Content text COMPRE - POST TEST - ONCO (Mr. Aguirre) SC
TOP RANK REVIEW ACADEMY, INC. Page 2 | 1 B. “Eating fast foods high in fat and taking birth control pills are risk factors.” C. “A Chlamydia trachomatis infection can cause cancer of the cervix.” D. “Having yearly Pap smears will protect you from developing cancer.” 11. A nurse is palpating a female client's breast while assessing for breast disease. In the illustration below, indicate the area of the breast in which tumors are most commonly found. A. Upper inner quadrant B. Upper outer quadrant C. Lower inner quadrant D. Lower outer quadrant 12. The nurse is teaching a 17-year-old, sexually active female client about the importance of regular Pap smears. The nurse should instruct the client that: A. Pap smears are recommended every other year. B. If four consecutive annual Pap smears are negative, the client should schedule repeat Pap smears every 3 years. C. The initial Pap smear should be done at age 21. D. The client should request a colposcopy. 13. Tamoxifen, a selective estrogen receptor modulator (SERM), has been the main hormonal agent used in treatment of breast cancer. Although the benefits of the drug in most women with breast cancer outweighs the risks, Nurse Kiffy knows that the most common adverse reaction associated with the drug includes none of the following except? A. Thromboembolic events B. Cold flashes C. Myelosuppression D. Pancytopenia 14. Ideally, breast self- examination should be performed around: A. The day of menstrual flow B. 1 week before the onset of menses C. 1 week after the onset of menses D. 2 weeks after last menses 15. Which nursing intervention is most important after a right mastectomy with lymph node removal? A. Encourage blood pressures and IVs in the right arm only B. Place the right arm below the level of the heart C. Elevate the right arm and perform prescribed range- of-motion exercises D. Apply heating pads to the surgical site to reduce pain 16. A client with an estrogen receptor–positive breast cancer is prescribed tamoxifen. Which finding requires priority follow- up? A. Hot flashes B. Irregular vaginal bleeding C. Leg pain D. Vomiting 17. Which woman is at highest risk for uterine (endometrial) cancer? A. 30-year-old woman with one pregnancy B. 52-year-old obese woman taking estrogen-only hormone replacement therapy C. 60-year-old woman on combined estrogen-progestin therapy D. 25-year-old woman using oral contraceptives 18. Which diagnostic test is most definitive for confirming endometrial cancer? A. Pap smear B. Pelvic ultrasound C. Endometrial biopsy D. CA-125 tumor marker 19. Which statement indicates that a woman understands risk factors for ovarian cancer? A. “Having several children puts me at higher risk.” B. “Using oral contraceptives may help reduce my risk.” C. “Getting my tubes tied increases my risk.” D. “My risk decreases if I take estrogen-only hormone replacement therapy.” 20. A 55-year-old woman had a total hysterectomy for benign reasons (uterine fibroids, cervix removed). Which cervical cancer screening is needed? A. Continue Pap smears annually B. Continue Pap smears every 3 years C. No Pap smears are required D. HPV testing only is required Situation: According to Cleveland Clinic, testicular cancer is the most common cancer affecting people assigned male at birth aged 15 to 35. 21. When teaching a client to perform testicular self- examination, the nurse explains that the examination should be performed: A. After intercourse. B. Before a warm bath or shower. C. After a warm bath or shower. D. After exercise. 22. The nurse is assessing a client's testes. Which of the following findings indicate the testes are normal? A. Soft. B. Egg-shaped. C. Spongy. D. Lumpy. 23. Although the cause of testicular cancer is unknown, it is associated with a history of: A. Undescended testes. B. Sexual relations at an early age. C. Seminalvesiculitis. D. Epididymitis.