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