ONCOLOGY 2026 TEST PAPER EXAM QUESTIONS AND
ANSWERS MARKED A+
✔✔The home health care nurse is visiting a client who has undergone a mastectomy.
The nurse determines that the client demonstrates greatest adjustment to the loss of the
breast if which behavior is noted?
1.The client looks at the surgical site.
2.The client performs the prescribed arm exercises.
3.The client takes the pain medication as prescribed.
4.The client has read all of the postoperative materials provided by the hospital nurse. -
✔✔1
✔✔A clinic nurse prepares a teaching plan for a client receiving an antineoplastic
medication to treat breast cancer. When implementing the plan, the nurse should make
which statement to the client?
1."You can take aspirin as needed for headache."
2."You can drink beverages containing alcohol in moderate amounts each evening."
3."You need to consult with the primary health care provider (PHCP) before receiving
immunizations."
4."It is fine to receive a flu vaccine at the local health fair without PHCP approval
because the flu is so contagious." - ✔✔3
✔✔The nurse in the primary health care provider's office is performing a postoperative
assessment of a client who underwent mastectomy of her right breast 2 weeks ago. The
client tells the nurse that she is very concerned because she has numbness in the area
of the surgery and along the inner side of the arm from the armpit to the elbow. The
nurse should provide which information to the client about her complaint?
1.These sensations are signs of a complication.
2.These sensations probably will be permanent.
3.These sensations dissipate over several months and usually resolve after 1 year.
4.It is nothing to worry about because most women who have this type of surgery
experience this problem. - ✔✔3
✔✔The nurse manager is teaching the nursing staff about signs and symptoms related
to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which
is a late sign or symptom of this oncological emergency?
1.Headache
2.Dysphagia
3.Constipation
4.Electrocardiographic changes - ✔✔4
✔✔A client is receiving intravesical chemotherapy for cancer of the bladder. The nurse
should plan to take which action after the completion of each treatment?
1.Encourage increased intake of oral fluids.
2.Provide increased doses of opioid analgesics.
, 3.Place the client on strict contact isolation for 24 hours.
4.Keep the client on nothing by mouth (NPO) status for 6 hours. - ✔✔1
✔✔The oncology nurse specialist provides an educational session for nursing staff
regarding the characteristics of Hodgkin's disease. The nurse determines that further
teaching is needed if a nursing staff member states that which is a characteristic of the
disease?
1.Reed-Sternberg cells are present.
2.The lymph nodes, spleen, and liver are involved.
3.The prognosis depends on the stage of the disease.
4.The disease occurs most often in those older than 75 years of age. - ✔✔4
✔✔The nurse is monitoring a client for signs and symptoms related to superior vena
cava syndrome. Which is an early sign of this oncological emergency?
1.Cyanosis
2.Arm edema
3.Periorbital edema
4.Mental status changes - ✔✔3
✔✔The nurse is caring for a client with lung cancer and bone metastasis. What signs
and symptoms would the nurse recognize as indications of a possible oncological
emergency? Select all that apply.
1.Facial edema in the morning
2.Weight loss of 20 lb (9 kg) in 1 month
3.Serum calcium level of 12 mg/dL (3.0 mmol/L)
4.Serum sodium level of 136 mg/dL (136 mmol/L)
5.Serum potassium level of 3.4 mg/dL (3.4 mmol/L)
6.Numbness and tingling of the lower extremities - ✔✔1, 3, 6
✔✔The client has undergone mastectomy. The nurse determines that the client is
making the best adjustment to the loss of the breast if which behavior is observed?
1.Refusing to look at the wound
2.Reading the postoperative care booklet
3.Asking for pain medication when needed
4.Participating in the care of the surgical drain - ✔✔4
✔✔A client is admitted to the nursing unit after undergoing radical prostatectomy for
cancer. The nurse anticipates that which problem would be of most concern to the client
in the immediate postoperative period?
1.Concern about the outcome of surgery
2.Continuous pain because of the effects of cancer
3.Appearance disturbance as a result of the presence of a suprapubic catheter
4.Concern about caring for self at home because of insufficient help after discharge -
✔✔1
ANSWERS MARKED A+
✔✔The home health care nurse is visiting a client who has undergone a mastectomy.
The nurse determines that the client demonstrates greatest adjustment to the loss of the
breast if which behavior is noted?
1.The client looks at the surgical site.
2.The client performs the prescribed arm exercises.
3.The client takes the pain medication as prescribed.
4.The client has read all of the postoperative materials provided by the hospital nurse. -
✔✔1
✔✔A clinic nurse prepares a teaching plan for a client receiving an antineoplastic
medication to treat breast cancer. When implementing the plan, the nurse should make
which statement to the client?
1."You can take aspirin as needed for headache."
2."You can drink beverages containing alcohol in moderate amounts each evening."
3."You need to consult with the primary health care provider (PHCP) before receiving
immunizations."
4."It is fine to receive a flu vaccine at the local health fair without PHCP approval
because the flu is so contagious." - ✔✔3
✔✔The nurse in the primary health care provider's office is performing a postoperative
assessment of a client who underwent mastectomy of her right breast 2 weeks ago. The
client tells the nurse that she is very concerned because she has numbness in the area
of the surgery and along the inner side of the arm from the armpit to the elbow. The
nurse should provide which information to the client about her complaint?
1.These sensations are signs of a complication.
2.These sensations probably will be permanent.
3.These sensations dissipate over several months and usually resolve after 1 year.
4.It is nothing to worry about because most women who have this type of surgery
experience this problem. - ✔✔3
✔✔The nurse manager is teaching the nursing staff about signs and symptoms related
to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which
is a late sign or symptom of this oncological emergency?
1.Headache
2.Dysphagia
3.Constipation
4.Electrocardiographic changes - ✔✔4
✔✔A client is receiving intravesical chemotherapy for cancer of the bladder. The nurse
should plan to take which action after the completion of each treatment?
1.Encourage increased intake of oral fluids.
2.Provide increased doses of opioid analgesics.
, 3.Place the client on strict contact isolation for 24 hours.
4.Keep the client on nothing by mouth (NPO) status for 6 hours. - ✔✔1
✔✔The oncology nurse specialist provides an educational session for nursing staff
regarding the characteristics of Hodgkin's disease. The nurse determines that further
teaching is needed if a nursing staff member states that which is a characteristic of the
disease?
1.Reed-Sternberg cells are present.
2.The lymph nodes, spleen, and liver are involved.
3.The prognosis depends on the stage of the disease.
4.The disease occurs most often in those older than 75 years of age. - ✔✔4
✔✔The nurse is monitoring a client for signs and symptoms related to superior vena
cava syndrome. Which is an early sign of this oncological emergency?
1.Cyanosis
2.Arm edema
3.Periorbital edema
4.Mental status changes - ✔✔3
✔✔The nurse is caring for a client with lung cancer and bone metastasis. What signs
and symptoms would the nurse recognize as indications of a possible oncological
emergency? Select all that apply.
1.Facial edema in the morning
2.Weight loss of 20 lb (9 kg) in 1 month
3.Serum calcium level of 12 mg/dL (3.0 mmol/L)
4.Serum sodium level of 136 mg/dL (136 mmol/L)
5.Serum potassium level of 3.4 mg/dL (3.4 mmol/L)
6.Numbness and tingling of the lower extremities - ✔✔1, 3, 6
✔✔The client has undergone mastectomy. The nurse determines that the client is
making the best adjustment to the loss of the breast if which behavior is observed?
1.Refusing to look at the wound
2.Reading the postoperative care booklet
3.Asking for pain medication when needed
4.Participating in the care of the surgical drain - ✔✔4
✔✔A client is admitted to the nursing unit after undergoing radical prostatectomy for
cancer. The nurse anticipates that which problem would be of most concern to the client
in the immediate postoperative period?
1.Concern about the outcome of surgery
2.Continuous pain because of the effects of cancer
3.Appearance disturbance as a result of the presence of a suprapubic catheter
4.Concern about caring for self at home because of insufficient help after discharge -
✔✔1
