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The nurse is assigned to care for a child with sickle cell disease who is being admitted with splenic sequestration crisis.Which room would be the most appropriate for this child?


A) Private room
B) Semi-private room
C) Contact-isolation room
D) Airborne-isolation room

Correct Answer

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A pediatric nurse is educating the client with sickle cell disease and the client's family regarding the genetic implications of the disease.Which information is inappropriate for the nurse to share with the client's family?


A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%.
B) The disorder is transmitted as an autosomal recessive genetic defect.
C) The sickle cell gene may have originated to protect against lethal forms of malaria.
D) In African-Americans, sickle cell disease occurs in 1 out of every 500 births.

Correct Answer

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The nurse educator is teaching a group of student nurses regarding human growth and development.Which statement by the student nurse indicates the teaching has been effective?


A) "The zygote undergoes differentiation to form a multicellular embryo, which becomes a fetus and then an infant."
B) "Meiosis occurs only in the sex cells of the testes and ovaries."
C) "Mitosis is also known as the reduction division of the cell."
D) "When the two sex cells combine during fertilization, the total number of chromosomes (50) is present in the offspring's cells."

Correct Answer

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The nurse is instructing a group of women between the ages of 40 and 50 about early detection of breast cancer.What should the nurse include in this teaching?


A) Perform monthly breast self-exams.
B) See a healthcare provider if there is a strong family history of breast cancer.
C) Have a yearly mammogram.
D) Have a clinical breast exam performed by a healthcare provider every 5 years.

Correct Answer

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A client in sickle cell crisis reports taking a recent skiing trip that caused a respiratory infection from the cold weather.The client reports a pain level of 8 on a pain scale from 0 to 10.Which nursing diagnosis is a priority for this client?


A) Fluid Volume Excess
B) Risk for Self-Mutilation
C) Knowledge Deficit
D) Acute Pain

Correct Answer

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A client with anemia is prescribed synthetic erythropoietin.When teaching the client about the therapeutic effect of this treatment,which is appropriate for the nurse to include?


A) Increase in platelets
B) Increase in red blood cells
C) Decrease in white blood cells
D) Decrease in lymph fluid

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The nurse is reviewing the plan of care for a client being treated with brachytherapy for breast cancer.Which assessment finding indicates that the client's skin integrity has been maintained?


A) Skin intact
B) Skin dry and excoriated
C) Skin stretched
D) Skin damp and sweaty

Correct Answer

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A client is scheduled to have a suspected cancerous lesion removed from the arm.When planning care for this client,which outcome would be a priority?


A) The client will make nutritional changes.
B) The client will experience minimal pain after healing.
C) The client will heal without signs of infection.
D) The client will not need to make lifestyle changes.

Correct Answer

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The nurse is preparing care for a client recovering from surgery for colorectal cancer.Which interventions should the nurse use when creating a pain management plan for this client? Select all that apply.


A) Provide pain medication upon request.
B) Assess surgical site for inflammation.
C) Assess bowel sounds.
D) Administer pain medication after painful procedures.
E) Instruct to use a pillow to splint when deep breathing and coughing.

Correct Answer

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A nurse educator is explaining the term hyperplasia to a group of nursing students.Which statement,made by a nursing student,indicates an understanding of why hyperplasia occurs with myocardial infarction?


A) "The cells of the muscle experience hyperplasia with the prolonged need for oxygen."
B) "The cells of the heart are metaplastic in response to muscle damage."
C) "The cells of the heart muscle have lost fluid."
D) "The cells of the heart muscle are responding to metabolic needs."

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The nurse is preparing to perform a health assessment on an adult client who has a family history of cancer.Which questions should the nurse ask the client to assess for the early warning signs of cancer? Select all that apply.


A) "Do you have a cough that is associated with seasonal allergies?"
B) "Have you noticed a change in your appetite?"
C) "Have you noticed any cuts that have not healed?"
D) "Have you had any changes in bowel or bladder habits?"
E) "Have you experienced any problems swallowing?"

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The nurse is caring for a thin,older adult client who is diagnosed with cancer and is receiving aggressive chemotherapy.The client is experiencing severe side effects from the therapy and has lost 10 pounds in the past week.What should the nurse teach the client to do? Select all that apply.


A) Purchase fast foods and prepared foods.
B) Eat cold foods rather than hot foods, because they are better tolerated.
C) Keep a food diary and record intake.
D) Eat large frequent meals high in calories.
E) Drink liquid supplements to increase intake of nutrients.

Correct Answer

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The nurse has completed a seminar teaching a group in the community about ways to reduce cancer risks.The nurse returns a month later to evaluate the effectiveness of the seminar.Which statements made by members of the group indicate retention and application of the material presented by the nurse to reduce the risk of developing cancer? Select all that apply.


A) "I stopped using tanning booths."
B) "I began drinking two glasses of red wine a day with dinner."
C) "I have reduced my intake of fiber."
D) "I have increased the amount of lean red meat in my diet."
E) "I now limit my alcohol intake to three drinks per week."

Correct Answer

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The home healthcare nurse is preparing a care plan for a client with severe anemia.The client currently lives alone and states,"I can't even walk to the kitchen without getting winded." What would be the priority nursing diagnosis for this client?


A) Hopelessness
B) Activity Intolerance
C) Altered Nutrition, Less than Body Requirements
D) Anxiety

Correct Answer

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The student nurse is questioning the instructor about the different types of chemotherapeutic agents used to treat cancer.Which statement by the instructor best explains why lung cancers are less sensitive to antineoplastic agents than other types of cancers?


A) "Lung cancer cells have a low growth fraction, so they are less sensitive to antineoplastic agents."
B) "Lung cancer cells grow in a high-oxygen environment, so they are not very sensitive to antineoplastic agents."
C) "Lung cancer cells have been growing for a long time before detection, so they are less sensitive to antineoplastic agents."
D) "Lung cancer cells have a very erratic cell cycle, so they are not very sensitive to antineoplastic agents."

Correct Answer

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The nurse is teaching a client scheduled for a colonoscopy on pre- and post-procedure care.Which statement by the client indicates the need for further teaching?


A) "I will likely have medications that will make me drowsy during the test."
B) "It might be quite painful."
C) "The physician might take tissue samples for further analysis."
D) "The procedure will only take about 1 hour."

Correct Answer

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The nurse is caring for a client who was admitted to a medical-surgical unit in a sickle cell crisis.Which medication should the nurse expect to administer to this client?


A) Acetaminophen (Tylenol)
B) Ibuprofen (Advil)
C) Meperidine (Demerol)
D) Hydroxyurea

Correct Answer

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The nurse is assessing a client for symptoms of prostate cancer.Which symptoms would indicate the client is experiencing an enlarged prostate? Select all that apply.


A) Hematuria
B) Dysuria
C) Nerve pain
D) Bone pain
E) Bowel or bladder dysfunction

Correct Answer

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The nurse is caring for an adolescent Asian client with a strong family history of breast cancer.What should the nurse instruct the client regarding cancer prevention? Select all that apply.


A) Encourage the client to learn more about the disease.
B) Talk to family members who have the disease.
C) Perform monthly breast self-examination.
D) Teach the side effects of cancer treatment.
E) Discuss cancer fears with the healthcare provider.

Correct Answer

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A pediatric nurse is caring for a child with acute lymphoblastic leukemia (ALL) .When providing education to the child's parents regarding this disease,which topics should the nurse include? Select all that apply.


A) ALL is characterized by abnormal proliferation of all bone marrow elements.
B) This form of leukemia is the most common type among children and adolescents.
C) Most cases of ALL result from the malignant transformation of B cells.
D) This form of leukemia is very rarely seen in children.
E) The onset of ALL is usually gradual.

Correct Answer

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