Practice Test Review

1. The nurse is caring for a 24 year old who is three months pregnant. The client has jsut been informed that she has breast cnacer. The nurse assesses signs of increased anxiety. Which statement by the nurse is most appropriate:

Do you have any questions

You seem to be upset. Tell me about your feelings

There is no need to be worried. The baby will be fine

I'm going to call the chaplain to visit

2. The nurse is performing discharge teaching on a client with lung cancer who is to receive external radiation treatment to the chest area. Which statement by the client indicates a need for further teaching

I can wash the area gently with mild soap and water

I should expose the area radiated to the sun three times a day

I should wear soft clothing over the area

I should dry the area with patting motions rather than rubbing it

3. The nurse assesses a respiratory rate of 10 on a client with cancer who has just received a Dilaudid injection. which drug should the nurse be prepared to administer

Naloxone(Narcan)

Flumazenil(Romazicon)

Benztropine(Cogentin)

Meperidine(Demerol)

4. A client who has a diagnosis of possible prostate cancer is being discharged after a transrectal ultrsound with biopsy of the prostate. The nurse should instruct the client ot report which symptom idicating a common complication of the proecedure

Headache

Leg pain

Dysuria

Constipation

5. The nurse is in the room of a client who is neutropenic. Which action by the nursing assistant, observed by the nurse, woild indicate a neeed for action

Placing a Foley bag in the bed with the client when turning them

Raising the head of the bed prior to feeding a client

Adding pillows to the client's back area for support after turning and repositioning

Providing moouth care to client who is NPO

6. The is assessing the laboratory values of a client with cancer who is awaiting discahrge. The values reveal a platelet count of 10,000uL. Which action is appropriate to add to the client's discharge plan

Suggest an order for Plavix be added to the prescriptions

Encougage participation in contact sports

Teach the client to eat a low bacteria diet with no raw fruits or vegetables

Instruct the client to use an electric razor for shaving to avoid injury

7. A clinet with bone metastasis has a calcium level of 20.8mg/dl. The nurse should be alert for which symptom correlating with the level

Hyperactivity

Oliguria

ECG changes

Polyphagia

8. The nurse ie caring for a client with cancer who is neutropenic. Which plan would be inappropriate

Notify the doctor of any temperature over 100F

Use sterile techique when performing invasive procedures

Avoid any spicy foods

Avoid client exposure to anyone who is ill

9. A client with cervical cancer has sealed implant in place. Which would be included in the nursing plan for this client

Admit to a semi-private room

Visitors are limited to four hours per day

No pregnant women or children younger than 16 can visit

Excreta requires special precautions