Grade 1
- D.
Grade 4
Correct Answer
A. Grade 2 -
- 28.
Most frequent presenting symptom is?
- A.
Painless hematuria
- B.
Flank pain due to ureteral obstruction or pelvic mass
- C.
Frequency
- D.
Constipation
Correct Answer
A. Painless hematuria -
- 29.
From below what are symptoms of bladder cancer?
- A.
Painful hematuria
- B.
Frequency and urgency
- C.
Dysuria
- D.
Flank pain
- E.
Abdominal pain
Correct Answer(s)
B. Frequency and urgency
C. Dysuria
D. Flank pain -
- 30.
What would be a indication to use Chemotherapy?
- A.
Complete resolution of abnormal serum tumor markers
- B.
Location of tumor
- C.
Chronic reflux
- D.
N/V
- E.
Recurring CIS
Correct Answer(s)
A. Complete resolution of abnormal serum tumor markers
B. Location of tumor -
- 31.
Higher levels of toxicity are acceptable if the cure can be achieved?
- A.
True
- B.
False
Correct Answer
A. True -
- 32.
Toxicity levels are unacceptable if the patient is worse off then before treatment
- A.
True
- B.
False
Correct Answer
A. True -
- 33.
The health of the patient is a factor in deciding to use or not to use Chemo
- A.
True
- B.
False
Correct Answer
A. True -
- 34.
Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?
- A.
Fistula's
- B.
BPH
- C.
Penile Prosthetic
- D.
Nephrotoxicity
Correct Answer
D. Nephrotoxicity -
- 35.
What is a random bladder biopsy done for?
- A.
Stage and grade verification
- B.
Invasive
- C.
Noninvasive
- D.
Smaller tumors
- E.
Stages T1-T4
Correct Answer
A. Stage and grade verification -
- 36.
Drugs that inhibit contractility and promote urine storage
- A.
Antispasmodics
- B.
Alpa-adrenergics
- C.
Cholinergics
- D.
External sphincter/striated muscle relaxent
Correct Answer
A. Antispasmodics -
- 37.
Tricyclic antidepressants
- A.
Drugs that inhibit contractility and promote urine storage
- B.
Drugs that increase bladder outlet resistance
- C.
Drugs that simulate detrusor contractility and promote bladder emptying
- D.
Drugs that decrease bladder outlet resistance
Correct Answer
A. Drugs that inhibit contractility and promote urine storage -
- 38.
Estrogens
- A.
Drugs that simulate detrusor contractility and promote bladder emptying
- B.
Drugs that increase bladder outlet resistance
- C.
Drugs that decrease bladder outlet resistance
- D.
Drugs that inhibit contractility and promote urine storage
Correct Answer
B. Drugs that increase bladder outlet resistance -
- 39.
Alpha-adrenergics
- A.
Drugs that inhibit contractility and promote urine storage
- B.
Drugs that decrease bladder outlet resistance
- C.
Drugs that simulate detrusor contractility and promote bladder emptying
- D.
Drugs that increase bladder outlet resistance
Correct Answer
D. Drugs that increase bladder outlet resistance -
- 40.
Beta-adrenergic blockers
- A.
Drugs that increase bladder outlet resistance
- B.
Drugs that decrease bladder outlet resistance
- C.
Drugs that simulate detrusor contractility and promote bladder emptying
- D.
Drugs that inhibit contractility and promote urine storage
Correct Answer
A. Drugs that increase bladder outlet resistance -
- 41.
Beta-adrenergics
- A.
Drugs that increase bladder outlet resistance
- B.
Drugs that inhibit contractility and promote urine storage
- C.
Drugs that simulate detrusor contractility and promote bladder emptying
- D.
Drugs that decrease bladder outlet resistance
Correct Answer
B. Drugs that inhibit contractility and promote urine storage -
- 42.
Anticholinergics
- A.
Drugs that decrease bladder outlet resistance
- B.
Drugs that simulate detrusor contractility and promote bladder emptying
- C.
Drugs that inhibit contractility and promote urine storage
- D.
Drugs that increase bladder outlet resistance
Correct Answer
C. Drugs that inhibit contractility and promote urine storage -
- 43.
Cholinergics
- A.
Drugs that increase bladder outlet resistance
- B.
Drugs that inhibit contractility and promote urine storage
- C.
Drugs that simulate detrusor contractility and promote bladder emptying
- D.
Drugs that decrease bladder outlet resistance
Correct Answer
C. Drugs that simulate detrusor contractility and promote bladder emptying -
- 44.
Drugs that decrease bladder outlet resistance
- A.
Alpha-adrenergics blockers
- B.
Estrogens
- C.
Beta-adrenergics
- D.
Alpa-adrenergics
Correct Answer
A. Alpha-adrenergics blockers -
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Current Version
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Feb 27, 2014Quiz Edited by
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Jan 30, 2013Quiz Created by
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