MSN Exam for Bladder Cancer

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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.

Text Mode – Text version of the exam

1) A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

1. Strain his urine
2. Increase his fluid intake
3. Report urinary frequency
4. Avoid prolonged sitting

2) Aniline dyes have been linked to cancer

1. true
2. false

3) Does not respond at all to radiation

1. grade 2
2. grade 3
3. grade 1
4. grade 4

4) Occupational exposure to pizza making has been linked to bladder cancer

1. true
2. false

5) Toxicity levels are unacceptable if the patient is worse off then before treatment

1. true
2. false

6) Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:

1. Intraventricular administration
2. Intravesical administration
3. Intravascular administration
4. Intrathecal administration

7) very low degree of malignancy

1. grade 2
2. grade 3
3. grade 1
4. 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:

1. Limit fluid intake for 24 hours
2. Teach the procedure for irrigation of the stoma
3. Teach muscle-tightening exercises
4. Provide cleansing enemas and laxatives as ordered

9) anticholinergics

1. drugs that decrease bladder outlet resistance
2. drugs that simulate detrusor contractility and promote bladder emptying
3. drugs that inhibit contractility and promote urine storage
4. drugs that increase bladder outlet resistance

10) What is the most common type of Bladder Cancer?

1. Squamous Cell Carcinoma
2. Transistional cell carcinoma
3. Epithelial hyperplasia

11) Can coffee cause bladder tumors?

1. yes
2. no

12) How does bladder cancer rate on the most commonly occurring GU cancer in adults list?

1. 1st
2. 2nd
3. 4th
4. 8th

13) Well differentiated but fully malignant

1. grade 1
2. grade 2
3. grade 3
4. grade 4

14) Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?

1. fistula’s
2. BPH
3. Penile Prosthetic
4. nephrotoxicity

15) Beta-adrenergics

1. drugs that increase bladder outlet resistance
2. drugs that inhibit contractility and promote urine storage
3. drugs that simulate detrusor contractility and promote bladder emptying
4. drugs that decrease bladder outlet resistance

16) Response is poor to radiation

1. grade 3
2. grade 1
3. grade 2
4. 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:

1. Rupture of the bladder
2. The development of a vesicovaginal fistula
3. Extreme stress caused by the diagnosis of cancer
4. Altered perineal sensation as a side effect of radiation therapy

18) What would be a indication to use Chemotherapy?

1. complete resolution of abnormal serum tumor markers
2. location of tumor
3. chronic reflux
4. N/V
5. Recurring CIS

19) High degree of malignancy, usually anaplastic CA

1. grade 2
2. grade 1
3. grade 4
4. grade 3

20) Transitional cell carcinoma (TCC) is

1. a poorly differentiated carcinoma often without any papillary growth
2. a benign proliferation of urothelium in response to inflammation or irritation
3. a type of malignancy that arises from the urothelial lining of the urinary tract
4. a cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.

21) What is a random bladder biopsy done for?

1. stage and grade verification
2. invasive
3. noninvasive
4. smaller tumors
5. stages T1-T4

22) From below what are symptoms of bladder cancer? (Choose answer that apply)

1. painful hematuria
2. frequency and urgency
3. dysuria
4. flank pain
5. abdominal pain

23) estrogens

1. drugs that simulate detrusor contractility and promote bladder emptying
2. drugs that increase bladder outlet resistance
3. drugs that decrease bladder outlet resistance
4. drugs that inhibit contractility and promote urine storage

24) drugs that decrease bladder outlet resistance

1. alpha-adrenergics blockers
2. Estrogens
3. beta-adrenergics
4. alpa-adrenergics

25) The health of the patient is a factor in deciding to use or not to use Chemo

1. true
2. false

26) Does respond to radiation

1. grade 3
2. grade 4
3. grade 2
4. grade 1

27) Beta-adrenergic blockers

1. drugs that increase bladder outlet resistance
2. drugs that decrease bladder outlet resistance
3. drugs that simulate detrusor contractility and promote bladder emptying
4. drugs that inhibit contractility and promote urine storage

28) Alpha-adrenergics

1. drugs that inhibit contractility and promote urine storage
2. drugs that decrease bladder outlet resistance
3. drugs that simulate detrusor contractility and promote bladder emptying
4. 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?

1. Place client on reverse isolation.
2. Admit the client into a private room.
3. Encourage the client to take frequent rest periods.
4. Encourage family and friends to visit.

30) lowest degree of malignancy

1. grade 1
2. grade 2
3. grade 3
4. grade 4

31) Resistant

1. grade 1
2. grade 2
3. grade 3
4. grade 4

32) Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?

1. 3 times greater
2. 4 times greater
3. 5 times greater
4. 2 times greater

33) most frequent presenting symptom is?

1. painless hematuria
2. flank pain due to ureteral obstruction or pelvic mass
3. frequency
4. constipation

34) Occupational exposure to aromatic amines cannot cause cancer

1. true
2. false

35) How many grades of cancer are there?

1. 5
2. 4
3. 3
4. 6
5. 8

36) What percentage of bladder cancers does squamous cell carcinoma account for?

1. 3%
2. 5%
3. 50%
4. 95%
5. 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?

1. “Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?”
2. “Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
3. “Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate.”
4. “Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?”

38) Tricyclic antidepressants

1. drugs that inhibit contractility and promote urine storage
2. drugs that increase bladder outlet resistance
3. drugs that simulate detrusor contractility and promote bladder emptying
4. 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?

1. The skin wasn’t lubricated before the pouch was applied.
2. The pouch faceplate doesn’t fit the stoma.
3. A skin barrier was applied properly.
4. Stoma dilation wasn’t performed.

40) cholinergics

1. drugs that increase bladder outlet resistance
2. drugs that inhibit contractility and promote urine storage
3. drugs that simulate detrusor contractility and promote bladder emptying
4. drugs that decrease bladder outlet resistance

41) Drugs that inhibit contractility and promote urine storage

1. antispasmodics
2. alpa-adrenergics
3. cholinergics
4. 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?

1. It interferes with deoxyribonucleic acid (DNA) replication only.
2. It interferes with ribonucleic acid (RNA) transcription only.
3. It interferes with DNA replication and RNA transcription.
4. It destroys the cell membrane, causing lysis.

43) artificial sweeteners, pelvic irradiation and chronic cystitis can’t cause cancer

1. true
2. false

44) higher levels of toxicity are acceptable if the cure can be achieved?

1. true
2. false

Answers and Rationales