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Oncology Drills With Answers and Rationales
Oncology Drills With Answers and Rationales
Oncology Drills With Answers and Rationales
Medical-Surgical Nursing ONCOLOGY 1. Mr. Perez is in continuous pain from cancer that has metastasized to the bone. Pain medication provides little relief and he refuses to move. The nurse should plan to: a. Reassure him that the nurses will not hurt him b. Let him perform his own activities of daily living c. Handle him gently when assisting with required care d. Complete A.M. care quickly as possible when necessary 2. A female client with breast cancer is currently receiving radiation therapy for treatment. The client is complaining of apathy, hard to concentrate on something, and feeling tired despite of having time to rest and more sleep. These complains suggest symptoms of a. Hypocalcemia b. radiation pneumonitis c. advanced breast cancer d. fatigue 3. A chemotherapeutic agent 5FU is ordered as an adjunct measure to surgery. Which of the ff. statements about chemotherapy is true? a. it is a local treatment affecting only tumor cells b. it affects both normal and tumor cells c. it has been proven as a complete cure for cancer d. it is often used as a palliative measure. 4. Which of the following signs and symptoms would Nurse Maureen include in teaching plan as an early manifestation of laryngeal cancer? a. Stomatitis b. Airway obstruction c. Hoarseness d. Dysphagia 5. Karina a client with myasthenia gravis is to receive immunosuppressive therapy. The nurse understands that this therapy is effective because it: a. Promotes the removal of antibodies that impair the transmission of impulses b. Stimulates the production of acetylcholine at the neuromuscular junction. c. Decreases the production of auto antibodies that attack the acetylcholine receptors. d. Inhibits the breakdown of acetylcholine at the neuromuscular junction. 6. Which of the following stage the carcinogen is irreversible? a. Progression stage b. Initiation stage c. Regression stage d. Promotion stage 7. Nurse Anna is aware that early adaptation of client with renal carcinoma is: a. Nausea and vomiting b. flank pain c. weight gain d. intermittent hematuria 8. A newly admitted client is diagnosed with Hodgkins disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure? a. Vital signs b. Incision site c. Airway d. Level of consciousness 9. Cancer patients have special nutrition needs and issues related to eating. The client receving chemotherapy refuses to eat the food that was delivered to him and said that the food tastes funny. The appropriate nursing intervention is: a. Obtain an order for total parenteral nutrition b. Keep the client on NPO c. Administer anti-emetic as ordered by physician d. Provide oral hygiene care 10. A client with testicular cancer is scheduled for a right orchiectomy. The nurse knows that an orchiectomy is the a. surgical removal of the entire scrotum
12. The client has a good understanding of the means to reduce the chances of colon cancer when he states: a. I will exercise daily. b. I will include more red meat in my diet. c. I will have an annual chest x-ray. d. I will include more fresh fruits and vegetables in my diet. 13. A client, who is suspected of having Pheochromocytoma, complains of sweating, palpitation and headache. Which assessment is essential for the nurse to make first? a. Pupil reaction b. Hand grips c. Blood pressure d. Blood glucose 14. The nurse is conducting an education session for a group of smokers in a stop smoking class. Which finding would the nurse state as a common symptom of lung cancer? : a. Dyspnea on exertion b. Foamy, blood-tinged sputum c. Wheezing sound on inspiration d. Cough or change in a chronic cough 15. A client admitted with newly diagnosed with Hodgkins disease. Which of the following would the nurse expect the client to report? a. Lymph node pain b. Weight gain
18. The most common preferred treatment for cancer is a. Chemotherapy b. Radiation therapy c. Surgery d. Bone marrow transplant 19. A client on chemotherapy has a platelet count of 26,000 mm. Which nursing intervention must be included in the client's care plan? a. Having the client use an electric razor and soft-bristle toothbrush b. Premedicating the client 30 minutes before chemotherapy with an antiemetic c Preparing to administer leukocyte-poor packed red blood cells (RBCs) d. Screening all visitors and staff for infection prior to allowing them to enter the room 20. Which intervention would be most appropriate for a client who is 12 days postchemotherapy and being admitted with shortness of breath, a dry hacking cough, and a temperature of 101 F? a. Having the dietary department serve the meals as hot as possible b. Initiating the prescribed I.V. antibiotics after checking the white blood cell (WBC) count c. Limiting the protein and calories in the
ANSWER AND RATIONALE ONCOLOGIC 1. Answer: C Rationale: Patients with cancer and bone metastasis experience severe pain especially when moving. Bone tumors weaken the bone to appoint at which normal activities and even position changes can lead to fracture. During nursing care, the patient needs to be supported and handled gently. 2. Answer: D Rationale: Fatigue is a common complaint of individuals receiving medication therapy. 3. Answer: B Rationale: Chemotherapeutic agents are given to destroy the actively proliferating cancer cells. But these agents cannot differentiate the abnormal actively proliferating cancer cells from those that are actively proliferating normal cells like the cells of the bone marrow, thus the effect of bone marrow depression. 4. Answer: C Rationale: Early warning signs of laryngeal cancer can vary depending on tumor location. Hoarseness lasting 2 weeks should be evaluated because it is one of the most common warning signs.
40. Answer: D Rationale: Sunscreen products range in numerical value from 4 to 50; the higher the number of the sunscreen, the greater the UV protection. 41. Answer: C Rationale: The American Cancer Society recommends a monthly skin check using mirrors to identify any suspicious skin lesion for early detection. 42. Answer: C Rationale: Pain is a physiological problem; this is an appropriate physiological goal. 43. Answer: D
157. Answer: C Rationale: Lung cancer is a malignant tumor of lung tissue. Causes are cigarette smoking, air pollution, arsenic, asbestos, and radioactive dust. Cancer of the lungs can be diagnosed with chest radiography, bronchoscopy, tissue biopsy, or mediastinoseph. 158. Answer: C Rationale: It is not necessary because it will not affect the risk of hemorrhage. 159. Answer: B Rationale: When chemotherapy is initiated, there is a breakdown of many cancer cells. Uric acid is a cell metabolite. 160. Answer: B Rationale: One of the two indicators that the goal for implementing new coping patterns has been met is a willingness and ability to resume self-care responsibilities. Statement 2 shows that the client is taking care of their wig, a new self-care responsibility. Statement 1 shows denial that there has been hair loss and inappropriate self-care goals exist. Statements 3 and 4 also deny hair loss. The statements denying hair loss are evidence of the minor defining characteristics of body image disturbance still existing and the goal not being met.