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CA Pre Test - Test your skills

Numerical Solutions to CE Problems (North Eastern Mindanao State University)

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PRE-TEST
in
CELLULAR ABERRATION

NAME_____________________________________ SECTION_________ DATE_________

TEST 1-Multiple choices: INSTRUCTION Select the best answer by encircling the letter
that corresponds to the answer of your choice. STRICTLY NO ERASURES. Any item with
markings/ Superimpositions/ double selections shall be invalid.
1. Nurse Ali is reviewing the chart of a C. A 35-year-old White man
client who is newly diagnosed with D. A 25-year-old Asian woman
chronic lymphocytic leukemia. Which of 6. Nurse Andrei is caring for a client with
the following laboratory values is multiple myeloma. During the review of the
laboratory results. The nurse will monitor
expected to be seen?
the client for which of the following
A. Elevated aspartate aminotransferase conditions?
and alanine aminotransferase levels A. Hypermagnesemia
B. Thrombocytopenia and increased B. Hyperkalemia
lymphocytes C. Hypernatremia
C. Elevated sedimentation rate D. Hypercalcemia
D. Uncontrolled proliferation of
7. Giving instructions for breast self-
granulocytes
examination is particularly important for
2. Marites was recently diagnosed with clients with which of the following medical
Hodgkin’s lymphoma. Upon the early problems?
diagnosis, the nurse will expect which of A. Ovarian cancer
the following areas is often involved? B. Endometrial polyps
C. Cervical dysplasia
A. Elevated aspartate aminotransferase
D. A dermoid cyst
and alanine aminotransferase levels
B. Thrombocytopenia and increased 8. The client with which of the following
lymphocytes types of lung cancer has the best
C. Elevated sedimentation rate prognosis?
D. Uncontrolled proliferation of A. Squamous cell
granulocytes B. Oat cell
C. Small cell
3. Celeste, a clinical instructor is
D. Adenocarcinoma
conducting a lecture about
chemotherapy. Which of the following 9. Which of the following interventions is
statements is correct about the rate of the key to increasing the survival rates of
cell growth in relation to chemotherapy? clients with lung cancer?
A. Faster growing cells are more A. High-dose chemotherapy
B. Early bronchoscopy
susceptible to chemotherapy
C. Smoking cessation
B. Faster growing cells are less
D. Early detection
susceptible to chemotherapy
C. Slower growing cells are more 10. A client has been diagnosed with lung
susceptible to chemotherapy cancer and requires a wedge resection. How
D. Non-dividing cells are more much of the lung is removed?
susceptible to chemotherapy A. A segment of the lung, including a
bronchiole and its alveoli
4. A 40-year-old male diagnosed with acute B. One entire lung
lymphocytic leukemia finished his first cycle C. A lobe of the lung
of chemotherapy. Which of the following D. A small, localized area near the surface
statements by the nurse is wrong? of the lung
A. “You can eat soft cheeses from
11. When a client has a lobectomy, what
pasteurized milk”
fills the space where the lobe was?
B. “You can enjoy the turkey on the day of
A. The remaining lobe or lobes over expand
thanksgiving party”
to fill the space
C. “Try eating sashimi in one of the famous
B. The lung space fills up with serous fluid
Japanese restaurants around the city”
C. The space stays empty
D. “ A medium well steak is a good idea of
D. The surgeon fills the space with gel
a sumptuous meal”
12. Which of the following is the primary
5. Which of the following clients is most at
goal for surgical resection of lung cancer?
risk for developing multiple myeloma?
A. To remove all of the tumor and any
A. A 60-year-old African-American man
collapsed alveoli in the same region
B. A 52-year-old Hispanic woman
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B. To remove as much as the tumor as nurse includes which priority intervention in

possible, without removing any alveoli the plan of care?
C. To remove the tumor and as little A. Encouraging fluids
surrounding tissue as possible B. Providing frequent oral care
D. To remove the tumor and all surrounding C. Coughing and deep breathing
tissue D. Monitoring red blood cell count
13. The client with a benign lung tumor is
20. The nurse is reviewing the laboratory
treated in which of the following ways?
A. The tumor is removed, involving the results of a client receiving chemotherapy.
The platelet count is 10,000 cells/mm.
least possible amount of tissue
B. The tumor is left alone unless symptoms Based on this laboratory value, the priority
nursing assessment is which of the
are present
C. The tumor is treated with radiation only following?
A. Assess skin turgor
D. The tumor is treated with chemotherapy
only B. Assess bowel sounds
C. Assess temperature
14. In the client with terminal lung cancer, D. Assess level of consciousness
the focus of nursing care is on which of the
21. Nurse Donald is caring for a client
following nursing interventions?
following a modified radical mastectomy.
A. Prepare the client’s will Which assessment finding would indicate
that the client is experiencing a
B. Provide pain control
complication related to this surgery?
C. Provide nutritional support
A. Pain at the incisional site
D. Provide emotional support
B. Complaints of decreased sensation near
15. Joseph who had a history of long-term the operative site
smoking and alcoholism is diagnosed with C. Arm edema on the operative side
oropharyngeal cancer. He is admitted into D. Sanguineous drainage in the Jackson-
the chemo unit for the initiation of Pratt drain
chemotherapy. Which of the following tests
22. A nurse is providing education in a
is performed before the infusion of
community setting about general measures
chemotherapeutic agents?
to avoid excessive sun exposure. Which of
A. Complete blood count (CBC)
the following recommendations is
B. Peripheral blood smear
appropriate?
C. Lumbar puncture
A. Wear loosely woven clothing for added
D. Liver function test
ventilation
16. Nausea and vomiting are common B. Apply sunscreen only after going in the
adverse effects of radiation and water
chemotherapy. When should a nurse C. Apply sunscreen with a sun protection
administer antiemetics? factor (SPF) of 30 or more before sun
A. When therapy is completed exposure
B. Immediately after nausea begins D. Avoid peak exposure hours from 9am to
C. With the administration of therapy 1pm
D. 30 minutes before the initiation of
23. Which of the following nursing
therapy
interventions would be most helpful in
17. The nurse is instructing the client to making the respiratory effort of a client with
perform a testicular self-examination. The metastatic lung cancer more efficient?
nurse tells the client: A. Teaching the client diaphragmatic
A. That testicular examination should be breathing techniques
done at least every 6 months B. Administering cough suppressants as
B. To gently feel the testicle with one finger ordered
to feel for a growth C. Teaching and encouraging pursed-lip
C. To examine the testicles while lying breathing
down D. Placing the client in a low semi-Fowlers
D. The best time for the examination is position
after a shower
24. A 58-year-old man is going to have
18. The client with cancer is receiving chemotherapy for lung cancer. He asks the
chemotherapy and develops nurse how the chemotherapeutic drugs will
thrombocytopenia. The nurse identifies work. The most accurate explanation the
which intervention is the highest priority in nurse can give is which of the following?
the nursing plan of care? A. “Cancer cells are susceptible to drug
toxins.”
A. Monitoring temperature B. “Chemotherapy affects all rapidly
B. Monitoring for pathological factors dividing cells.”
C. Ambulation three times a day C. “Chemotherapy encourages cancer cells
D. Monitoring the platelet count to divide.”
19. The nurse is developing a plan of care D. “The molecular structure of the DNA is
for the client with multiple myeloma. The altered.”

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25. A pneumonectomy is a surgical of performing the examination is to

procedure sometimes indicated for discover:
treatment of non-small-cell lung cancer. A A. Fibrocystic masses
pneumonectomy involves removal of: B. Changes from previous self-
A. One lobe of a lung examinations
B. An entire lung field C. Areas of thickness or fullness
C. One or more segments of a lung lobe D. Cancerous lumps
D. A small, wedge-shaped lung surface
32. A client, age 41, visits the gynecologist.
26. Which of the following represents the After examining her, the physician suspects
most appropriate nursing intervention for a cervical cancer. The nurse reviews the
client with pruritus caused by cancer or the client’s history for risk factors for this
treatments? disease. Which history finding is a risk
A. Silk sheets factor for cervical cancer?
B. Steroids A. Pregnancy complicated with eclampsia
C. Medicated cool baths at age 27
D. Administration of antihistamines B. Spontaneous abortion at age 19
C. Onset of sporadic sexual activity at age
27. A male client has an abnormal result on
17
a Papanicolaou test. After admitting, he
D. Human papillomavirus infection at age
read his chart while the nurse was out of
32
the room, the client asked what dysplasia
means. Which definition should the nurse 33. The nurse is interviewing a male client
provide? about his past medical history. Which
A. Alteration in the size, shape, and preexisting condition may lead the nurse to
organization of differentiated cells suspect that a client has colorectal cancer?
B. Increase in the number of normal cells in A. Polyps
a normal arrangement in a tissue or an B. Weight gain
organ C. Hemorrhoids
C. Presence of completely undifferentiated D. Duodenal ulcers
tumor cells that don’t resemble cells of the
34. Nurse Amy is speaking to a group of
tissues of their origin
D. Replacement of one type of fully women about early detection of breast
cancer. The average age of the women in
differentiated cell by another in tissues
where the second type normally isn’t found the group is 47. Following the American
Cancer Society guidelines, the nurse should
28. For a female client with newly
diagnosed cancer, the nurse formulates a recommend that the women:
A. Have a mammogram annually
nursing diagnosis of Anxiety related to the
threat of death secondary to cancer B. Perform breast self-examination annually
C. Have a hormonal receptor assay
diagnosis. Which expected outcome would
be appropriate for this client? annually
D. Have a physician conduct a clinical
A. “Client stops seeking information.” examination every 2 years
B. “Client uses any effective method to
35. A male client with a nagging cough
reduce tension.”
C. “Client doesn’t guess at prognosis.” makes an appointment to see the physician
after reading that this symptom is one of
D. “Client verbalizes feelings of anxiety.”
the seven warning signs of cancer. What is
29. Nurse April is teaching a client who another warning sign of cancer?
suspects that she has a lump in her breast. A. Rash
The nurse instructs the client that a B. Indigestion
diagnosis of breast cancer is confirmed by: C. Chronic ache or pain
D. Persistent nausea
A. Breast self-examination
B. Mammography 36. Nurse Lucia is providing breast cancer
C. Fine needle aspiration education at a community facility. The
D. Chest X-ray American Cancer Society recommends that
women get mammograms:
30. A male client undergoes a laryngectomy
A. After the first menstrual period and
to treat laryngeal cancer. When teaching
annually thereafter
the client how to care for the neck stoma,
B. Yearly after age 40
the nurse should include which instruction?
C. Every 3 years between ages 20 and 40
A. “Keep the stoma dry.” and annually thereafter
B. “Keep the stoma moist.” D. After the birth of the first child and every
C.“Keep the stoma uncovered.” 2 years thereafter
D. “Have a family member perform stoma 37. What should a male client over age 52
care initially until you get used to the do to help ensure early identification of
procedure.” prostate cancer?

31. Nurse April is teaching a group of A. Have a transrectal ultrasound every 5

women to perform breast self-examination. years
The nurse should explain that the purpose
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B. Perform monthly testicular self- A. Wear comfortable clothing and shoes for
examinations, especially after age 50 the procedure
B. Maintain an NPO status before the
C. Have a digital rectal examination and
procedure
prostate-specific antigen (PSA) test done
C. Drink six to eight glasses of water
yearly
without voiding before the test
D. Have a complete blood count (CBC) and D. Eat a light breakfast only
blood urea nitrogen (BUN) and creatinine
44. A male client is diagnosed as having a
levels checked yearly
bowel tumor and several diagnostic tests
38. A female client with cancer is being are prescribed. The nurse understands
evaluated for possible metastasis. Which of which test will confirm the diagnosis of
the following is one of the most common malignancy?
metastasis sites for cancer cells? A. Magnetic resonance imaging
B. Computerized tomography scan
A. Colon C. Abdominal ultrasound
B. Liver D. Biopsy of the tumor

C. Reproductive tract 45. Vanessa, a community health nurse

conducts a health promotion program
D. White blood cells (WBCs) regarding testicular cancer to community
members. The nurse determines that
39. A 34-year-old female client is requesting
further information needs to be provided if
information about mammograms and breast
a community member states that which of
cancer. She isn’t considered at high risk for
the following is a sign of testicular cancer?
breast cancer. What should the nurse tell
this client? A. Back pain
B. Alopecia
A. She should have had a baseline
C. Heavy sensation in the scrotum
mammogram before age 30
D. Painless testicular swelling
B. When she begins having yearly
46. Nurse Joy is caring for a client with an
mammograms, breast self-examinations will
internal radiation implant. When caring for
no longer be necessary
the client, the nurse should observe which
C. She should perform breast self-
of the following principles?
examination during the first 5 days of each
A. Remove the dosimeter badge when
menstrual cycle
entering the client’s room
D. She should eat a low-fat diet to further
B. Individuals younger than 16 years old
decrease her risk of breast cancer
may be allowed to go in the room as long as
40. The nurse is preparing for a female they are 6 feet away from the client
client for magnetic resonance imaging (MRI) C. Limit the time with the client to 1 hour
to confirm or rule out a spinal cord lesion. per shift
During the MRI scan, which of the following D. Do not allow pregnant women into the
would pose a threat to the client? client’s room
A. The client lies still 47. A cervical radiation implant is placed in
B. The client asks questions the client for treatment of cervical cancer.
C. The client hears thumping sounds The nurse initiates what most appropriate
D. The client wears a watch and wedding activity order for this client?
band A. Out of bed ad lib
B. Ambulation to the bathroom only
41. Nurse Charice is instructing a C. Bed rest
premenopausal woman about breast self- D. Out of bed in a chair only
examination. The nurse should tell the
client to do her self-examination: 48. The nurse is caring for a female client
A. On the 1st day of the menstrual cycle experiencing neutropenia as a result of
B. On the same day each month chemotherapy and develops a plan of care
C. Immediately after her menstrual period for the client. The nurse plans to:
D. At the end of her menstrual cycle A. Teach the client and family about the
need for hand hygiene
42. Hanna, a community health nurse, is B. Insert an indwelling urinary catheter to
instructing a group of female clients about prevent skin breakdown
breast self-examination. The nurse instructs C. Restrict fluid intake
the client to perform the examination: D. Restrict all visitors
A. At the onset of menstruation
B. Every month during ovulation 49. The home health care nurse is caring for
C. Weekly at the same time of day a male client with cancer and the client is
D. 1 week after menstruation begins complaining of acute pain. The appropriate
nursing assessment of the client’s pain
43. Mila, who is suspected of an ovarian would include which of the following?
tumor is scheduled for a pelvic ultrasound. A. The client’s pain rating
The nurse provides which pre-procedure B. The nurse’s impression of the client’s
instruction to the client? pain
C. Nonverbal cues from the client
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D. Pain relief after appropriate nursing

intervention
50. Nurse Melinda is caring for a client who
is postoperative following a pelvic
exenteration and the physician changes the
client’s diet from NPO status to clear liquids.
The nurse makes which priority assessment
before administering the diet?
A. Ability to ambulate
B. Urine specific gravity
C. Bowel sounds
D. Incision appearance

1. B
2. B
3. A
4. C
5. A
6. D
7. A
8. A
9. D
10. D
11. A
12. C
13. A
14. B
15. D
16. D
17. D
18. D
19. A
20. D
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21. C
22. C
23. C
24. B
25. B
26. C
27. A
28. D
29. C
30. B
31. B
32. D
33.A
34. A
35. B
36. B
37. C
38. B
39. D
40. D
41. C
42. D
43. C
44. D
45. B
46. D
47. C
48. A
49. A
50. C

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