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ONCOLOGIC NURSING
LADDERIZED CONCEPT FOCUS-APPROACH
PREPARED BY : SIR GREYLANDO A HISU RN BSE MAN

Question 1

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1. Which of the following complications are the main consequences of leukemia?

Select one:
a. Bone deformities, anemia, and infection.

b. Anemia, infection, and bleeding tendencies.

c. Pneumonia, thrombocytopenia, and alopecia

d. Polycythemia, decreased clotting time and infection.

Clear my choice

Question 2

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2. . With the diagnosis of acute lymphocytic leukemia (ALL) the nurse should consider it unusual to observe:

Select one:
a. Multiple bruises, petechiae

b. Marked fatigue, pallor.

c. Enlarged lymph nodes, spleen, ang liver.

d. Marked jaundice and generalized edema.

Clear my choice
Question 3

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3. The laboratory results of the client with leukemia indicate bone marrow depression. The nurse should encourage
the client to:

Select one:
a. Increase his activity level and ambulate frequently

b. Sleep with the head of his bed slightly elevated

c. Drink citrus juices frequently for nourishment

d. Use a soft toothbrush and electric razor

Clear my choice

Question 4

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4. For a client newly diagnosed with radiation- induced thrombocytopenia, Which intervention should the nurse
include in the care plan?

Select one:
a. Administer aspirin if the temperature exceeds 102 F (38.9 C)

b. Inspect the skin for petechiae once every shift.

c. Provide for frequent periods of rest.

d. Place the client in strict isolation

Clear my choice

Question 5

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5. The nurse working the in organ transplant unit is caring for a client with a white blood cell count of during
evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

Select one:
a. Allow the client to keep the fruit

b. Place the fruit next to the bed for easy access by the client

c. Offer to wash the fruit for the client

d. Tell the family members to take the fruit home

Clear my choice
Question 6

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6. Nurse Hus Des is approached by Georgina, one of the attendees. The client tells her that they havr a family
history of breast cancer. The client asks her for methods to prevent her from having the disease, Nurse Hus Des
expects that the client be prescribed with:

Select one:
a. Tamoxifen (Niovaldex)

b. Estrogen (Premarin )

c. Doxorubicin

d. Cytoxan

Clear my choice

Question 7

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7. In the oncology class, Nurse Sing, who is an oncologic nurse expert, differentiates benign and malignant tumor.
Which of the following is not true about benign tumor?

Select one:
a. Has a small chance of metastasis.

b. It is usually encapsulated.

c. The tumor grows by expansion.

d. Cells are well-differentiated.

Clear my choice

Question 8

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8. A client who is scheduled for radiation therapy asks the nurse, “Will I get a radiation burn?” The best response of
the nurse would be:

Select one:
a. “No, there won’t be any burn.”

b. “Yes, second degree burn is expected.”

c. “We can prevent it.”

d. “Usually, a localized skin reaction occurs.”

Clear my choice
Question 9

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9. A client with cancer of the cervix has a radium implant in place. What position is most appropriate to the client?

Select one:
a. Any position of comfort

b. Flat

c. Semi-Fowler’s

d. Sitting

Clear my choice

Question 10
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10. Which client is the nurse’s priority when providing instruction on self-breast examination?

Select one:
a. Linda, 35 years-old, who breastfed all her three children

b. Carol, 37 years-old, who never had a child and whose aunt died of breast cancer

c. Dolor, 42 years-old, with history of fibrocystic disease

d. Ethel, 25 years-old with a large breast

Clear my choice

Question 11

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11. A woman is undergoing chemotherapy treatment for uterine cancer. She asks the nurse how chemotherapeutic drug work.
The most accurate explanation would include which statement?

Select one:
a. They affect all rapid dividing cells.

b. Molecular structure of DNA segment is altered.

c. Chemotherapy only kills cancer cells.

d. The cancer cells are sensitive to drug toxins.

Clear my choice
Question 12

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12. The nurse is caring for a client who is receiving radiation therapy. Which activity by the client indicates further instruction on
the side effects of radiation therapy?

Select one:
a. Using an electric razor.

b. Eating a high protein diet.

c. Taking his children to play at Timezone at the mall.

d. Calling the doctor for the temperature of 38.3 C.

Clear my choice

Question 13
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13. The nurse is developing a plan of care for the client with multiple myeloma. The nurse includes which priority intervention in
the plan of care?

Select one:
a. Coughing and deep breathing.

b. Monitoring the red blood cell count.

c. Encouraging fluids.

d. Providing frequent oral care.

Clear my choice

Question 14

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14. Several days prior to bowel surgery, the patient may be given sulfasuxidine and neomycin, primarily to:

Select one:
a. soften the stool by retaining water in the colon

b. reduce the bacterial content of the colon

c. empty the bowel of solid waste

d. promote rest of the bowel by minimizing peristalsis

Clear my choice
Question 15

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15. The T-N-M system is frequently used to classify the anatomic extent of the disease. N refers to:

Select one:
a. lymph node involvement

b. Metastasis

c. Extent of primary tumor

d. All of the above

Clear my choice

Question 16
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16. In order to early detect cervical cancer, it is recommended that the female have a Pap test every year generally starting at
what age?

Select one:
a. 18 years old

b. 25 years old

c. 30 years old

d. 40 years old

Clear my choice

Question 17

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17. Internal radiation implantation is also called:

Select one:
a. Brachytherapy

b. Teletherapy

c. Gamma rays

d. X-ray

Clear my choice
Question 18

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18. Safety precautions used in caring for the client with an internal radiation implant include all of the following except:

Select one:
a. Limit visits to 30 minutes daily

b. See that visitors maintain a 3-feet distance from the radiation source

c. Prohibit visits by children and pregnant women

d. Assign the client to a private room

Clear my choice

Question 19

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19. Nurse Susan is monitoring the laboratory results of Mrs. Lacson who is preparing to receive chemotherapy. She determines
that the white blood cell count is normal if which of the following results were present?

Select one:
a. 2,000 to 5,000 cells/mm3

b. 5,000 to 10,000 cells/mm3

c. 3,000 to 8,000 cells/mm3

d. 7,000 to 15,000 cells/mm3

Clear my choice

Question 20

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20. After 2 weeks of chemotherapy treatments, a patient’s white blood cell count is 2,000/mm3. The nurse knows that this
finding is most likely due to:

Select one:
a. infection

b. weight loss

c. bone marrow depression

d. polycythemia

Clear my choice
Question 21

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21. The nurse is caring for a patient with stomatitis due to chemotherapy. Which of the following actions is most important for
the nurse to include in the patient’s plan of care?

Select one:
a. Examine the patient’s mouth for blisters, sores, or drainage.

b. Encourage the patient to use a commercially prepared mouthwash twice daily.

c. Instruct the patient to use a soft-bristled toothbrush.

d. Offer mouth care morning and night.

Clear my choice

Question 22
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22. 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've lived a good life. I continue my chemotherapy and radiation treatments only because
my family wants me to." What's the nurse's best response?

Select one:
a. "Would you like to talk to a psychologist about your thoughts and feelings?"

b. "Would you like to talk to your minister about the significance of death?"

c. "Would you like to meet with your family and your physician about this matter?"

d. "I know you are tired of fighting this illness, but death will come in due time."

Clear my choice

Question 23

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23. The nurse is conducting a screening for colorectal cancer. The client with the highest risk of colorectal cancer is

Select one:
a. 52-year-old man with a family history of polyposis.

b. 32-year-old woman with a history of skin cancer.

c. 61-year-old man with a history of gastric ulcers.

d. 42-year-old man following a low-fat, 1,800-calorie diet.

Clear my choice
Question 24

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24. The most common presenting symptom of colorectal cancer is:

Select one:
a. Fatigue

b. Weight loss

c. Change in bowel habits

d. Dull abdominal pain

Clear my choice

Question 25
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25. The nurse recognizes which of the following signs are indicative of laryngeal cancer?

Select one:
a. Increased drooling

b. Blood-streaked sputum

c. Hoarseness

d. Jaundice

Clear my choice

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