MEAL (Oncology Nursing 1)

ONCOLOGY NURSING MEAL11
(Memory Enhancement for Adult Learner)

c. on the 1st day of the menstrual cycle.
Name:
CEF
(Comprehensive
Exam
Foundation)
to
Success
d. immediately after her menstrual period.
Date:
NURSING PRACTICE 4
Score:
Percentage:
WRITE THE CAPITAL LETTER OF YOUR FINAL ANSWER BESIDE

EACH NUMBER.
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The nurse is interviewing a client about his past medical history. Which
preexisting condition may lead the nurse to suspect that a client has
colorectal cancer?
a. Duodenal ulcers
b. Hemorrhoids
c. Weight gain
d. Polyps
2. Several days before admission, a client reports finding a small lump in
the left breast near the nipple. What should the nurse tell the client to
do?
a. Inform the physician immediately.
b. Squeeze the nipple to check for drainage.
c. Check the area after the next menstrual period.
d. Put a heating pad on the area to reduce inflammation.
3. The nurse is speaking to a group of women about early detection of
breast cancer. The average age of the women in the group is 47.
Following the American Cancer Society guidelines, the nurse should
recommend that the women:
perform breast self-examination annually.
have a mammogram annually.
have a hormonal receptor assay annually.
have a physician conduct a clinical examination every 2 years.
4. A client with vaginal cancer asks the nurse, "What is the usual treatment
for this type of cancer?" Which treatment should the nurse name?
Surgery
Chemotherapy
Radiation
Immunotherapy
5. A client suspected of having colorectal cancer will require which
diagnostic study to confirm the diagnosis?
Stool Hematest
Carcinoembryonic antigen (CEA)
Sigmoidoscopy
Abdominal computed tomography (CT) scan
6. The nurse is teaching a client who suspects that she has a lump in her
breast. The nurse instructs the client that a diagnosis of breast cancer is
confirmed by:
breast self-examination.
mammography.
fine needle aspiration.
chest X-ray.
7. For a client with newly diagnosed cancer, the nurse formulates a nursing
diagnosis of Anxiety related to the threat of death secondary to cancer
diagnosis. Which expected outcome would be appropriate for this client?
"Client verbalizes feelings of anxiety."
"Client doesn't guess at prognosis."
"Client uses any effective method to reduce tension."
"Client stops seeking information."
8. A nurse is working with a dying client and his family. Which
communication technique is most important to use?
Reflection
Interpretation
Clarification
Active listening
9. Which finding is an early indicator of bladder cancer?
Painless hematuria
Occasional polyuria
Nocturia
Dysuria
10. Which client has the highest risk of ovarian cancer?
30-year-old woman taking oral contraceptives
45-year-old woman who has never been pregnant
40-year-old woman with three children
36-year-old woman who had her first child at age 22
11. The nurse is instructing a premenopausal woman about breast selfexamination. The nurse should tell the client to do her self-examination:
a. at the end of her menstrual cycle.
b. on the same day each month.
Formulated, Compiled & Edited by:
12. To combat the most common adverse effects of chemotherapy, the nurse
would administer an:
a. antiemetic.
b. antimetabolite.
c. antibiotic.
d. anticoagulant.
13. After cancer chemotherapy, a client experiences nausea and vomiting. The
nurse should assign highest priority to which intervention?
a. Serving small portions of bland food
b. Encouraging rhythmic breathing exercises
c. Administering metoclopramide (Reglan) and dexamethasone (Decadron)
as prescribed
d. Withholding fluids for the first 4 to 6 hours after chemotherapy
administration
14. To treat cervical cancer, a client has had an applicator of radioactive
material placed in the vagina. Which observation by the nurse indicates a
radiation hazard?
a. The client is maintained on strict bed rest.
b. The head of the bed is at a 30-degree angle.
c. The client receives a complete bed bath each morning.
d. The nurse checks the applicator's position every 4 hours.
15. A client receives a sealed radiation implant to treat cervical cancer. When
caring for this client, the nurse should:
a. consider the client's urine, feces, and vomitus to be highly radioactive.
b. consider the client to be radioactive for 10 days after implant removal.
c. allow soiled linens to remain in the room until after the client is discharged.
d. maintain the client on complete bed rest with bathroom privileges only.
16. A client seeks care for hoarseness that has lasted for 1 month. To elicit the
most appropriate information about this problem, the nurse should ask
which question?
a. "Do you smoke cigarettes, cigars, or a pipe?"
b. "Have you strained your voice recently?"
c. "Do you eat a lot of red meat?"
d. "Do you eat spicy foods?"
17. A client with cancer is being evaluated for possible metastasis. Which of the
following is one of the most common metastasis sites for cancer cells?
a. Liver
b. Colon
c. Reproductive tract
d. White blood cells (WBCs)
18. A client is receiving chemotherapy to treat breast cancer. Which
assessment finding indicates a fluid and electrolyte imbalance induced by
chemotherapy?
a. Urine output of 400 ml in 8 hours
b. Serum potassium level of 3.6 mEq/L
c. Blood pressure of 120/64 to 130/72 mm Hg
d. Dry oral mucous membranes and cracked lips
19. A client in the terminal stage of cancer is receiving a continuous infusion of
morphine (Duramorph) for pain management. Which assessment finding
suggests that the client is experiencing an adverse effect of this drug?
a. Voiding of 350 ml of concentrated urine in 8 hours
b. Respiratory rate of 8 breaths/minute
c. Irregular heart rate of 82 beats/minute
d. Pupils constricted and equal
20. A client undergoes a biopsy of a suspicious lesion. The biopsy report
classifies the lesion according to the TNM staging system as follows: TIS,
N0, M0. What does this classification mean?
a. No evidence of primary tumor, no abnormal regional lymph nodes, and no
evidence of distant metastasis
b. Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of
distant metastasis
c. Can't assess tumor or regional lymph nodes and no evidence of metastasis
d. Carcinoma in situ, no demonstrable metastasis of the regional lymph
nodes, and ascending degrees of distant metastasis
21. A client who reports increasing difficulty swallowing, weight loss, and
fatigue is diagnosed with esophageal cancer. Because this client has
difficulty swallowing, the nurse should assign highest priority to:
a. helping the client cope with body image changes.
b. ensuring adequate nutrition.
c. maintaining a patent airway.
d. preventing injury.
22. The nurse is caring for a client with bronchogenic carcinoma. Which
nursing diagnosis takes highest priority?
Disturbed body image related to changes in body functions
Mr. Joseph Cef Bahian Abang, AHSE, BSN, RN, MAN (c)
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Ineffective airway clearance related to obstruction by a tumor or secretions

Related to visual field deficits
CEFrelated
(Comprehensive
Exam
Foundation)
Anxiety
to actual threat to health status
and changes
in family dynamicsto Success
Related to difficulty swallowing
Imbalanced nutrition:
Less than PRACTICE
body requirements related
to anorexia and vomiting Related to impaired balance
NURSING
4
secondary to chemotherapy
Related to psychomotor seizures
23. A client is in isolation after receiving an internal radioactive implant to
33. The nurse is teaching a male client to perform monthly testicular selftreat cancer. Two hours later, the nurse discovers the implant in the bed
examinations. Which of the following points would be appropriate to
linens. What should the nurse do first?
make?
Stand as far away from the implant as possible and call for help.
Testicular cancer is a highly curable type of cancer.
Pick up the implant with long-handled forceps and place it in a lead-lined container. Testicular cancer is very difficult to diagnose.
Leave the room and notify the radiation therapy department immediately.
Testicular cancer is the number one cause of cancer deaths in males.
Put the implant back in place, using forceps and a shield for self-protection, and call Testicular cancer is more common in older men.
for help.
34. During a breast examination, which finding most strongly suggests that
24. A client receiving external radiation to the left thorax to treat lung cancer
the client has breast cancer?
has a nursing diagnosis of Risk for impaired skin integrity. Which
Slight asymmetry of the breasts
A fixed nodular mass with dimpling of the overlying skin
intervention should be part of this client's plan of care?
Bloody discharge from the nipple
Avoiding using soap on the irradiated areas
Multiple firm, round, freely movable masses that change with the menstrual cycle
Applying talcum powder to the irradiated areas daily after bathing
35. A client is undergoing a diagnostic workup for suspected testicular
Wearing a lead apron during direct contact with the client
Removing thoracic skin markings after each radiation treatment
cancer. When obtaining the client's history, the nurse checks for known
25. The nurse is teaching a group of women to perform breast selfrisk factors for this type of cancer. Testicular cancer has been linked to:
examination. The nurse should explain that the purpose of performing
testosterone therapy during childhood.
sexually transmitted disease.
the examination is to discover:
early onset of puberty.
cancerous lumps.
cryptorchidism.
areas of thickness or fullness.
36. A client has been receiving chemotherapy to treat cancer. Which
changes from previous self-examinations.
fibrocystic masses.
assessment finding suggests that the client has developed stomatitis
26. At a public health fair, a nurse discusses the dangers of sun exposure.
(inflammation of the mouth)?
Prolonged sun exposure has been blamed for which form of cancer?
White, cottage cheeselike patches on the tongue
Malignant melanoma
Yellow tooth discoloration
Squamous cell carcinoma
Red, open sores on the oral mucosa
Basal cell epithelioma
Rust-colored sputum
All of the above
37. The nurse is providing breast cancer education at a community facility.
27. A 35-year-old female client is requesting information about
The American Cancer Society recommends that women get
mammograms and breast cancer. She isn't considered at high risk for
mammograms:
breast cancer. What should the nurse tell this client?
yearly after age 40.
She should have had a baseline mammogram before age 30.
after the birth of the first child and every 2 years thereafter.
She should eat a low-fat diet to further decrease her risk of breast cancer.
after the first menstrual period and annually thereafter.
She should perform breast self-examination during the first 5 days of each
every 3 years between ages 20 and 40 and annually thereafter.
menstrual cycle.
38. A client, age 42, visits the gynecologist. After examining her, the
When she begins having yearly mammograms, breast self-examinations will no
physician suspects cervical cancer. The nurse reviews the client's history
longer be necessary.
for risk factors for this disease. Which history finding is a risk factor for
28. What should a male client over age 50 do to help ensure early
cervical cancer?
identification of prostate cancer?
Onset of sporadic sexual activity at age 17
Have a digital rectal examination and prostate-specific antigen (PSA) test done
Spontaneous abortion at age 19
yearly.
Pregnancy complicated with eclampsia at age 27
Have a transrectal ultrasound every 5 years.
Human papillomavirus infection at age 32
Perform monthly testicular self-examinations, especially after age 50.
39. The nurse is teaching a class about breast self-examinations. A client
Have a complete blood count (CBC) and blood urea nitrogen (BUN) and creatinine
asks if she should have an annual mammogram. According to the
levels checked yearly.
American Cancer Society, how should the nurse respond?
29. The American Cancer Society recommends routine screening to detect
All women over age 30 should have an annual mammogram.
colorectal cancer. Which screening test for colorectal cancer should the
All women over age 40 should have an annual mammogram.
nurse recommend?
Any woman over age 20 whose mother had breast cancer should have an annual
Carcinoembryonic antigen (CEA) test after age 50
mammogram.
Proctosigmoidoscopy after age 30
Any woman who feels she is at risk for breast cancer should have an annual
Annual digital examination after age 40
mammogram.
Barium enema after age 20
40. A client has an abnormal result on a Papanicolaou test. After admitting
30. A client with ovarian cancer is prescribed hydroxyurea (Hydrea), an
that she read her chart while the nurse was out of the room, the client
antimetabolite drug. Antimetabolites are a diverse group of antineoplastic
asks what dysplasia means. Which definition should the nurse provide?
agents that interfere with various metabolic actions of the cell. The
Presence of completely undifferentiated tumor cells that don't resemble cells of the
mechanism of action of antimetabolites interferes with:
tissues of their origin
cell division or mitosis during the M phase of the cell cycle.
Increase in the number of normal cells in a normal arrangement in a tissue or an
normal cellular processes during the S phase of the cell cycle.
organ
the chemical structure of deoxyribonucleic acid (DNA) and chemical binding
Replacement of one type of fully differentiated cell by another in tissues where the
between DNA molecules (cell cyclenonspecific).
second type normally isn't found
one or more stages of ribonucleic acid (RNA) synthesis, DNA synthesis, or both
Alteration in the size, shape, and organization of differentiated cells
(cell cyclenonspecific).
41. A client with cancer is scheduled for radiation therapy. The nurse knows
31. A client asks the nurse what PSA is. The nurse should reply that it stands
that radiation at any treatment site may cause a certain adverse effect.
for:
Therefore, the nurse should prepare the client to expect:
prostate-specific antigen, which is used to screen for prostate cancer.
hair loss.
protein serum antigen, which is used to determine protein levels.
stomatitis.
pneumococcal strep antigen, which is a bacteria that causes pneumonia.
fatigue.
Papanicolaou-specific antigen, which is used to screen for cervical cancer.
vomiting.
32. A client with a cerebellar brain tumor is admitted to an acute care facility.
42. At a health fair, an oncology nurse answers questions about risk factors
The nurse formulates a nursing diagnosis of Risk for injury. Which
for various types of cancer. One person with a family history of colon
"related-to" phrase should the nurse add to complete the nursing
cancer asks the nurse to identify risk factors for this type of cancer. The
diagnosis statement?
nurse should identify:

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smoking.
misunderstanding of some aspects of the disease. Various members of
CEF
(Comprehensive
Exam Foundation) to Successthe audience have made all of the following statements. Which one is
heavy
alcohol
consumption.
obesity.
NURSING PRACTICE 4
accurate?
saccharin consumption.
Mammography is the most reliable method for detecting breast cancer.
43. A home care nurse assesses for disease complications in a client with
Breast cancer is the leading killer of women of childbearing age.
bone cancer. The nurse knows that bone cancer may cause which
Breast cancer requires a mastectomy.
electrolyte disturbance?
Men can develop breast cancer.
Hyperkalemia
53. A 52-year-old female tells the nurse that she has found a painless lump
Hypercalcemia
in her right breast during her monthly self-examination. Which
Hyponatremia
assessment finding would strongly suggest that this client's lump is
Hypomagnesemia
cancerous?
44. On a visit to the gynecologist, a client complains of urinary frequency,
Eversion of the right nipple and mobile mass
pelvic discomfort, and weight loss. After a complete physical
Nonmobile mass with irregular edges
examination, blood studies, and a pelvic examination with a
Mobile mass that is soft and easily delineated
Papanicolaou test, the physician diagnoses stage IV ovarian cancer. The Nonpalpable right axillary lymph nodes
54. The nurse is caring for a client with a diagnosis of cancer who is
nurse expects to prepare the client for which initial treatment?
Radiation therapy
immunosuppressed. The nurse would consider implementing
Major surgery
neutropenic precautions if the clients white blood cell was which of the
Chemotherapy
following?
None (At this advanced stage, ovarian cancer isn't treatable.)
2000 cells/cu.mm
45. During chemotherapy, an oncology client has a nursing diagnosis of
5800 cells/cu.mm
Impaired oral mucous membrane related to decreased nutrition and
8400 cells/cu.mm
immunosuppression secondary to the cytotoxic effects of chemotherapy. 11500 cells/cu.mm
55. The nurse is instructing the client to perform a testicular selfWhich nursing intervention is most likely to decrease the pain of
examination. The nurse tells the client:
stomatitis?
Examine the testicles while lying down
Recommending that the client discontinue chemotherapy
That the best time for the examination is after a shower
Providing a solution of hydrogen peroxide and water for use as a mouth rinse
To gently feel the testicle with one finger to feel for a growth
Monitoring the client's platelet and leukocyte counts
That testicular self-examination should be done at least once a month
Checking regularly for signs and symptoms of stomatitis
56. Which of the following, if identified by a client as a risk factor for cervical
46. At a public health fair, the nurse teaches a group of women about breast
cancer, indicates a need for further teaching?
cancer awareness. Possible signs of breast cancer include:
Smoking
fever.
Multiple sex partners
breast changes during menstruation.
First intercourse after the age of 20
nipple discharge and a breast nodule.
Annual gynaecological examinations
fever and erythema of the breast.
57. The client suspected of an ovarian tumor is scheduled for a pelvic
47. As part of a primary cancer prevention program, an oncology nurse
ultrasound. The nurse provides which preprocedure instruction to the
answers questions from the public at a health fair. When someone asks
client?
about laryngeal cancer, the nurse should explain that:
Eat light breakfast only
laryngeal cancer is one of the most preventable types of cancer.
Maintain an NPO status before the procedure
inhaling polluted air isn't a risk factor for laryngeal cancer.
Wear comfortable clothing and shoes for the procedure
laryngeal cancer occurs primarily in women.
Drink six to eight glasses of water without voiding before the procedure.
adenocarcinoma accounts for most cases of laryngeal cancer.
58. A client is diagnosed of colon tumor. The nurse understands that which
48. A client with stage II ovarian cancer undergoes a total abdominal
test will confirm the diagnosis of malignancy?
hysterectomy and bilateral salpingo-oophorectomy with tumor resection,
Biopsy
of
the
tumor
omentectomy, appendectomy, and lymphadenectomy. During the second
Abdominal ultrasound
postoperative day, which of the following assessment findings would
Magnetic resonance imaging
raise concern in the nurse?
Computed tomography scan
Abdominal pain
59. Which of the following is not a sign of testicular cancer?
Hypoactive bowel sounds
Alopecia
Serous drainage from the incision
Back pain
Shallow breathing and increasing lethargy
Painless testicular swelling
49. A client with a nagging cough makes an appointment to see the
Heavy sensation in the scrotum
physician after reading that this symptom is one of the seven warning
signs of cancer. What is another warning sign of cancer?
60. A client is receiving external radiation to the neck for cancer of the
Persistent nausea
larynx. The most likely side effect would be:
Rash
Dyspnea
Indigestion
Diarrhea
Chronic ache or pain
Sore throat
50. The nurse administers chemotherapeutic drugs to a client with cancer.
What adverse effects are most common?
Painful mouth sores
Frequent diarrhea
Nausea and vomiting
Constipation
51. A client in the final stages of terminal cancer tells his nurse: "I wish I
could just be allowed to die. I'm tired of fighting this illness. I have lived a
good life. I only continue my chemotherapy and radiation treatments
because my family wants me to." What is the nurse's best response?
"Would you like to talk to a psychologist about your thoughts and feelings?"
"Would you like to talk to your minister about the significance of death?"
"Would you like to meet with your family and your physician about this matter?"
"I know you are tired of fighting this illness, but death will come in due time."
52. An oncology nurse educator is speaking to a women's group about
breast cancer. Questions and comments from the audience reveal a
Constipation
61. When caring for a patient with an internal radiation implant, the nurse
should observe which of the following principles?
Limit time with the client to 1 hour per shift
Do not allow pregnant women in the clients room
Remove dosimeter badge when entering the clients room
Individuals younger than 16 year old may be allowed to go in the room as long as
they are 6 feet away from the client
62. The nurse is expecting neutropenia as a result of chemotherapy. The
nurse plans to:
Restrict all visitors
Restrict fluid intake
Teach the client and family about the need for hand hygiene
Insert indwelling urinary catheter to prevent skin breakdown
63. A client has an advanced ovarian cancer, the nurse recognizes which
symptom as typical of this disease?
Diarrhea

b.
c.
d.
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b.
c.
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c.
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Hypermenorrhea
nurse recognizes that this is consistent with which oncological
CEF bleeding
(Comprehensive Exam Foundation) to Successemergency?
Abnormal
Abdominal distension
NURSING PRACTICE 4
a) hyperkalemia
64. Which statement by a client indicates a need for further teaching about
b) hypercalemia
testicular self examination?
c) spinal cord compression
TSE is performed once a month
d) superior vena cava syndrome
TSE should be performed on the same day each month
76.
The client reports to the nurse that when performing testicular selfThe scrotum is held in onehand and testicle rolled in the thumb and forefinger of
examination, he found a lump the size and shape of a pea. The
theother hand
It is best to do TSE first thing in the morning before bathing or shower.
appropriate response to the client is which of the following?
65. A nurse is counselling a client about decreasing the risk for cervical
a) lumps like that are normal, don't worry
cancer. Which statement by theclient indicates a need for further
b) let me know if it gets bigger next month
counseling?
c) that could be cancer. I'll ask the doctor to examine you
I need to keep appointments for Pap smear at the frequency advised by my
d) that's important to report even though it might not be serious
physician
77. . The hospice nurse visits a client dying of ovarian cancer. During the
I need to seek prompt treatment for vaginalis
visit, the client expresses that "If I can just live long enough to attend my
Condoms are needed only if I do not trust a new partner
daughter's graduation, I'll be ready to die." Which phase of coping is this
A partner who is uncircumcised will present an increased risk.
client experiencing?
66. Early signs of cervical cancer is:
Dark foul-smelling vaginal discharge
a) anger
Abdominal pain
b) denial
Constant and profuse bleeding
c) bargaining
Irregular vaginal bleeding or spotting
d) depression
67. For a client with stomatitis resulting from chemotherapy, the care plan
78. The nurse is caring for a client following mastectomy. Which assessment
should include which intervention?
finding indicates that the client is experiencing a complication related to
Inspect mouth every week for fungus
the surgery?
Encourage foods with neutral or cool temperatures
Give the client spicy foods to stimulate the sense of taste
a) pain at the incisional site
Perform frequent oral hygiene using commercial or alcohol-based mouthwash
b) arm edema on the operative side
68. The most common risk factor for laryngeal cancer is:
c) sanguineous drainage in the Jackson-Pratt drain
Alcohol abuse
d) complaints of decreased sensation near the operative side
Cigarette smoking
79.
The physician has ordered 5 flourouracil, 700 mg IV once a week. When
Use of chewing tobacco
Aling Nena hears this, she says to the nurse, "Am I going to lose my
Exposure to air pollutants
hair?" Which is the best response by the nurse?
69. A nurse provides teaching session to group of nursing students. Which
a)
5-flourouracil
usually does not cause loss of hair
statement, if made by a nurse, indicates need for further teaching?
Bladder cancer most often occurs in women
b) hair loss can occur but a wig can be worn until your hair grows back
Using cigarettes and coffee drinking can increase the risk
c) the physician will prescribe a medication to prevent this side effect from
Bladder cancer generally is seen in clients older than 40
occurring
Environmental health hazards have been attributed as a cause
d) losing your hair is less traumatic than losing breast
70. The nurse is caring for a client following a mastectomy. Which nursing
80. Aling Nena is being assessed of her nutritional status. She weigh 100 lbs
intervention would assist in preventing lymphedema of the affected arm?
and is 5'8 ft. tall. Her assessment would include the following except:
Placing cool compress on the affected arm
a)
a
diet history
Elevating the affected arm on a pillow above the heart level
b) anthropometric measurements
Avoiding arm exercises in the immediate postoperative period
Maintaining an intravenous site below the antecubital area on the affected side
c) food preferences
71. The nurse is preparing a client for a mammography. The nurse tells the
d) serum protein
client:
81. Which nursing action would best attain the goal of providing and
That mammography takes about 1 hour
promoting coping for Aling Nena?
That there is no discomfort associated with the procedure
a) telling Aling Nena for her strengths and progress
To maintain NPO status on the day of test
b) planning experienced for her that are conclusive
To avoid the use of deodorants, powders or creams on the day of the test
c) helping her to identify her problems and solutions
72. A client has under mastectomy. The nurse interprets that the client is
d) giving her information on how to handle her problems
making the best adjustment to the loss of the breast if which of the
82. The nurse is admitting a client with laryngeal cancer to the nursing unit.
following behavior is observed?
The nurse assesses for which most common risk factor for this type of
Participating in the care of the surgical drain
Reading the postoperative care booklet
cancer?
Refusing to look at the wound
a) alcohol abuse
Asking for pain medication when needed
b) cigarette smoking
73. The nurse instructs the client in breast self examination. The nurse tells
c) use of chewing tobacco
the client to lie down and to examine the left breast. The nurse should
d) exposure to air pollutants
place a pillow under the:
83.
A client with cancer of the colon who is receiving chemotherapy tells a
Right shoulder
nurse that some foods on the metal tray taste bitter. The nurse would try
Left shoulder
to limit which of the following foods that is most likely to cause this taste
Small of the back
Right scapula
for the client?
74. A client is scheduled for Pap smear. The nurse provides instructions to
a) cantaloupe
the client regarding preparation for this test. The nurse tells the client
b) potatoes
that:
c) beef
The test can be performed during menstruation
d) custard
Fluids are restricted on the day of test
84. A client suspected of having lung tumor is scheduled for a computerized
The test is painless
tomography (CT) scan with dye injection. A nurse tells the client that
Vagina douching is required 2 hours before the test
a)
the
test may be painful
75. When assessing the laboratory results of the client with bladder cancer
b)
the
dye injected may cause a warm, flushing sensation
and bone metastasis, the nurse notes a calcium level of 12 mg/dl. The
c) fluids will be restricted following the test
d) the test takes approximately 2 hours

85. Which of the following is a nursing responsibility for a client undergoing
a) participate in smoking cessation program
CEF (Comprehensive
Exam Foundation) to Success
external radiation therapy?
b) perform monthly self-testicular examination
NURSING
PRACTICE
4
a) wear gown, gloves and mask
c) maintain daily walking exercise
b) observe time, distance, and shielding
c) provide the client adequate rest and schedule activity
d) place the client in isolation for few days
86. Who among these clients is at high risk to develop testicular cancer?
a) the client has undescended testes at birth
b) the client has human papilloma virus
c) the client has recurrent urinary tract infection
d) the client is uncircumcised
87. A nursing assistant is taking care of a patient who had undergone liver
biopsy. When should the registered nurse intervene?
a) when the nursing assistant monitors the patient's vital signs every 15
minutes for the 1st two hours after the procedure
b) when the nursing assistant tells the patient to remain in bed for several
hours
c) when the nursing assistant positions the patient on the left side
d) when the nursing assistant checks the biopsy site for bleeding
88. Which of the following is a risk factor to cancer of the colon?
a) diabetes mellitus
b) peptic ulcer
c) abdominal hernia
d) high fat, high calorie diet
89. The client is receiving internal radiation therapy. What is the appropriate
nursing action to minimize radiation contamination?
a) put the soiled linens in double bag
b) keep clients things close to her bedside
c) always wear gloves when entering the client's room
d) minimize contact with the client
90. A client is suspected of having pheochromocytoma. Which of the
following signs and symptoms would help support this diagnosis?
a) abdominal pain
b) anuria
c) hypertension
d) weight gain
91. Before uterine radioactive implant is inserted, which of the following
physician's orders does the nurse expect?
a) administer analgesic
b) administer sedative
c) administer enema
d) administer antibiotic
92. The nurse is admitting a patient with jaundice, due to pancreatic cancer.
Which of the following would the nurse give highest priority?
a) body image
b) nutrition
c) skin integrity
d) anticipatory grieving
93. Which of the following should the nurse include when providing health
teachings for patients at risk of developing prostatic cancer?
d) undergo monthly digital rectal examination

94. Which of the following questions should the nurse ask in a client who is
at risk for breast cancer?
a) does your family have a history of multiple gestation?
b) does your family have a history of ovarian cancer?
c) does your family have a history of early menopause?
d) does your family have a history of late menarche?
95. Which of the following client history increases risk for anorectal cancer?
a) chronic constipation
b) high fiber diet
c) alcohol abuse
d) chronic inflammatory bowel disease
96. A client will be for uterine radium implant. Which of the following
statement when made by the client indicates the need for further
teaching?
a) my sister is coming to stay with me today after implant insertion
b) I will be in bed for the duration of the treatment
c) I will have a foley catheter in place
d) I will have enema before the procedure
97. Which of the following nursing actions is most appropriate when caring
for a client with radium implant?
a) wear gloves when entering the client's room
b) wear masks and gloves when performing procedures to the client
c) avoid staying with the client for more than 30 minutes in a shift
d) place client's soiled gowns and linens in a plastic bag
98. A woman had been diagnosed to have breast cancer. Which of the
following factors is most significant to her prognosis?
a) she had her menarche at age 12 years
b) her sister died of breast cancer 5 years ago
c) she delivered her first born at age 25 years
d) she had her menopause at age 50 years
99. Which of the following are characteristics of a client most susceptible to
develop malignant melanoma?
a) dark skin, black hair
b) coarse skin, black hair
c) fair skin, blond hair
d) oily skin, brown hair
100. Which of the following statements when made by the client with implant
radiation therapy needs intervention by the nurse?
a) I will have to go to the toilet to void
b) my visitors are allowed to visit me for 30 minutes only in a day
c) the nurse needs to wear a badge when caring for me
d) I need to remain in bed during the entire duration of the treatment
End of Exam

MEAL (Oncology Nursing 1)

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ONCOLOGY NURSING MEAL11

(Memory Enhancement for Adult Learner)

WRITE THE CAPITAL LETTER OF YOUR FINAL ANSWER BESIDE

ONCOLOGY NURSING MEAL21

Ineffective airway clearance related to obstruction by a tumor or secretions

ONCOLOGY NURSING MEAL31

ONCOLOGY NURSING MEAL41

ONCOLOGY NURSING MEAL51

a) participate in smoking cessation program

Formulated, Compiled & Edited by:

d) undergo monthly digital rectal examination

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