308 EXAM 3 PRACTICE QUESTIONS
COMPLETE WITH VERIFIED ANSWERS
\.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. - ANSWERS✔-a.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 - ANSWERS✔-a. 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 - ANSWERS✔-d. 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" - ANSWERS✔-b. "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" - ANSWERS✔-b. "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 - ANSWERS✔-a.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 -
ANSWERS✔-d. 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 - ANSWERS✔-a. 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." - ANSWERS✔-a."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. - ANSWERS✔-b. 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
COMPLETE WITH VERIFIED ANSWERS
\.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. - ANSWERS✔-a.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 - ANSWERS✔-a. 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 - ANSWERS✔-d. 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" - ANSWERS✔-b. "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" - ANSWERS✔-b. "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 - ANSWERS✔-a.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 -
ANSWERS✔-d. 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 - ANSWERS✔-a. 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." - ANSWERS✔-a."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. - ANSWERS✔-b. 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
