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​ Nursing Officer Quiz 

 
Topic- Review of Oncological 
Nursing 
 
Oncology Nursing----- 
 
 
 
1)A client being treated for advanced 
breast cancer with chemotherapy 
reports that she must be allergic 
to one of her drugs because her 
entire face is swollen.  
What assessment does the nurse 
perform? 
a. Asks whether the client has other 
known allergies 
b. Checks the capillary refill on 
fingernails bilaterally 
c. Examines the client's neck and 
chest for edema and engorged veins 
d. Compares blood pressure 
measured in the right arm with that 
in the left arm 
 
 
 
2)The nurse is giving a group 
presentation on cancer prevention 
and recognition. 
Which statement by an older adult 
client indicates understanding of the 
nurse's instructions? 
a)"Cigarette smoking always causes 
lung cancer." 
b)"Taking multivitamins will 
prevent me from developing cancer." 
c)"If I have only one shot of whiskey 
a day, I probably will not develop 
cancer." 
d)"I need to report the pain going 
down my legs to my health care 
provider." 
 
3)The client has a diagnosis of lung 
cancer. 
To which areas does the nurse 
anticipate that this client's tumor 
may metastasize?  
Select all that apply. 
a)Brain 
b)Bone 
c)Lymph nodes 
d)Kidneys 
e)Liver 
 
4)The Nurse Geeta suspects 
metastasis from left breast cancer to 
the thoracic 
spine when the client has which 
symptom? 
a)Vomiting 
b)Back pain 
c)Frequent urination 
d)Cyanosis of the toes 
 
5)The nurse is caring for an adult 
client with Down syndrome who 
reports fatigue and shortness of 
breath. 
Which type of cancer has been 
identified in clients with Down 
syndrome? 
a) Breast cancer 
b) Colorectal cancer 
c) Malignant melanoma 
d) Leukemia 
 
6)The home health RN is caring for a 
client who has a history of a kidney  
transplant and takes cyclosporine 
(Sandimmune) and prednisone 
(Deltasone) to prevent rejection. 
Which assessment data would be 
most important to communicate to 
the transplant team? 
a)The temperature is 96.6° F. 
b)The client reports joint pain. 
c)The oral mucosa appears pink and 
dry. 
d)A lump is palpable in the client's 
axilla. 
 
7)The most common site of skeletal 
metastases in 
carcinoma of the breast is ? 
a) Pelvis  
b) Skull 
c) Lumbar vertebrae  
d) Thoracic vertebrae 
 
 
8)A patient who has underwent a 
bone marrow transplant is at most 
risk for what? 
a)Bleeding and infection  
b)Congestive heart failure 
c)Liver failure 
d)HIV 
 
9)For comparison grading of pain 
the which of the following scale used 
is 
a) Face’s scale  
b)CHEOPES 
c) Numerical charts  
d) Visual scale 
 
10)Both hyperplasia and hypertrophy 
is found in which of the following?   
 
a) Pregnancy uterus  
b) Cardiac muscle in cardiomegaly 
c) Skeletal muscle in athelete 
d) Breast development in puberty  
 
11)Most common tumour of the 
posterior cranial fossa 
is?  
a) Glioma  
b) Medulloblastoma 
c) Meningioma  
d) Oligodendroglioma 
 
12)Lymphnode metastasis is seen 
with which of the following?  
a) Liposarcoma  
b) Neurofibrosarcoma 
c) Histiocytoma  
d) Angiosarcoma 
 
13)Commonest cancer in which 
metastasis is seen in 
the brain is ? 
a)Breast  
b)Lung 
c)Kidney  
d)Liver  
 
14)Radiation can causes which of the 
following cancer? 
a) Non Hodgkin lymphoma 
b) Hodgkins lymphoma 
c) Acute leukemia 
d) Papillary carcinoma 
thyroidIntestines  
 
15)Carcinomas of all of following 
sites metastasize 
to vertebral column except?   
a) Breast  
b) Bronchus 
c) Prostate  
d) Esophagus 
 
16)Radiotherapy is not used in which 
of the following? 
a) Ca oesophagus  
b) Ca cervix 
c) Ca stomach  
d) Brain tumour 
 
17)Kaposi’s sarcoma is caused by 
which of the following? 
a)HHV-5  
b)HHHV-5 
c)HHV-7  
d)HHV-8 
 
18)Hyperkeratosis of palm and sole is 
seen in which of the following Ca ? 
a) Carcinoma colon   
b) Hepatoma 
c) Adenocarcinoma lung 
d) CA oesophagus 
 
19)Drug of choice for cisplatin 
induced emesis 
is ? 
a) Metoclopramide  
b) Domperidone 
c) Ondansetron  
d) Octreotide 
 
20)Which of the following is most 
common site of rhabdomyosarcoma 
in children 
is ? 
a) Genito urinary area  
b) Head and neck region 
c) Trunk  
d) Extremities 
 
21)Chemotherapy is useful in all, 
except ?   
a) Ewing’s sarcoma  
b) Germ cell tumor   
c) Secondaries  
d) Carcinoma cervix 
 
22)The commonest side effect of 
cisplatinum in a 
Client using it for esophageal 
carcinoma is ? 
a) Acute tubular necrosis   
b) Thrombocytopenia 
c) Hepatic failure 
d) Cardiomyopathy 
 
23)A client with cancer presents with 
secondaries to the adrenals. 
The most common site of primary is 
?  
a) Lung  
b) Kidney 
c) Breast  
d) Stomach 
 
24) A Nurse seema caring a clinet 
with carcinoid tumour, 
which of the Following sign & 
symptoms 
the Nurse should be alert to monitor? 
 
a) Wheezing  
b) Flushing   
c) Cyanosis  
d) Clubbing 
e) Diarrhoea 
 
25)You are teaching a group of new 
nurse graduates hired on your 
oncology unit  
about oncological disorders.  
Which statement by a nursing 
graduate 
about Hodgkin's Disease require 
re-education? 
a)This disease always presents with 
hallmark signs of bone pain in the 
ribs, spine, 
and pelvis.  
b)Reed Stenberg cells are present in 
the nodes. 
c)A positive CT scan of liver and 
spleen presents. 
d)A positive biopsy of the lymph 
nodes with cervical nodes most often 
affect 
 
 
26)As an oncological nurse, you 
know what finding is correct 
regarding breast cancer? 
 
a)Masses are usually felt in the upper 
outer quadrant beneath the nipple or 
axilla. 
b)Women who've had a late 
menarche and early menopause are 
at risk for breast cancer. 
c)Nipple retraction is never present. 
d)The mass is typically painful and 
red 
 
27)Which of the following is the 
most common type of Skin cancer? 
 
a)Basal cell carcinoma 
b)Melanoma 
c)Squamous cell carcinoma 
d)Small cell carcinoma 
 
28)A patient has an 
electrodessication and curettage 
(EDC) performed to remove a skin 
cancer lesion. 
How will the nurse educate the 
patient on how to care for the 
surgical site? 
 
a. Apply dry, sterile gauze with a 
nonstick bandage. 
b. Apply a saline sterile gauze with a 
bandage. 
c. Apply petroleum jelly to the site 
with a nonstick bandage. 
d. Allow the site to stay open to air. 
 
29)Which precaution is most 
important for the nurse to teach a 
client  
receiving radiation therapy for head 
and neck cancer? 
a. Avoid eating red meat during 
treatment. 
b. Pace your leisure activities to 
prevent fatigue. 
c. See your dentist twice yearly for 
the rest of your life. 
d. Avoid using headphones or 
headsets until your hair grows back. 
 
30)The client receiving 
chemotherapy will experience the 
lowest level of bone marrow activity 
 and neutropenia during which 
period? 
a)Peak 
b)Trough 
c)Nadir 
d)Adjuvant 
 
31)When caring for a client with 
cachexia, the nurse expects to note 
which symptom? 
a)Weight loss 
b)Anemia 
c)Bleeding tendencies 
d)Motor deficits 
 
32)Which teaching is most 
appropriate for a client with 
chemotherapy-induced neuropathy? 
a)Bathe in cold water. 
b)Wear cotton gloves when cooking. 
c)Consume a diet high in fiber. 
d)Make sure shoes are snug. 
 
33)Which manifestation of an 
oncologic emergency requires the 
nurse to contact the health care 
provider immediately? 
a)New onset of fatigue 
b)Edema of arms and hands 
c)Dry cough 
d)Weight gain 
 
34)A 33-year-old patient has 
recently been diagnosed with stage II 
cervical cancer. 
The nurse would understand that the 
patient's cancer 
a)Is in situ. 
b)Has metastasized. 
c)Has spread locally. 
d)Has spread extensively. 
 
35)Which precaution is most 
important for the nurse to teach a 
client with leukemia 
to prevent an infection by 
autocontamination? 
 
a)Take antibiotics exactly as 
prescribed. 
b)Perform mouth care three times 
daily. 
c)Avoid the use of pepper and raw 
foods. 
d)Report any burning on urination 
immediately. 
 
 
36)Which assessment is most 
important for the nurse to perform 
for the client receiving one unit 
of packed red blood cells from an 
autologous donation? 
a)Temperature 
b)Blood pressure 
c)Oxygen saturation 
d)IV site for hives 
 
37)A client had a transurethral 
resection of the prostate (TURP) 
yesterday. 
The staff nurse notes that the 
hemoglobin is 8.2 g/dL. What is the 
nurse's best action? 
 
a)Notify the charge nurse as soon as 
possible. 
b)Irrigate the catheter with 30 mL 
normal saline. 
c)Document the assessment in the 
medical record. 
d)Prepare for a blood transfusion. 
 
 
38)Which of the following is the 
most beneficial technique of using 
chemotherapy with a course of  
radiotherapy in head and neck 
malignancies? 
 
a)Neoadjuvant chemotherapy 
b)Adjuvant chemotherapy 
c)Concurrent chemotherapy 
d)Alternating chemotherapy 
 
39) Which of the following malignant 
tumor is radioresistant? 
 
a)Ewing’s sarcoma 
b)Retinoblastoma 
c)Osteosarcoma 
d)Neuroblastoma 
 
 
 
40)Which of the following imaging 
techniques gives maximum radiation 
exposure to the Client ? 
 
a)Chest X-ray 
b)MRI 
c)CT scan 
d)Bone scan 
 
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