Module 2 Oncology Practice Quiz

26 Questions | Total Attempts: 575

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Oncology Quizzes & Trivia

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Questions and Answers
  • 1. 
    The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?
    • A. 

      Increased calcium level

    • B. 

      Increased white blood cells

    • C. 

      Decreased blood urea nitrogen level

    • D. 

      Decreased number of plasma cells in the bone marrow

  • 2. 
    The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?
    • A. 

      Encouraging fluids

    • B. 

      Providing frequent oral care

    • C. 

      Coughing and deep breathing

    • D. 

      Monitoring the red blood cell count

  • 3. 
    The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which principle?
    • A. 

      Limit the time with the client to one hour per shift

    • B. 

      Do not allow pregnant women into the client's room

    • C. 

      Remove the dosimeter film badge when entering the client's room

    • D. 

      Individuals younger than 16 old may be allowed to go in the room as long as they are 6 feet away from the client

  • 4. 
    The 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 into a lead container

  • 5. 
    The nurse is caring for a 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 catheter to prevent skin breakdown

  • 6. 
    The home healthcare nurse is caring for a client with cancer and the client is complaining of acute pain. The most 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.

  • 7. 
    The nurse is caring for a client who is post-operatively 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

  • 8. 
    The client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client?
    • A. 

      Fatigue

    • B. 

      Weakness

    • C. 

      Weight Gain

    • D. 

      Enlarged lymph nodes

  • 9. 
    During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
    • A. 

      Diarrhea

    • B. 

      Hypermenorrhea

    • C. 

      Abnormal bleeding

    • D. 

      Abdominal distention

  • 10. 
    When assessing the laboratory results of the client with bladder cancer and bone metastasis, the nurse notes a calcium level of 12mg/dL. The nurse recognizes that this is consistent with which oncological emergency?
    • A. 

      Hyperkalemia

    • B. 

      Hypercalcemia

    • C. 

      Spinal cord compression

    • D. 

      Superior vena cava syndrome

  • 11. 
    The female client who has been receiving radiation therapy for bladder cancer tells the nurse that is feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
    • A. 

      Rupture of the bladder

    • B. 

      The developmental of a vesicovaginal fistula

    • C. 

      Extreme stress caused by the diagnosis of cancer

    • D. 

      Altered perineal sensation as a side effect of radiation therapy

  • 12. 
    The nurse is instructing the client to preform a testicular examination. The nurse tells the client:
    • A. 

      To examine the testicles while lying down

    • B. 

      That the best time for examination is after a shower

    • C. 

      To gently feel the testicle with one finger to feel for a growth

    • D. 

      That testicular self-examinations should be done at least every 6 months

  • 13. 
    A client is 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

  • 14. 
    A gastrectomy is preformed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the nasogastric tube. Which of the following is the appropriate nursing intervention?
    • A. 

      Notify the physician

    • B. 

      Measure abdominal girth

    • C. 

      Irrigate the nasogastric tube

    • D. 

      Continue to monitor the drainage

  • 15. 
    The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching related to cancer is necessary if the client identifies which of the following as an associated risk factor?
    • A. 

      Age younger than 50 years of age

    • B. 

      History of colorectal polyps

    • C. 

      Family history of colorectal cancer

    • D. 

      Chronic inflammatory bowel disease

  • 16. 
    The nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor. Which of the following assessment findings indicates that the colostomy is beginning to function?
    • A. 

      Absent bowel sounds

    • B. 

      The passage of flatus

    • C. 

      The client's inability to tolerate food

    • D. 

      Bloody drainage from the colostomy

  • 17. 
    The nurse is assessing the perineal wound in a client who has returned from the operating room following an adbominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is appropriate?
    • A. 

      Notify the physician

    • B. 

      Clamp the penrose drain

    • C. 

      Change the dressing as prescribed

    • D. 

      Remove and replace the perineal packing

  • 18. 
    The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer?
    • A. 

      Dysuria

    • B. 

      Hematuria

    • C. 

      Urgency of urination

    • D. 

      Frequency of urination

  • 19. 
    The nurse is assessing the stoma of a client following a ureterostomy. Which of the following should the nurse expect to note?
    • A. 

      A dry stoma

    • B. 

      A pale stoma

    • C. 

      A dark-colored stoma

    • D. 

      A red and moist stoma

  • 20. 
    The nurse is caring for a client following a masectomy. Which nursing intervention would assist in preventing lymphedema of the affected arm?
    • A. 

      Placing cool compresses on the affected arm

    • B. 

      Elevating the affected arm on a pillow above heart level

    • C. 

      Avoid arm exercises in the immediate post-operative period

    • D. 

      Maintaining an IV site below the antecubital area on the affected site

  • 21. 
    A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of the oncological emergency?
    • A. 

      Cyanosis

    • B. 

      Arm edema

    • C. 

      Periorbital edema

    • D. 

      Mental status changes

  • 22. 
    A nurse manager is teaching the nursing  staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which of the following is a serious late sign of this oncological emergency?
    • A. 

      Headache

    • B. 

      Dysphagia

    • C. 

      Constipation

    • D. 

      Electrocardiographic changes

  • 23. 
    As part of chemotherapy education, the nurse teaches a female client about the risk for bleeding and self-care during the period of the greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed when the client states:
    • A. 

      "I should avoid blowing my nose"

    • B. 

      "I may need a platelet transfusion if my platelet transfusion if my platelet count is too low"

    • C. 

      "I'm going to take aspirin for my headache as soon as i get home"

    • D. 

      " I will count the number of pads and tampons I use when menstruating"

  • 24. 
    The community health nurse is instructing a group of female clietns about self-breast examination. The nurse instructs the clients to preform 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

  • 25. 
    The 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. 

      Computed tomography scan

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