Name: ________________________ Class: ___________________ Date: __________ ID: A
NUR265 Cancer and End of Life Care Practice Questions
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nursing instructor explains the difference between normal cells and benign tumor cells. What
information does the instructor provide about these cells?
a. Benign tumors grow through invasion of other tissue.
b. Benign tumors have lost their cellular regulation from contact inhibition.
c. Growing in the wrong place or time is typical of benign tumors.
d. The loss of characteristics of the parent cells is called anaplasia.
2. Which statement about carcinogenesis is accurate?
a. An initiated cell will always become clinical cancer.
b. Cancer becomes a health problem once it is 1 cm in size.
c. Normal hormones and proteins do not promote cancer growth.
d. Tumor cells need to develop their own blood supply.
3. The nurse caring for oncology clients knows that which form of metastasis is the most common?
a. Bloodborne
b. Direct invasion
c. Lymphatic spread
d. Via bone marrow
4. A nurse has taught a client about dietary changes that can reduce the chances of developing cancer.
What statement by the client indicates the nurse needs to provide additional teaching?
a. “Foods high in vitamin A and vitamin C are important.”
b. “I’ll have to cut down on the amount of bacon I eat.”
c. “I’m so glad I don’t have to give up my juicy steaks.”
d. “Vegetables, fruit, and high-fiber grains are important.”
5. A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with
cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?
a. Call the client at home the next day to review teaching.
b. Give the client information about a cancer support group.
c. Provide all the preoperative instructions in writing.
d. Reassure the client that surgery will be over soon.
6. A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which
action by the nurse is best?
a. Ensure the client is placed in protective isolation.
b. Hand off a pregnant client to another nurse.
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta.
1
, Name: ________________________ ID: A
7. A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after
radiation therapy for breast cancer. What response by the nurse is most appropriate?
a. “Are you getting adequate rest and sleep each day?”
b. “It is normal to be fatigued even for years afterward.”
c. “This is not normal and I’ll let the provider know.”
d. “Try adding more vitamins B and C to your diet.”
8. A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing
radiation treatments for cancer. What response by the nurse is most appropriate?
a. “Avoid getting salt water on the radiation site.”
b. “Do not expose the radiation area to direct sunlight.”
c. “Have a wonderful time and enjoy your vacation!”
d. “Remember you should not drink alcohol for a year.”
9. A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most
important?
a. Assessing the IV site every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort
10. A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer
the client’s oral chemotherapy medications. What action by the nurse is most appropriate?
a. Crush the medications if the client cannot swallow them.
b. Give one medication at a time with a full glass of water.
c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications.
11. After receiving the hand-off report, which client should the oncology nurse see first?
a. Client who is afebrile with a heart rate of 108 beats/min
b. Older client on chemotherapy with mental status changes
c. Client who is neutropenic and in protective isolation
d. Client scheduled for radiation therapy today
12. A client has a platelet count of 9800/mm3. What action by the nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility’s standing policy.
d. Place the client on protective isolation precautions.
13. A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the
nurse prepare to administer?
a. Epoetin alfa (Epogen)
b. Filgrastim (Neupogen)
c. Mesna (Mesnex)
d. Oprelvekin (Neumega)
2
NUR265 Cancer and End of Life Care Practice Questions
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nursing instructor explains the difference between normal cells and benign tumor cells. What
information does the instructor provide about these cells?
a. Benign tumors grow through invasion of other tissue.
b. Benign tumors have lost their cellular regulation from contact inhibition.
c. Growing in the wrong place or time is typical of benign tumors.
d. The loss of characteristics of the parent cells is called anaplasia.
2. Which statement about carcinogenesis is accurate?
a. An initiated cell will always become clinical cancer.
b. Cancer becomes a health problem once it is 1 cm in size.
c. Normal hormones and proteins do not promote cancer growth.
d. Tumor cells need to develop their own blood supply.
3. The nurse caring for oncology clients knows that which form of metastasis is the most common?
a. Bloodborne
b. Direct invasion
c. Lymphatic spread
d. Via bone marrow
4. A nurse has taught a client about dietary changes that can reduce the chances of developing cancer.
What statement by the client indicates the nurse needs to provide additional teaching?
a. “Foods high in vitamin A and vitamin C are important.”
b. “I’ll have to cut down on the amount of bacon I eat.”
c. “I’m so glad I don’t have to give up my juicy steaks.”
d. “Vegetables, fruit, and high-fiber grains are important.”
5. A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with
cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?
a. Call the client at home the next day to review teaching.
b. Give the client information about a cancer support group.
c. Provide all the preoperative instructions in writing.
d. Reassure the client that surgery will be over soon.
6. A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which
action by the nurse is best?
a. Ensure the client is placed in protective isolation.
b. Hand off a pregnant client to another nurse.
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta.
1
, Name: ________________________ ID: A
7. A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after
radiation therapy for breast cancer. What response by the nurse is most appropriate?
a. “Are you getting adequate rest and sleep each day?”
b. “It is normal to be fatigued even for years afterward.”
c. “This is not normal and I’ll let the provider know.”
d. “Try adding more vitamins B and C to your diet.”
8. A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing
radiation treatments for cancer. What response by the nurse is most appropriate?
a. “Avoid getting salt water on the radiation site.”
b. “Do not expose the radiation area to direct sunlight.”
c. “Have a wonderful time and enjoy your vacation!”
d. “Remember you should not drink alcohol for a year.”
9. A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most
important?
a. Assessing the IV site every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort
10. A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer
the client’s oral chemotherapy medications. What action by the nurse is most appropriate?
a. Crush the medications if the client cannot swallow them.
b. Give one medication at a time with a full glass of water.
c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications.
11. After receiving the hand-off report, which client should the oncology nurse see first?
a. Client who is afebrile with a heart rate of 108 beats/min
b. Older client on chemotherapy with mental status changes
c. Client who is neutropenic and in protective isolation
d. Client scheduled for radiation therapy today
12. A client has a platelet count of 9800/mm3. What action by the nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility’s standing policy.
d. Place the client on protective isolation precautions.
13. A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the
nurse prepare to administer?
a. Epoetin alfa (Epogen)
b. Filgrastim (Neupogen)
c. Mesna (Mesnex)
d. Oprelvekin (Neumega)
2
