Deck 40: Cancer

Question 1

After performing a colposcopy on a client who has cervical cancer, the health-care provider tells a nurse the tumor has spread into the lower third of the vagina. Which stage of cervical cancer does the nurse expect to be documented in the client's medical record?
1)Stage I
2)Stage II
3)Stage III
4)Stage IV

Answer 1

3

Question 2

A client is diagnosed with brain cancer identified as a grade IV glioblastoma. Which treatment does the nurse expect for this client?
1)Surgery and chemotherapy
2)Radiation or chemotherapy
3)Surgical removal only
4)Radiation and chemotherapy

Answer 2

4

Question 3

The nurse is assessing a client with thyroid cancer and anticipates the client has a benign tumor. Which finding helps the nurse to reach this conclusion?
1)The fixed nature of the thyroid nodules
2)The hard appearance of the thyroid nodules
3)The sudden onset of pain in the thyroid nodules
4)The rapid growth and nontenderness of the thyroid nodules

Answer 3

3

Question 4

The laboratory reports of a client diagnosed with lung cancer indicate the client has increased adrenocorticotrophic levels. Which outcome does the nurse expect in the client?
1)Weight loss
2)Hypercalcemia
3)Hyponatremia
4)Darkening of the skin

Question 5

The nurse is screening multiple clients for susceptibility for lung cancer. Which client is identified as most likely to be diagnosed with cancer?
1)A young adult who works outside in construction and smokes cigarettes
2)A middle-age female with a history of human papilloma virus (HPV) in addition to other sexually transmitted infections (STIs)
3)An older adult male who worked as a mechanic and has a persistent cough
4)An older female with a family history of breast and cervical cancer

Question 6

The prescription of which diagnostic test alerts the nurse to a possible presence of liver cancer?
1)CA-125 blood test
2)Papanicolaou test
3)Barium enema test
4)Alpha-fetoprotein test

Question 7

The nurse is providing care for a client after the removal of an abdominal tumor. Which information indicates to the nurse the tumor is benign?
1)Tumor was identified as anaplasia
2)Tumor cells were cohesive
3)Tumor was invasive to surrounding tissue
4)Tumor growth was slow but erratic

Question 8

A client with breast cancer undergoes a lumpectomy for HER2 protein cancer. Which medication is effective for the treatment of this condition in the client?
1)Everolimus
2)Anastrozole
3)Trastuzumab
4)Zoledronic acid

Question 9

After assessing a client, the nurse finds the client has cervical cancer. In addition, there is a growth of cancer cells in the bladder, rectum, and other parts of the body. Which stage of cervical cancer does the nurse identify in the client?
1)Stage I
2)Stage II
3)Stage III
4)Stage IV

Question 10

Which laboratory finding is most common in a client who has lung cancer?
1)Decreased melanin concentration
2)Increased concentration of urine
3)Increased sodium concentration in the serum
4)Decreased concentration of serum calcium

Question 11

A health-care provider performs an examination on a client diagnosed with colon cancer and finds that the tumor has invaded into the visceral peritoneum. Which stage of colon cancer does the nurse expect to be documented in the client's medical record?
1)Stage I
2)Stage IIB
3)Stage IIIA
4)Stage IVC

Question 12

A computerized tomography (CT) scan shows the presence of a malignant tumor in a client. The health-care provider tells the nurse the tumor is of type grade II. Which appearance of the tumor does the nurse anticipate in the CT scan?
1)Poorly differentiated
2)Moderately differentiated
3)Well differentiated
4)Unable to be differentiated

Question 13

After assessing a client with breast cancer, the nurse concludes that the client has basal category cancer that requires immediate treatment with chemotherapy. Which finding assisted the nurse in reaching this conclusion?
1)The client has cancerous cells that are invading blood cells and lymph nodes.
2)The client has tumor cells, which are overproducing HER2 receptors.
3)The client has slow-growing cancerous cells, which are identified on a mammogram.
4)The client has fast-growing cancer cells that lack estrogen, progesterone, and HER2 receptors.

Question 14

A computerized tomography (CT) scan report of a client shows a 2-cm tumor in the left breast and no signs of metastatic lesions in other parts of the body. Upon physical assessment, the health-care provider identifies the presence of three cancer-positive lymph nodes. In which manner does the health-care provider document this finding in the medical record according to the TNM classification?
1)T0, Nx, M1
2)Tx, N1, M1
3)T1, N3, M0
4)T1, N0, M1

Question 15

Which type of carcinogenic cells are present in the central part of the lung and cause erosion in the proximal bronchus?
1)Adenocarcinoma
2)Squamous cell carcinoma
3)Bronchoalveolar carcinoma
4)Large cell carcinoma

Question 16

A client with ovarian cancer undergoes surgery. The health-care provider prescribes platinum and paclitaxel as the postoperative treatment. Which action does the nurse expect from the medication?
1)Inhibition of epithelial growth
2)Inhibition of tyrosine kinase activity
3)Increase in hyperthermic activity
4)Reduction in mitosis of cancerous cells

Question 17

The nurse is assessing a client diagnosed with colon cancer. The client exhibits signs of jaundice. Which change does the nurse expect in the client's condition?
1)Cirrhosis from chemotherapy
2)Tumor is impinging on the liver
3)Worsening nausea and vomiting
4)Metastasis to the liver

Question 18

A client is diagnosed with cancer, with the accompanying manifestations of fatigue, weakness, and unintentional weight loss. Which cause does the nurse relate to the client's cachectic appearance?
1)Breakdown in muscle and fat from white blood cell (WBC) mediators
2)Inability to overcome an expected decrease in appetite
3)Overwhelming weakness interfering with ability for self-care
4)Persistent fatigue causing an increase in rest and sleep time

Question 19

The nurse is preparing teaching materials for a presentation at a community center about cancer. Which is the most important factor for the nurse to share?
1)Cancer is the leading cause of death, including being greater than cardiovascular deaths.
2)Lung cancer is the second most common cause of mortality over all other forms of cancer.
3)African American females have the highest incidence of cancer and cancer mortality.
4)Cancers of the lung, female breast, prostate, and colon constitute more than 50% of cancer diagnoses and cancer deaths.

Question 20

The nurse is preparing a community education program about cancer. Which is a client-appropriate definition about how potential cancer cells are created and managed by the body?
1)Immunocompetence declines with aging, and older adults are more susceptible to tumor development.
2)Cancer-causing substances and changed cells are recognized as "non-self" invaders and are attacked.
3)Some cancers are inherited, and hereditary genetic mutations are passed from parents to offspring.
4)Everyone has tumor suppressor genes, which normally function to restrain cell growth.

Question 21

A client who has breast cancer is undergoing a positron emission tomography (PET) scan. Which finding does the nurse expect to detect through the use of this test? Select all that apply.
1)Vascularization
2)Hormone sensitivity
3)Oxygen consumption
4)Tumor receptor status
5)Change in metabolic activity

Question 22

Which signs and symptoms are associated with liver cancer? Select all that apply.
1)Jaundice
2)Weight loss
3)Constipation
4)Abdominal pain
5)Numbness in one side of the body

Question 23

Which common paraneoplastic syndromes are associated with lung cancer? Select all that apply.
1)Hypercalcemia
2)Cushing syndrome
3)Myasthenia-like syndrome
4)Polycythemia
5)Syndrome of inappropriate antidiuretic hormone

Question 24

Which laboratory findings are associated with liver cancer? Select all that apply.
1)Hypoglycemia
2)Hypercalcemia
3)Abnormal liver enzymes
4)Iron-deficiency anemia
5)Increase in carcinoembryonic antigens

Question 25

Which laboratory findings are associated with colorectal cancer? Select all that apply.
1)Hypoglycemia
2)Hypercalcemia
3)Iron-deficiency anemia
4)Increase in liver enzymes
5)Increase in carcinoembryonic antigens