The nurse assesses a patient with non-
Hodgkin's lymphoma who is receiving an
infusion of rituximab (Rituxan). Which
assessment finding would require the most 
rapid action by the nurse?
A. Shortness of breath
B. Temperature of 100.2 degrees F (37.9
degrees C)
C. Shivering and complaint of chills
D. Generalized muscle aches and pains
According to a standard staging classification
of Hodgkin's disease, which of the following
criteria reflects stage II?
A. Involvement of extralymphatic organs or
tissues
B. Involvement of single lymph node region or
structure
C. Involvement of two or more lymph node
regions or structures.
D. Involvement of lymph node regions or
structures on both sides of the diaphragm.
Warning signs and symptoms of lung cancer
include persistent cough, bloody sputum, dyspnea,
and which of the other following symptoms?
A. Dizziness
B. Generalized weakness
C. Hypotension
D. Recurrent pleural effusion
Nausea and vomiting are common adverse effects
of radiation and chemotherapy. When should a
nurse administer antiemetics?
A. 30 minutes before the initiation of therapy.
B. With the administration of therapy.
C. Immediately after nausea begins.
D. When therapy is completed.
Neoplasm can be classified as either benign or
malignant. The following are characteristics of
malignant tumor apart from:
A. Metastasis
B. Infiltrates surrounding tissues
C. Encapsulated
Which of the following interventions is the key to
increasing the survival rates of clients with lung
cancer?
A. Early bronchoscopy
B. Early detection
C. High-dose chemotherapy
D. Smoking cessation
Which of the following is the primary goal for
surgical resection of lung cancer?
A. To remove the tumor and all surrounding
tissue.
B. To remove the tumor and as little
surrounding tissue as possible.
C. To remove all of the tumor and any
collapsed alveoli in the same region.
D. To remove as much as the tumor as
possible, without removing any alveoli.
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.
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 three times a day
B. Monitoring temperature
C. Monitoring the platelet count
D. Monitoring for pathological factors
In staging and grading neoplasm TNM system is
used. TNM stands for:
A. Time, neoplasm, mode of growth
B. Tumor, node, metastasis
C. Tumor, neoplasm, mode of growth
D. Time, node, metastasis
D. Poorly differentiated cells
The nurse is preparing Cyclophosphamide
(Cytoxan). Safe handling of the drug should be
implemented to protect the nurse from injury.
Which of the following action by the nurse
should be corrected?
A. The nurse should wear mask and gloves.
B. Air bubbles should be expelled on wet
cotton.
C. Label the hanging IV bottle with
"ANTINEOPLASTIC CHEMOTHERAPY" sign.
D. Vent vials after mixing.
A 58-year-old man is going to have
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?
A. "Chemotherapy affects all rapidly dividing
cells."
B. "The molecular structure of the DNA is
altered."
C. "Cancer cells are susceptible to drug
toxins."
D. "Chemotherapy encourages cancer cells to
divide."
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 sunscreen only after going in the
water.
B. Avoid peak exposure hours from 9am to
1pm
C. Wear loosely woven clothing for added
ventilation
D. Apply sunscreen with a sun protection factor
(SPF) of 15 or more before sun exposure.
The primary difference between benign and
malignant neoplasms is the:  the principle that:
A. rate of cell proliferation  A. Surgery is the single most effective
B. site of malignant tumor
C. requirements for cell nutrition
D. characteristic of tissue invasiveness
A 25 year old patient is inquiring about the
methods or ways to detect cancer earlier. The
nurse least likely identify this method by
stating:
A. Annual chest x-ray.
B. Annual Pap smear for sexually active
women only.
C. Annual digital rectal examination for
persons over age 40.
D. Yearly physical and blood examination
A characteristic of the stage of Progression in
the development of Cancer is: 
A. oncogenic viral transformation of target cells
B. a reversible steady growth facilitated by
carcinogens 
C. a period of latency before clinical detection
of cancer
D. proliferation of cancer cells in spite of host
control mechanisms
The primary protective role of the immune
system related to malignant cells is: 
A. surveillance for cells with tumor-associated
antigens
B. binding with free antigen released by
malignant cells 
C. production of blocking factors that
immobilize cancer cells 
D. responding to a new set of antigenic
determinants on cancer cells
The goals of cancer treatment are based on
 
treatment for cancer 
B. Initial treatment is always directed toward
cure of the cancer 
C. A combination of treatment modalities is
effective for controlling many cancers 
D. Although cancer is rare, quality of life can
 be increased with treatment modalities
The most effective method for administering a The nurse explains to a patient undergoing
chemotherapy agent that is a vesicant is to:  brachytherapy of the cervix that she: 

A. give it orally  A. must undergo simulation to locate the

B. give it intraarterially  treatment area
C. use an Ommaya reservoir  B. requires the use of radioactive precautions
D. use a central venous access device during nursing care 
C. many experience desquamation of the skin
on the abdomen and upper legs
D. requires shielding of the ovaries during
treatment to prevent ovarian damage
To prevent fever and shivering during an infusion The nurse counsels the patient receiving
of Rituzimab (Rituxan), the nurse should radiation therapy of chemotherapy that: 
premedicate the patient with 
A. effective birth control methods should be
A. Aspirin used for the rest of the patient's life
B. Acetaminophen  B. if nausea/vomiting occur during treatment,
C. Sodium Bicarbonate the treatment plan will be modified
C. after successful treatment, a return to the
D. Meperidine (Demerol)
person's previous functional level can be
expected 
D. the cycle of fatigue -depression - fatigue
that may occur during treatment can be
reduced by restricting activity
A patient on chemotherapy for 10 weeks A 70-year-old male patient has multiple
started at a weight of 121 lb. She now weighs myeloma. His wife calls to report that he sleeps
118 lbs and has no sense of taste. Which most of the day is confused when awake and
nursing intervention would be a priority?  complains of nausea and constipation. Which
complication of cancer is this most likely
A. advise the patient to eat foods that are fatty, caused by?
fried, or high in calories
B. discuss with the physician the need for A. Hypercalcemia
parenteral or enteral feedings  B. Tumor Lysis Syndrome
C. advise the patient to drink a nutritional C. Spinal Cord Compression 
supplement beverage at least 3x/daily  D. Superior Vena Cava Syndrome
D. advise the patient to experiment with spices
and seasonings to enhance the flavor of food
Which nursing diagnosis is most appropriate for a Previous administrations of chemotherapy
patient experiencing myelosuppression secondary agents to a cancer patient have resulted in
to chemotherapy for cancer treatment? diarrhea. Which dietary modification should the
nurse recommend?
A. Acute pain 
B. Hypothermia A. A bland, low-fiber diet 
C. Powerlessness B. A high-protein, high-calorie diet 
C. A diet high in fresh fruits and vegetables
D. Risk for infection
D. A diet emphasizing whole and organic foods
A 33-year-old patient has recently been diagnosed Which cellular dysfunction in the process of cancer
with stage II cervical cancer. What should the nurse development allows defective cell proliferation?
understand about the patient's cancer?
 A. Proto-oncogenes 
A. It is in situ. B. Cell differentiation
B. It has metastasized. C. Dynamic equilibrium 
C. It has spread locally.  D. Activation of oncogenes
D. It has spread extensively.
The laboratory reports that the cells from the The patient with breast cancer is having
patient's tumor biopsy are Grade II. What teletherapy radiation treatments after her
should the nurse know about this histologic surgery. What should the nurse teach the
grading? patient about the care of her skin?

A. Cells are abnormal and moderately A. Use Dial soap to feel clean and fresh.
differentiated.  B. Scented lotion can be used on the area.
B. Cells are very abnormal and poorly C. Avoid heat and cold to the treatment area. 
differentiated. D. Wear the new bra to comfort and support
C. Cells are immature, primitive, and the area.
undifferentiated.
D. Cells differ slightly from normal cells and are
well-differentiated.
The patient is receiving biologic and targeted The patient is receiving an IV vesicant
therapy for ovarian cancer. What medication chemotherapy drug. The nurse notices
should the nurse expect to administer before swelling and redness at the site. What should
therapy to combat the most common side effects the nurse do first?
of these medications?
A. Ask the patient if the site hurts.
A. Morphine sulfate B. Turn off the chemotherapy infusion. 
C. Call the ordering health care provider.
B. Ibuprofen (Advil)
D. Administer sterile saline to the reddened
C. Ondansetron (Zofran) 
area.
D. Acetaminophen (Tylenol)
The patient is being treated with brachytherapy The patient has been diagnosed with non-
for cervical cancer. What factors must the small cell lung cancer. Which type of targeted
nurse be aware of to protect herself when therapy will most likely be used for this patient
caring for this patient? to suppress cell proliferation and promote
programmed tumor cell death?
A. The medications the patient is taking
B. The nutritional supplements that will help A. Proteasome inhibitors
the patient B. BCR-ABL tyrosine kinase inhibitors
C. How much time is needed to provide the C. CD20 monoclonal antibodies (MoAb) 
patient's care D. Epidermal growth factor receptor-tyrosine
D. The time the nurse spends at what distance kinase inhibitors (EGFR-TK)
from the patient
A 70-year-old man who has end-stage lung
cancer is admitted to the hospital with
confusion and oliguria for 2 days. Which
finding would the nurse report immediately to
the health care provider?
A. Weight gain of 2 lb
B. Urine specific gravity of 1.015
C. Blood urea nitrogen of 20 mg/dL
D. Serum sodium level of 118 mEq/L