Practice Test On Cancer Diagnosis! Trivia Quiz

24 Questions | Attempts: 1777

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Practice Test On Cancer Diagnosis! Trivia Quiz - Quiz

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Questions and Answers
  • 1. 
    You are caring for a patient with esophageal cancer. Which task could be delegated to the nursing assistant? 
    • A. 

      Assist the patient with oral hygiene.

    • B. 

      Observe the patient’s response to feedings

    • C. 

      Facilitate expression of grief or anxiety.

    • D. 

      Initiate daily weights.

  • 2. 
    A 56-year-old patient comes to the walk-in clinic for scant rectal bleeding and intermittent diarrhea and constipation for the past several months. There is a history of polyps and a family history for colorectal cancer. While you are trying to teach about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis? 
    • A. 

      Diarrhea/Constipation related to altered bowel patterns

    • B. 

      Knowledge Deficit related to disease process and diagnostic procedure

    • C. 

      Risk for Fluid Volume Deficit related to rectal bleeding and diarrhea

    • D. 

      Anxiety related to unknown outcomes and perceive threat to body integrity

  • 3. 
    Which patient is at greatest risk for pancreatic cancer? 
    • A. 

      An elderly black male with a history of smoking and alcohol use

    • B. 

      A young, white obese female with no known health issues

    • C. 

      A young black male with juvenile onset diabetes

    • D. 

      An elderly white female with a history of pancreatitis

  • 4. 
    The disease progress of cancers, such as cervical or Hodgkin’s, can be classified according to a clinical staging system. Place the description of stages 0-IV in the correct order.  (Arrange the letter separated by comma)a. Metastasis  b. Limited local spread  c. Cancer in situ  d. Tumor limited to tissue of origin  e. Extensive local and regional spread  _____, _____, _____, _____, _____ 
  • 5. 
    In assigning patients with alterations related to gastrointestinal (GI) cancer, which would be the most appropriate nursing care tasks to assign to the LPN/LVN, under supervision of the team leader RN? 
    • A. 

      A patient with severe anemia secondary to GI bleeding

    • B. 

      A patient who needs enemas and antibiotics to control GI bacteria

    • C. 

      A patient who needs pre-op teaching for bowel resection surgery

    • D. 

      A patient who needs central line insertion for chemotherapy

  • 6. 
    A community health center is preparing a presentation on the prevention and detection of cancer. Which health care professional should be assigned to address the explaining, screening exams and diagnostic testing for common cancers ? 
    • A. 

      RN

    • B. 

      LPN/LVN

    • C. 

      Nurse practitioner

    • D. 

      Nutritionist

  • 7. 
      The physician tells the patient that there will be an initial course of treatment with continued maintenance treatments and ongoing observation for signs and symptoms over a prolonged period of time. You can help the patient by reinforcing that the primary goal for this type of treatment is: 
    • A. 

      Cure

    • B. 

      Control

    • C. 

      Palliation

    • D. 

      Permanent remission

  • 8. 
    For a patient who is experiencing side effects of radiation therapy, which task would be the most appropriate to delegate to the nursing assistant? 
    • A. 

      Assist the patient to identify patterns of fatigue.

    • B. 

      Recommend participation in a walking program.

    • C. 

      Report the amount and type of food consumed from the tray.

    • D. 

      Check the skin for redness and irritation after the treatment.

  • 9. 
    For a patient on the chemotherapeutic drug vincristine (Oncovin), which of the following side effects should be reported to the physician?   
    • A. 

      Fatigue

    • B. 

      Nausea and vomiting

    • C. 

      Paresthesia

    • D. 

      Anorexia

  • 10. 
    For a patient who is receiving chemotherapy, which laboratory result is of particular importance? 
    • A. 

      WBC

    • B. 

      PT and PTT

    • C. 

      Electrolytes

    • D. 

      BUN

  • 11. 
    For care of a patient who has oral cancer, which task would be appropriate to delegate to the LPN/LVN? 
    • A. 

      Assist the patient to brush and floss.

    • B. 

      Explain when brushing and flossing are contraindicated.

    • C. 

      Give antacids and sucralfate suspension as ordered.

    • D. 

      Recommend saliva substitutes.

  • 12. 
    When assigning staff to patients who are receiving chemotherapy, what is the major consideration about chemotherapeutic drugs? 
    • A. 

      During preparation, drugs may be absorbed through the skin or inhaled.

    • B. 

      Many chemotherapeutics are vesicants.

    • C. 

      Chemotherapeutics are frequently given through central nervous access devices.

    • D. 

      Oral and venous routes are the most common.

  • 13. 
    You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.  (Arrange the letter separated by comma)a. A patient who developed tumor lysis syndrome around 5:00 AM  b. A patient with frequent reports of break-through pain over the past 24 hours  c. A patient scheduled for exploratory laparotomy this morning  d. A patient with anticipatory nausea and vomiting for the past 24 hours  _____, _____, _____, _____   
  • 14. 
    In monitoring patients who are at risk for spinal cord compression related to tumor growth, what is the most likely early manifestation? 
    • A. 

      Sudden-onset back pain

    • B. 

      Motor loss

    • C. 

      Constipation

    • D. 

      Urinary hesitancy

  • 15. 
    Chemotherapeutic treatment of acute leukemia is done in four phases. Place these phases in the correct order.  (Arrange the letter separated by comma)a. Maintenance  b. Induction  c. Intensification  d. Consolidation  _____, _____, _____, _____   
  • 16. 
    Which set of classification values indicates the most extensive and progressed cancer? 
    • A. 

      T1 N0 M0

    • B. 

      Tis N0 M0

    • C. 

      T1 N1 M0

    • D. 

      T4 N3 M1

  • 17. 
    For a patient with osteogenic sarcoma, you would be particularly vigilant for elevations in which laboratory value? 
    • A. 

      Sodium

    • B. 

      Calcium

    • C. 

      Potassium

    • D. 

      Hematocrit

  • 18. 
    What do you tell patients is the most important risk factor for lung cancer when you are teaching about lung cancer prevention? 
    • A. 

      Cigarette smoking

    • B. 

      Exposure to environmental/occupational carcinogens

    • C. 

      Exposure to environmental tobacco smoke (ETS)

    • D. 

      Pipe or cigar smoking

  • 19. 
    Following chemotherapy, a patient is being closely monitored for tumor lysis syndrome. Which laboratory value requires particular attention? 
    • A. 

      Platelet count

    • B. 

      Electrolytes

    • C. 

      Hemoglobin

    • D. 

      Hematocrit

  • 20. 
    Persons at risk are the greater target population for cancer screening programs. Which asymptomatic patient(s) needs extra encouragement to participate in cancer screening? (Choose all that apply). 
    • A. 

      A 19-year-old white-American female who is sexually inactive for a Pap smear

    • B. 

      A 35-year-old white-American female for an annual mammogram

    • C. 

      A 45-year-old African-American male for an annual prostate-specific antigen

    • D. 

      A 49year-old African-American male for an annual fecal occult blood test

  • 21. 
    A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient? 
    • A. 

      A fluid bolus as ordered

    • B. 

      Fluid restrictions as ordered

    • C. 

      Urinalysis as ordered

    • D. 

      Sodium-restricted diet as ordered

  • 22. 
    In caring for a patient with neutropenia, what tasks can be delegated to the nursing assistant? (Choose all that apply). 
    • A. 

      Take vital signs every 4 hours

    • B. 

      Report temperature elevation >100.4o F

    • C. 

      Assess for sore throat, cough, or burning with urination.

    • D. 

      Gather the supplies to prepare the room for protective isolation.

    • E. 

      Report superinfections, such as candidiasis

    • F. 

      Practice good handwashing technique.

  • 23. 
    A primary nursing responsibility is the prevention of lung cancer by assisting patients in smoking/tobacco cessation. Which tasks would be appropriate to delegate to the LPN/LVN? 
    • A. 

      Develop a “quit plan”

    • B. 

      Explain the application of a nicotine patch

    • C. 

      Discuss strategies to avoid relapse

    • D. 

      Suggest ways to deal with urges for a tobacco

  • 24. 
    Which of the following cancer patients could potentially be placed together as roommates? 
    • A. 

      A patient with a neutrophil count of 1000/mm3

    • B. 

      A patient who underwent debulking of a tumor to relieve pressure

    • C. 

      A patient receiving high-dose chemotherapy after a bone marrow harvest

    • D. 

      A patient who is post-op laminectomy for spinal cord compression

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