Cancer and Oncology | NCLEX Quiz 150

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Quizzes Created: 468 | Total Attempts: 2,477,691

Questions: 10 | Attempts: 4,557 | Updated: Sep 29, 2023

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Cancer And Oncology | NCLEX Quiz 150 - 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.

Contact of client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?
- A.
  
  1 minute
- B.
  
  3 minutes
- C.
  
  5 minutes
- D.
  
  10 minutes
Correct Answer
C. 5 minutes

Explanation
Principles of Radiation protection follows the DTS system. Distance (D). Time (T) and Shielding (S). Distance – at least 3 feet should be maintained when a nurse is not performing any nursing procedures. Time – limit contact to 5 minutes each time. Shielding – use lead shield during contact with client.

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2.

A client is taking Cyclophosphamide (Cytoxan) for the treatment of lymphoma. The nurse is very cautious in administering the medication because this drug poses the fatal side effect of:
- A.
  
  Alopecia
- B.
  
  Myeloma
- C.
  
  CNS toxicity
- D.
  
  Hemorrhagic cystitis
Correct Answer
D. Hemorrhagic cystitis

Explanation
Hemorrhagic cystitis is the potentially fatal side effect of Cytoxan. Myeloma is an indication for giving this medication. Alopecia is a common side effect.

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3.

Cytarabine (Ara-C) is an antimetabolite that can cause a common cytarabine syndrome which includes the following apart from:
- A.
  
  Fever
- B.
  
  Myalgia
- C.
  
  Chest pain
- D.
  
  Diarrhea
Correct Answer
D. Diarrhea

Explanation
Cytarabine syndrome includes fever. myalgia. bone pain. chest pain. rash. conjunctivitis and malaise. No diarrhea is included in this syndrome thus; letter D is the best choice.

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4.

To provide relief from the cytarabine syndrome. which drug is given?
- A.
  
  Analgesic
- B.
  
  Aspirin
- C.
  
  Steroids
- D.
  
  Allopurinol
Correct Answer
C. Steroids

Explanation
Steroids may be prescribed to promote relief from cytarabine syndrome. Allopurinol is given for hyperurecemia that will result from taking some chemotherapeutic agent.

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5.

Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except:
- A.
  
  Doxorubicin (Adriamycin)
- B.
  
  Fluorouracil (Adrucil)
- C.
  
  Mitoxantrone (Novantrone)
- D.
  
  Bleomycin (Blenoxane)
Correct Answer
B. Fluorouracil (Adrucil)

Explanation
Fluorouracil (Adrucil) is an antimetabolite.

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6.

Specific classification of the chemotherapeutic agent. Vincristine (Oncovin) is:
- A.
  
  Hormone modulator
- B.
  
  Mitotic inhibitor
- C.
  
  Antineoplastic antibiotic
- D.
  
  Antimetabolite
Correct Answer
B. Mitotic inhibitor

Explanation
Vincristine is a mitotic inhibitor

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7.

A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given?
- A.
  
  Anstrazole (arimidex)
- B.
  
  Estramustine (Emcyt)
- C.
  
  Pclitaxel (Taxol)
- D.
  
  Irinotecan (Camptosar)
Correct Answer
B. Estramustine (Emcyt)

Explanation
Anstrazole (arimidex)- treatment of advanced breast cancer in post menopausal women following tamoxifen therapy. Estramustine (Emcyt) – palliative treatment of metastatic and progressive prostate cancer. Pclitaxel (Taxol) – treatment of ovarian cancer. breast cancer and AIDS related to Kaposi’s sarcoma. Irinotecan (Camptosar)- treatment of metastatic colon or rectal cancer after treatment with 5-FU.

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8.

A client taking a chemotherapeutic agent understands the effects of therapy by stating:
- A.
  
  “I will avoid eating hot and spicy foods.”
- B.
  
  “I should stay in my room all the time.”
- C.
  
  “I should limit my fluid intake to about 500 ml per day.”
- D.
  
  “I should notify the physician immediately if a urine color change is observed.”
Correct Answer
A. “I will avoid eating hot and spicy foods.”

Explanation
The client should prevent hot and spicy food because of the stomatitis side effect. The client should avoid people with infection but should not isolate himself in his room all the time. Fluid intake should be increased. Urine color change is normal.

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9.

A client is diagnosed with breast cancer. The tumor size is up to 5 cm with axillary and neck lymph node involvement. The client is in what stage of breast cancer?
- A.
  
  Stage I
- B.
  
  Stage II
- C.
  
  Stage III
- D.
  
  Stage IV
Correct Answer
B. Stage II

Explanation
Stage I – tumor size up to 2 cm. Stage II – tumor size up to 5 cm with axillary and neck lymph node involvement. Stage III – tumor size is more than 5 cm with axillary and neck lymph node involvement. Stage IV – metastasis to distant organs (liver. lungs. bone and brain).

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10.

The classic symptoms that define breast cancer includes the following except:
- A.
  
  “pink peel” skin
- B.
  
  Solitary. irregularly shaped mass
- C.
  
  Firm. nontender. nonmobile mass
- D.
  
  Abnormal discharge from the nipple
Correct Answer
A. “pink peel” skin

Explanation
Classic symptoms that define breast cancer includes: Firm. nontender. nonmobile mass. Solitary. irregularly shaped mass. Adherence to muscle or skin causing dimpling effect. Involvement of the upper outer quadrant or central nipple portion. Asymmetry of the breasts. “Orange peel” skin. Retraction of nipple. Abnormal discharge from nipple.

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Current Version
Sep 29, 2023

Quiz Edited by
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Oct 13, 2017

Quiz Created by
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Cancer And Oncology | NCLEX Quiz 150

Contact of client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?

A client is taking Cyclophosphamide (Cytoxan) for the treatment of lymphoma. The nurse is very cautious in administering the medication because this drug poses the fatal side effect of:

Cytarabine (Ara-C) is an antimetabolite that can cause a common cytarabine syndrome which includes the following apart from:

To provide relief from the cytarabine syndrome. which drug is given?

Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except:

Specific classification of the chemotherapeutic agent. Vincristine (Oncovin) is:

A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given?

A client taking a chemotherapeutic agent understands the effects of therapy by stating:

A client is diagnosed with breast cancer. The tumor size is up to 5 cm with axillary and neck lymph node involvement. The client is in what stage of breast cancer?

The classic symptoms that define breast cancer includes the following except: