Cancer And Oncology | NCLEX Quiz 137 - Quiz, Flashcards & Trivia

1. Which of the following conditions is not a complication of Hodgkin's disease?

Anemia

Infection

Myocardial Infarction

Nausea

Complications of Hodgkin’s are pancytopenia. nausea. and infection. Cardiac involvement usually doesn’t occur.

Explanation

Complications of Hodgkin’s are pancytopenia. nausea. and infection. Cardiac involvement usually doesn’t occur.

2. Which of the following laboratory values is expected for a client just diagnosed with chronic lymphocytic leukemia?

Elevated sedimentation rate

Uncontrolled proliferation of granulocytes

Thrombocytopenia and increased lymphocytes

Elevated aspartate aminotransferase and alanine aminotransferase levels

Chronic lymphocytic leukemia shows a proliferation of small abnormal mature B lymphocytes and decreased antibody response. Thrombocytopenia also is often present. Uncontrolled proliferation of granulocytes occurs in myelogenous leukemia.

Explanation

Chronic lymphocytic leukemia shows a proliferation of small abnormal mature B lymphocytes and decreased antibody response. Thrombocytopenia also is often present. Uncontrolled proliferation of granulocytes occurs in myelogenous leukemia.

3. At the time of diagnosis of Hodgkin's lymphoma. which of the following areas is often involved?

Back

Chest

Groin

Neck

At the time of diagnosis. a painless cervical lesion is often present. The back. chest. and groin areas aren’t involved.

Explanation

At the time of diagnosis. a painless cervical lesion is often present. The back. chest. and groin areas aren’t involved.

4. According to a standard staging classification of Hodgkin's disease. which of the following criteria reflects stage II?

Involvement of extralymphatic organs or tissues

Involvement of single lymph node region or structure

Involvement of two or more lymph node regions or structures.

Involvement of lymph node regions or structures on both sides of the diaphragm

Stage II involves two or more lymph node regions. Stage I only involves one lymph node region; stage III involves nodes on both sides of the diaphragm; and stage IV involves extralymphatic organs or tissues.

Explanation

Stage II involves two or more lymph node regions. Stage I only involves one lymph node region; stage III involves nodes on both sides of the diaphragm; and stage IV involves extralymphatic organs or tissues.

5. Which of the following statements is correct about the rate of cell growth in relation to chemotherapy?

Faster growing cells are less susceptible to chemotherapy.

Non-dividing cells are more susceptible to chemotherapy

Faster growing cells are more susceptible to chemotherapy

Slower growing cells are more susceptible to chemotherapy

The faster the cell grows. the more susceptible it is to chemotherapy and radiation therapy. Slow-growing and non-dividing cells are less susceptible to chemotherapy. Repeated cycles of chemotherapy are used to destroy nondividing cells as they begin active cell division.

Explanation

The faster the cell grows. the more susceptible it is to chemotherapy and radiation therapy. Slow-growing and non-dividing cells are less susceptible to chemotherapy. Repeated cycles of chemotherapy are used to destroy nondividing cells as they begin active cell division.

6. Which of the following clients is most at risk for developing multiple myeloma?

A 20-year-old Asian woman

A 30-year-old White man

A 50-year-old Hispanic woman

A 60-year-old African-American man

Multiple myeloma is more common in middle-aged and older clients (the median age at diagnosis is 60 years) and is twice as common in Blacks as Whites. It occurs most often in Black men.

Explanation

Multiple myeloma is more common in middle-aged and older clients (the median age at diagnosis is 60 years) and is twice as common in Blacks as Whites. It occurs most often in Black men.

7. For which of the following conditions is a client with multiple myeloma (MM) monitored?

Hypercalcemia

Hyperkalemia

Hypernatremia

Hypermagnesemia

Calcium is released when the bone is destroyed. This causes an increase in serum calcium levels. MM doesn’t affect potassium. sodium. or magnesium levels.

Explanation

Calcium is released when the bone is destroyed. This causes an increase in serum calcium levels. MM doesn’t affect potassium. sodium. or magnesium levels.

8. A client with leukemia has neutropenia. Which of the following functions must be frequently assessed?

Blood pressure

Bowel sounds

Heart sounds

Breath sounds

Pneumonia. both viral and fungal. is a common cause of death in clients with neutropenia. so frequent assessment of respiratory rate and breath sounds is required. Although assessing blood pressure. bowel sounds. and heart sounds is important. it won’t help detect pneumonia.

Explanation

Pneumonia. both viral and fungal. is a common cause of death in clients with neutropenia. so frequent assessment of respiratory rate and breath sounds is required. Although assessing blood pressure. bowel sounds. and heart sounds is important. it won’t help detect pneumonia.

9. Which of the following substances has abnormal values early in the course of multiple myeloma (MM)?

Immunoglobulins

Platelets

Red blood cells

White blood cells

MM is characterized by malignant plasma cells that produce an increased amount of immunoglobulin that isn’t functional. As more malignant plasma cells are produced. there’s less space in the bone marrow for RBC production. In late stages. platelets and WBC’s are reduced as the bone marrow is infiltrated by malignant plasma cells.

Explanation

MM is characterized by malignant plasma cells that produce an increased amount of immunoglobulin that isn’t functional. As more malignant plasma cells are produced. there’s less space in the bone marrow for RBC production. In late stages. platelets and WBC’s are reduced as the bone marrow is infiltrated by malignant plasma cells.

10. Which of the following foods should a client with leukemia avoid?

White bread

Carrot sticks

Stewed apples

Medium rare steak

A low-bacteria diet would be indicated with excludes raw fruits and vegetables.

Explanation

A low-bacteria diet would be indicated with excludes raw fruits and vegetables.