Cancer

60 Questions  I  By Rnpedia
Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit  to finish the exam. Good luck!

  
Changes are done, please start the quiz.


Question Excerpt

Removing question excerpt is a premium feature

Upgrade and get a lot more done!
1.  A female client is receiving methotrexate (Mexate), 12 g/m2 I.V., to treat osteogenic carcinoma. During methotrexate therapy, the nurse expects the client to receive which other drug to protect normal cells?
A.
B.
C.
D.
2.  The male client is receiving external radiation to the neck for cancer of the larynx. The most likely side effect to be expected is: 
A.
B.
C.
D.
3.  During the admission assessment of a 35 year old client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
A.
B.
C.
D.
4.  A male client is diagnosed as having a bowel tumor and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy? 
A.
B.
C.
D.
5.  During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis?
A.
B.
C.
D.
6.  A female client is hospitalized for insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. The initial action by the nurse is to:
A.
B.
C.
D.
7.  Nurse April is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover:
A.
B.
C.
D.
8.  He nurse is admitting a male client with laryngeal cancer to the nursing unit. The nurse assesses for which most common risk factor for this type of cancer? 
A.
B.
C.
D.
9.  Mr. Miller has been diagnosed with bone cancer. You know this type of cancer is classified as: 
A.
B.
C.
D.
10.  Rhea, has malignant lymphoma. As part of her chemotherapy, the physician prescribes chlorambucil (Leukeran), 10 mg by mouth daily. When caring for the client, the nurse teaches her about adverse reactions to chlorambucil, such as alopecia. How soon after the first administration of chlorambucil might this reaction occur?
A.
B.
C.
D.
11.  Nurse Cecilia is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the following in the care of this client? 
A.
B.
C.
D.
12.  Which intervention is appropriate for the nurse caring for a male client in severe pain receiving a continuous I.V. infusion of morphine?
A.
B.
C.
D.
13.  Vanessa, a community health nurse conducts a health promotion program regarding testicular cancer to community members. The nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer? 
A.
B.
C.
D.
14.  What should a male client over age 52 do to help ensure early identification of prostate cancer?
A.
B.
C.
D.
15.  The client with leukemia is receiving busulfan (Myleran) and allopurinol (Zyloprim). The nurse tells the client that the purpose if the allopurinol is to prevent:
A.
B.
C.
D.
16.  Nurse Brian is developing a plan of care for marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable?
A.
B.
C.
D.
17.  A male client undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?
A.
B.
C.
D.
18.  The nurse is instructing the 35 year old client to perform a testicular self-examination. The nurse tells the client: 
A.
B.
C.
D.
19.  A client, age 41, visits the gynecologist. After examining her, the physician suspects cervical cancer. The nurse reviews the client’s history for risk factors for this disease. Which history finding is a risk factor for cervical cancer?
A.
B.
C.
D.
20.  A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care? 
A.
B.
C.
D.
21.  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.
B.
C.
D.
22.  For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care?
A.
B.
C.
D.
23.  A female client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy?
A.
B.
C.
D.
24.  The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?
A.
B.
C.
D.
25.  A 35 years old client with ovarian cancer is prescribed hydroxyurea (Hydrea), an antimetabolite drug. Antimetabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cell. The mechanism of action of antimetabolites interferes with:
A.
B.
C.
D.
26.  Nurse Lucia is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms:
A.
B.
C.
D.
27.  A cervical radiation implant is placed in the client for treatment of cervical cancer. The nurse initiates what most appropriate activity order for this client? 
A.
B.
C.
D.
28.  A female client is undergoing tests for multiple myeloma. Diagnostic study findings in multiple myeloma include:
A.
B.
C.
D.
29.  A male client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing diagnosis of Risk for injury. Which “related-to” phrase should the nurse add to complete the nursing diagnosis statement?
A.
B.
C.
D.
30.  A 34-year-old female client is requesting information about mammograms and breast cancer. She isn’t considered at high risk for breast cancer. What should the nurse tell this client?
A.
B.
C.
D.
31.  A male client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment findings would the nurse expect to note specifically in the client? 
A.
B.
C.
D.
32.  The home health care nurse is caring for a male client with cancer and the client is complaining of acute pain. The appropriate nursing assessment of the client’s pain would include which of the following?
A.
B.
C.
D.
33.  A female client diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder? 
A.
B.
C.
D.
34.  Nurse Bea is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to note specifically in this disorder? 
A.
B.
C.
D.
35.  Urse Farah is caring for a client following a mastectomy. Which assessment finding indicates that the client is experiencing a complication related to the surgery? 
A.
B.
C.
D.
36.  Sarah, a hospice nurse visits a client dying of ovarian cancer. During the visit, the client expresses that “If I can just live long enough to attend my daughter’s graduation, I’ll be ready to die.” Which phrase of coping is this client experiencing?
A.
B.
C.
D.
37.  Ian, a community health nurse is instructing a group of female clients about breast self-examination. The nurse instructs the client to perform the examination: 
A.
B.
C.
D.
38.  For a female client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client?
A.
B.
C.
D.
39.  A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the client to expect:
A.
B.
C.
D.
40.  Nurse April is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:
A.
B.
C.
D.
41.  The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for?
A.
B.
C.
D.
42.  Nurse Kate is reviewing the complications of colonization with a client who has microinvasive cervical cancer. Which complication, if identified by the client, indicates a need for further teaching? 
A.
B.
C.
D.
43.  The nurse is preparing for a female client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?
A.
B.
C.
D.
44.  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.
B.
C.
D.
45.  A 35 years old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)?
A.
B.
C.
D.
46.  A male client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client?
A.
B.
C.
D.
47.  Nurse Joy is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles? 
A.
B.
C.
D.
48.  Jeovina, with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
A.
B.
C.
D.
49.  A male client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer?
A.
B.
C.
D.
50.  A female client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?
A.
B.
C.
D.
51.  Nurse Kent is teaching a male client to perform monthly testicular self-examinations. Which of the following points would be appropriate to make? 
A.
B.
C.
D.
52.  Nurse Amy is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women:
A.
B.
C.
D.
53.  Nurse Mickey is caring for a client who is postoperative following a pelvic exenteration and the physician changes the client’s diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet? 
A.
B.
C.
D.
54.  A male client has an abnormal result on a Papanicolaou test. After admitting, he read his chart while the nurse was out of the room, the client asks what dysplasia means. Which definition should the nurse provide?
A.
B.
C.
D.
55.  When caring for a male client diagnosed with a brain tumor of the parietal lobe, the nurse expects to assess:
A.
B.
C.
D.
56.  Nina, an oncology nurse educator is speaking to a women’s group about breast cancer. Questions and comments from the audience reveal a misunderstanding of some aspects of the disease. Various members of the audience have made all of the following statements. Which one is accurate?
A.
B.
C.
D.
57.  Nurse Meredith is instructing a premenopausal woman about breast self-examination. The nurse should tell the client to do her self-examination:
A.
B.
C.
D.
58.  Mina, who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instruction to the client?
A.
B.
C.
D.
59.  The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to: 
A.
B.
C.
D.
60.  A male client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first?
A.
B.
C.
D.
Back to top


to post comments.

Removing ad is a premium feature

Upgrade and get a lot more done!
Take Another Quiz