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POST TEST
ONCOLOGY
Philippine Nursing Licensure Examination
NAME:
1. A patient is undergoing radiation
therapy for treatment of breast cancer.
The patient asks the nurse about the
treatment. The nurse incorrectly
responds to the patient if he states that:
a. Radiation is made of high energy
waves
b. For external radiation, patient can
be exposed to pregnant visitors
c. External radiation makes the
patient radioactive
d. Internal radiation makes the
patient a source of radiation
2. Nurse Kara admits a patient diagnosed
with Laryngeal cancer. Which of the
following is least expected to be seen in
a patient with this type of cancer?
a. Hemoptysis
b. Difficulty swallowing
c. Projectile vomiting
d. Hoarseness of voice
3. As a knowledgeable nurse, you must
know that if a patient is experiencing
the most common side effect of
chemotherapy, you have to:
a. Avoid sunlight
b. Use non-restrictive clothings
c. Administer anti-diarrheals
d. Administer anti-emetics
4. Which of the following laboratory data is
least likely in a patient diagnosed with
multiple myeloma?
a. Hypercalcemia
b. Bence Jones protein
c. Increased uric acid
d. Increased WBC
5. A patient diagnosed with Bone cancer
asks the student nurse about the
characteristics of this kind of neoplastic
disorder. The staff nurse would
intervene if the student states to the
patient which of the following?
a. There are different types of bone
cancer depending on its origin
b. This cancer can affect the blood
calcium level
c. Bone cancer will only
experience pain with
movement and palpation
d. You can expect your nurse to
support your ambulation and
provide care in turning you in bed
6. All of the following are diagnostic
procedures of cancer except:
a. MRI
b. CT-scan
c. CBC
d. U/A
7. All of the following are warning signs of
cancer except:
a. Hoarseness of voice
b. Lump in the testicles
c. Impaired digestion
d. Impaired respiratory function
8. A patient with cancer was admitted and
scheduled for biopsy of the staging
type. It was then confirmed that the
 cancer is in stage III. As a nurse, you days. Physical assessment findings
understand that this stage is: include irregular pulse, muscle
a. Distant metastasis twitching, and complaints of prickling
b. Limited local spread sensations in the fingers and hands.
c. Tumor limited tissue of origin Laboratory results include a potassium
d. Extensive local and regional level of 2.9 mEq/L, a pH of 7.46, and a
bicarbonate level of 29 mEq/L. The
spread
client is experiencing:
9. Which of the following is the primary
a. Respiratory alkalosis
goal for surgical resection of lung
b. Respiratory acidosis
cancer?
c. Metabolic alkalosis
a. To remove the tumor and all
d. Metabolic acidosis
surrounding tissue
13. Which of the following interventions is
b. To remove the tumor and as
the key to increasing the survival rates
little surrounding tissue as
of clients with lung cancer?
possible
a. Early bronchoscopy
c. To remove all of the tumor and
b. Early detection
collapsed alveoli
c. High dose chemotherapy
d. To remove as much tumor as
d. Smoking cessation
possible without removing an
14. The nurse is teaching a 17-year old
alveoli
client and the client’s family about what
10. According to a standard staging
to expect with high-dose chemotherapy
classification of Hodgkin’s disease,
and the effects of neutropenia. What
which of the following criteria reflects
should the nurse teach as the most
stage II?
reliable early indicator of infection in a
a. Involvement of extralymphatic
neutropenic client?
organs
a. Fever
b. Involvement of a single lymph
b. Chills
node
c. Tachycardia
c. Involvement of two or more
d. Dyspnea
lymph node structures
15. Which of the following assessment
d. Involvement of two or more
findings in a client with leukemia would
lymph node structures on both
indicate that the cancer has invaded the
sides of the diaphragm
brain?
11. The nurse is instructing the client to
a. Headache and vomiting
perform a testicular self-examination.
b. Restlessness and tachycardia
The nurse tells the client:
c. Hypervigilant and anxious
a. To examine the testicles lying
behavior
down
d. Increased heart rate and
b. The best time of examination
decreased blood pressure
is after a shower
16. A child is seen in the pediatrician’s office
c. To gently feel the testicle with
for complaints of bone and joint pain.
one finger for a growth
Which of the following other assessment
d. It is done every six months
findings may suggest leukemia?
12. A client with stomach cancer is admitted
a. Abdominal pain
to the oncology unit after vomiting for 3
b. Increased activity level
 c. Increased appetite
d. Petechiae
17. A 36-year-old man with lymphoma
presents with signs of impending septic
shock 9 days after chemotherapy. The
nurse could expect which of the
following to be present?
a. Flushing, decreased O2 sat, mild
hypotension
b. Low grade fever, chills,
tachycardia
c. Elevated temperature, oliguria,
hypotension
d. High grade fever, normal blood
pressure, increased RR
18. 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?
a. Assess level of consciousness
b. Assess temperature
c. Assess bowel sounds
d. Assess skin turgor
19. A 56-year-old woman is currently
receiving radiation therapy to the chest
wall for recurrent breast cancer. She
calls her health care provider to report
that she has pain while swallowing and
burning and tightness in her chest.
Which of the following complications of
radiation therapy is most likely
responsible for her symptoms?
a. Hiatal hernia
b. Stomatitis
c. Radiation enteritis
d. Esophagitis
20. Which of the following foods should a
client with leukemia avoid?
a. White bread
b. Carrot sticks
c. Stewed apples
d. Medium rare steak
21. Which of the following statements is
correct about the rate of cell growth in
relation to chemotherapy?
a. Faster growing cells are less
susceptible to chemotherapy
b. Non dividing cells are more
susceptible to chemotherapy
c. Faster growing cells are more
susceptible to chemotherapy
d. Slower growing cells are more
susceptible to chemotherapy
22. For which of the following conditions is
a client with multiple myeloma (MM)
monitored?
a. Hypercalcemia
b. Hyperkalemia
c. Hypermagnesemia
d. Hypernatremia
23. A client with leukemia has neutropenia.
Which of the following functions must
be frequently assessed?
a. Blood pressure
b. Bowel sounds
c. Heart sounds
d. Breath sounds
24. The client with cancer is receiving
chemotherapy and develops
thrombocytopenia. The nurse identifies
which intervention as the highest
priority in the nursing plan of care?
a. Ambulation 3 times per day
b. Monitoring temperature
c. Monitoring platelet count
d. Monitoring for pathological
factors
25. The nurse is caring for a client following
a modified radical mastectomy. Which
assessment finding would indicate that
the client is experiencing a complication
related to this surgery?
a. Sanguinous drainage from JP
drain
b. Pain at the operative site
c. Complaints of decreased
sensation in operative site
d. Arm edema on operative site
26. Which of the following conditions is not
a complication of Hodgkin’s disease?
a. Anemia
b. Infection
c. Myocardial Infarction
d. Nausea
27. A nurse is providing education in a
community setting about general
measures to avoid excessive sun
exposure. Which of the following
recommendations is appropriate?
a. Apply sun screen only after going
in the water
b. Avoid peak exposure from 9am to
1pm
c. Wear loosely woven clothes
d. Apply sun screen with SPF 15
or more before sun exposure
28. Which of the following medications
usually is given to a client with leukemia
as prophylaxis against P. carinii
pneumonia?
a. Bactrim
b. Oral nystatin suspension
c. Prednisone
d. Oncovin
29. A centrally located pulmonary tumor
would produce which of the following
symptoms?
a. Coughing
b. Hemoptysis
c. Pleuritic pain
d. Shoulder pain
30. 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
that which of the following is
characteristic of the disease?
a. Presence of reed sternberg cells
b. Involvement of spleen and liver
and lymph nodes
c. Occurs most often in older
adults
d. Prognosis depends on stage
31. Which of the following represents the
most appropriate nursing intervention
for a client with pruritis caused by
cancer or the treatments?
a. Administration of antihistamines
b. Steroids
c. Silk sheets
d. Medicated cool baths
32. The client with a benign lung tumor is
treated in which of the following ways?
a. The tumor is treated with
radiation only
b. The tumor is treated with
chemotherapy only
c. The tumor is left alone unless
symptoms are present
d. The tumor is removed,
involving the least possible
amount of tissue
33. Which of the following substances has
abnormal values early in the course of
multiple myeloma (MM)?
a. Immunoglobulins
b. Platelets
c. RBCs
d. WBCs
34. At the time of diagnosis of Hodgkin’s
lymphoma, which of the following areas
is often involved?
a. Back
b. Chest
c. Groin
d. Neck
35. Which of the following tests in
performed on a client with leukemia
before initiation of therapy to evaluate
the child’s ability to metabolize
chemotherapeutic agents?
a. Lumbar puncture
b. Liver function test
c. CBC
d. Peripheral blood smear
36. 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?
a. Viral factors
b. Stress
c. Low fat and high fiber
d. Exposure to radiation
37. A pneumonectomy is a surgical
procedure sometimes indicated for
treatment of non-small-cell lung cancer.
A pneumonectomy involves removal of:
a. An entire lung field
b. A small wedged shape lung
surface
c. One lobe of lung
d. One or more segments of a lung
lobe
38. In the client with terminal lung cancer,
the focus of nursing care is on which of
the following nursing interventions?
a. Provide emotional support
b. Provide nutritional support
c. Provide pain control
d. Prepare the client’s will
39. A 32-year-old woman meets with the
nurse on her first office visit since
undergoing a left mastectomy. When
asked how she is doing, the woman
states her appetite is still not good, she
is not getting much sleep because she
doesn’t go to bed until her husband is
asleep, and she is really anxious to get
back to work. Which of the following
nursing interventions should the nurse
explore to support the client’s current
needs?
a. Call the physician to allow client
to return to work immediately
b. Suggest that the client learn
relaxation techniques to help with
insomnia
c. Perform a nutritional assessment
to assess for anorexia
d. Ask open minded questions
about sexuality issues related
to her mastectomy
40. 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?
a. Malignant exacerbation in the
number of leukocytes
b. Altered RBC production
c. Altered production of lymph
nodes
d. Malignant proliferation of
plasma cells in the bone
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?
a. Coughing and deep breathing
b. Encourage fluids
c. Monitoring RBC
d. Providing frequent oral care
42. Which of the following complications are
three main consequences of leukemia?
a. Bone deformities, spherocytosis,
infection
b. Anemia, infection and
bleeding tendencies
c. Lymphocytopoiesis, growth
delays, hirsutism
d. Polycythemia, decreased clotting,
infection
43. Giving instructions for breast self-
examination is particularly important for
clients with which of the following
medical problems?
a. Cervical dysplasia
b. Dermoid cyst
c. Endometrial polyps
d. Ovarian cancer
44. 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?
 a. Decreased number of plasma of the following, if identified by the
cells client as a risk factor for cervical cancer,
b. Increased WBC indicates a need for further teaching?
c. Increased serum calcium a. Smoking
d. Decreased BUN b. multiple sex partners
45. A 58-year-old man is going to have c. 1st intercourse after age 20
chemotherapy for lung cancer. He asks
d. HPV
the nurse how the chemotherapeutic
49. A patient with laryngeal cancer is
drugs will work. The most accurate
undergoing total laryngectomy. As a
explanation the nurse can give is which
nurse, you must plan for a post-
of the following?
a. Chemotherapy affects all operative care. All of the following are
rapidly dividing cells included in post-op intervention except:
b. The molecular structure of DNA is a. maintain surgical drains in
altered the chest
c. Cancer cells are susceptible to b. maintain mechanical ventilator
drug toxins support
d. Chemotherapy encourages cancer c. Increase activity as tolerated
cells to divide d. assess gag reflex & cough reflex
46. A client has been diagnosed with lung 50. A patient with gastric cancer underwent
cancer and requires a wedge resection. gastrojejunostomy(Billroth II). Which of
How much of the lung is removed? the following interventions is included in
a. One entire lung the patient’s post-op care?
b. A lobe of the lung
a. Give patient a high fiber diet
c. A small, localized area near
b. Plan for TPN
the surface of the lung
c. Regular NGT irrigation
d. A segment of the lung including
bronchiole and it’s alveoli d. Instruct client to eat solid
47. The client reports that while performing foods
testicular self exam, he found a lump
the size and shape of a pea. The
appropriate response to the client is:
a. Lumps like that are normal; don’t
worry
b. Let me know if it gets bigger next
month
c. That could be cancer, I’ll ask the
doctor to examine you
d. That’s important to report
even though it might not be
serious
48. The community nurse is conducting a
health promotion program at a health
center and is discussing the risk factors
associated with cervical cancer. Which