Cancer And Oncology | NCLEX Quiz 147

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Questions: 10 | Attempts: 3,475 | Updated: Aug 22, 2023

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Cancer And Oncology | NCLEX Quiz 147 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

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.
  
  Dyspnea
- B.
  
  Diarrhea
- C.
  
  Sore throat
- D.
  
  Constipation
Correct Answer
C. Sore throat

Explanation
In general. only the area in the treatment field is affected by the radiation. Skin reactions. fatigue. nausea. and anorexia may occur with radiation to any site. whereas other side effects occur only when specific areas are involved in treatment. A client receiving radiation to the larynx is most likely to experience a sore throat. Options B and D may occur with radiation to the gastrointestinal tract. Dyspnea may occur with lung involvement.

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2.

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.
  
  Limit the time with the client to 1 hour per shift
- B.
  
  Do not allow pregnant women into the client’s room
- C.
  
  Remove the dosimeter badge when entering the client’s room
- D.
  
  Individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client
Correct Answer
B. Do not allow pregnant women into the client’s room

Explanation
The time that the nurse spends in a room of a client with an internal radiation implant is 30 minutes per 8-hour shift. The dosimeter badge must be worn when in the client’s room. Children younger than 16 years of age and pregnant women are not allowed in the client’s room.

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3.

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.
  
  Bed rest
- B.
  
  Out of bed ad lib
- C.
  
  Out of bed in a chair only
- D.
  
  Ambulation to the bathroom only
Correct Answer
A. Bed rest

Explanation
The client with a cervical radiation implant should be maintained on bed rest in the dorsal position to prevent movement of the radiation source. The head of the bed is elevated to a maximum of 10 to 15 degrees for comfort. The nurse avoids turning the client on the side. If turning is absolutely necessary. a pillow is placed between the knees and. with the body in straight alignment. the client is logrolled.

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4.

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.
  
  Call the physician
- B.
  
  Reinsert the implant into the vagina immediately
- C.
  
  Pick up the implant with gloved hands and flush it down the toilet
- D.
  
  Pick up the implant with long-handled forceps and place it in a lead container.
Correct Answer
D. Pick up the implant with long-handled forceps and place it in a lead container.

Explanation
A lead container and long-handled forceps should be kept in the client’s room at all times during internal radiation therapy. If the implant becomes dislodged. the nurse should pick up the implant with long-handled forceps and place it in the lead container. Options A. B. and C are inaccurate interventions.

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5.

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.
  
  Restrict all visitors
- B.
  
  Restrict fluid intake
- C.
  
  Teach the client and family about the need for hand hygiene
- D.
  
  Insert an indwelling urinary catheter to prevent skin breakdown
Correct Answer
C. Teach the client and family about the need for hand hygiene

Explanation
In the neutropenic client. meticulous hand hygiene education is implemented for the client. family. visitors. and staff. Not all visitors are restricted. but the client is protected from persons with known infections. Fluids should be encouraged. Invasive measures such as an indwelling urinary catheter should be avoided to prevent infections.

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6.

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.
  
  The client’s pain rating
- B.
  
  Nonverbal cues from the client
- C.
  
  The nurse’s impression of the client’s pain
- D.
  
  Pain relief after appropriate nursing intervention
Correct Answer
A. The client’s pain rating

Explanation
The client’s self-report is a critical component of pain assessment. The nurse should ask the client about the description of the pain and listen carefully to the client’s words used to describe the pain. The nurse’s impression of the client’s pain is not appropriate in determining the client’s level of pain. Nonverbal cues from the client are important but are not the most appropriate pain assessment measure. Assessing pain relief is an important measure. but this option is not related to the subject of the question.

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7.

Nurse Melinda 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.
  
  Bowel sounds
- B.
  
  Ability to ambulate
- C.
  
  Incision appearance
- D.
  
  Urine specific gravity
Correct Answer
A. Bowel sounds

Explanation
The client is kept NPO until peristalsis returns. usually in 4 to 6 days. When signs of bowel function return. clear fluids are given to the client. If no distention occurs. the diet is advanced as tolerated. The most important assessment is to assess bowel sounds before feeding the client. Options B. C. and D are unrelated to the subject of the question.

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8.

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.
  
  Fatigue
- B.
  
  Weakness
- C.
  
  Weight gain
- D.
  
  Enlarged lymph nodes
Correct Answer
D. Enlarged lymph nodes

Explanation
Hodgkin’s disease is a chronic progressive neoplastic disorder of lymphoid tissue characterized by the painless enlargement of lymph nodes with progression to extralymphatic sites. such as the spleen and liver. Weight loss is most likely to be noted. Fatigue and weakness may occur but are not related significantly to the disease.

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9.

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.
  
  Diarrhea
- B.
  
  Hypermenorrhea
- C.
  
  Abdominal bleeding
- D.
  
  Abdominal distention
Correct Answer
D. Abdominal distention

Explanation
Clinical manifestations of ovarian cancer include abdominal distention. urinary frequency and urgency. pleural effusion. malnutrition. pain from pressure caused by the growing tumor and the effects of urinary or bowel obstruction. constipation. ascites with dyspnea. and ultimately general severe pain. Abnormal bleeding. often resulting in hypermenorrhea. is associated with uterine cancer.

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10.

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.
  
  Infection
- B.
  
  Hemorrhage
- C.
  
  Cervical stenosis
- D.
  
  Ovarian perforation
Correct Answer
D. Ovarian perforation

Explanation
Conization procedure involves removal of a cone-shaped area of the cervix. Complications of the procedure include hemorrhage. infection. and cervical stenosis. Ovarian perforation is not a complication.

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Oct 13, 2017

Quiz Created by
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Cancer And Oncology | NCLEX Quiz 147

The male client is receiving external radiation to the neck for cancer of the larynx. The most likely side effect to be expected is:

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 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 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:

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:

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?

Nurse Melinda 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 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?

During the admission assessment of a 35 year old client with advanced ovarian cancer. the nurse recognizes which symptom as typical of the disease?

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?