Lung Cancer Causes And Symptoms Questions
Choose the letter of the correct answers. Goodluck:-)
- 1.Gina, a home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition?
- A.
Hypoxia
- B.
Delirium
- C.
Hyperventilation
- D.
Semiconsciousness
- 2.The nurse is conducting an education session for a group of smokers in a “stop smoking” class. Which finding would the nurse state as a common symptom of lung cancer? :
- A.
Dyspnea on exertion
- B.
Foamy, blood-tinged sputum
- C.
Wheezing sound on inspiration
- D.
Cough or change in a chronic cough
- 3.Which of the following types of lung cancer is characterized as fast growing and tending to arise peripherally?
- A.
Large cell carcinoma
- B.
Bronchioalveolar carcinoma
- C.
Adenocarcinoma
- D.
Squamous cell carcinoma
- 4.Which of the following types of lung cancer is the most prevalent carcinoma of the lung for both men and women?
- A.
Adenocarcinoma
- B.
Large cell carcinoma
- C.
Squamous cell carcinoma
- D.
Small cell carcinoma
- 5.A 37-year-old client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?
- A.
Breast cancer
- B.
Lung cancer
- C.
Brain cancer
- D.
Colon and rectal cancer
- 6.Antonio with lung cancer develops Horner's syndrome when the tumor invades the ribs and affects the sympathetic nerve ganglia. When assessing for signs and symptoms of this syndrome, the nurse should note:
- A.
Miosis, partial eyelid ptosis, and anhidrosis on the affected side of the face.
- B.
Chest pain, dyspnea, cough, weight loss, and fever.
- C.
Arm and shoulder pain and atrophy of arm and hand muscles, both on the affected side.
- D.
Hoarseness and dysphagia.
- 7.Of the four basic cell types of lung cancer listed below, which is always associated with smoking?
- A.
Adenocarcinoma
- B.
Squamous cell carcinoma (epidermoid)
- C.
Undifferenciated carcinoma
- D.
Bronchoalveolar carcinoma
- 8.Chemotherapy may be used in combination with surgery in the treatment of lung cancer. Special nursing considerations with chemotherapy include all but which of the following?
- A.
Helping the client deal with depression secondary to the diagnosis and its treatment
- B.
Explaining that the reactions to chemotherapy are minimal
- C.
Careful observation of the IV site of the administration of the drugs
- D.
Careful attention to blood count results
- 9.The most common lethal cancer in males between their fifth and seventh decades is:
- A.
Cancer of the prostate
- B.
Cancer of the lung
- C.
Cancer of the pancreas
- D.
Cancer of the bowel
- 10.A client with lung cancer has received oxycodone 10 mg orally for pain. When the student nurse assesses the client, which finding should you instruct the student to report immediately?
- A.
Respiratory rate of 8 to 10 per minute
- B.
Pain level decreased from 6/10 to 2/10
- C.
Client requests room door be closed.
- D.
Heart rate 90-100 per minute
- 11.
- A.
Protect the patient from injury
- B.
Insert an airway
- C.
Elevate the head of the bed
- D.
Withdraw all pain medications
- 12.Which of the following is the most common type of lung cancer?
- A.
Large cell
- B.
Adenocarcinoma
- C.
Oat cell
- D.
Squamous cell
- 13.A 67-year-old client who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. While you are taking the admission history, the client makes these statements. Which statement is of most concern?
- A.
“I’ve noticed that I bruise more easily since the chemotherapy started.”
- B.
“My bowel movements are soft and dark brown in color.”
- C.
“I take one aspirin every morning because of my history of angina.”
- D.
“My appetite has decreased since the chemotherapy strated.”
- 14.A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?
- A.
The patient is allergic to shellfish.
- B.
The patient has a pacemaker.
- C.
The patient suffers from claustrophobia.
- D.
The patient takes anti-psychotic medication.
- 15.Which of the following symptoms is most characteristic of a client with a cancer of the lung?
- A.
Air hunger
- B.
Exertional dyspnea
- C.
Cough with night sweats
- D.
Persistent changing cough
- 16.A client with lung cancer is admitted in the nursing care unit. The husband wants to know the condition of his wife. How should the nurse respond to the husband?
- A.
Find out what information he already has.
- B.
Suggest that he discuss it with his wife.
- C.
Refer him to the doctor.
- D.
Refer him to the nurse in charge.
- 17.A 64-year-old woman returns to your clinic for continued evaluation of a chronic cough, which she has been experiencing for the past 2 months. A chest x-ray obtained yesterday shows a spiculated right middle lobe mass with mediastinal lymphadenopathy. In addition, today the patient reports right leg pain of new onset. You are concerned about metastatic disease. For this patient, which of the following approaches to diagnostic imaging would be most appropriate for the evaluation of possible metastatic disease?
- A.
CT scan of the chest
- B.
CT scan of the chest, head, and adrenal glands
- C.
CT scan of the chest, head, and adrenal glands, and a bone scan
- D.
CT scan of the chest and head, and a bone scan
- 18.A 56-year-old man is worried about his risk of developing lung cancer. He has no medical problems, but he does report having smoked one pack of cigarettes a day for 4 years while in college. He stopped smoking more than 30 years ago. Of the following which is the most accurate statement regarding this patient's risk of developing lung cancer?
- A.
It is equal to someone who has never smoked
- B.
In any age group, the risk of developing lung cancer declines after stopping smoking
- C.
The annual lung cancer mortality of smokers is 10 times that of nonsmokers
- D.
His risk of developing lung cancer is only slightly greater than that of a nonsmoker
- 19.A 62-year-old woman presents to your clinic for a regularly scheduled examination. She has no new complaints, but she is concerned about her risk of developing lung cancer. She has smoked one pack of cigarettes a day since she was 18 years old. She asks whether she should be given any tests to screen for lung cancer. For this patient, which of the following statements is true?
- A.
Chest x-rays are a cost-effective and accurate way to screen for lung cancer
- B.
Spiral computed tomography scanning is currently recommended for screening in asymptomatic patients
- C.
Benign nodules are rarely seen on spiral CT, making it ideal for cancer screening
- D.
At present, there are no recommended radiographic studies to screen for lung cancer
- 20.In terms of lung cancer, what is intratumoral chemotherapy used for?
- A.
Small Cell Lung Cancer
- B.
Non-Small Cell Lung Cancer
- 21.What is true about interventional pulmonology?
- A.
Looks at reasons for shortness of breath. This is not only used for lung cancer; it can be used for breast cancer, colon cancer, renal cancer and melanoma.
- B.
This increases the likelihood for cure by 29%.
- C.
CTCA was the first to combine interventional pulmonology with various treatments.
- 22.What is an autofluorescence bronchoscopy?
- A.
This shows where treatment is being delivered to within the lung.
- B.
This lights up cancer cells and it can show cells that haven't grown into a tumor yet.
- C.
This lights up the path that a bronchoscope can follow.
- 23.What is the most common reason for bronchoscopes not being able to reach a tumor within the lung?
- A.
Scar tissue
- B.
Malformations of the lung
- C.
The tumor is too small
- D.
Due to small bronchi
- 24.What is the benefit of a navigational bronchoscopy?
- A.
Performs biopsies
- B.
Delivers High Dose Radiation (HDR)
- C.
Explains the distance that the bronchoscope can travel into the lung.
- D.
All of the above
- 25.What does an Endobronchial Ultrasound help do and how does it work?
- A.
An Endobronchial Ultrasound helps with the staging of a tumor. A bronchoscope is inserted into the lung with an ultrasound on the tip. There is a slot that houses a needle to biopsy the lymph nodes.
- B.
An Endobronchial Ultrasound helps take images of the lung. A long scope is inserted directly into the chest cavity. The scope takes 30 images with a 360 degree rotation. The images are sent to a computer where the oncologist is able to examine the images.
- C.
An Endobronchial Ultrasound helps with the placement of fiducial markers. An x-ray is taken of the lung and lymph nodes, the endobronchial ultrasound is then inserted in the area of the tumor(s) for implantation of fiducial markers.
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