Question 5301)
The nurse is teaching a class on the prevention of cancer. Which information
should be included regarding how to reduce the risk of skin cancer?
A. Avoid prolonged exposure to the sun.
B. Shower immediately after being outdoors
C. Avoid strong perfumes, hand creams, and body lotions.
D. After being in the woods or in tall grass, check for ticks.
Answer: A
Explanation: Prolonged exposure to ultraviolet rays is the major risk factor for skin cancer. Showering immediately
after being outdoors will not reduce the risk of skin cancer. Skin cancer is not caused by perfumes, hand creams,
or body lotions. Checking for ticks after being outdoors is helpful in preventing Rocky Mountain spotted fever and
Lyme disease but will not prevent skin cancer.
Question 5302)
The client mentions all of the following to the nurse. Which of the following should
the client be encouraged to report to the physician immediately?
A. A small mole on the right thigh that has looked the same ever since the client can remember
B. A pigmented area that is pink-red in color and has been present since birth
C. Three small warts on the right hand that have been present for some time
D. A black and purple mole that is growing larger and has a funny shape
Answer: D
Explanation: A mole that changes shape and has multiple colors and irregular borders is suggestive of malignant
melanoma. This should be reported immediately. A mole that has not changed in appearance is of no particular
concern. The pigmented area that has been present since birth sounds like a nevus or a birthmark and is not of
particular concern. The client may want to report the three small warts and have them removed for cosmetic
reasons. They are not an immediate threat to her health and do not need to be reported immediately.
Question 5303)
The nurse is caring for an adult who has herpes zoster. What medication is most
likely to be administered to this client?
A. Penicillin
B. Acyclovir
C. Tetracycline
D. Benadryl
Answer: B
Explanation: Acyclovir, an antiviral agent, is most likely to be given to the person who has herpes zoster, an
infection with the chickenpox virus that affects the nerves. Penicillin and tetracycline are given for bacterial
infections. Benadryl is an antihistamine and will help with itching. The person who has herpes zoster or shingles is
likely to need pain medication, not antihistamines.
Question 5304)
The nurse is caring for a person who has severe poison ivy. Soaks with Burrow’s
solution are ordered. What is the primary reason for using Burrow’s solution soaks?
A. To disinfect the wound
B. To prevent pain from the lesions
C. To stop the pruritus associated with the condition
D. To help dry the oozing lesions
Answer: D
Explanation: Burrow’s solution is used to help dry up oozing lesions such as poison ivy. It does not disinfect,
prevent pain, or stop itching.
Question 5305)
A woman who has herpes simplex 1 (HSV1) around the mouth and nose asks the
nurse if she can give the sores to her husband. What should the nurse include when answering this
client?
A. Herpes simplex 1 (HSV1) is a fever blister and is not contagious
B. She should not kiss her husband or anyone else because it can be transmitted to susceptible persons
C. Fever blisters are seen only in persons who have fevers.
D. The virus is transmitted through coughing and sneezing.
Answer: B
Explanation: Herpes simplex 1 (HSV1) can be transmitted through direct contact if the other person has any breaks
in the skin or mucous membrane. She should not kiss anyone until after the lesions have disappeared. While
blisters do sometimes occur when a person has a fever, a fever is not necessary for a herpes simplex infection.
Herpes simplex virus is transmitted by direct contact, not coughing and sneezing.
Question 5306)
A 45-year-old woman has been having menorrhagia and metrorrhagia for several
months. She is also feeling very tired and run down. Which is the most likely explanation for her
fatigue?
A. Hormonal changes related to menopause
B. Psychological exhaustion produced by continuous worry about her illness
C. Interference with digestion due to pressure on the small bowel
D. Decreased oxygen-carrying capacity of the blood due to chronic loss of iron stores
Answer: D
Explanation: Menorrhagia means heavy menstrual flow, and metrorrhagia means bleeding between periods. Such
increased loss of blood results in fatigue due to the chronic loss of blood (iron stores). Hormonal changes may cause
fatigue, but the data in this question do not support that reason. Excessive worry can cause fatigue, but the data in
this question do not support that. There are no data to support interference with digestion due to pressure on the
small bowel. If the woman has fibroid tumors, there may be pressure on the bowel, but that would not cause
interference with digestion and fatigue.
Question 5307)
A 45-year-old woman was found to have several large fibroid tumors. She is to
have an abdominal panhysterectomy. She asks what a panhysterectomy includes. The nurse tells
the client that a panhysterectomy consists of the removal of which of the following?
A. Uterine fundus and body
B. Uterine fundus and body and uterine cervix
C. Uterine fundus and body, uterine cervix, fallopian tubes, and ovaries
D. Uterine fundus and body, uterine cervix, fallopian tubes, ovaries, and vagina
Answer: C
Explanation: A panhysterectomy consists of the removal of the entire uterus, including the cervix and the tubes and
ovaries. The vagina is left intact.
Question 5308)
The nurse is caring for a woman who had a hysterectomy. Which vascular
complication should the nurse be especially alert for because of the location of the surgery?
A. Thrombophlebitis
B. Varicose veins
C. Cerebral embolism
D. Aortic aneurysm
Answer: A
Explanation: Persons who have had surgery in the pelvic area are apt to develop thrombophlebitis. Varicose veins
are a complication of pregnancy.
Question 5309)
The nurse is caring for an adult woman who had a vaginal hysterectomy today. The
client is now returned to the nursing care unit following an uneventful stay in the postanesthesia
care unit. What is the priority nursing action for this client?
A. Offer her the bedpan.
B. Encourage coughing and deep breathing
C. Immediately administer pain medication
D. Assess chest tubes for patency.
Answer: B
Explanation: Coughing and deep breathing are very important in the immediate postoperative period. She will have
an catheter after a vaginal Hysterectomy. Pain management medication is given for pain. There is no indication of
pain. She will not have chest tubes after pelvic surgery.
Question 5310)
A young woman has been having lower abdominal pain and amenorrhea. She is
diagnosed as having an ovarian cyst. She asks the nurse what the usual treatment is for an ovarian
cyst. What is the best response for the nurse to make?
A. “Most women with your condition are placed on estrogen therapy for 6 to 12 months until the symptoms
disappear.
B. “The most effective treatment for ovarian cysts is to shrink the cyst with radiation therapy.”
C. “Ovarian cysts are usually surgically removed.”
D. “Steroid therapy is often given. The cyst usually resolves in three months.”
Answer: C
Explanation: Large ovarian cysts are usually surgically removed. Women who have small ovarian cysts may be given
birth control pills (progesterone) to suppress ovarian activity and resolve the cyst. Radiation therapy, estrogen,
and steroids are not appropriate for persons with ovarian cysts.
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