Practice Mode– Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam.
MSN Exam for Bladder Cancer (PM)
Choose the letter of the correct answer. Good luck!
Start
Congratulations - you have completed MSN Exam for Bladder Cancer (PM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
Drugs that inhibit contractility and promote urine storage
A
alpa-adrenergics
B
antispasmodics
C
cholinergics
D
external sphincter/striated muscle relaxent
Question 2
Does respond to radiation
A
grade 4
B
grade 2
C
grade 1
D
grade 3
Question 3
Toxicity levels are unacceptable if the patient is worse off then before treatment
A
false
B
true
Question 4
The health of the patient is a factor in deciding to use or not to use Chemo
A
false
B
true
Question 5
Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
A
Intravascular administration
B
Intraventricular administration
C
Intravesical administration
D
Intrathecal administration
Question 5 Explanation:
Medications administered intravesically are instilled into the bladder. Intraventricular administration involves the ventricles of the brain. Intravascular administration involves blood vessels. Intrathecal administration involves the fluid surrounding the brain and spinal cord.
Question 6
A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should nurse Katrina conclude?
A
The pouch faceplate doesn’t fit the stoma.
B
A skin barrier was applied properly.
C
The skin wasn’t lubricated before the pouch was applied.
D
Stoma dilation wasn’t performed.
Question 6 Explanation:
If the pouch faceplate doesn’t fit the stoma properly, the skin around the stoma will be exposed to continuous urine flow from the stoma, causing excoriation and red, weeping, and painful skin. A lubricant shouldn’t be used because it would prevent the pouch from adhering to the skin. When properly applied, a skin barrier prevents skin excoriation. Stoma dilation isn’t performed with an ileal conduit, although it may be done with a colostomy if ordered.
Question 7
Tricyclic antidepressants
A
drugs that increase bladder outlet resistance
B
drugs that decrease bladder outlet resistance
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that inhibit contractility and promote urine storage
Question 8
Higher levels of toxicity are acceptable if the cure can be achieved?
A
false
B
true
Question 9
Most frequent presenting symptom is?
A
frequency
B
flank pain due to ureteral obstruction or pelvic mass
C
painless hematuria
D
constipation
Question 10
How does bladder cancer rate on the most commonly occurring GU cancer in adults list?
A
1st
B
4th
C
2nd
D
8th
Question 11
From below what are symptoms of bladder cancer? (Choose all that apply)
A
flank pain
B
dysuria
C
painful hematuria
D
frequency and urgency
E
abdominal pain
Question 12
Beta-adrenergic blockers
A
drugs that decrease bladder outlet resistance
B
drugs that increase bladder outlet resistance
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that inhibit contractility and promote urine storage
Question 13
Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?
A
BPH
B
fistula's
C
Penile Prosthetic
D
nephrotoxicity
Question 14
A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:
A
Avoid prolonged sitting
B
Increase his fluid intake
C
Strain his urine
D
Report urinary frequency
Question 14 Explanation:
Iridium seeds can be expelled during urination, so the client should be taught to strain his urine and report to the doctor if any of the seeds are expelled. Increasing fluids, reporting urinary frequency, and avoiding prolonged sitting are not necessary
Question 15
Alpha-adrenergics
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that inhibit contractility and promote urine storage
C
drugs that increase bladder outlet resistance
D
drugs that decrease bladder outlet resistance
Question 16
Cholinergics
A
drugs that inhibit contractility and promote urine storage
B
drugs that simulate detrusor contractility and promote bladder emptying
C
drugs that decrease bladder outlet resistance
D
drugs that increase bladder outlet resistance
Question 17
Anticholinergics
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that inhibit contractility and promote urine storage
C
drugs that increase bladder outlet resistance
D
drugs that decrease bladder outlet resistance
Question 18
A client has been diagnosed as having bladder cancer, and a cystectomy and an ileal conduit are scheduled. Preoperatively, the nurse plans to:
A
Teach the procedure for irrigation of the stoma
B
Provide cleansing enemas and laxatives as ordered
C
Teach muscle tightening exercises
D
Limit fluid intake for 24 hours
Question 19
What is the most common type of Bladder Cancer?
A
Transistional cell carcinoma
B
Squamous Cell Carcinoma
C
Epithelial hyperplasia
Question 20
High degree of malignancy, usually anaplastic CA
A
grade 4
B
grade 2
C
grade 3
D
grade 1
Question 21
Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?
A
"Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
B
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
C
"Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
D
"Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"
Question 21 Explanation:
The client is showing signs of anxiety reaction to a stressful event. Recognizing the client’s anxiety conveys acceptance of his behavior and will allow for verbalization of feelings and concerns.
Question 22
Beta-adrenergics
A
drugs that increase bladder outlet resistance
B
drugs that simulate detrusor contractility and promote bladder emptying
C
drugs that decrease bladder outlet resistance
D
drugs that inhibit contractility and promote urine storage
Question 23
A male client is being transferred to the nursing unit for admission after receiving a radium implant for bladder cancer. The nurse in-charge would take which priority action in the care of this client?
A
Encourage family and friends to visit.
B
Encourage the client to take frequent rest periods.
C
Place client on reverse isolation.
D
Admit the client into a private room.
Question 23 Explanation:
The client who has a radiation implant is placed in a private room and has a limited number of visitors. This reduces the exposure of others to the radiation.
Question 24
Does not respond at all to radiation
A
grade 1
B
grade 4
C
grade 2
D
grade 3
Question 25
Resistant
A
grade 1
B
grade 3
C
grade 2
D
grade 4
Question 26
How many grades of cancer are there?
A
3
B
4
C
5
D
6
Question 27
Occupational exposure to pizza making has been linked to bladder cancer
A
false
B
true
Question 28
What would be a indication to use Chemotherapy? (Choose all that apply)
A
location of tumor
B
Recurring CIS
C
N/V
D
chronic reflux
E
complete resolution of abnormal serum tumor markers
Question 29
Response is poor to radiation
A
grade 3
B
grade 2
C
grade 1
D
grade 4
Question 30
Drugs that decrease bladder outlet resistance
A
alpa-adrenergics
B
Estrogens
C
beta-adrenergics
D
alpha-adrenergics blockers
Question 31
Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?
A
2 times greater
B
5 times greater
C
3 times greater
D
4 times greater
Question 32
artificial sweeteners, pelvic irradiation and chronic cystitis can't cause cancer
A
true
B
false
Question 33
Well differentiated but fully malignant
A
grade 4
B
grade 3
C
grade 1
D
grade 2
Question 34
Occupational exposure to aromatic amines cannot cause cancer
A
false
B
true
Question 35
Estrogens:
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that inhibit contractility and promote urine storage
C
drugs that increase bladder outlet resistance
D
drugs that decrease bladder outlet resistance
Question 36
The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
A
Rupture of the bladder
B
Altered perineal sensation as a side effect of radiation therapy
C
Extreme stress caused by the diagnosis of cancer
D
The development of a vesicovaginal fistula
Question 36 Explanation:
A vesicovaginal fistula is a genital fistula that occurs between the bladder and vagina. The fistula is an abnormal opening between these two body parts and, if this occurs, the client may experience drainage of urine through the vagina.
Question 37
lowest degree of malignancy
A
grade 3
B
grade 4
C
grade 1
D
grade 2
Question 38
Transitional cell carcinoma (TCC) is
A
a benign proliferation of urothelium in response to inflammation or irritation
B
a type of malignancy that arises from the urothelial lining of the urinary tract
C
a cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.
D
a poorly differentiated carcinoma often without any papillary growth
Question 39
Aniline dyes have been linked to cancer
A
true
B
false
Question 40
very low degree of malignancy
A
grade 4
B
grade 1
C
grade 3
D
grade 2
Question 41
A male client is receiving the cell cycle–nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
A
It interferes with ribonucleic acid (RNA) transcription only.
B
It interferes with DNA replication and RNA transcription.
C
It destroys the cell membrane, causing lysis.
D
It interferes with deoxyribonucleic acid (DNA) replication only.
Question 41 Explanation:
Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.
Question 42
What is a random bladder biopsy done for?
A
stages T1-T4
B
stage and grade verification
C
smaller tumors
D
noninvasive
E
invasive
Question 43
Can coffee cause bladder tumors?
A
no
B
yes
Question 44
What percentage of bladder cancers does squamous cell carcinoma account for?
A
95%
B
5%
C
75%
D
3%
E
50%
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Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
MSN Exam for Bladder Cancer (EM)
Choose the letter of the correct answer. You got 44 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed MSN Exam for Bladder Cancer (EM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
From below what are symptoms of bladder cancer? (Choose all that apply)
A
flank pain
B
dysuria
C
painful hematuria
D
frequency and urgency
E
abdominal pain
Question 2
Response is poor to radiation
A
grade 3
B
grade 1
C
grade 4
D
grade 2
Question 3
Beta-adrenergics
A
drugs that inhibit contractility and promote urine storage
B
drugs that increase bladder outlet resistance
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that decrease bladder outlet resistance
Question 4
A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should nurse Katrina conclude?
A
The skin wasn’t lubricated before the pouch was applied.
B
Stoma dilation wasn’t performed.
C
The pouch faceplate doesn’t fit the stoma.
D
A skin barrier was applied properly.
Question 4 Explanation:
If the pouch faceplate doesn’t fit the stoma properly, the skin around the stoma will be exposed to continuous urine flow from the stoma, causing excoriation and red, weeping, and painful skin. A lubricant shouldn’t be used because it would prevent the pouch from adhering to the skin. When properly applied, a skin barrier prevents skin excoriation. Stoma dilation isn’t performed with an ileal conduit, although it may be done with a colostomy if ordered.
Question 5
Resistant
A
grade 4
B
grade 3
C
grade 1
D
grade 2
Question 6
A male client is receiving the cell cycle–nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
A
It interferes with DNA replication and RNA transcription.
B
It interferes with ribonucleic acid (RNA) transcription only.
C
It destroys the cell membrane, causing lysis.
D
It interferes with deoxyribonucleic acid (DNA) replication only.
Question 6 Explanation:
Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.
Question 7
Alpha-adrenergics
A
drugs that increase bladder outlet resistance
B
drugs that inhibit contractility and promote urine storage
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that decrease bladder outlet resistance
Question 8
How does bladder cancer rate on the most commonly occurring GU cancer in adults list?
A
2nd
B
8th
C
1st
D
4th
Question 9
What is the most common type of Bladder Cancer?
A
Squamous Cell Carcinoma
B
Epithelial hyperplasia
C
Transistional cell carcinoma
Question 10
What percentage of bladder cancers does squamous cell carcinoma account for?
A
3%
B
95%
C
5%
D
50%
E
75%
Question 11
Does respond to radiation
A
grade 1
B
grade 3
C
grade 2
D
grade 4
Question 12
Anticholinergics
A
drugs that decrease bladder outlet resistance
B
drugs that inhibit contractility and promote urine storage
C
drugs that increase bladder outlet resistance
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 13
Drugs that inhibit contractility and promote urine storage
A
antispasmodics
B
cholinergics
C
alpa-adrenergics
D
external sphincter/striated muscle relaxent
Question 14
artificial sweeteners, pelvic irradiation and chronic cystitis can't cause cancer
A
false
B
true
Question 15
Estrogens:
A
drugs that decrease bladder outlet resistance
B
drugs that inhibit contractility and promote urine storage
C
drugs that increase bladder outlet resistance
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 16
Transitional cell carcinoma (TCC) is
A
a cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.
B
a benign proliferation of urothelium in response to inflammation or irritation
C
a type of malignancy that arises from the urothelial lining of the urinary tract
D
a poorly differentiated carcinoma often without any papillary growth
Question 17
lowest degree of malignancy
A
grade 4
B
grade 1
C
grade 2
D
grade 3
Question 18
Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
A
Intravesical administration
B
Intrathecal administration
C
Intraventricular administration
D
Intravascular administration
Question 18 Explanation:
Medications administered intravesically are instilled into the bladder. Intraventricular administration involves the ventricles of the brain. Intravascular administration involves blood vessels. Intrathecal administration involves the fluid surrounding the brain and spinal cord.
Question 19
Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?
A
fistula's
B
nephrotoxicity
C
Penile Prosthetic
D
BPH
Question 20
What would be a indication to use Chemotherapy? (Choose all that apply)
A
Recurring CIS
B
complete resolution of abnormal serum tumor markers
C
N/V
D
chronic reflux
E
location of tumor
Question 21
Occupational exposure to pizza making has been linked to bladder cancer
A
false
B
true
Question 22
A male client is being transferred to the nursing unit for admission after receiving a radium implant for bladder cancer. The nurse in-charge would take which priority action in the care of this client?
A
Admit the client into a private room.
B
Place client on reverse isolation.
C
Encourage family and friends to visit.
D
Encourage the client to take frequent rest periods.
Question 22 Explanation:
The client who has a radiation implant is placed in a private room and has a limited number of visitors. This reduces the exposure of others to the radiation.
Question 23
Does not respond at all to radiation
A
grade 3
B
grade 4
C
grade 1
D
grade 2
Question 24
The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
A
The development of a vesicovaginal fistula
B
Rupture of the bladder
C
Extreme stress caused by the diagnosis of cancer
D
Altered perineal sensation as a side effect of radiation therapy
Question 24 Explanation:
A vesicovaginal fistula is a genital fistula that occurs between the bladder and vagina. The fistula is an abnormal opening between these two body parts and, if this occurs, the client may experience drainage of urine through the vagina.
Question 25
What is a random bladder biopsy done for?
A
noninvasive
B
invasive
C
stages T1-T4
D
smaller tumors
E
stage and grade verification
Question 26
The health of the patient is a factor in deciding to use or not to use Chemo
A
false
B
true
Question 27
A client has been diagnosed as having bladder cancer, and a cystectomy and an ileal conduit are scheduled. Preoperatively, the nurse plans to:
A
Provide cleansing enemas and laxatives as ordered
B
Teach the procedure for irrigation of the stoma
C
Teach muscle tightening exercises
D
Limit fluid intake for 24 hours
Question 28
A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:
A
Strain his urine
B
Increase his fluid intake
C
Report urinary frequency
D
Avoid prolonged sitting
Question 28 Explanation:
Iridium seeds can be expelled during urination, so the client should be taught to strain his urine and report to the doctor if any of the seeds are expelled. Increasing fluids, reporting urinary frequency, and avoiding prolonged sitting are not necessary
Question 29
How many grades of cancer are there?
A
6
B
3
C
4
D
5
Question 30
Occupational exposure to aromatic amines cannot cause cancer
A
false
B
true
Question 31
Can coffee cause bladder tumors?
A
no
B
yes
Question 32
Well differentiated but fully malignant
A
grade 3
B
grade 1
C
grade 4
D
grade 2
Question 33
High degree of malignancy, usually anaplastic CA
A
grade 4
B
grade 2
C
grade 3
D
grade 1
Question 34
Drugs that decrease bladder outlet resistance
A
alpha-adrenergics blockers
B
beta-adrenergics
C
Estrogens
D
alpa-adrenergics
Question 35
Toxicity levels are unacceptable if the patient is worse off then before treatment
A
true
B
false
Question 36
Beta-adrenergic blockers
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that inhibit contractility and promote urine storage
C
drugs that increase bladder outlet resistance
D
drugs that decrease bladder outlet resistance
Question 37
Aniline dyes have been linked to cancer
A
true
B
false
Question 38
Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?
A
5 times greater
B
3 times greater
C
2 times greater
D
4 times greater
Question 39
very low degree of malignancy
A
grade 1
B
grade 3
C
grade 4
D
grade 2
Question 40
Tricyclic antidepressants
A
drugs that decrease bladder outlet resistance
B
drugs that inhibit contractility and promote urine storage
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that increase bladder outlet resistance
Question 41
Cholinergics
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that decrease bladder outlet resistance
C
drugs that increase bladder outlet resistance
D
drugs that inhibit contractility and promote urine storage
Question 42
Most frequent presenting symptom is?
A
painless hematuria
B
frequency
C
constipation
D
flank pain due to ureteral obstruction or pelvic mass
Question 43
Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?
A
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
B
"Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
C
"Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"
D
"Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
Question 43 Explanation:
The client is showing signs of anxiety reaction to a stressful event. Recognizing the client’s anxiety conveys acceptance of his behavior and will allow for verbalization of feelings and concerns.
Question 44
Higher levels of toxicity are acceptable if the cure can be achieved?
A
false
B
true
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1) A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:
Strain his urine
Increase his fluid intake
Report urinary frequency
Avoid prolonged sitting
2) Aniline dyes have been linked to cancer
true
false
3) Does not respond at all to radiation
grade 2
grade 3
grade 1
grade 4
4) Occupational exposure to pizza making has been linked to bladder cancer
true
false
5) Toxicity levels are unacceptable if the patient is worse off then before treatment
true
false
6) Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
Intraventricular administration
Intravesical administration
Intravascular administration
Intrathecal administration
7) very low degree of malignancy
grade 2
grade 3
grade 1
grade 4
8) A client has been diagnosed as having bladder cancer, and a cystectomy and an ileal conduit are scheduled. Preoperatively, the nurse plans to:
Limit fluid intake for 24 hours
Teach the procedure for irrigation of the stoma
Teach muscle-tightening exercises
Provide cleansing enemas and laxatives as ordered
9) anticholinergics
drugs that decrease bladder outlet resistance
drugs that simulate detrusor contractility and promote bladder emptying
drugs that inhibit contractility and promote urine storage
drugs that increase bladder outlet resistance
10) What is the most common type of Bladder Cancer?
Squamous Cell Carcinoma
Transistional cell carcinoma
Epithelial hyperplasia
11) Can coffee cause bladder tumors?
yes
no
12) How does bladder cancer rate on the most commonly occurring GU cancer in adults list?
1st
2nd
4th
8th
13) Well differentiated but fully malignant
grade 1
grade 2
grade 3
grade 4
14) Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?
fistula’s
BPH
Penile Prosthetic
nephrotoxicity
15) Beta-adrenergics
drugs that increase bladder outlet resistance
drugs that inhibit contractility and promote urine storage
drugs that simulate detrusor contractility and promote bladder emptying
drugs that decrease bladder outlet resistance
16) Response is poor to radiation
grade 3
grade 1
grade 2
grade 4
17) The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
Rupture of the bladder
The development of a vesicovaginal fistula
Extreme stress caused by the diagnosis of cancer
Altered perineal sensation as a side effect of radiation therapy
18) What would be a indication to use Chemotherapy?
complete resolution of abnormal serum tumor markers
location of tumor
chronic reflux
N/V
Recurring CIS
19) High degree of malignancy, usually anaplastic CA
grade 2
grade 1
grade 4
grade 3
20) Transitional cell carcinoma (TCC) is
a poorly differentiated carcinoma often without any papillary growth
a benign proliferation of urothelium in response to inflammation or irritation
a type of malignancy that arises from the urothelial lining of the urinary tract
a cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.
21) What is a random bladder biopsy done for?
stage and grade verification
invasive
noninvasive
smaller tumors
stages T1-T4
22) From below what are symptoms of bladder cancer? (Choose answer that apply)
painful hematuria
frequency and urgency
dysuria
flank pain
abdominal pain
23) estrogens
drugs that simulate detrusor contractility and promote bladder emptying
drugs that increase bladder outlet resistance
drugs that decrease bladder outlet resistance
drugs that inhibit contractility and promote urine storage
24) drugs that decrease bladder outlet resistance
alpha-adrenergics blockers
Estrogens
beta-adrenergics
alpa-adrenergics
25) The health of the patient is a factor in deciding to use or not to use Chemo
true
false
26) Does respond to radiation
grade 3
grade 4
grade 2
grade 1
27) Beta-adrenergic blockers
drugs that increase bladder outlet resistance
drugs that decrease bladder outlet resistance
drugs that simulate detrusor contractility and promote bladder emptying
drugs that inhibit contractility and promote urine storage
28) Alpha-adrenergics
drugs that inhibit contractility and promote urine storage
drugs that decrease bladder outlet resistance
drugs that simulate detrusor contractility and promote bladder emptying
drugs that increase bladder outlet resistance
29) A male client is being transferred to the nursing unit for admission after receiving a radium implant for bladder cancer. The nurse in-charge would take which priority action in the care of this client?
Place client on reverse isolation.
Admit the client into a private room.
Encourage the client to take frequent rest periods.
Encourage family and friends to visit.
30) lowest degree of malignancy
grade 1
grade 2
grade 3
grade 4
31) Resistant
grade 1
grade 2
grade 3
grade 4
32) Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?
3 times greater
4 times greater
5 times greater
2 times greater
33) most frequent presenting symptom is?
painless hematuria
flank pain due to ureteral obstruction or pelvic mass
frequency
constipation
34) Occupational exposure to aromatic amines cannot cause cancer
true
false
35) How many grades of cancer are there?
5
4
3
6
8
36) What percentage of bladder cancers does squamous cell carcinoma account for?
3%
5%
50%
95%
75%
37) Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?
“Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?”
“Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate.”
“Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?”
38) Tricyclic antidepressants
drugs that inhibit contractility and promote urine storage
drugs that increase bladder outlet resistance
drugs that simulate detrusor contractility and promote bladder emptying
drugs that decrease bladder outlet resistance
39) A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should nurse Katrina conclude?
The skin wasn’t lubricated before the pouch was applied.
The pouch faceplate doesn’t fit the stoma.
A skin barrier was applied properly.
Stoma dilation wasn’t performed.
40) cholinergics
drugs that increase bladder outlet resistance
drugs that inhibit contractility and promote urine storage
drugs that simulate detrusor contractility and promote bladder emptying
drugs that decrease bladder outlet resistance
41) Drugs that inhibit contractility and promote urine storage
antispasmodics
alpa-adrenergics
cholinergics
external sphincter/striated muscle relaxent
42) A male client is receiving the cell cycle–nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
It interferes with deoxyribonucleic acid (DNA) replication only.
It interferes with ribonucleic acid (RNA) transcription only.
It interferes with DNA replication and RNA transcription.
It destroys the cell membrane, causing lysis.
43) artificial sweeteners, pelvic irradiation and chronic cystitis can’t cause cancer
true
false
44) higher levels of toxicity are acceptable if the cure can be achieved?
true
false
Answers and Rationales
A. Strain his urine . Iridium seeds can be expelled during urination, so the client should be taught to strain his urine and report to the doctor if any of the seeds are expelled. Increasing fluids, reporting urinary frequency, and avoiding prolonged sitting are not necessary
A. true
D. grade 4
B. false
A. true
B. Intravesical administration. Medications administered intravesically are instilled into the bladder. Intraventricular administration involves the ventricles of the brain. Intravascular administration involves blood vessels. Intrathecal administration involves the fluid surrounding the brain and spinal cord.
A. grade 2
D. Provide cleansing enemas and laxatives as ordered
C. drugs that inhibit contractility and promote urine storage
B. Transistional cell carcinoma
A. yes
B. 2nd
C. grade 3
D. nephrotoxicity
B. drugs that inhibit contractility and promote urine storage
C. grade 2
B. The development of a vesicovaginal fistula. A vesicovaginal fistula is a genital fistula that occurs between the bladder and vagina. The fistula is an abnormal opening between these two body parts and, if this occurs, the client may experience drainage of urine through the vagina.
A. complete resolution of abnormal serum tumor markers, B. location of tumor
C. grade 4
C. a type of malignancy that arises from the urothelial lining of the urinary tract
A. stage and grade verification
B. frequency and urgency, C. dysuria, D. flank pain
B. drugs that increase bladder outlet resistance
A. alpha-adrenergics blockers
A. true
A. grade 3
A. drugs that increase bladder outlet resistance
D. drugs that increase bladder outlet resistance
B. Admit the client into a private room. The client who has a radiation implant is placed in a private room and has a limited number of visitors. This reduces the exposure of others to the radiation.
A. grade 1
A. grade 1
B. 4 times greater
A. painless hematuria
B. false
B. 4
A. 3%
D. “Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?” The client is showing signs of anxiety reaction to a stressful event. Recognizing the client’s anxiety conveys acceptance of his behavior and will allow for verbalization of feelings and concerns.
A. drugs that inhibit contractility and promote urine storage
B. The pouch faceplate doesn’t fit the stoma. If the pouch faceplate doesn’t fit the stoma properly, the skin around the stoma will be exposed to continuous urine flow from the stoma, causing excoriation and red, weeping, and painful skin. A lubricant shouldn’t be used because it would prevent the pouch from adhering to the skin. When properly applied, a skin barrier prevents skin excoriation. Stoma dilation isn’t performed with an ileal conduit, although it may be done with a colostomy if ordered.
C. drugs that simulate detrusor contractility and promote bladder emptying
A. antispasmodics
C. It interferes with DNA replication and RNA transcription.Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.