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POST-TEST
ONCOLOGIC NURSING
Prepared By: Prof. Lianmuel De Guzman
May 2021 Philippine Nurse Licensure Examination Review
NAME:
1. When teaching a client diagnosed of colon cancer B. Arya Stark with bronchogenic carcinoma
about diagnostic workup, Nurse Lian instructs the C. Sansa Stark with a fracture
client to take which of the following types of D. Rob Stark with esophageal neoplasm
medication after a barium enema? 8. Secondary prevention programs promote screening
A. Laxative and early detection activities. Which of the following
B. Anticholinergic is NOT included for the early detection of colorectal
C. Anatacid cancer?
D. Atenolol A. Fecal occult blood test
2. Nurse Lianmuel noted from the Laboratory exams in B. CT Scanning
the chart of the client that has an increased CEA in C. Flexible sigmoidoscopy
the blood. This tumor marker is related to: D. Contrast barium enema
A. Choriocarcinoma 9. Nurse Margaery is assessing a client with 8th cranial
B. Testicular cancer nerve tumor. This benign growth is known as
C. Cervical Cancer A. Middle ear carcinoma
D. Prostate Cancer B. External ear melanoma
3. The tumor marker for Liver cancer is: C. Meniere’s disease
A. AFP D. Acoustic Neuroma
B. SGPT 10. Low Risk factor for cancer of the oral cavity and
C. CA 125 pharynx include
D. HCG A. Cigarette
4. Cersei Lannister is scheduled for an outpatient B. Excessive use of alcohol
procedure whereby liquid nitrogen is used to freeze C. Cigar and pipe smoking
a cervical cancer. This procedure is known as: D. None of the above
A. chemosurgery 11. Although the cause of testicular cancer is unknown,
B. cryosurgery it is associated with a history of:
C. laser surgery A. undescended testes
D. radiation B. sexual relations at an early age
5. Tyrion Lannister has Lung Cancer. Following a C. seminal vesiculitis
bronchoscopy, which of the following complaints to D. epididymitis
Gary should be noted a possible complication? 12. Which of the following is NOT a side effect of
A. Dyspnea and laryngeal stridor internal radiation of the cervix?
B. Sorethroat A. Alopecia
C. Hoarseness of voice B. Cystitis
D. Dizziness after the test C. Diarrhea
6. Cancer is a problematic disorder and can progress D. Dysuria
rapidly. Cancer cells can affect the immune system 13. Which of the following is a risk factor for cervical
by: cancer?
A. stimulating the release of T lymphocytes A. Sexual experiences with one partner
into the circulation B. Sedentary lifestyle
B. suppressing the patient’s natural defenses C. Obesity
C. mobilizing macrophages D. Adolescent pregnancy
D. all of the above 14. What nursing diagnosis should be of highest priority
7. Which of the following cancer clients would have a in clients with thrombocytopenia?
problem with respect to nutritional intake? A. Anxiety
A. Bran Stark with a renal cell carcinoma B. Activity intolerance
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 C. Body image disturbance
D. Potential for fluid volume deficit
related to bleeding
15. Danerys Stormborn Targaryen, mother of dragons,
the unburnt, breaker of chains, queen of the andals,
etc. is admitted with a radiation induced
thrombocytopenia. As a nurse you should observe
the following symptoms
A. Bleeding gums and bruises
B. Leukopenia and sore throat
C. Fatigue and pallor
D. Increase temperature & sorethroat
16. Patient Myrcella Lannister is undergoing teletherapy.
What is the appropriate nursing diagnosis for her?
A. Risk for Infection
B. PC: Radioactive
C. Impaired skin integrity
D. Altered bowel elimination
17. Which of the following radiation therapy is
considered teletherapy?
A. External radiation
B. Intracavitary cesium
C. Oral radiation
D. Internal radiation
18. Patient Jon Snow is taking 6-mercaptopurine for his
cancer diagnosis. Which of the following would be
the adverse effect of the drug?
A. Hepatotoxic
B. Cytotoxic
C. Peripheral neuropathy
D. Nephrotoxic
19. Patient Catelyn is taking Methotrexate for her
diagnosis of laryngeal cancer. What would be the
adverse effect of the drug?
A. Hepatotoxic
B. Myelosuppression
C. Neurotoxic
D. Nephrotoxic
20. Patient Brandon is taking vincristine. What is the
adverse effect of the drug?
A. Hepatotoxic
B. Cytotoxic
C. Peripheral neuropathy
D. Nephrotoxic
21. Mr. Degeneres has been started on chemotherapy
with metoclopramide (Reglan). The nurse monitors
which item to determine effectiveness of Reglan?
A. Urine output
B. Breath sounds
C. Complaints of headache
D. Episodes of vomiting
22. Nurse Rossana is assessing John who has been
admitted with a diagnosis of Stomach cancer. Which of
the following warning signals should nurse Rossana
expect to find?
A. Change in the bowel and bladder pattern
B. A sore that does not heal
C. Indigestion or difficulty swallowing
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D. Obvious change in wart or mole
23. Which of the following symptoms is the most
common clinical finding associated with bladder cancer?
A. Suprapubic pain
B. Diarrhea
C. Painless hematuria
D. Decrease libido
24. After surgery, the biopsy result shows terminal
cancer. Nurse Reed is correct if she prepares
the patient:
A. For nursing home care
B. For rehab care
C. For hospice care
D. For Premortem care
25. Nurse Brienne is teaching a 21-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?
A. fever
B. chills
C. tachycardia
D. dyspnea
26. Mr. Targaryen with cancer is receiving cisplatin
(Platinol). On assessment of Mr. Dizon, which of
the following findings indicates the he is having
an adverse reaction to the medication?
A. Excessive urination
B. Tinnitus
C. Increase appetite
D. Yellow halos in front of the eyes
27. Which of the following side effects of
chemotherapy would cause hyperkalemia?
A. Tumor Lysis Syndrome
B. Alopecia
C. Cachexia
D. Bone Marrow Suppression
28. Which of the following should be implemented
on a patient undergoing brachytherapy?
A. Do not remove skin markers
B. Stay 3ft away from patient
C. Allow all visitors
D. Limit exposure to 30 mins
29. Which of the following biotherapy can help
increase wbc on a cancer patient?
A. Epogen
B. Nuepogen
C. Estrogen
D. Sustagen
30. What would be the priority nursing management
on a patient suffering from colon cancer?
A. Watch out for hemorrhagic shock
B. Nutrional Status impairment
C. Improve mental status
D. Improve self-confidence
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