A nurse is teaching an in-service about cancer at a staff meeting. Which of the following information should the nurse include about adenocarcinoma?

"Pancreatic cancer doesn't usually present as an adenocarcinoma."

"Colorectal adenocarcinomas tend to have high treatment response rates."

"Many brain tumors are adenocarcinomas."

"Most prostate cancers are slow-growing adenocarcinomas."

Answer and Explanation

The Correct Answer is D

A. "Pancreatic cancer doesn't usually present as an adenocarcinoma.": Pancreatic cancer most commonly arises from the exocrine glands and is typically classified as an adenocarcinoma. It is the most frequent histological type found in pancreatic malignancies.
B. "Colorectal adenocarcinomas tend to have high treatment response rates.": Treatment response in colorectal adenocarcinoma depends heavily on the stage at diagnosis. While early-stage tumors may respond well, advanced stages often have lower responsiveness and poorer outcomes.
C. "Many brain tumors are adenocarcinomas.": Primary brain tumors are typically glial in origin, such as astrocytomas or glioblastomas. Adenocarcinomas rarely originate in the brain and are more often found in epithelial tissues like the lungs, colon, or prostate.
D. "Most prostate cancers are slow-growing adenocarcinomas.": Prostate cancer most often originates from glandular tissue and is classified as an adenocarcinoma. These tumors commonly progress slowly, especially in older adults, and may be monitored for years without requiring aggressive treatment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. 3% sodium chloride: A serum sodium level of 115 mEq/L is dangerously low, indicating severe hyponatremia. The nurse should anticipate that a hypertonic saline solution such as 3% sodium chloride will be prescribed to rapidly increase the sodium concentration in the blood and treat the underlying SIADH.
B. Dextrose 5% in 0.99% sodium chloride: This is an isotonic solution and would not be suitable for treating severe hyponatremia in SIADH, as it would not significantly increase sodium levels. Hypertonic saline solutions are more appropriate for severe cases of hyponatremia.
C. Dextrose 5% in 0.45% sodium chloride: This solution is hypotonic and could worsen hyponatremia by diluting the sodium further. It should not be used to treat SIADH with severely low sodium levels.
D. 0.9% sodium chloride: Normal saline (0.9% sodium chloride) is isotonic and would not correct the low sodium levels as effectively as hypertonic saline. While it is used in less severe cases, 3% sodium chloride is necessary in cases of severe hyponatremia.

A. Insulin resistance B. Metabolic acidosis C. Hypervolemia D. Ketosis

Correct Answer is A

Explanation

A. Insulin resistance: HHS typically occurs in clients with type 2 diabetes who have some circulating insulin, but not enough to prevent severe hyperglycemia. Insulin resistance is a key feature, as it allows glucose levels to rise without triggering significant fat breakdown or ketone production.
B. Metabolic acidosis: Metabolic acidosis is more commonly seen in diabetic ketoacidosis (DKA) due to the accumulation of ketones. In HHS, acidosis is usually absent or only mild because fat breakdown is minimal.
C. Hypervolemia: HHS leads to profound dehydration due to osmotic diuresis caused by severe hyperglycemia. Clients are more likely to be hypovolemic rather than hypervolemic due to fluid losses.
D. Ketosis: Unlike DKA, HHS generally does not present with significant ketosis because the body retains enough insulin to prevent fat breakdown. The absence of ketosis is one of the key diagnostic differences between the two conditions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching an in-service about cancer at a staff meeting. Which of the following information should the nurse include about adenocarcinoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to provide care for a client in the emergency department who has syndrome of inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

Correct Answer is A

Explanation

A nurse is providing care for a client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following is a clinical manifestation of HHS?

Correct Answer is A

Explanation

A nurse is providing education about insulin management to a client newly diagnosed with type 1 diabetes mellitus. Which of the following statements by the nurse about injection site selection is accurate?

A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely to be diagnosed with diabetic ketoacidosis (DKA)?

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

A nurse is caring for a client in the emergency department who is actively dying from a catastrophic injury. Which of the following is the priority in planning care for this client?

A nurse is assessing a group of clients. Which of the following clients should be categorized as Emergency Severity Index Level 1?

A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?

A nurse is caring for a client who has a peanut allergy. The client ate peanut butter and is now experiencing anaphylaxis. Which of the following physiological responses should the nurse-expect to occur?