Cancer And Oncology | NCLEX Quiz 150

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

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    • 10 minutes
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Cancer And Oncology | NCLEX Quiz 150 - Quiz

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  • 2. 

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

    • “I will avoid eating hot and spicy foods.”

    • “I should stay in my room all the time.”

    • “I should limit my fluid intake to about 500 ml per day.”

    • “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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  • 3. 

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

    • “pink peel” skin

    • Solitary. irregularly shaped mass

    • Firm. nontender. nonmobile mass

    • 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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  • 4. 

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

    • Doxorubicin (Adriamycin)

    • Fluorouracil (Adrucil)

    • Mitoxantrone (Novantrone)

    • Bleomycin (Blenoxane)

    Correct Answer
    A. Fluorouracil (Adrucil)
    Explanation
    Fluorouracil (Adrucil) is an antimetabolite.

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  • 5. 

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

    • Hormone modulator

    • Mitotic inhibitor

    • Antineoplastic antibiotic

    • Antimetabolite

    Correct Answer
    A. Mitotic inhibitor
    Explanation
    Vincristine is a mitotic inhibitor

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  • 6. 

    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:

    • Alopecia

    • Myeloma

    • CNS toxicity

    • Hemorrhagic cystitis

    Correct Answer
    A. 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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  • 7. 

    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?

    • Stage I

    • Stage II

    • Stage III

    • Stage IV

    Correct Answer
    A. 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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  • 8. 

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

    • Fever

    • Myalgia

    • Chest pain

    • Diarrhea

    Correct Answer
    A. 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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  • 9. 

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

    • Analgesic

    • Aspirin

    • Steroids

    • Allopurinol

    Correct Answer
    A. 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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  • 10. 

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

    • Anstrazole (arimidex)

    • Estramustine (Emcyt)

    • Pclitaxel (Taxol)

    • Irinotecan (Camptosar)

    Correct Answer
    A. 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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  • Sep 29, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 13, 2017
    Quiz Created by
    Santepro
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