ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 18 : Caring for Clients With Cancer Questions
Question 1 of 5
The nurse understands that the client should be given human papillomavirus (HPV) vaccine per the health care provider's orders. What does this vaccine help prevent?
Correct Answer: C
Rationale: The vaccines that are approved for use in the United States include the human papillomavirus (HPV), which may help prevent women from getting cervical cancer. There are no vaccines for the prevention of lung cancer, breast cancer, or leukemia.
Question 2 of 5
A client diagnosed with cancer has the tumor staged and graded based on what factors?
Correct Answer: A
Rationale: Tumors are staged and graded based upon how they tend to grow and the cell type before a client is treated for cancer.
Question 3 of 5
The nurse performs a breast exam on a client and finds a firm, non-moveable lump in the upper outer quadrant of the right breast that the client reports was not there 3 weeks ago. What does this finding suggest?
Correct Answer: C
Rationale: A fast-growing lump is suggestive of a malignant tumor. Metastasis can only be determined by cytology, not by palpation.
Question 4 of 5
The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis?
Correct Answer: D
Rationale: The client stating the cancer has spread to the liver shows that the client has an understanding the primary cancer of the colon with spread to the liver. The client's expectation of being 'fine' and 'happy' once the tumor is removed shows a lack of understanding that metastases are not always resectable. The client mentioning having cancer twice is incorrect because it demonstrates a misunderstanding of metastasis.
Question 5 of 5
While completing an admission assessment, the client reports a family history of breast cancer among a maternal grandmother, aunt, and sister. The nurse knows that these cancers are most likely associated with what etiology?
Correct Answer: A
Rationale: Tumor suppressor genes assist the body in normal cell production and death.
Tobacco use and chemical carcinogens can contribute to the development of cancer, but there is not enough information provided to suggest a common link. Oncogenes are genes that have mutated and activate out-of-control cell growth. Inherited gene mutation occurs when the DNA is passed to the next generation.