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NUR 201 EXAM 4 LATEST EXAM | ALL QUESTIONS
AND CORRECT ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS | NEWEST EXAM 2025
Which assessment finding strongly suggests that the pt with cancer is having incident pain a. frequently report pain about 30-35 min before next scheduled dose b. demonstrates protectiveness of R arm when moving or standing up c. reports continuous burning or tinging sensation in L lower leg d. appears quiet, withdrawn and depressed when family leaves after visiting ---------CORRECT ANSWER-----------------b. demonstrates protectiveness of R arm when moving or standing up The home health nurse is reviewing the cancer pt med list and sees that bisphosphonate med has been prescribed. which question is the nurse most likely to ask to evaluate the efficacy of the med a. has the med helped relieve the discomfort in ur mouth b. have u noticed any increase or change in ur energy level c. has the med helped to stop the nausea and vomiting d. has the med relieved the bone pain that u were having ---------CORRECT ANSWER-----------------d. has the med relieved the bone pain that u were having The nurse hears in hand off report that the pt with cancer received prn ativan. which question is the oncoming nurse most likely to ask the off going nurse in relation to the med a. what did the pt say about the location and and level of pain b. were u able to determine what was making the pt so anxious c. when is the pt allowed to have another dose d. did the pt have a normal bowel movement after med ---------CORRECT ANSWER-----------------b. were u able to determine what was making the pt so anxious personally id ask when the next dose is but whatever
Nurse is interviewing pt treated several months ago for breast cancer. pt reports taking nsaids for back pain. which pt comment is cause for the greatest concern a. the nsaids r not really relieving the back pain b. the nsaids are too large and hard to swallow c. i gained weight because i eat a lot before taking nsaids d. the nsaids are upsetting my stomach in the morning ---------CORRECT ANSWER-----------------a. the nsaids are not relieving the back pain The nurse is talking to group of old ladies about breast cancer. based on most recent guideline from cancer society and oncology whatever, what will the nurse tell them about current recommendations for breast cancer screening a. for older women in good health and life expectancy of 10+ years, biennial or annual mammography screening is recommended b. for women >55 with average risk, mammography screening is recommended q3-5 yrs c. for women >70 with average risk annual screening is not recommended d. starting at age 40 all women with average risk for breast cancer should have annual clinical breast exam and mammography screening --------- CORRECT ANSWER-----------------a. for older women in good health and life expectancy of 10+ years, biennial or annual mammography screening is recommended Define palliative care ---------CORRECT ANSWER-----------------pt & family centered approach to care with physical, function, psychological, spiritual, essential aspects in mind for serial illness Define hospice care ---------CORRECT ANSWER-----------------coordinated program of interdisciplinary care & services for terminally ill + family
After change of shift report which newly admitted pt should the nurse see first a. CD4 count is 45 b. pt with acute kidney transplant rejection who has scheduled dose of prednisone c. pt with graft vs host disease with frequent green stools d. pt with htn who has angioedema after lisinopril ---------CORRECT ANSWER-----------------d. pt with htn who has angioedema after lisinopril because angioedema can cause airway obstruction (ABCs) Nurse is in public health dep implementing plan to reduce incidence of infection with hiv in the community. which nursing action will be delegated to uap working for agency a. supplying injection drug users with sterile injection equipment such as needles and syringes b. interview pt about behaviors that indicate need for annual hiv testing c. teach high risk community members about use of condoms in preventing hiv infection d. assessing community to determine which population groups to target for education ---------CORRECT ANSWER-----------------a. supplying injection drug users with sterile injection equipment such as needles and syringes Nurse is supervising student nurse caring for pt with hiv. the pt has severe esophagitis caused by candida albicans. which action by nurse requires most rapid intervention by the nurse a. putting on mask and gown before entering pt room b. giving pt a glass of water after administering oral nystatin suspension c. suggest that the pt should order child con carne or chicken soup for the next meal cuz thats the most important thing right this second d. place a no visitors sign on the door of the pt room ---------CORRECT ANSWER-----------------b. giving pt a glass of water after administering oral nystatin suspension
cuz u want the suspension to be in there for a long time not rinse it out right away Nurse is evaluating pt with hiv who is reciving tmp-smx to treat pneumocystitis jiroveci pnemonia. which info is most important to communicate to hcp a. pt reports blistering rash b. pt fluid intake is 2L/day c. pt potassium is 3. d. pt enjoys spending time in the sun ---------CORRECT ANSWER------------ -----a. pt reports blistering rash cuz this is s/s of stevens johnson syndrome Nurse is working with pr newly diagnosed with hiv and reports current use of fukin heroin and meth. which actions are appropriate by the nurse. select all a. refer the pt to a substance abuse treatment program b. plan for the pt to participate in needle exchange program c. coordinate pt schedule for directly observed antiretroviral drug tx d. instruct the pt that ongoing injectable drug use is a contraindication for antiretrovital therapy e. provie pt education about risk of transmitting hiv to others when sharing needles ---------CORRECT ANSWER-----------------all besides d pt with newly diagnosed aids has 6mm induration at 48 hrs after skin test for TB. which action will the nurse anticipate taking next a. arrange for a cxr to check for active TB b. tell the pt that the TB test results are negative c. teach the pt about multidrug tx for TB d. schedule tb test again in 12 months ---------CORRECT ANSWER----------- ------a. arrange for a cxr to check for active TB
d. provide instruction about high calorie, high protein diet ---------CORRECT ANSWER-----------------a. administer oxandrolone 5mg/day (appetite stimulant) pt with hiv has these info. which finding is most important to report to the hcp a. BG 144 b. hgb 10. c. pt reports frequent nausea d. viral load has increased ---------CORRECT ANSWER-----------------d. viral load has increased
bad pt with hiv is taking nucleoside reverse transcriptase inhibitors and protease inhibitor is admitted to psych unit with panic attack. which info about the pt is most important to discuss with hcp a. pt exclaims "im afraid im going to die right here" b. the prescribed pt meds include midazolam 2mg IV stat c. pt is diaphoretic and tremulous and reports dizziness d. symptoms occurred suddenly while pt was driving to work --------- CORRECT ANSWER-----------------b. the prescribed pt meds include midazolam 2mg IV stat protease inhibitors decrease the metabolism of other drugs. midazolam should not be given tell hcp to pick something else pt describes burning sensation in the leg. hcp tells nurse a med will be prescribed for neuropathic pain secondary to chemo. which drug do u think it will be a. imipramine b. carbamazepine c. gabapentin
d. morphine ---------CORRECT ANSWER-----------------d. morphine pt with cancer will need ongoing treatment for pain. which brochure is the nurse most likely to prepare that addresses questions related to first line cancer pain a. an illustrated guide to the analgesic ladder b. common questions ab radiation therapy c. how to make preparations for your cancer surgery d. how nerve blocks can help to manage cancer pain ---------CORRECT ANSWER-----------------a. an illustrated guide to the analgesic ladder which nurse is demonstrating the first step in managing cancer pain using the ABCDE approach to pain management as recommended by the agency for healthcare research and quality a. nurse J asks if the time of the prescribed dose of meds can be changed b. nurse K asks the pt to describe pain and use number scale c. nurse L asks pt to participate and to contribute in pain management d. nurse M asks about pain management options that are appropriate for this pt ---------CORRECT ANSWER-----------------b. nurse K asks the pt to describe pain and use number scale ABCDE - ask, believe, choose, deliver, empower nurse assesses pt and determines the pt is having frequent breakthrough cancer pain. which member of the team is the nurse most likely to contact first a. physical therapist to reevaluate physical therapy routines b. hcp to review meds, dosage, frequency c. UAP to provide more assistance with ADLs d. psychiatric clinical nurse to evaluate psychogenic pain ---------CORRECT ANSWER-----------------b. hcp to review meds, dosage, frequency
d. elderly white woman who has pancreatitis ---------CORRECT ANSWER-- ---------------a. older african american man who smokes pt receiving chemo are at risk for thrombocytopenia related to chemo or disease processes. which actions are needed for pt who must be placed on bleeding precautions a. provide mouthwash with alcohol for oral rinsing b. use paper tape on fragile skin c. provide soft toothbrush or oral sponge d. gently insert rectal suppositories e. avoid aspirin or aspirin containing products f. avoid overinflation of BP cuff ---------CORRECT ANSWER-----------------b. use paper tape on fragile skin c. provide soft toothbrush or oral sponge e. avoid aspirin or aspirin containing products f. avoid overinflation of BP cuff when care assignments r being made for pt with alterations r/t GI cancer, which pt would be the best for the LPN a. pt with severe anemia secondary to GI bleed b. pt who needs enemas and atb to control GI bacteria c. pt who needs preOP teaching for bowel resection surgery d. pt who needs central line insertion for chemo ---------CORRECT ANSWER-----------------b. pt who needs enemas and atb to control GI bacteria community health center is preparing a presentation on the prevention and detection of cancer. which task would be best for LPN a. explain screening exams and testing for common cancer b. discuss how to plan a balanced diet and reduce fats and preservatives c. prepare poster on the seven warning signs of cancer d. describe strats for reducing risk factors like smoking and obesity --------- CORRECT ANSWER-----------------c. prepare a poster on the seven warning signs of cancer
the hcp tells the pt with cancer there will be an initial course of treatment with continued maintenance tx and ongoing observations for s/s over a prolonged period of time. which pt statement is of greatest concern a. my symptoms will eventually be cured, im so happy i wont have to worry any more b. my doc is trying to help me control the symptoms, i am grateful for the extension of time with my family c. my pain will be relieved, but i am going to die soon. i would like to have control over my own life and death d. initially, i may have to take some time off work for my treatment. i can probably work full time in the future ---------CORRECT ANSWER--------------- --c. my pain will be relieved, but i am going to die soon. i would like to have control over my own life and death for pt who is experiencing side effects of radiation therapy, which task would be the most appropriate to delagate to the uap a. help pt identify patterns of fatigue b. recommending participation in walking program c. report the amount and type of food consumed from the tray d. check skin for redness and irritation after tx ---------CORRECT ANSWER- ----------------c. report the amount and type of food consumed from the tray older pt needs treatment and relief for severe localized pain related to postherapeutic neuralgia that developed during chemo. the nurse is most likely to question the prescription of which type of med a. lidocaine patch b. gabapentinoid c. capsaicin patch d. tricyclic antidepressant ---------CORRECT ANSWER-----------------d. tricyclic antidepressant
when staff assignments are made for care of pt who are receiving chemo, what is major consideration regarding chemo drugs a. administration of chemo requires precautions to protect self and others b. many chemo drugs are vesicants c. chemo drugs are frequently given through CVA devices d. oral and venous routes of administration are the most common --------- CORRECT ANSWER-----------------a. administration of chemo requires precautions to protect self and others the day shift nurse just received hand over report from night shift nurse. list order of priority for assessing and caring for the following pt
- pt who developed tumor lysis syndrome around 5am
- pt currently pain free but had breakthrough pain during the night
- pt scheduled for exploratory laparotomy this morning
- pt with anticipatory nausea and vomiting for the past 24 hrs --------- CORRECT ANSWER-----------------1, 3, 2, 4 nurse is monitoring pt who is at risk for spinal cord compression related to tumor growth. which pt statement is most likely to suggest an early manifestation a. last night my back really hurt, and i had trouble sleeping b. my leg has been giving out when i try to stand c. my bowels are just not moving like they usually do d. when i try to pass urin, i have difficulty starting the stream --------- CORRECT ANSWER-----------------a. last night my back really hurt, and i had trouble sleeping nurse is caring for an older woman with hepatic cancer. UAP informs the nurse that the pt LOC is diminished compared with earlier in the shift. prioritize the steps of assessment and intervention r/t this pt change of mental status a. take VS, pulse, RR, BP, temp b. check responsiveness and LOC c. obtain BG and given glucose per protocol
d. check electrolyte values e. check ammonia level f. check pulse ox reading and administer oxygen as needed --------- CORRECT ANSWER-----------------b, f, a, c, d, e for pt with osteogenic sarcoma, which lab value is most concerning a. sodium 135 b. calcium 13 c. potassium 4. d. hematocrit 40% ---------CORRECT ANSWER-----------------b. calcium 13 which cancer pt could be placed together as roommates. select all a. pt who has very low neutrophil count b. pt who underwent debulking of a tumor to relieve pressure c. pt who just underwent a bone marrow transplantation d. pt who had a laminectomy for spinal cord compression e. pt who is undergoing brachytherapy for prostate cancer f. pt with terminal cancer who is receiving end of life care ---------CORRECT ANSWER-----------------b. pt who underwent debulking of a tumor to relieve pressure d. pt who had a laminectomy for spinal cord compression athletic young man was recently diagnosed with ewing sarcoma. he has pain, low grade fever and anemia. the surgeon recommends amputation of the R lower leg for an operable tumor. the pt tells the nurse that he is leaving the hospital to go on a long hiking trip. what is the priority nursing concept to consider at this time a. pain b. cellular regulation c. coping d. adherence ---------CORRECT ANSWER-----------------c. coping
int he care of pt with neutropenia, which task would nurse delegate to UAP. select all a. VS Q b. report temp greater than 100. c. assess for sore throat, cough, or burning with urination d. gather supplies to prepare the room for protective isolation e. report superinfections, such as candidiasis f. practice good hand washing technique ---------CORRECT ANSWER------- ----------a. VS Q b. report temp greater than 100. d. gather supplies to prepare the room for protective isolation f. practice good hand washing technique primary nursing responsibility is the prevention of lung cancer by assisting pt in cessation of smoking or other tobacco use. which task would be appropriate to assign to lpn a. develop a quit plan b. explain how to apply nicotine patch c. discuss strategies to avoid relapse d. suggest ways to deal with urges for tobacco ---------CORRECT ANSWER-----------------b. explain how to apply nicotine patch nurse is providing end of life care for pt with terminal liver cancer. the pt is weak and resless. her skin is cool and mottled. dyspnea develops and the pt appears anxious and frightened. what should the nurse do first a. administer prn morphine b. alert RRT and call hcp c. deliver breaths at 20/min with bag valvue mask and prepare for intubation d. sit quietly with the pt and offer emotional support and comfort --------- CORRECT ANSWER-----------------a. administer prn morphine
nurse is asked to float to different unit. during report, nurse is told the pt is receiving iv admin of vincristine that should be finished in 15 min. the iv site is intact and pt is not having probs with the infusion. the nurse is not certified in chemo admin. what is the priority action a. ask the off going nurse to stay until vincristine infusion is finished b. ask the off going nurse about problems to expect with the infusion c. contact charge nurse and discuss lack of chemo cert d. look up drug side effects and monitor because the infusion is almost complete ---------CORRECT ANSWER-----------------c. contact charge nurse and ask what the **** they want u to do cuz u dont have the cert the nurse is caring for pt with uterine cancer who is being treated with intracavitary radiation therapy. UAP reports that the pt insisted on ambulating to the bathroom and now something feels like its coming out. what is the priority action a. assess UAP knowledge, explain rationale for strict bed rest b. assess for dislodgment, use forceps to retrieve and a lead container to store as needed c. assess the pt knowledge of the treatment plan and her willingness to participate d. notify the hcp about dislodgment of the radiation implant --------- CORRECT ANSWER-----------------b. assess for dislodgment, use forceps to retrieve and a lead container to store as needed the charge nurse discovers that two nurses have switched pt because nurse A does not like to take care of pt with prostate cancer. which action should the charge rn take first a. insist that they switch back to the original pt assignments and talk to each of them at the end of the shift b. allow them this flexibility, as long as the pt are well cared for, it doesnt matter if the assignments are changed c. ask nurse a to explain her position regarding prostate cancer patients and seek alternatives to prevent future issues d. explain to nurse a and b that all patients deserve kindness and care regardless of their condition or the nurses' personal feelings --------- CORRECT ANSWER-----------------c. ask nurse a to explain her position
d. hospice is provided in the home and will allow the family to be involved in the decisions for care ---------CORRECT ANSWER-----------------b. hospice assists the family and patient to prepare for death CAUTION warning signs for cancer ---------CORRECT ANSWER-------------- ---C - change in bowel or bladder A - a sore or legion that does not heal U - unusual bleeding or discharge T - thickening or lump in the breast or elsewhere I - indigestion or difficulty swallowing O - obvious change in wart or mole N - nagging cough or hoarseness T/F malignant tumors spread by way of blood and lymph channels to other areas of the body ---------CORRECT ANSWER-----------------true primary prevention ---------CORRECT ANSWER-----------------reduce risk of disease thru health promotion and risk reduction secondary prevention ---------CORRECT ANSWER-----------------screening and early detection for asymptomatic tertiary prevention ---------CORRECT ANSWER-----------------preventing recurrence or treating to prevent further complication what type of surgery is being done when lesions that are removed are likely to develop into cancer a. diagnostic
b. palliative c. prophylactic d. reconstructive ---------CORRECT ANSWER-----------------c. prophylactic external beam radiation (teletherapy) ---------CORRECT ANSWER------------ -----action radiation external to patient patient does not emit radiation and does not pose hazard to anyone brachytherapy ---------CORRECT ANSWER-----------------radiation comes into direct contact with tissues the source is in the patient so they can be hazard lab associated with heart attack ---------CORRECT ANSWER----------------- troponin lab associated with heart failure ---------CORRECT ANSWER----------------- BNP lab associated with breast cancer ---------CORRECT ANSWER----------------- BRCA-1 and BRCA- 2 lab associated with ovarian cancer ---------CORRECT ANSWER--------------- --CA- 125 lab associated with colon cancer ---------CORRECT ANSWER----------------- CEA
