Oncology Nursing Management in Cancer
Care NCLEX Exam Questions With Correct
Answers
The |public |health |nurse |is |presenting |a |health-promotion |class |to |a |group |at |a |local |
community |center. |Which |intervention |most |directly |addresses |the |leading |cause |of |cancer |
deaths |in |North |America?
A) |Monthly |self-breast |exams
B) |Smoking |cessation
C) |Annual |colonoscopies
D) |Monthly |testicular |exams |- |CORRECT |ANSWER✔✔-B |
(Cancer |is |second |only |to |cardiovascular |disease |as |a |leading |cause |of |death |in |the |United |
States. |Although |the |numbers |of |cancer |deaths |have |decreased |slightly, |more |than |570,000 |
Americans |were |expected |to |die |from |a |malignant |process |in |2011. |The |leading |causes |of |
cancer |death |in |the |United |States, |in |order |of |frequency, |are |lung, |prostate, |and |colorectal |
cancer |in |men |and |lung, |breast, |and |colorectal |cancer |in |women, |so |smoking |cessation |is |the |
health |promotion |initiative |directly |related |to |lung |cancer.)
A |nurse |who |works |in |an |oncology |clinic |is |assessing |a |patient |who |has |arrived |for |a |2- |month |
follow-up |appointment |following |chemotherapy. |The |nurse |notes |that |the |patient's |skin |
appears |yellow. |Which |blood |tests |should |be |done |to |further |explore |this |clinical |sign?
A) |Liver |function |tests |(LFTs)
B) |Complete |blood |count |(CBC)
,C) |Platelet |count
D) |Blood |urea |nitrogen |and |creatinine |- |CORRECT |ANSWER✔✔-A |
(Yellow |skin |is |a |sign |of |jaundice |and |the |liver |is |a |common |organ |affected |by |metastatic |
disease. |An |LFT |should |be |done |to |determine |if |the |liver |is |functioning. |A |CBC, |platelet |count |
and |tests |of |renal |function |would |not |directly |assess |for |liver |disease.)
The |school |nurse |is |teaching |a |nutrition |class |in |the |local |high |school. |One |student |states |that |
he |has |heard |that |certain |foods |can |increase |the |incidence |of |cancer. |The |nurse |responds,
|"Research |has |shown |that |certain |foods |indeed |appear |to |increase |the |risk |of |cancer." |Which |
of |the |following |menu |selections |would |be |the |best |choice |for |potentially |reducing |the |risks |of
|cancer?
A) |Smoked |salmon |and |green |beans
B) |Pork |chops |and |fried |green |tomatoes
C) |Baked |apricot |chicken |and |steamed |broccoli
D) |Liver, |onions, |and |steamed |peas |- |CORRECT |ANSWER✔✔-C |
(Fruits |and |vegetables |appear |to |reduce |cancer |risk. |Salt-cured |foods, |such |as |ham |and |
processed |meats, |as |well |as |red |meats, |should |be |limited.)
Traditionally, |nurses |have |been |involved |with |tertiary |cancer |prevention. |However, |an |
increasing |emphasis |is |being |placed |on |both |primary |and |secondary |prevention. |What |would |
be |an |example |of |primary |prevention?
A) |Yearly |Pap |tests
B) |Testicular |self-examination
C) |Teaching |patients |to |wear |sunscreen
D) |Screening |mammograms |- |CORRECT |ANSWER✔✔-C |
, (Primary |prevention |is |concerned |with |reducing |the |risks |of |cancer |in |healthy |people |through |
practices |such |as |use |of |sunscreen. |Secondary |prevention |involves |detection |and |screening |to |
achieve |early |diagnosis, |as |demonstrated |by |Pap |tests, |mammograms, |and |testicular |exams.)
The |nurse |is |caring |for |a |39-year-old |woman |with |a |family |history |of |breast |cancer. |She |
requested |a |breast |tumor |marking |test |and |the |results |have |come |back |positive. |As |a |result, |
the |patient |is |requesting |a |bilateral |mastectomy. |This |surgery |is |an |example |of |what |type |of |
oncologic |surgery?
A) |Salvage |surgery
B) |Palliative |surgery
C) |Prophylactic |surgery
D) |Reconstructive |surgery |- |CORRECT |ANSWER✔✔-C |
(Prophylactic |surgery |is |used |when |there |is |an |extensive |family |history |and |nonvital |tissues |are
|removed. |Salvage |surgery |is |an |additional |treatment |option |that |uses |an |extensive |surgical |
approach |to |treat |the |local |recurrence |of |a |cancer |after |the |use |of |a |less |extensive |primary |
approach. |Palliative |surgery |is |performed |in |an |attempt |to |relieve |complications |of |cancer, |
such |as |ulceration, |obstruction, |hemorrhage, |pain, |and |malignant |effusion. |Reconstructive |
surgery |may |follow |curative |or |radical |surgery |in |an |attempt |to |improve |function |or |obtain |a |
more |desirable |cosmetic |effect.)
The |nurse |is |caring |for |a |patient |who |is |to |begin |receiving |external |radiation |for |a |malignant |
tumor |of |the |neck. |While |providing |patient |education, |what |potential |adverse |effects |should |
the |nurse |discuss |with |the |patient?
A) |Impaired |nutritional |status
B) |Cognitive |changes
C) |Diarrhea
Care NCLEX Exam Questions With Correct
Answers
The |public |health |nurse |is |presenting |a |health-promotion |class |to |a |group |at |a |local |
community |center. |Which |intervention |most |directly |addresses |the |leading |cause |of |cancer |
deaths |in |North |America?
A) |Monthly |self-breast |exams
B) |Smoking |cessation
C) |Annual |colonoscopies
D) |Monthly |testicular |exams |- |CORRECT |ANSWER✔✔-B |
(Cancer |is |second |only |to |cardiovascular |disease |as |a |leading |cause |of |death |in |the |United |
States. |Although |the |numbers |of |cancer |deaths |have |decreased |slightly, |more |than |570,000 |
Americans |were |expected |to |die |from |a |malignant |process |in |2011. |The |leading |causes |of |
cancer |death |in |the |United |States, |in |order |of |frequency, |are |lung, |prostate, |and |colorectal |
cancer |in |men |and |lung, |breast, |and |colorectal |cancer |in |women, |so |smoking |cessation |is |the |
health |promotion |initiative |directly |related |to |lung |cancer.)
A |nurse |who |works |in |an |oncology |clinic |is |assessing |a |patient |who |has |arrived |for |a |2- |month |
follow-up |appointment |following |chemotherapy. |The |nurse |notes |that |the |patient's |skin |
appears |yellow. |Which |blood |tests |should |be |done |to |further |explore |this |clinical |sign?
A) |Liver |function |tests |(LFTs)
B) |Complete |blood |count |(CBC)
,C) |Platelet |count
D) |Blood |urea |nitrogen |and |creatinine |- |CORRECT |ANSWER✔✔-A |
(Yellow |skin |is |a |sign |of |jaundice |and |the |liver |is |a |common |organ |affected |by |metastatic |
disease. |An |LFT |should |be |done |to |determine |if |the |liver |is |functioning. |A |CBC, |platelet |count |
and |tests |of |renal |function |would |not |directly |assess |for |liver |disease.)
The |school |nurse |is |teaching |a |nutrition |class |in |the |local |high |school. |One |student |states |that |
he |has |heard |that |certain |foods |can |increase |the |incidence |of |cancer. |The |nurse |responds,
|"Research |has |shown |that |certain |foods |indeed |appear |to |increase |the |risk |of |cancer." |Which |
of |the |following |menu |selections |would |be |the |best |choice |for |potentially |reducing |the |risks |of
|cancer?
A) |Smoked |salmon |and |green |beans
B) |Pork |chops |and |fried |green |tomatoes
C) |Baked |apricot |chicken |and |steamed |broccoli
D) |Liver, |onions, |and |steamed |peas |- |CORRECT |ANSWER✔✔-C |
(Fruits |and |vegetables |appear |to |reduce |cancer |risk. |Salt-cured |foods, |such |as |ham |and |
processed |meats, |as |well |as |red |meats, |should |be |limited.)
Traditionally, |nurses |have |been |involved |with |tertiary |cancer |prevention. |However, |an |
increasing |emphasis |is |being |placed |on |both |primary |and |secondary |prevention. |What |would |
be |an |example |of |primary |prevention?
A) |Yearly |Pap |tests
B) |Testicular |self-examination
C) |Teaching |patients |to |wear |sunscreen
D) |Screening |mammograms |- |CORRECT |ANSWER✔✔-C |
, (Primary |prevention |is |concerned |with |reducing |the |risks |of |cancer |in |healthy |people |through |
practices |such |as |use |of |sunscreen. |Secondary |prevention |involves |detection |and |screening |to |
achieve |early |diagnosis, |as |demonstrated |by |Pap |tests, |mammograms, |and |testicular |exams.)
The |nurse |is |caring |for |a |39-year-old |woman |with |a |family |history |of |breast |cancer. |She |
requested |a |breast |tumor |marking |test |and |the |results |have |come |back |positive. |As |a |result, |
the |patient |is |requesting |a |bilateral |mastectomy. |This |surgery |is |an |example |of |what |type |of |
oncologic |surgery?
A) |Salvage |surgery
B) |Palliative |surgery
C) |Prophylactic |surgery
D) |Reconstructive |surgery |- |CORRECT |ANSWER✔✔-C |
(Prophylactic |surgery |is |used |when |there |is |an |extensive |family |history |and |nonvital |tissues |are
|removed. |Salvage |surgery |is |an |additional |treatment |option |that |uses |an |extensive |surgical |
approach |to |treat |the |local |recurrence |of |a |cancer |after |the |use |of |a |less |extensive |primary |
approach. |Palliative |surgery |is |performed |in |an |attempt |to |relieve |complications |of |cancer, |
such |as |ulceration, |obstruction, |hemorrhage, |pain, |and |malignant |effusion. |Reconstructive |
surgery |may |follow |curative |or |radical |surgery |in |an |attempt |to |improve |function |or |obtain |a |
more |desirable |cosmetic |effect.)
The |nurse |is |caring |for |a |patient |who |is |to |begin |receiving |external |radiation |for |a |malignant |
tumor |of |the |neck. |While |providing |patient |education, |what |potential |adverse |effects |should |
the |nurse |discuss |with |the |patient?
A) |Impaired |nutritional |status
B) |Cognitive |changes
C) |Diarrhea
