NCLEX Review Questions on Cancer (46-50)

NCLEX Review Questions on Cancer

46. The nurse is instructing the client to perform a testicular self-examination. The nurse tells the client:

a) to examine the testicles while lying down
that the best time for the examination is after a shower
c) to gently feel the testicles with one finger to feel for a growth
d) that testicular self-examinations should be done at least every 6 months

47. The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?

a) monitoring temperature
b) ambulation three times daily
c) monitoring the platelet count
d) monitoring for pathological fractures



48. The nurse is monitoring the laboratory results of a client preparing to receive chemotherapy. The nurse determines that the white blood cell count is normal if which of the following results were present?

a) 2000 to 5000 cells/mm3
b) 3000 to 8000 cells/mm3
c) 5000 to 10000 cells/mm3
d) 7000 to 15000 cells/mm3


49. The community health nurse is instructing a group of female clients about breast self-examination. The nurse instructs the clients to perform the examination:

a) at the onset of menstruation
b) every month during ovulation
c) weekly at the same time of day
d) 1 week after menstruation begins


50. The nurse is caring for a client who has undergone vaginal hysterectomy. The nurse avoids which of the following in the care of this client?

a) elevating the knee on the bed
b) assisting with range-of-motion leg exercises
c) removal of antiembolism stockings twice a day
d) checking placement of pneumatic compression boots




NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE

46) B

- The testicular-self examination is recommended monthly after a warm bath or shower when the scrotal skin is relaxed. The client should stand to examine the testicles. Using both hands, with fingers under the scrotum and thumbs on top, the client should gently roll the testicles, feeling for any lumps.

47) C

- Thrombocytopenia indicates a decrease in the number of platelets in the circulating blood. A major concern is monitoring for and preventing bleeding. Option A relates to monitoring for infection, particularly if leukopenia is present. Options B and D, although important in the plan of care, are not related directly to thrombocytopenia.

48) C

- The normal white blood cell count ranges from 5000 to 10,000 cells/mm3. Options A and B indicate low values. Option D indicates an elevated value.

49) D

- The breast self-examination should be performed monthly 7 days after the onset of the menstrual period. Performing the examination weekly is not recommended. At the onset of menstruation and during ovulation, hormonal changes occur that may alter breast tissue.

50) A

- The client is at risk of deep vein thrombosis or thrombophlebitis after this surgery, as for any other major surgery. For this reason, the nurse implements measures that will prevent this complication. Range-of-motion exercises, antiembolism stockings, and pneumatic compression boots are helpful. The nurse should avoid using the knee gatch in the bed, which inhibits venous return, thus placing the client more at risk for deep vein thrombosis or thrombophlebitis.


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• All about Cancer
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• Online Nursing Classes: NCLEX Practice Test Downloads