Cancer And Oncology | NCLEX Quiz 146

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Questions: 10 | Attempts: 1,494 | Updated: Aug 22, 2023

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Cancer And Oncology | NCLEX Quiz 146 - 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.

A male client is receiving the cell cycle–nonspecific alkylating agent thiotepa (Thioplex). 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
- A.
  
  It interferes with deoxyribonucleic acid (DNA) replication only.
- B.
  
  It interferes with ribonucleic acid (RNA) transcription only.
- C.
  
  It interferes with DNA replication and RNA transcription.
- D.
  
  It destroys the cell membrane. causing lysis.
Correct Answer
C. It interferes with DNA replication and RNA transcription.

Explanation
Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane.

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2.

The nurse is instructing the 35 year old client to perform a testicular self-examination. The nurse tells the client:
- A.
  
  To examine the testicles while lying down
- B.
  
  That the best time for the examination is after a shower
- C.
  
  To gently feel the testicle with one finger to feel for a growth
- D.
  
  That testicular self-examination should be done at least every 6 months
Correct Answer
B. That the best time for the examination is after a shower

Explanation
The testicular-self examination is recommended monthly after a warm bath or shower when the scrotal skin is relaxed. The client should stand to examine the testicles. Using both hands. with fingers under the scrotum and thumbs on top. the client should gently roll the testicles. feeling for any lumps.

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3.

A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?
- A.
  
  Monitoring temperature
- B.
  
  Ambulation three times daily
- C.
  
  Monitoring the platelet count
- D.
  
  Monitoring for pathological fractures
Correct Answer
C. Monitoring the platelet count

Explanation
Thrombocytopenia indicates a decrease in the number of platelets in the circulating blood. A major concern is monitoring for and preventing bleeding. Option A elates to monitoring for infection. particularly if leukopenia is present. Options B and D. although important in the plan of care. are not related directly to thrombocytopenia.

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1
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4.

Gio. a community health nurse. is instructing a group of female clients about breast self-examination. The nurse instructs the client to perform the examination:
- A.
  
  At the onset of menstruation
- B.
  
  Every month during ovulation
- C.
  
  Weekly at the same time of day
- D.
  
  1 week after menstruation begins
Correct Answer
D. 1 week after menstruation begins

Explanation
The breast self-examination should be performed monthly 7 days after the onset of the menstrual period. Performing the examination weekly is not recommended. At the onset of menstruation and during ovulation. hormonal changes occur that may alter breast tissue.

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5.

Nurse Cindy is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the following in the care of this client?
- A.
  
  Elevating the knee gatch on the bed
- B.
  
  Assisting with range-of-motion leg exercises
- C.
  
  Removal of antiembolism stockings twice daily
- D.
  
  Checking placement of pneumatic compression boots
Correct Answer
A. Elevating the knee gatch on the bed

Explanation
The client is at risk of deep vein thrombosis or thrombophlebitis after this surgery. as for any other major surgery. For this reason. the nurse implements measures that will prevent this complication. Range-of-motion exercises. antiembolism stockings. and pneumatic compression boots are helpful. The nurse should avoid using the knee gatch in the bed. which inhibits venous return. thus placing the client more at risk for deep vein thrombosis or thrombophlebitis.

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6.

Mina. who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instruction to the client?
- A.
  
  Eat a light breakfast only
- B.
  
  Maintain an NPO status before the procedure
- C.
  
  Wear comfortable clothing and shoes for the procedure
- D.
  
  Drink six to eight glasses of water without voiding before the test
Correct Answer
D. Drink six to eight glasses of water without voiding before the test

Explanation
A pelvic ultrasound requires the ingestion of large volumes of water just before the procedure. A full bladder is necessary so that it will be visualized as such and not mistaken for a possible pelvic growth. An abdominal ultrasound may require that the client abstain from food or fluid for several hours before the procedure. Option C is unrelated to this specific procedure.

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1
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7.

A male client is diagnosed as having a bowel tumor and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy?
- A.
  
  Biopsy of the tumor
- B.
  
  Abdominal ultrasound
- C.
  
  Magnetic resonance imaging
- D.
  
  Computerized tomography scan
Correct Answer
A. Biopsy of the tumor

Explanation
A biopsy is done to determine whether a tumor is malignant or benign. Magnetic resonance imaging. computed tomography scan. and ultrasound will visualize the presence of a mass but will not confirm a diagnosis of malignancy.

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8.

A female client diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder?
- A.
  
  Altered red blood cell production
- B.
  
  Altered production of lymph nodes
- C.
  
  Malignant exacerbation in the number of leukocytes
- D.
  
  Malignant proliferation of plasma cells within the bone
Correct Answer
D. Malignant proliferation of plasma cells within the bone

Explanation
Multiple myeloma is a B-cell neoplastic condition characterized by abnormal malignant proliferation of plasma cells and the accumulation of mature plasma cells in the bone marrow. Options A and B are not characteristics of multiple myeloma. Option C describes the leukemic process.

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9.

Nurse Bea is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to note specifically in this disorder?
- A.
  
  Increased calcium
- B.
  
  Increased white blood cells
- C.
  
  Decreased blood urea nitrogen level
- D.
  
  Decreased number of plasma cells in the bone marrow
Correct Answer
A. Increased calcium

Explanation
Findings indicative of multiple myeloma are an increased number of plasma cells in the bone marrow. anemia. hypercalcemia caused by the release of calcium from the deteriorating bone tissue. and an elevated blood urea nitrogen level. An increased white blood cell count may or may not be present and is not related specifically to multiple myeloma.

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10.

Vanessa. a community health nurse conducts a health promotion program regarding testicular cancer to community members. The nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer?
- A.
  
  Alopecia
- B.
  
  Back pain
- C.
  
  Painless testicular swelling
- D.
  
  Heavy sensation in the scrotum
Correct Answer
A. Alopecia

Explanation
Alopecia is not an assessment finding in testicular cancer. Alopecia may occur. however. as a result of radiation or chemotherapy. Options B. C. and D are assessment findings in testicular cancer. Back pain may indicate metastasis to the retroperitoneal lymph nodes.

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Aug 22, 2023

Quiz Edited by
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Oct 13, 2017

Quiz Created by
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Cancer And Oncology | NCLEX Quiz 146

The nurse is instructing the 35 year old client to perform a testicular self-examination. The nurse tells the client:

A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?

Gio. a community health nurse. is instructing a group of female clients about breast self-examination. The nurse instructs the client to perform the examination:

Nurse Cindy is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the following in the care of this client?

Mina. who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instruction to the client?

A male client is diagnosed as having a bowel tumor and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy?

A female client diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder?

Nurse Bea is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to note specifically in this disorder?

Vanessa. a community health nurse conducts a health promotion program regarding testicular cancer to community members. The nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer?