308 EXAM 3 PRACTICE QUESTIONS
WITH CORRECT ANSWERS(RATED
A+)
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. - ANSWERa.Call the client at
home the next day to review teaching.
A nurse is caring for a client admitted for Non-Hodgkin's lymphoma and
chemotherapy. The client reports nausea, flank pain, and muscle cramps. What
action by the nurse is most important?
a. request an order for serum electrolytes and uric acid
b. increase the clients IV infusion rate
c. instruct assistive personnel to strain all urine
d. administer an IV antiemetic - ANSWERa. request an order for serum electrolytes
and uric acid
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. Have pregnant visitors stay 6 feet from the client
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta - ANSWERd. Read the policy on
handling radioactive excreta
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 months afterward"
c. "this is not normal and I'll let the primary health care provider know"
d. "try adding more vitamins B and C to your diet" - ANSWERb. "it is normal to be
fatigued even for months afterward"
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" - ANSWERb. "do not expose
the radiation area to direct sunlight"
A client is receiving chemotherapy through a peripheral IV line. What action by the
nurse is
most important?
a.Assessing the IV site and blood return every hour
b.Educating the client on side effects
c.Monitoring the client for nausea
d. Providing warm packs for comfort - ANSWERa.Assessing the IV site and blood
return every hour
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 - ANSWERd.
wear personal protective equipment when handling the medications
the nurse working with oncology clients understands that which age related change
increases the older clients susceptibility to infection during chemotherapy?
a. decreased immune function
b. diminished nutritional stores
c. existing cognitive deficits
d. poor physical reserves - ANSWERa. decreased immune function
The nurse has educated a client on precautions to take with thrombocytopenia. What
statement by the client indicates a need to review the information?
a."I will be careful if I need enemas for constipation."
b."I will use an electric shaver instead of a razor."
c."I should only eat soft food that is either cool or warm."
d."I won't be able to play sports with my grandkids." - ANSWERa."I will be careful if I
need enemas for constipation."
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. - ANSWERb. Instruct the client
to call for help to get out of bed.
a client is hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL (61mmol/L).
The client is symptomatic but refuses blood transfusions. What medication does the
nurse prepare to administer?
,a. epoetin alfa
b. filgrastim
c. medna
d. dextrazoxane - ANSWERa. epoetin alfa
A nurse works with clients who have alopecia from chemotherapy. What action by
the nurse
takes priority?
a.Helping clients adjust to their appearance
b.Reassuring clients that this change is temporary
c.Referring clients to a reputable wig shop
d.Teaching measures to prevent scalp injury - ANSWERd.Teaching measures to
prevent scalp injury
Priority is safety
A client is receiving rituximab. What assessment by the nurse takes priority?
a. blood pressure
b. temperature
c. oral mucous membranes
d. pain - ANSWERa. blood pressure
rituzimab can cause hypotension
A client is receiving rituximab and asks how it works. What response by the nurse is
best?
a. "it causes rapid lysis of the cancer cell membranes"
b. "it destroys the enzymes needed to create cancer cells"
c. "it prevents the start of cell devision in the cancer cells"
d. "it sensitizes certain cancer cells to chemotherapy" - ANSWERc. "it prevents the
start of cell devision in the cancer cells"
Four clients are receiving tyrosine kinase inhibitors (TKIs). Which of these four
clients should the nurse assess first?
a. Dry, itchy, peeling skin
b. Serum calcium of 9.2 mg/dL (2.3 mmol/L)
c. Serum potassium of 2.8 mEq/L (2.8mmol/L)
d. Weight gain of 0.5 pound (1.1 kg) in 1 day - ANSWERc. Serum potassium of 2.8
mEq/L (2.8mmol/L)
TKIs cause electrolyte imbalances
A nurse is assessing a female client who is taking hormone therapy for breast
cancer. What
assessment finding requires the nurse to notify the primary health care provider
immediately?
a. irregular menses
b. edema in the lower extremities
c. ongoing breast tenderness
d. red, warm, swollen calf - ANSWERd. red, warm, swollen calf
Hormone therapy increases the risk for thromboembolism
, The nurse caring for clients who have cancer understands that the general
consequences of
cancer include which client problems? (Select all that apply.)
a.Clotting abnormalities from thrombocythemia
b.Increased risk of infection from white blood cell deficits
c.Nutritional deficits such as early satiety and cachexia
d.Potential for reduced gas exchange
e.Various motor and sensory deficits
f.Increased risk of bone fractures - ANSWERa, b, c, d, e, f
a nurse is preparing to administer IV chemotherapy. What supplies does this nurse
need? (select all)
a. "chemo" gloves
b. face mask
c. impervious gown
d. N95 respirator
e. shoe covers
f. eye protection - ANSWERa, b, c, f
a client receiving radiation therapy reports severe skin itching and irritation. What
actions does the nurse delegate to assistive personnel (AP)? (select all)
a. apply approved moisturizers to dry skin
b. apply steroid creams to the skin
c. bathe the client using mild soap
d. help the client pat skin dry after a bath
e. teach the client to avoid sunlight
f. make sure no clothing is rubbing the site - ANSWERa, c, d, f
A client has thrombocytopenia. What actions does the nurse delegate to assistive
personnel
(AP)? (Select all that apply.)
a.Apply the client's shoes before getting the client out of bed.
b.Assist the client with ambulation.
c. shave the client with a safety razor only
d. use a lift sheet to move the client up in bed
e. use a water pressure device be set on low for oral care - ANSWERa, b, d
a client has mucositis. What actions by the nurse will improve the clients nutrition?
(select all)
a. assist with rinsing the mouth with saline frequently
b. encourage the client to eat room temperature foods
c. give the client hot liquids to hold in the mouth
d. provide local anesthetic medications to swish and spit
e. remind the client to brush teeth gently after each meal
f. offer the client fluids to drink each hour - ANSWERa, b, d, f
A client's family members are concerned that telling the client about a new finding of
cancer
will cause extreme emotional distress. They approach the nurse and ask if this can
be kept
WITH CORRECT ANSWERS(RATED
A+)
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. - ANSWERa.Call the client at
home the next day to review teaching.
A nurse is caring for a client admitted for Non-Hodgkin's lymphoma and
chemotherapy. The client reports nausea, flank pain, and muscle cramps. What
action by the nurse is most important?
a. request an order for serum electrolytes and uric acid
b. increase the clients IV infusion rate
c. instruct assistive personnel to strain all urine
d. administer an IV antiemetic - ANSWERa. request an order for serum electrolytes
and uric acid
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. Have pregnant visitors stay 6 feet from the client
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta - ANSWERd. Read the policy on
handling radioactive excreta
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 months afterward"
c. "this is not normal and I'll let the primary health care provider know"
d. "try adding more vitamins B and C to your diet" - ANSWERb. "it is normal to be
fatigued even for months afterward"
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" - ANSWERb. "do not expose
the radiation area to direct sunlight"
A client is receiving chemotherapy through a peripheral IV line. What action by the
nurse is
most important?
a.Assessing the IV site and blood return every hour
b.Educating the client on side effects
c.Monitoring the client for nausea
d. Providing warm packs for comfort - ANSWERa.Assessing the IV site and blood
return every hour
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 - ANSWERd.
wear personal protective equipment when handling the medications
the nurse working with oncology clients understands that which age related change
increases the older clients susceptibility to infection during chemotherapy?
a. decreased immune function
b. diminished nutritional stores
c. existing cognitive deficits
d. poor physical reserves - ANSWERa. decreased immune function
The nurse has educated a client on precautions to take with thrombocytopenia. What
statement by the client indicates a need to review the information?
a."I will be careful if I need enemas for constipation."
b."I will use an electric shaver instead of a razor."
c."I should only eat soft food that is either cool or warm."
d."I won't be able to play sports with my grandkids." - ANSWERa."I will be careful if I
need enemas for constipation."
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. - ANSWERb. Instruct the client
to call for help to get out of bed.
a client is hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL (61mmol/L).
The client is symptomatic but refuses blood transfusions. What medication does the
nurse prepare to administer?
,a. epoetin alfa
b. filgrastim
c. medna
d. dextrazoxane - ANSWERa. epoetin alfa
A nurse works with clients who have alopecia from chemotherapy. What action by
the nurse
takes priority?
a.Helping clients adjust to their appearance
b.Reassuring clients that this change is temporary
c.Referring clients to a reputable wig shop
d.Teaching measures to prevent scalp injury - ANSWERd.Teaching measures to
prevent scalp injury
Priority is safety
A client is receiving rituximab. What assessment by the nurse takes priority?
a. blood pressure
b. temperature
c. oral mucous membranes
d. pain - ANSWERa. blood pressure
rituzimab can cause hypotension
A client is receiving rituximab and asks how it works. What response by the nurse is
best?
a. "it causes rapid lysis of the cancer cell membranes"
b. "it destroys the enzymes needed to create cancer cells"
c. "it prevents the start of cell devision in the cancer cells"
d. "it sensitizes certain cancer cells to chemotherapy" - ANSWERc. "it prevents the
start of cell devision in the cancer cells"
Four clients are receiving tyrosine kinase inhibitors (TKIs). Which of these four
clients should the nurse assess first?
a. Dry, itchy, peeling skin
b. Serum calcium of 9.2 mg/dL (2.3 mmol/L)
c. Serum potassium of 2.8 mEq/L (2.8mmol/L)
d. Weight gain of 0.5 pound (1.1 kg) in 1 day - ANSWERc. Serum potassium of 2.8
mEq/L (2.8mmol/L)
TKIs cause electrolyte imbalances
A nurse is assessing a female client who is taking hormone therapy for breast
cancer. What
assessment finding requires the nurse to notify the primary health care provider
immediately?
a. irregular menses
b. edema in the lower extremities
c. ongoing breast tenderness
d. red, warm, swollen calf - ANSWERd. red, warm, swollen calf
Hormone therapy increases the risk for thromboembolism
, The nurse caring for clients who have cancer understands that the general
consequences of
cancer include which client problems? (Select all that apply.)
a.Clotting abnormalities from thrombocythemia
b.Increased risk of infection from white blood cell deficits
c.Nutritional deficits such as early satiety and cachexia
d.Potential for reduced gas exchange
e.Various motor and sensory deficits
f.Increased risk of bone fractures - ANSWERa, b, c, d, e, f
a nurse is preparing to administer IV chemotherapy. What supplies does this nurse
need? (select all)
a. "chemo" gloves
b. face mask
c. impervious gown
d. N95 respirator
e. shoe covers
f. eye protection - ANSWERa, b, c, f
a client receiving radiation therapy reports severe skin itching and irritation. What
actions does the nurse delegate to assistive personnel (AP)? (select all)
a. apply approved moisturizers to dry skin
b. apply steroid creams to the skin
c. bathe the client using mild soap
d. help the client pat skin dry after a bath
e. teach the client to avoid sunlight
f. make sure no clothing is rubbing the site - ANSWERa, c, d, f
A client has thrombocytopenia. What actions does the nurse delegate to assistive
personnel
(AP)? (Select all that apply.)
a.Apply the client's shoes before getting the client out of bed.
b.Assist the client with ambulation.
c. shave the client with a safety razor only
d. use a lift sheet to move the client up in bed
e. use a water pressure device be set on low for oral care - ANSWERa, b, d
a client has mucositis. What actions by the nurse will improve the clients nutrition?
(select all)
a. assist with rinsing the mouth with saline frequently
b. encourage the client to eat room temperature foods
c. give the client hot liquids to hold in the mouth
d. provide local anesthetic medications to swish and spit
e. remind the client to brush teeth gently after each meal
f. offer the client fluids to drink each hour - ANSWERa, b, d, f
A client's family members are concerned that telling the client about a new finding of
cancer
will cause extreme emotional distress. They approach the nurse and ask if this can
be kept
