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
Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?
A
3 times greater
B
4 times greater
C
5 times greater
D
2 times greater
Question 2
artificial sweeteners, pelvic irradiation and chronic cystitis can't cause cancer
A
true
B
false
Question 3
The health of the patient is a factor in deciding to use or not to use Chemo
A
true
B
false
Question 4
What is a random bladder biopsy done for?
A
smaller tumors
B
noninvasive
C
stages T1-T4
D
invasive
E
stage and grade verification
Question 5
High degree of malignancy, usually anaplastic CA
A
grade 1
B
grade 3
C
grade 4
D
grade 2
Question 6
Tricyclic antidepressants
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that increase bladder outlet resistance
C
drugs that inhibit contractility and promote urine storage
D
drugs that decrease bladder outlet resistance
Question 7
Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?
A
BPH
B
nephrotoxicity
C
Penile Prosthetic
D
fistula's
Question 8
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 muscle tightening exercises
C
Limit fluid intake for 24 hours
D
Teach the procedure for irrigation of the stoma
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 would be a indication to use Chemotherapy? (Choose all that apply)
A
N/V
B
Recurring CIS
C
chronic reflux
D
location of tumor
E
complete resolution of abnormal serum tumor markers
Question 11
very low degree of malignancy
A
grade 2
B
grade 1
C
grade 4
D
grade 3
Question 12
Alpha-adrenergics
A
drugs that increase bladder outlet resistance
B
drugs that decrease bladder outlet resistance
C
drugs that inhibit contractility and promote urine storage
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 13
Well differentiated but fully malignant
A
grade 1
B
grade 3
C
grade 4
D
grade 2
Question 14
How does bladder cancer rate on the most commonly occurring GU cancer in adults list?
A
4th
B
2nd
C
8th
D
1st
Question 15
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
"Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
B
"Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"
C
"Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
D
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
Question 15 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 16
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
The pouch faceplate doesn’t fit the stoma.
C
A skin barrier was applied properly.
D
Stoma dilation wasn’t performed.
Question 16 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 17
Cholinergics
A
drugs that increase bladder outlet resistance
B
drugs that simulate detrusor contractility and promote bladder emptying
C
drugs that inhibit contractility and promote urine storage
D
drugs that decrease bladder outlet resistance
Question 18
Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
A
Intravascular administration
B
Intravesical administration
C
Intraventricular administration
D
Intrathecal 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
Occupational exposure to aromatic amines cannot cause cancer
A
true
B
false
Question 20
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
Extreme stress caused by the diagnosis of cancer
B
Rupture of the bladder
C
The development of a vesicovaginal fistula
D
Altered perineal sensation as a side effect of radiation therapy
Question 20 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 21
Can coffee cause bladder tumors?
A
no
B
yes
Question 22
Drugs that decrease bladder outlet resistance
A
beta-adrenergics
B
alpha-adrenergics blockers
C
alpa-adrenergics
D
Estrogens
Question 23
lowest degree of malignancy
A
grade 1
B
grade 2
C
grade 4
D
grade 3
Question 24
Estrogens:
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 25
How many grades of cancer are there?
A
4
B
5
C
3
D
6
Question 26
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 27
Resistant
A
grade 1
B
grade 4
C
grade 2
D
grade 3
Question 28
Aniline dyes have been linked to cancer
A
false
B
true
Question 29
Response is poor to radiation
A
grade 2
B
grade 4
C
grade 1
D
grade 3
Question 30
Drugs that inhibit contractility and promote urine storage
A
external sphincter/striated muscle relaxent
B
cholinergics
C
alpa-adrenergics
D
antispasmodics
Question 31
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 destroys the cell membrane, causing lysis.
B
It interferes with DNA replication and RNA transcription.
C
It interferes with ribonucleic acid (RNA) transcription only.
D
It interferes with deoxyribonucleic acid (DNA) replication only.
Question 31 Explanation:
Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.
Question 32
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
Encourage family and friends to visit.
C
Encourage the client to take frequent rest periods.
D
Place client on reverse isolation.
Question 32 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 33
Does not respond at all to radiation
A
grade 1
B
grade 3
C
grade 2
D
grade 4
Question 34
Beta-adrenergics
A
drugs that inhibit contractility and promote urine storage
B
drugs that decrease bladder outlet resistance
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that increase bladder outlet resistance
Question 35
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
Report urinary frequency
C
Increase his fluid intake
D
Strain his urine
Question 35 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 36
Does respond to radiation
A
grade 4
B
grade 3
C
grade 1
D
grade 2
Question 37
From below what are symptoms of bladder cancer? (Choose all that apply)
A
abdominal pain
B
flank pain
C
frequency and urgency
D
painful hematuria
E
dysuria
Question 38
What percentage of bladder cancers does squamous cell carcinoma account for?
A
50%
B
5%
C
95%
D
3%
E
75%
Question 39
Beta-adrenergic blockers
A
drugs that inhibit contractility and promote urine storage
B
drugs that decrease bladder outlet resistance
C
drugs that increase bladder outlet resistance
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 40
Occupational exposure to pizza making has been linked to bladder cancer
A
false
B
true
Question 41
Anticholinergics
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that increase bladder outlet resistance
C
drugs that decrease bladder outlet resistance
D
drugs that inhibit contractility and promote urine storage
Question 42
Most frequent presenting symptom is?
A
frequency
B
constipation
C
painless hematuria
D
flank pain due to ureteral obstruction or pelvic mass
Question 43
Higher levels of toxicity are acceptable if the cure can be achieved?
A
false
B
true
Question 44
Toxicity levels are unacceptable if the patient is worse off then before treatment
A
true
B
false
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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
Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
A
Intravascular administration
B
Intrathecal administration
C
Intraventricular administration
D
Intravesical administration
Question 1 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 2
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
Stoma dilation wasn’t performed.
C
A skin barrier was applied properly.
D
The skin wasn’t lubricated before the pouch was applied.
Question 2 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 3
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
Report urinary frequency
D
Strain his urine
Question 3 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 4
Aniline dyes have been linked to cancer
A
false
B
true
Question 5
Well differentiated but fully malignant
A
grade 1
B
grade 3
C
grade 4
D
grade 2
Question 6
High degree of malignancy, usually anaplastic CA
A
grade 2
B
grade 3
C
grade 4
D
grade 1
Question 7
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 deoxyribonucleic acid (DNA) replication only.
C
It interferes with ribonucleic acid (RNA) transcription only.
D
It destroys the cell membrane, causing lysis.
Question 7 Explanation:
Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.
Question 8
Beta-adrenergic blockers
A
drugs that increase bladder outlet resistance
B
drugs that inhibit contractility and promote urine storage
C
drugs that decrease bladder outlet resistance
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 9
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 muscle tightening exercises
C
Limit fluid intake for 24 hours
D
Teach the procedure for irrigation of the stoma
Question 10
How many grades of cancer are there?
A
5
B
3
C
4
D
6
Question 11
artificial sweeteners, pelvic irradiation and chronic cystitis can't cause cancer
A
false
B
true
Question 12
The health of the patient is a factor in deciding to use or not to use Chemo
A
true
B
false
Question 13
Can coffee cause bladder tumors?
A
yes
B
no
Question 14
lowest degree of malignancy
A
grade 3
B
grade 4
C
grade 1
D
grade 2
Question 15
Transitional cell carcinoma (TCC) is
A
a type of malignancy that arises from the urothelial lining of the urinary tract
B
a benign proliferation of urothelium in response to inflammation or irritation
C
a poorly differentiated carcinoma often without any papillary growth
D
a cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.
Question 16
Resistant
A
grade 3
B
grade 2
C
grade 4
D
grade 1
Question 17
Response is poor to radiation
A
grade 3
B
grade 2
C
grade 4
D
grade 1
Question 18
Beta-adrenergics
A
drugs that increase bladder outlet resistance
B
drugs that inhibit contractility and promote urine storage
C
drugs that decrease bladder outlet resistance
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 19
Does respond to radiation
A
grade 3
B
grade 2
C
grade 1
D
grade 4
Question 20
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
Altered perineal sensation as a side effect of radiation therapy
B
Rupture of the bladder
C
Extreme stress caused by the diagnosis of cancer
D
The development of a vesicovaginal fistula
Question 20 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 21
Occupational exposure to aromatic amines cannot cause cancer
A
false
B
true
Question 22
From below what are symptoms of bladder cancer? (Choose all that apply)
A
painful hematuria
B
dysuria
C
abdominal pain
D
frequency and urgency
E
flank pain
Question 23
Does not respond at all to radiation
A
grade 4
B
grade 2
C
grade 1
D
grade 3
Question 24
very low degree of malignancy
A
grade 3
B
grade 4
C
grade 2
D
grade 1
Question 25
Alpha-adrenergics
A
drugs that inhibit contractility and promote urine storage
B
drugs that increase bladder outlet resistance
C
drugs that decrease bladder outlet resistance
D
drugs that simulate detrusor contractility and promote bladder emptying
Question 26
How does bladder cancer rate on the most commonly occurring GU cancer in adults list?
A
1st
B
2nd
C
4th
D
8th
Question 27
Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?
A
fistula's
B
nephrotoxicity
C
BPH
D
Penile Prosthetic
Question 28
What is the most common type of Bladder Cancer?
A
Epithelial hyperplasia
B
Transistional cell carcinoma
C
Squamous Cell Carcinoma
Question 29
Occupational exposure to pizza making has been linked to bladder cancer
A
true
B
false
Question 30
Anticholinergics
A
drugs that inhibit contractility and promote urine storage
B
drugs that simulate detrusor contractility and promote bladder emptying
C
drugs that increase bladder outlet resistance
D
drugs that decrease bladder outlet resistance
Question 31
Most frequent presenting symptom is?
A
painless hematuria
B
constipation
C
frequency
D
flank pain due to ureteral obstruction or pelvic mass
Question 32
What would be a indication to use Chemotherapy? (Choose all that apply)
A
chronic reflux
B
complete resolution of abnormal serum tumor markers
C
N/V
D
location of tumor
E
Recurring CIS
Question 33
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
Place client on reverse isolation.
B
Admit the client into a private room.
C
Encourage family and friends to visit.
D
Encourage the client to take frequent rest periods.
Question 33 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 34
Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?
A
3 times greater
B
5 times greater
C
4 times greater
D
2 times greater
Question 35
Toxicity levels are unacceptable if the patient is worse off then before treatment
A
false
B
true
Question 36
Higher levels of toxicity are acceptable if the cure can be achieved?
A
false
B
true
Question 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?
A
"Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
B
"Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"
C
"Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
D
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
Question 37 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 38
Cholinergics
A
drugs that inhibit contractility and promote urine storage
B
drugs that decrease bladder outlet resistance
C
drugs that simulate detrusor contractility and promote bladder emptying
D
drugs that increase bladder outlet resistance
Question 39
What percentage of bladder cancers does squamous cell carcinoma account for?
A
5%
B
95%
C
3%
D
50%
E
75%
Question 40
Estrogens:
A
drugs that increase bladder outlet resistance
B
drugs that simulate detrusor contractility and promote bladder emptying
C
drugs that inhibit contractility and promote urine storage
D
drugs that decrease bladder outlet resistance
Question 41
What is a random bladder biopsy done for?
A
smaller tumors
B
stage and grade verification
C
stages T1-T4
D
noninvasive
E
invasive
Question 42
Tricyclic antidepressants
A
drugs that simulate detrusor contractility and promote bladder emptying
B
drugs that increase bladder outlet resistance
C
drugs that decrease bladder outlet resistance
D
drugs that inhibit contractility and promote urine storage
Question 43
Drugs that inhibit contractility and promote urine storage
A
antispasmodics
B
external sphincter/striated muscle relaxent
C
alpa-adrenergics
D
cholinergics
Question 44
Drugs that decrease bladder outlet resistance
A
beta-adrenergics
B
alpa-adrenergics
C
alpha-adrenergics blockers
D
Estrogens
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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.