ONCOLOGY 7. A client with leukemia has low levels of neutrophils.

Which of the following functions must be frequently

1. A client in his early 60’s diagnosed with Hodgkin’s
assessed?
lymphoma was admitted for his first cycle of
chemotherapy. Which of the following is not
Breath sounds
included in the priority assessment of the client?
8. The nurse is caring for several clients in the Medical
Benign prostatic hyperplasia
ward. Which of the following clients is most at risk
for developing multiple myeloma?
2. The nurse is reviewing the chart of a client who is
newly diagnosed with chronic lymphocytic
A 60-year-old African-American man
leukemia. Which of the following laboratory values
is expected to be seen?
9. An elderly client is said to be in the early stage of
multiple myeloma, which of the following
Thrombocytopenia and increased lymphocytes
substances has abnormal values in this client?

3. A 26-year-old female client was lately diagnosed of

Immunoglobulins
Hodgkin’s lymphoma. Upon the early diagnosis, the
nurse will expect which of the following areas is
10. The nurse in the Oncology unit is assigned in the
often involved?
care of a client with multiple myeloma. During the
review of the laboratory results, the nurse will
Neck
monitor the client for which of the following
conditions?
4. A client with Hodgkin’s disease was informed that
his condition progressed to Stage III. According to a
Hypercalcemia
standard staging classification of Hodgkin’s disease,
which of the following criteria reflects stage III?
11. The nurse in the barangay health center is
educating a group of female clients about breast
Involvement of lymph node regions or structures on
self-examination. She emphasizes that this
both sides of the diaphragm
examination is particularly important for clients
with which of the following medical problems?
5. A clinical instructor is conducting a lecture about
chemotherapy. Which of the following statements
Ovarian cancer
is correct about the rate of cell growth in relation to
chemotherapy?
12. The Clinic nurse is conducting her routine physical
examination. A firm mass is palpated in the right
Faster growing cells are less susceptible to
breast of a 34-year-old client. Which of the
chemotherapy
following findings or client history would suggest
cancer of the breast as opposed to fibrocystic
6. A 40 year old male diagnosed with acute
disease?
lymphocytic leukemia finished his first cycle of
chemotherapy. Which of the following statements
Increased vascularity of the breast
by the patient warrants further teaching by the
nurse?
13. Cancer has several areas and severity of affectation,
the client with which of the following types of lung
“Try eating sashimi in one of the famous Japanese
cancer has the best prognosis?
restaurants around the city”
Squamous cell
14. A client was diagnosed of lung cancer. He is The patient will be treated in which of the following
manifesting persistent cough, bloody sputum, ways?
dyspnea, and which of the other following
symptoms? The tumor is removed, involving the least possible
amount of tissue
Recurrent pleural effusion
22. Which of the following management will the nurse
15. After a diagnosis of centrally-located pulmonary expect in a client diagnosed with terminal lung
tumor, the nurse would expect which of the cancer?
following symptoms?
Provide pain control
Coughing
23. What are the three most important prognostic
16. In order for the nurse to consistently provide quality factors in determining long-term survival for
interventions, she must be aware that the key to children with acute leukemia?
increasing the survival rates of clients with lung
cancer is? Histologic type of disease, initial WBC count, and
client’s age at diagnosis
Early detection
24. Which of the following complications are three
17. A 52-year-old-client has been diagnosed with lung main consequences of leukemia?
cancer and was advised to undergo a wedge
resection. How much of the lung is removed? Anemia, infection, and bleeding tendencies

A small, localized area near the surface of the lung 25. A child is seen in the pediatrician’s office for
complaints of bone and joint pain. Which of the
18. A client with lung cancer had undergone lobectomy, following other assessment findings may suggest
what fills the space where the lobe was? leukemia?

The remaining lobe or lobes over expand to fill the Petechiae

space
26. Which of the following assessment findings in a
19. Which of the following is the primary goal for client with leukemia would indicate that cancer has
surgical resection of clients with lung cancer? invaded the brain?

To remove the tumor and as little surrounding Headache and vomiting

tissue as possible
27. Which of the following types of leukemia carries the
20. If the client with lung cancer has preexisting best prognosis?
pulmonary disease, which of the following
statements best describes the extent of a surgery Acute lymphoblastic leukemia
that can be performed?
28. Which of the following is the reason to perform a
It may prevent surgery if the client can’t tolerate spinal tap on a client newly diagnosed with
lung tissue removal leukemia?

21. A 54-year-old client is scheduled for several To assess for central nervous system infiltration
treatments and procedures for benign lung tumor.
29. Joseph who had a history of long-term smoking and
alcoholism is diagnosed with oropharyngeal cancer.
He is admitted into the chemo unit for the initiation
of chemotherapy. Which of the following tests is
performed before the infusion of chemotherapeutic
agents?
Liver function test
30. Which of the following immunizations should not be
given to a 4-month-old sibling of a client with
leukemia?
Oral poliovirus vaccine (OPV)
31. Which of the following medications usually is given
to a client with leukemia as prophylaxis against P.
carinii pneumonia?
Sulfamethoxazole and trimethoprim (Bactrim)
32. In which of the following diseases would bone
marrow transplantation not be indicated in a newly
diagnosed client?
Acute lymphocytic leukemia
33. Which of the following treatment measures should
be implemented for a child with leukemia who has
been exposed to the chickenpox?
VZIG should be given within 72 hours of exposure
34. Nausea and vomiting are common adverse effects
of radiation and chemotherapy. When should a
nurse administer anti-emetics?
30 minutes before the initiation of therapy
35. Parents of pediatric clients who undergo irradiation
involving the central nervous system should be
warned about post irradiation somnolence. When
does this neurologic syndrome usually occur?
Within 5 to 8 weeks
36. The nurse is instructing the client to perform a
testicular self-examination. The nurse tells the
client:
The best time for the examination is after a shower
37. The community nurse is conducting a health
promotion program at a local school and is
discussing the risk factors associated with cancer.
Which of the following, if identified by the client as
a risk factor, indicates a need for further
instructions?
Low-fat and high-fiber diet
38. The client with cancer is receiving chemotherapy
and develops thrombocytopenia. The nurse
identifies which intervention is the highest priority
in the nursing plan of care?
Monitoring the platelet count
39. A client is diagnosed with multiple myeloma. The
client asks the nurse about the diagnosis. The nurse
bases the response on which of the following
descriptions of this disorder?
Malignant proliferation of plasma cells and tumors
within the bone
40. The nurse is reviewing the laboratory results of a
client diagnosed with multiple myeloma. Which of
the following would the nurse expect to note
specifically in this disorder?
Increased calcium levels
41. 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?
Encouraging fluids
42. The oncology nurse specialist provides an
educational session to nursing staff regarding the
characteristics of Hodgkin’s disease. The nurse
determines that further education is needed if a
nursing staff member states which of the following
is characteristic of the disease?
Occurs most often in the older client
43. The nurse is reviewing the laboratory results of a
client receiving chemotherapy. The platelet count is
10,000 cells/mm. Based on this laboratory value,
the priority nursing assessment is which of the
following?
Assess level of consciousness
44. The nurse in the Surgical ward is assigned to a client
who had undergone a modified radical mastectomy.
Which assessment finding would indicate that the
client is experiencing a complication related to this
surgery?
Arm edema on the operative side
45. A nurse is providing education in a community
setting about general measures to avoid excessive
sun exposure. Which of the following
recommendations is appropriate?
Apply sunscreen with a sun protection factor (SPF)
of 30 or more before sun exposure
46. Which of the following nursing interventions would
be most helpful in making the respiratory effort of a
client with metastatic lung cancer more efficient?
Teaching and encouraging pursed-lip breathing
47. The nurse is teaching a 17-year old client and the
client’s family about what to expect with high-dose
chemotherapy and the effects of neutropenia. What
should the nurse teach as the most reliable early
indicator of infection in a neutropenic client?
Fever
48. A male client in his late 50’s is to undergo his first
session of chemotherapy for lung cancer. He asks
the nurse how the chemotherapeutic drugs will
work. The most accurate explanation the nurse can
give is which of the following?
“Chemotherapy affects all rapidly dividing cells.”
49. When caring for a client with a central venous line,
which of the following nursing actions should be
implemented in the plan of care for chemotherapy
administration? Select all that apply.
1. Administer a cytotoxic agent to keep the
regimen on schedule even if blood return is
not present.
2. If unable to aspirate blood, reposition
the client and encourage the client to
cough.
3. Contact the health care provider about
verifying placement if the status is
questionable.
4. Inspect the insertion site for swelling,
erythema, or drainage.
5. Verify patency of the line by the
presence of a blood return at regular
intervals.
B, C, D, E
50. A client diagnosed with gastric cancer is admitted to
the oncology unit after vomiting for almost 4 days.
Physical assessment findings include irregular pulse,
muscle twitching, and complaints of prickling
sensations in the fingers and hands. Laboratory
results include a potassium level of 2.8 mEq/L, a pH
of 7.5, and a bicarbonate level of 29 mEq/L. The
client is experiencing:
Metabolic alkalosis