ONCOLOGY NURSING WORKBOOK Multivitamin intake V.

Exposure to smell of tires in the prostatic cancer is involved in which level of

rubber industry * prevention? *
1. An endoscopic procedure can be used to remove an a. I, II, III, V a. Primordial
entire piece of suspicious tissue growth. The diagnostic b. I, III, IV b. Primary
biopsy method used for this procedure is known as: * c. II, III, V c. Secondary
a. Excisional biopsy d. I, III, V d. Tertiary
b. Incisional biopsy
c. Needle biopsy 6. What is the most common symptom of bladder 11. An oncology nurse responds to a client who is
d. Staging cancer? * experiencing acute cancer pain. What is the most
a. Dysuria appropriate way to assess the client’s pain? *
2. Lifestyle influences that are considered risk factors for b. Hematuria a. The nurse’s impression of the client’s pain
colorectal cancer include: * c. Urinary urgency b. Verbal and nonverbal clues from the client
a. A diet low in vitamin C d. Urinary frequency c. Pain relief after appropriate nursing intervention
b. A high dietary intake of artificial sweeteners like d. The client’s pain rating
aspartame 7. What is the priority nursing diagnosis for a client
c. A high-fat, low-fiber diet experiencing superior vena cava syndrome secondary to 12. A client presents with a meningioma and symptoms of
d. Multiple sex partners lung cancer? * increased intracranial pressure. Which manifestations
a. Ineffective tissue perfusion should a nurse least expect to find on assessment of this
3. When a client and family receive the initial diagnosis of b. Risk for infection client? *
colon cancer, the nurse can act as an advocate by: * c. Impaired skin integrity a. Papilledema
a. Helping them maintain a sense of optimism and d. Ineffective breathing pattern b. Headache
hopefulness. c. Vomiting
b. Determining their understanding of the results of the 8. The nurse is taking a history from a client who is d. Pyrexia
diagnostic testing. suspected of having testicular cancer. Which data will be
c. Listening carefully to their perceptions of what their most helpful for determining the client’s risk factors for 13. A client complaining of severe gastric pain is
needs are. this type of cancer? * suspected to have gastric cancer. The nurse assigned to the
d. Providing them with written materials about the cancer a. Number of children client should expect which diagnostic procedure to be
site and its treatment. b. Marital status done to diagnose the cancer? *
c. Number of sexual partners a. Colonoscopy
4. A colorectal cancer patient was applied with a d. Age and race b. Esophagogastroduodenoscopy
colostomy. In maintaining optimal nutrition for this client c. Arthroscopy
who does not have dietary restrictions, what should the 9. A male client asks the nurse how he would perform a d. Bronchoscopy
nurse instruct the patient to do? * testicular self-examination correctly. The nurse would
a. Increase intake of cabbage, eggs, and peanuts. answer appropriately by instructing the client: * 14. Which nursing diagnosis should a nurse first include
b. Experiment with an irritating food several times before a. To examine the testicles in a supine position in her plan for the client with gastric cancer experiencing
immediately restricting it. b. To gently feel the testicle with one finger to feel for a hematemesis? *
c. Restrict intake of fluid to not more than 1L per day. growth a. Impaired gas exchange
d. Encourage the client to clean the ostomy a week after c. That the best time for the examination is after a shower b. Fluid volume deficit
surgery. d. That testicular examinations should be done every day c. Impaired oral mucous membranes
at the same time. d. Decreased cardiac output
5. A client asks the nurse which factors increase one’s risk
for bladder cancer. Select all the choices that the nurse 10. A client undergoing through digital rectal examination 15. During health teaching to a group of adolescent female
should emphasize in her teaching: I. Smoking tobacco II. for detection of prostatic enlargement secondary to clients about breast self-examination, the nurse should
Caffeine intake III. Exposure to paint smells IV.
instruct the clients to perform the examination at which
time? *
a. Every month during ovulation
b. Weekly at the same time of day
c. At the onset of menstruation
d. One week after menstruation begins
16. A patient is admitted for an excisional biopsy of a
breast lesion. The nurse should do all of the following
except: *
a. Clarify information provided by the physician.
b. Provide aseptic care to the incision postoperatively.
c. Provide time for the patient to discuss her concerns.
d. Counsel the patient about the possibility of losing her
breast.
17. A client is diagnosed with infiltrating ductal
carcinoma of the breast. Which expected manifestation
should the nurse assess the client for? *
a. A round-shaped mass that is movable
b. Bilateral palpable masses
c. Pain and edema in the breast
d. Irregularly-shaped, immovable mass
18. In monitoring for presence of cervical cancer, what is
the most common early sign that a nurse should teach a
client? *
a. Dyspareunia
b. Metrorrhagia
c. Bleeding after sexual intercourse
d. Presence of thin watery vaginal discharge after
intercourse
19. A nurse assessing a patient for endometrial cancer
would most likely find which symptoms at diagnosis of
the disease? *
a. Weight loss and profuse sweating
b. Anorexia and enlarged supraclavicular lymph node
c. Abnormal vaginal bleeding and pain in the pelvic
region
d. Unexplained fevers and splenomegaly
20. According to research, which among these vaccines
should a nurse recommend for prevention of liver
cancer? *
a. Varicella vaccine
b. Hepatitis B vaccine
c. Hepatitis A vaccine
d. Meningococcal vaccine
ONCOLOGY NURSING 2
1. A nurse assesses that a client, who is receiving
radiation for cervical cancer, continues to have diarrhea.
Which nursing advice is most appropriate for this client? *
a. Drink fluids low in potassium and take frequent tub
baths.
b. Increase intake of milk products and take frequent
showers.
c. Take sitz baths twice daily and eat a low-residue diet.
d. Drink fluids high in sodium and apply hydrocolloid
dressings to reddened areas.
2. A patient with endometrial cancer is admitted in the
unit for her brachytherapy using a sealed source. The
nurse caring for this patient would do which of the
following actions? *
a. Encourage the client to increase physical activity while
implant is in place
b. Increase frequency and duration of monitoring time in
the client’s room.
c. Assuring the concerned people that the urine and feces
are not radioactive.
d. Wearing a dosimeter badge that lessens his exposure to
the radioactive source.
3. A clinic nurse prepares a teaching plan for a client
receiving an antineoplastic medication. When
implementing the plan, the nurse should make which
statement to the client? *
a. “You can take aspirin (acetylsalicylic acid) as needed
for headache.”
b. “You can drink beverages containing alcohol in
moderate amounts each evening.”
c. “You need to consult with the health care provider
(HCP) before receiving immunizations.”
d. “It is fine to receive a flu vaccine at the local health
fair without HCP approval because the flu is so
contagious.”
4. A client with ovarian cancer is being treated with
vincristine. The nurse monitors the client, knowing that
which manifestation indicates an adverse effect specific to
this medication? *
a. Diarrhea
b. Peripheral neuropathy
c. Hair loss
d. Chest pain
5. A client with laryngeal carcinoma is receiving
bleomycin intravenously. The nurse caring for the client
anticipates his primary physician to prescribe which
diagnostic study? *
a. Echocardiography
b. Electrocardiography
c. Cervical radiography
d. Pulmonary function studies
6. Because chemotherapy dosages frequently depend on a
patient’s total body surface area (BSA), it is important for
the nurse to perform which assessment before
administering chemotherapy? *
a. Measure the client’s current weight and height.
b. Measure the client’s abdominal girth.
c. Calculate the client’s body mass index.
d. Ask the client about his or her weight and height.
7. A client with breast carcinoma is prescribed with
tamoxifen. The nurse administering this drug understands
that the primary action of this is to: *
a. Competitively bind to estrogen receptors on tumors and
other tissue targets
b. Increase DNA and RNA synthesis
c. Promote the biosynthesis of nucleic acids
d. Increase estrogen concentration and estrogen response
8. During the intravenous infusion of an antineoplastic
medication, the client complains of pain at the insertion
site. Upon inspection, the nurse notes redness and
swelling on the site and that the infusion rate of the
medication has slowed down. Extravasation is suspected,
hence the nurse should take which actions? Select all that
apply. I. Prepare to apply ice or heat to the site. II. Stop
the infusion. III. Call the primary physician. IV. Prepare
to administer a prescribed antidote into the site V.
Increase flow rate of the solution to flush the skin and
subcutaneous tissue. VI. Restart the IV at a distal part of
the same vein. *
a. II, III, IV
b. I, II, III, IV, V
c. II, III, VI
d. I, II, III, IV
9. A client who has been receiving radiation therapy for
bladder cancer tells the nurse that it feels as if she is
voiding through the vagina. The nurse interprets that the
client may be experiencing which condition? *
a. Altered perineal sensation as a side effect of radiation
therapy
b. Rupture of the bladder
c. The development of a vesicovaginal fistula
d. Extreme stress caused by the diagnosis of cancer
10. The nurse should plan to implement which of the
following interventions in the care of a client experiencing
neutropenia as a result of chemotherapy? *
a. Insert an indwelling urinary catheter to prevent skin
excoriation.
b. Restrict all visitors.
c. Restrict fluid intake.
d. Teach the client and the family about the need for
meticulous hand hygiene.
11. While giving care to a client with an internal cervical
radiation implant, the nurse finds the implant in the bed.
The nurse should take which of the following actions
initially? *
a. Call the physician.
b. Reinsert the implant into the vagina.
c. Pick it up and place it in a lead container.
d. Obtain the long-handled forceps.
12. A client treated with radiation therapy conveys an
understanding of proper care of the skin over the
treatment field when he states to perform which action? *
a. Wash the ink marks off the skin.
b. Avoid skin exposure to direct sunlight.
c. Apply perfumed lotion to the affected skin.
d. Wear tight clothing over the skin site to provide
support.
13. Which findings indicate that a client receiving
cisplatin is experiencing an adverse effect of the
medication? *
a. Increased appetite
b. Excessive urination
c. Visual yellow halos
d. Tinnitus
14. A client will undergo intravesical chemotherapy for
bladder cancer for the next 8 weeks. Which statement by
the client indicates correct understanding on managing his
urine? *
a. Void into a bedpan and then empty the urine into the
toilet.
b. Purchase extra bottles of scented disinfectant for daily
bathroom cleansing.
c. Disinfect the toilet with household bleach after voiding
for 6 hours after a treatment.
d. Have one bathroom strictly set aside for the client’s
use for the next 8 weeks.
15. A client presents with oral mucositis after receiving
radiation therapy for pharyngeal cancer. Which signs and
symptoms should a nurse expect to find upon assessment
of this client? *
a. Oral ulceration, caries, and leukoplakia
b. Oral erythema, pain, and dysguesia
c. Gingivitis, plaque, and halitosis
d. Candidiasis, inflammation, and cheilitis