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Nclex RN Exams A Client With Cancer Disorder Practice Questions

01. Experimental and epidemiologic evidence suggests that a high-fat diet increases the risk of several cancers. Which of the following cancers is linked to a high-fat diet?
A. Ovarian.
B. Lung.
C. Colon.
D. Liver.

02. Assessment of a client taking a nonsteroidal anti-infl ammatory drug  (NSAID) for pain management should include specifi c questions regarding which of the following systems?
A. Gastrointestinal.
B. Renal.
C. Pulmonary.
D. Cardiac.

03. Which of the following terms describes the condition of a client who requires an increase in dosage to maintain adequate analgesia?
A. Pseudoaddiction.
B. Physical dependence.
C. Psychological dependence.
D. Drug tolerance.

04. The nurse is teaching a 17-year-old client and the client’s family about what to expect with highdose
chemotherapy and the effects of neutropenia. What should the nurse teach as the most reliable
early indicator of infection in a neutropenic client?
A. Fever.
B. Chills.
C. Tachycardia.
D. Dyspnea.

05. The nurse caring for a client who is receiving external beam radiation therapy for treatment of
lung cancer should assess the client for which of the following?
A. Diarrhea.
B. Improved energy level.
C. Dysphagia.
D. Normal white blood cell count.

06. A nurse is caring for a client 24 hours after he has undergone an abdominal-perineal resection
for a bowel tumor. The client’s wife asks if she can bring him some of his favorite home-cooked Italian
minestrone soup. What would be an appropriate action by the nurse?
A. Auscultate for bowel sounds.
B. Ask the client if he feels hunger or gas pains.
C. Consult the dietician.
D. Encourage the wife to bring the soup.

07. An appropriate nursing intervention for a client with fatigue related to cancer treatment includes
teaching the client to:
A. Increase fl uid intake.
B. Minimize naps or periods of rest during day.
C. Conserve energy by prioritizing activities.
D. Limit dietary intake of high-fi ber foods.

08. Which of the following variables is most important to assess when determining the impact of
the cancer diagnosis and treatment modalities on a long-term survivor’s quality of life?
A. Occupation and employability.
B. Functional status.
C. Evidence of disease.
D. Individual values and beliefs.

09. Which of the following characteristics displayed by the wife of a 36-year-old man with
pancreatic cancer suggests that she may be at risk for negative bereavement outcomes?
A. She is preparing for her husband’s death.
B. Her high socioeconomic status.
C. Her strong family support.
D. She blames herself for her husband’s cancer.

10. A 68-year-old client with colon cancer experiences an increase in his feelings of anxiety and depression and has suicidal ideation. He appears to be in great distress. The nurse realizes that he is at
which stage in his disease?
A. Initiation of defi nitive treatment.
B. End of his fi rst course of treatment.
C. End stage of his disease.
D. Recurrence of the disease.

11.A client with cancer becomes emaciated, requiring TPN to provide adequate nutrition. The nurse finds the TPN bag empty. Which fluid would the nurse select to hang until another bag is prepared in the pharmacy?
A.Lactated Ringer’s
B.Normal saline
C.D10W
D.Normosol R

12.A client is scheduled to undergo a bone marrow aspiration. Which position would the nurse assist the client into for this procedure?
A.Dorsal recumbent
B.Supine
C.High Fowler’s
D.Lithotomy

13. In teaching about cancer prevention to a community group, the nurse stresses promotion of exercise, normal body weight, and low-fat diet because
A. most people are willing to make these changes to avoid cancer.
B. dietary fat and obesity promote growth of many types of cancer
C. people who exercise and eat healthy will make other lifestyle changes. d. obesity and lack of exercise cause cancer in susceptible people.

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