Neoplasia Module Quiz

Which type of bone tumour is benign and originates from cartilage cells and commonly affects the long bones of children and adolescents?

Clinical Decision Making and Intervention (CDM) Competency 3

Osteochondroma
Ewing's sarcoma
Chondrosarcoma
Multiple myeloma

What is the primary pathological process involved in benign prostatic hyperplasia (BPH)?

Nursing Practice (NP) Competency 1

Inflammation of the prostate gland
Formation of malignant tumours in the prostate
Overgrowth of glandular and stromal tissue
Loss of prostate gland function

A patient is postoperative after the removal of a brain tumour. The nurse notes increased intracranial pressure (ICP) due to cerebral edema. What intervention should the nurse implement?

Clinical Decision Making and Intervention (CDM) Competency 1

Encouraging the patient to engage in vigorous physical activity
Administering corticosteroids as prescribed
Placing the patient in a supine position
Administering intravenous hypertonic fluids

A patient with a history of breast cancer is undergoing chemotherapy. The nurse is assessing for potential side effects. Which assessment finding requires immediate intervention?

Clinical Decision Making and Intervention (CDM) Competency 1

Hair loss
Fatigue
Nausea and vomiting
Fever and chills

A patient is scheduled for a radical hysterectomy as part of cervical cancer treatment. What should the nurse include in the preoperative education?

Communication (COM) Competency 2 / Nursing Practice (NP) Competency 11

Teaching the patient how to perform breast self-examinations
Instructing the patient to avoid all physical activity before surgery
Explaining the importance of frequent cervical Pap smears after surgery
Discussing potential changes in sexual function postoperatively

A patient is recovering from a bowel resection surgery following colon cancer treatment. What is a nursing priority in the immediate postoperative period?

Clinical Decision Making and Intervention (CDM) Competency 1

Encouraging a high-fiber diet
Administering pain medication on a fixed schedule
Monitoring urine output for signs of dehydration
Instructing the patient to engage in deep breathing exercises

A 30-year-old patient is diagnosed with a fibroadenoma in the left breast. The patient is anxious and concerned about the lump. What should the nurse prioritize in the patient’s care?

Nursing Practice (NP) Competency 10

Scheduling an immediate surgical biopsy
Providing emotional support and education
Advising the patient to avoid any physical activity
Administering over-the-counter pain relievers

A patient with uterine fibroids is experiencing heavy menstrual bleeding. What nursing intervention can help manage this symptom?

Clinical Decision Making and Intervention (CDM) Competency 3

Administering high-dose aspirin as prescribed
Teaching Kegel exercises
Advocating for the patient to be informed about birth control pills
Instructing the patient to avoid hydration

A patient with Hodgkin’s lymphoma is receiving chemotherapy. What nursing action is essential during chemotherapy administration?

Clinical Decision Making and Intervention (CDM) Competency 1

Encouraging the patient to engage in vigorous physical activity
Administering a high-fat diet
Monitoring for signs of infection
Encouraging the patient to discontinue all medications

A patient with leukemia is undergoing a bone marrow biopsy. What nursing intervention should be implemented after the procedure?

Clinical Decision Making and Intervention (CDM) Competency 1

Instructing the patient to engage in strenuous exercise
Monitoring for signs of bleeding
Administering platelet transfusion
Allowing the patient to eat a high-fiber diet

A patient is receiving radiation therapy for lung cancer. What nursing intervention helps manage radiation-induced skin changes?

Clinical Decision Making and Intervention (CDM) Competency 1

Applying heat packs to the treated area
Administering high doses of vitamin C
Keeping the area uncovered and exposed to air
Applying a mild, unscented lotion to the skin

A child is diagnosed with neuroblastoma and is receiving chemotherapy. What nursing intervention helps manage chemotherapy-related nausea?

Clinical Decision Making and Intervention (CDM) Competency 1

Administering a high-sugar diet
Encouraging the child to avoid fluid intake
Administering antiemetic medications as prescribed
Restricting the child's physical activity

A patient with non-Hodgkin’s lymphoma is receiving immunotherapy. What is a nursing priority in the care of this patient?

Clinical Decision Making and Intervention (CDM) Competency 1

Monitoring for signs of bacterial infection
Administering high doses of corticosteroids
Restricting fluid intake
Avoiding close contact with family members

A patient presents with severe lower abdominal pain and is diagnosed with a ruptured ovarian cyst. What nursing intervention is essential?

Clinical Decision Making and Intervention (CDM) Competency 1

Administering opioid pain medication as needed
Instructing the patient to apply a heating pad
Encouraging the patient to engage in physical activity
Advising the patient to avoid fluid intake

A patient with ovarian tumour is scheduled for surgery. What nursing intervention is important in the postoperative period?

Clinical Decision Making and Intervention (CDM) Competency 1

Encouraging the patient to perform strenuous exercises
Monitoring for signs of ovarian swelling
Administering high doses of iron supplements
Monitoring for signs of postoperative infection

A patient with pancreatic cancer is undergoing radiation therapy. What nursing intervention helps manage radiation-induced fatigue?

Clinical Decision Making and Intervention (CDM) Competency 1

Encouraging the patient to decrease caffeine intake
Instructing the patient to avoid hydration
Promoting rest and energy conservation
Administering high doses of vitamin C

A teenager diagnosed with osteosarcoma is considering limb salvage surgery. How might you assist the patient in understanding the potential benefits and risks of this procedure?

Communication (COM) Competency 5

Provide a list of support groups for bone tumour patients.
Explain the surgical procedure using simple terms and diagrams.
Offer reassurance that the surgery will likely result in complete recovery.
Advise the patient to research surgical options independently.

A patient scheduled for transurethral resection of the prostate (TURP) expresses concerns about the procedure. What would be the most effective way for the nurse to address these concerns?

Communication (COM) Competency 5 / Nursing Practice (NP) Competency 6

Provide a pamphlet about the TURP procedure.
Offer reassurance that the procedure is routine.
Collaborate with the healthcare team to explain the procedure in detail.
Encourage the patient to focus on recovery rather than the procedure.

A patient undergoing radiation therapy for a brain tumour is worried about potential cognitive changes. How would the nurse address this concern?

Nursing Practice (NP) Competency 1

Provide general information about brain tumours and radiation therapy.
Share success stories of patients who had positive outcomes.
Collaborate with the radiation oncologist to discuss potential cognitive effects.
Reassure the patient that cognitive changes are rare.

A patient with colon cancer is scheduled for a colonoscopy and is anxious about the procedure. How can the nurse best address the patient’s anxiety?

Clinical Decision Making and Intervention (CDM) Competency 1

Provide a brochure on colonoscopy preparation.
Reassure the patient that colonoscopies are routine procedures.
Collaborate with the gastroenterologist to explain the procedure and alleviate concerns.
Encourage the patient to distract themselves from anxiety through activities.

A patient with melanoma is undergoing treatment with immunotherapy. The nurse understands that immunotherapy works by:

Nursing Practice (NP) Competency 1

Directly destroying cancer cells through radiation
Targeting and inhibiting specific genetic mutations
Enhancing the immune system's ability to recognize and attack cancer cells
Suppressing tumor angiogenesis and blood supply

A patient with chronic lymphocytic leukemia (CLL) is being monitored without active treatment due to stable disease progression. What term describes this approach?

Nursing Practice (NP) Competency 1

Induction therapy
Palliative care
Watchful waiting
Maintenance therapy

A patient is diagnosed with polycythemia vera. Which physiological response contributes to the development of polycythemia vera?

Nursing Practice (NP) Competency 1

Decreased production of red blood cells
Impaired clotting factors
Excessive production of platelets
Overproduction of red blood cells

A patient with prostate cancer has a Gleason score of 7 (3 + 4). What does this score indicate?

Nursing Practice (NP) Competency 1

Low-grade cancer with favorable prognosis
Intermediate-grade cancer with moderate prognosis
High-grade cancer with aggressive behavior
Benign prostatic hyperplasia

A patient is diagnosed with gastric adenocarcinoma. What is the most common risk factor for this type of stomach cancer?

Nursing Practice (NP) Competency 1

Helicobacter pylori infection
Chronic alcohol consumption
Exposure to asbestos
Family history of lung cancer

A postmenopausal patient is diagnosed with endometrial cancer. What is the most common symptom of endometrial cancer?

Nursing Practice (NP) Competency 1

Pelvic pain
Vaginal bleeding or spotting
Dysuria
Bowel obstruction

A patient is diagnosed with small-cell lung cancer (SCLC). What is a common paraneoplastic syndrome associated with SCLC?

Nursing Practice (NP) Competency 1

Cushing's syndrome
Hyperthyroidism
Hypocalcemia
Osteoporosis

A patient is diagnosed with Ewing’s sarcoma, a rare bone tumor. The nurse understands that Ewing’s sarcoma primarily affects which age group, and what areas of the body are commonly involved?

Nursing Practice (NP) Competency 1

Adolescents and young adults; long bones
Infants and toddlers; spine and pelvis
Elderly individuals; skull and facial bones
Children and preteens; ribs and sternum

RENR Prep Sampler Module: Neoplasms

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