Cancer And Oncology | NCLEX Quiz 154

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Cancer And Oncology | NCLEX Quiz 154 - 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. 

    After the nurse has explained the purpose of and schedule for chemotherapy to a 23-year-old patient who recently received a diagnosis of acute leukemia. the patient asks the nurse to repeat the information. Based on this assessment. which nursing diagnosis is most likely for the patient?

    • A.

      Acute confusion related to infiltration of leukemia cells into the central nervous system

    • B.

      Knowledge deficit: chemotherapy related to a lack of interest in learning about treatment

    • C.

      Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis

    • D.

      Risk for ineffective adherence to treatment related to denial of need for chemotherapy

    Correct Answer
    C. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis
    Explanation
    The patient who has a new cancer diagnosis is likely to have high anxiety. which may impact learning and require that the nurse repeat and reinforce information. The patient’s history of a recent diagnosis suggests that infiltration of the leukemia is not a likely cause of the confusion. The patient asks for the information to be repeated. indicating that lack of interest in learning and denial are not etiologic factors.

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  • 2. 

    A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the RN caring for the patient indicates that the nurse should take action?

    • A.

      The patient’s visitors bring in some fresh peaches from home.

    • B.

      The patient ambulates several times a day in the room.

    • C.

      The patient uses soap and shampoo to shower every other day.

    • D.

      The patient cleans with a warm washcloth after having a stool.

    Correct Answer
    A. The patient’s visitors bring in some fresh peaches from home.
    Explanation
    Fresh. thinned-skin peaches are not permitted in a neutropenic diet because of the risk of bacteria being present. The patient should ambulate in the room rather than the hospital hallway to avoid exposure to other patients or visitors. Because overuse of soap can dry the skin and increase infection risk. showering every other day is acceptable. Careful cleaning after having a bowel movement will help to prevent perineal skin breakdown and infection.

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  • 3. 

    Which action by a nursing assistant (NA) when caring for a patient who is pancytopenic indicates a need for the nurse to intervene?

    • A.

      The NA assists the patient to use dental floss after eating.

    • B.

      The NA makes an oral rinse using 1 teaspoon of salt in a liter of water.

    • C.

      The NA adds baking soda to the patient’s saline oral rinses.

    • D.

      The NA puts fluoride toothpaste on the patient’s toothbrush.

    Correct Answer
    A. The NA assists the patient to use dental floss after eating.
    Explanation
    Use of dental floss is avoided in patients with pancytopenia because of the risk for infection and bleeding. The other actions are appropriate for oral care of a pancytopenic patient.

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  • 4. 

    A with tumor lysis syndrome (TLS) is taking allopurinol (Zyloprim). Which laboratory value should the nurse monitor to determine the effectiveness of the medication?

    • A.

      Blood urea nitrogen (BUN)

    • B.

      Serum phosphate

    • C.

      Serum potassium

    • D.

      Uric acid level

    Correct Answer
    D. Uric acid level
    Explanation
    Allopurinol is used to decrease uric acid levels. BUN. potassium. and phosphate levels are also increased in TLS but are not affected by allopurinol therapy.

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  • 5. 

    When assessing a patient’s needs for psychologic support after the patient has been diagnosed with stage I cancer of the colon. which question by the nurse will provide the most information?

    • A.

      “Can you tell me what has been helpful to you in the past when coping with stressful events?”

    • B.

      “How long ago were you diagnosed with this cancer?”

    • C.

      “Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?”

    • D.

      “How do you feel about having a possibly terminal illness?”

    Correct Answer
    A. “Can you tell me what has been helpful to you in the past when coping with stressful events?”
    Explanation
    Information about how the patient has coped with past stressful situations helps the nurse determine usual coping mechanisms and their effectiveness. The length of time since the diagnosis will not provide much information about the patient’s need for support. The patient’s knowledge of typical stages in adjustment to a critical diagnosis does not provide insight into patient needs for assistance. The patient with stage I cancer is not considered to have a terminal illness at this time. and this question is likely to worry the patient unnecessarily.

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  • 6. 

    A 61-year-old woman who is 5 feet. 3 inches tall and weighs 125 pounds (57 kg) tells the nurse that she has a glass of wine two or three times a week. The patient works for the post office and has a 5-mile mail-delivery route. This is her first contact with the health care system in 20 years. Which of these topics will the nurse plan to include in patient teaching about cancer? (Select all that apply.)

    • A.

      Alcohol use

    • B.

      Physical activity

    • C.

      Body weight

    • D.

      Colorectal screening

    • E.

      Tobacco use

    • F.

      Mammography

    • G.

      Pap testing

    • H.

      Sunscreen use

    Correct Answer(s)
    D. Colorectal screening
    F. Mammography
    G. Pap testing
    H. Sunscreen use
    Explanation
    The patient’s age. gender. and history indicate a need for teaching about or screening or both for colorectal cancer. mammography. Pap smears. and sunscreen. The patient does not use excessive alcohol or tobacco. she is physically active. and her body weight is healthy.

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  • 7. 

    Which of the following conditions is not a complication of Hodgkin’s disease?

    • A.

      Anemia

    • B.

      Infection

    • C.

      Myocardial Infarction

    • D.

      Nausea

    Correct Answer
    C. Myocardial Infarction
    Explanation
    Complications of Hodgkin’s are pancytopenia. nausea. and infection. Cardiac involvement usually doesn’t occur.

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  • 8. 

    During a routine physical examination. a firm mass is palpated in the right breast of a 35-year-old woman. Which of the following findings or client history would suggest cancer of the breast as opposed to fibrocystic disease?

    • A.

      History of early menarche

    • B.

      Cyclic changes in mass size

    • C.

      History of anovulatory cycles

    • D.

      Increased vascularity of the breast

    Correct Answer
    C. History of anovulatory cycles
    Explanation
    Increase in breast size or vascularity is consistent with cancer of the breast. Early menarche as well as late menopause or a history of anovulatory cycles are associated with fibrocystic disease. Masses associated with fibrocystic disease of the breast are firm. most often located in the upper outer quadrant of the breast. and increase in size prior to menstruation. They may be bilateral in a mirror image and are typically well demarcated and freely moveable.

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  • 9. 

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

    • A.

      Back

    • B.

      Chest

    • C.

      Groin

    • D.

      Neck

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

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  • 10. 

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

    • A.

      Involvement of extralymphatic organs or tissues

    • B.

      Involvement of single lymph node region or structure

    • C.

      Involvement of two or more lymph node regions or structures.

    • D.

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

    Correct Answer
    C. Involvement of two or more lymph node regions or structures.
    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.

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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 13, 2017
    Quiz Created by
    Santepro
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