Situation: Aling Nena is a 60 year old woman with a malignant tumor of the breast, who was admitted for

modified radical mastectomy.

1. The physician has ordered 5 flourouracil, 700 mg IV once a week. When Aling Nena hears this, she
says to the nurse, "Am I going to lose my hair?" Which is the best response by the nurse?

a) 5-flourouracil usually does nit cause loss of hair

b) hair loss can occur but a wig can be worn until your hair grows back
c) the physician will prescribe a medication to prevent this side effect from occurring
d) losing your hair is less traumatic than losing breast
2. Aling Nena is being assessed of her nutritional status. She weigh 100 lbs and is 5'8 ft. tall. Her
assessment would include the following except:
a) a diet history
b) anthropometric measurements
c) food preferences
d) serum protein
3. Which nursing action would best attain the goal of providing and promoting coping for Aling Nena?
a) telling Aling Nena for her strengths and progress
b) planning experienced for her that are conclusive
c) helping her to identify her problems and solutions
d) giving her information on how to handle her problems
4. The nurse evaluates that zofran (ondansetron) is effective in a client undergoing chemotherapy if which
of the following is observed?
a) urine output is 1,500 ml/day
b) the client can tolerate mechanically soft diet
c) the client's anxiety is relieved
d) the client was able to sleep
5. A client with cancer of the colon who is receiving chemotherapy tells a nurse that some foods on the
metal tray taste bitter. The nurse would try ti limit which of the following foods that is most likely to cause
this taste for the client?
a) cantaloupe
b) potatoes
c) beef
d) custard
6. A client suspected of having lung tumor is scheduled for a computerized tomography (CT) scan with
dye injection. A nurse tells the client that
a) the test may be painful
b) the dye injected may cause a warm, flushing sensation
c) fluids will be restricted following the test
d) the test takes approximately 2 hours

7. Which of the following is a nursing responsibility for a client undergoing external radiation therapy?
a) wear gown, gloves and mask
b) observe time, distance, and shielding
c) provide the client adequate rest and schedule activity
d) place the client in isolation for few days
8. 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
9. 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
10. 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
11. Which of the following should the nurse assess prior to administration of cisplatin?
a) hydration
b) hemoglobin
c) weight
d) ECG
12. 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
13. 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

14. 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
15. 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
16. After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/cu.mm. What
term should the nurse use to describe this low platelet count? THROMBOCYTOPENIA - the normal
thrombocyte count is 150,000 to 450,000/ cu.mm.
17. Which of the following should the nurse include when providing health teachings for patients at risk of
developing prostatic cancer?
a) participate in smoking cessation program
b) perform monthly self-testicular examination
c) maintain daily walking exercise
d) undergo monthly digital rectal examination
18. 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?
19. 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
20. 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