Oncology NCLEX practice questions with
correct answers
1. |A |male |client |has |an |abnormal |result |on |a |Papanicolaou |test. |After |admitting, |he |read |his |
chart |while |the |nurse |was |out |of |the |room, |the |client |asks |what |dysplasia |means. |Which |
definition |should |the |nurse |provide?
a. |Presence |of |completely |undifferentiated |tumor |cells |that |don't |resemble |cells |of |the |tissues |
of |their |origin
b. |Increase |in |the |number |of |normal |cells |in |a |normal |arrangement |in |a |tissue |or |an |organ
c. |Replacement |of |one |type |of |fully |differentiated |cell |by |another |in |tissues |where |the |second |
type |normally |isn't |found
d. |Alteration |in |the |size, |shape, |and |organization |of |differentiated |cells |- |CORRECT |
ANSWER✔✔-1.Answer |D. |Dysplasia |refers |to |an |alteration |in |the |size, |shape, |and |organization |
of |differentiated |cells. |The |presence |of |completely |undifferentiated |tumor |cells |that |don't |
resemble |cells |of |the |tissues |of |their |origin |is |called |anaplasia. |An |increase |in |the |number |of |
normal |cells |in |a |normal |arrangement |in |a |tissue |or |an |organ |is |called |hyperplasia. |
Replacement |of |one |type |of |fully |differentiated |cell |by |another |in |tissues |where |the |second |
type |normally |isn't |found |is |called |metaplasia.
2. |For |a |female |client |with |newly |diagnosed |cancer, |the |nurse |formulates |a |nursing |diagnosis |
of |Anxiety |related |to |the |threat |of |death |secondary |to |cancer |diagnosis. |Which |expected |
outcome |would |be |appropriate |for |this |client?
a. |"Client |verbalizes |feelings |of |anxiety."
b. |"Client |doesn't |guess |at |prognosis."
c. |"Client |uses |any |effective |method |to |reduce |tension."
, d. |"Client |stops |seeking |information." |- |CORRECT |ANSWER✔✔-2.Answer |A. |Verbalizing |feelings
|is |the |client's |first |step |in |coping |with |the |situational |crisis. |It |also |helps |the |health |care |team |
gain |insight |into |the |client's |feelings, |helping |guide |psychosocial |care. |Option |B |is |
inappropriate |because |suppressing |speculation |may |prevent |the |client |from |coming |to |terms |
with |the |crisis |and |planning |accordingly. |Option |C |is |undesirable |because |some |methods |of |
reducing |tension, |such |as |illicit |drug |or |alcohol |use, |may |prevent |the |client |from |coming |to |
terms |with |the |threat |of |death |as |well |as |cause |physiologic |harm. |Option |D |isn't |appropriate |
because |seeking |information |can |help |a |client |with |cancer |gain |a |sense |of |control |over |the |
crisis.
3. |A |male |client |with |a |cerebellar |brain |tumor |is |admitted |to |an |acute |care |facility. |The |nurse |
formulates |a |nursing |diagnosis |of |Risk |for |injury. |Which |"related-to" |phrase |should |the |nurse |
add |to |complete |the |nursing |diagnosis |statement?
a. |Related |to |visual |field |deficits
b. |Related |to |difficulty |swallowing
c. |Related |to |impaired |balance
d. |Related |to |psychomotor |seizures |- |CORRECT |ANSWER✔✔-3.Answer |C. |A |client |with |a |
cerebellar |brain |tumor |may |suffer |injury |from |impaired |balance |as |well |as |disturbed |gait |and |
incoordination. |Visual |field |deficits, |difficulty |swallowing, |and |psychomotor |seizures |may |result
|from |dysfunction |of |the |pituitary |gland, |pons, |occipital |lobe, |parietal |lobe, |or |temporal |lobe |
— |not |from |a |cerebellar |brain |tumor. |Difficulty |swallowing |suggests |medullary |dysfunction. |
Psychomotor |seizures |suggest |temporal |lobe |dysfunction.
4. |A |female |client |with |cancer |is |scheduled |for |radiation |therapy. |The |nurse |knows |that |
radiation |at |any |treatment |site |may |cause |a |certain |adverse |effect. |Therefore, |the |nurse |
should |prepare |the |client |to |expect:
a. |hair |loss.
b. |stomatitis.
c. |fatigue.
correct answers
1. |A |male |client |has |an |abnormal |result |on |a |Papanicolaou |test. |After |admitting, |he |read |his |
chart |while |the |nurse |was |out |of |the |room, |the |client |asks |what |dysplasia |means. |Which |
definition |should |the |nurse |provide?
a. |Presence |of |completely |undifferentiated |tumor |cells |that |don't |resemble |cells |of |the |tissues |
of |their |origin
b. |Increase |in |the |number |of |normal |cells |in |a |normal |arrangement |in |a |tissue |or |an |organ
c. |Replacement |of |one |type |of |fully |differentiated |cell |by |another |in |tissues |where |the |second |
type |normally |isn't |found
d. |Alteration |in |the |size, |shape, |and |organization |of |differentiated |cells |- |CORRECT |
ANSWER✔✔-1.Answer |D. |Dysplasia |refers |to |an |alteration |in |the |size, |shape, |and |organization |
of |differentiated |cells. |The |presence |of |completely |undifferentiated |tumor |cells |that |don't |
resemble |cells |of |the |tissues |of |their |origin |is |called |anaplasia. |An |increase |in |the |number |of |
normal |cells |in |a |normal |arrangement |in |a |tissue |or |an |organ |is |called |hyperplasia. |
Replacement |of |one |type |of |fully |differentiated |cell |by |another |in |tissues |where |the |second |
type |normally |isn't |found |is |called |metaplasia.
2. |For |a |female |client |with |newly |diagnosed |cancer, |the |nurse |formulates |a |nursing |diagnosis |
of |Anxiety |related |to |the |threat |of |death |secondary |to |cancer |diagnosis. |Which |expected |
outcome |would |be |appropriate |for |this |client?
a. |"Client |verbalizes |feelings |of |anxiety."
b. |"Client |doesn't |guess |at |prognosis."
c. |"Client |uses |any |effective |method |to |reduce |tension."
, d. |"Client |stops |seeking |information." |- |CORRECT |ANSWER✔✔-2.Answer |A. |Verbalizing |feelings
|is |the |client's |first |step |in |coping |with |the |situational |crisis. |It |also |helps |the |health |care |team |
gain |insight |into |the |client's |feelings, |helping |guide |psychosocial |care. |Option |B |is |
inappropriate |because |suppressing |speculation |may |prevent |the |client |from |coming |to |terms |
with |the |crisis |and |planning |accordingly. |Option |C |is |undesirable |because |some |methods |of |
reducing |tension, |such |as |illicit |drug |or |alcohol |use, |may |prevent |the |client |from |coming |to |
terms |with |the |threat |of |death |as |well |as |cause |physiologic |harm. |Option |D |isn't |appropriate |
because |seeking |information |can |help |a |client |with |cancer |gain |a |sense |of |control |over |the |
crisis.
3. |A |male |client |with |a |cerebellar |brain |tumor |is |admitted |to |an |acute |care |facility. |The |nurse |
formulates |a |nursing |diagnosis |of |Risk |for |injury. |Which |"related-to" |phrase |should |the |nurse |
add |to |complete |the |nursing |diagnosis |statement?
a. |Related |to |visual |field |deficits
b. |Related |to |difficulty |swallowing
c. |Related |to |impaired |balance
d. |Related |to |psychomotor |seizures |- |CORRECT |ANSWER✔✔-3.Answer |C. |A |client |with |a |
cerebellar |brain |tumor |may |suffer |injury |from |impaired |balance |as |well |as |disturbed |gait |and |
incoordination. |Visual |field |deficits, |difficulty |swallowing, |and |psychomotor |seizures |may |result
|from |dysfunction |of |the |pituitary |gland, |pons, |occipital |lobe, |parietal |lobe, |or |temporal |lobe |
— |not |from |a |cerebellar |brain |tumor. |Difficulty |swallowing |suggests |medullary |dysfunction. |
Psychomotor |seizures |suggest |temporal |lobe |dysfunction.
4. |A |female |client |with |cancer |is |scheduled |for |radiation |therapy. |The |nurse |knows |that |
radiation |at |any |treatment |site |may |cause |a |certain |adverse |effect. |Therefore, |the |nurse |
should |prepare |the |client |to |expect:
a. |hair |loss.
b. |stomatitis.
c. |fatigue.
