1
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Cancer Nursing: Principles and
Practice (Cancer Nursing Principles
and Practice) – Test Bank
Edition: 7th Edition
Chapters
1. Biology of cancer 17. Chemotherapy toxicities and
2. Immunology management
3. Epidemiology 18. Principles and techniques of blood
4. Cultural diversity among individuals and marrow transplantation
with cancer 19. Complications of hematopoietic
5. Dynamics of cancer prevention cell transplantation
6. Screening and detection for 20. Biotherapy
asymptomatic individuals 21. Targeted therapy
7. Genetic risk and hereditary cancer 22. Gene therapy
syndromes 23. Hematopoietic therapy
8. Diagnostic evaluation, classification, 24. Complementary and alternative
and staging medicine (CAM) therapies in
9. Quality of life as an outcome of integrative oncology
cancer care 25. Evidence-based oncology nursing
10. Principles of cancer clinical trials 26. Cancer-related distress
11. Surgical therapy 27. Cancer pain management
12. Principles of radiation therapy 28. Infection
13. Radiation treatment planning 29. Bleeding
14. Radiation therapy: toxicities and 30. Cancer-related fatigue
management 31. Hypersensitivity reactions to
15. Cytotoxic chemotherapy: principles antineoplastic drugs
of therapy 32. Oral mucositis
16. Chemotherapy: principles of 33. Nutritional disturbances
administration 34. Paraneoplastic syndromes
35. Malignant effusions
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36. Sexual and reproductive 57. Leukemia and myelodysplastic
dysfunction syndromes
37. Cardiac tamponade 58. Liver cancer
38. Disseminated intravascular 59. Lung cancer
coagulation 60. Lymphomas
39. Hypercalcemia of malignancy 61. Multiple myeloma
40. Septic shock 62. Ovarian cancer
41. Spinal cord compression 63. Pancreatic cancer
42. Superior vena cava syndrome 64. Prostate cancer
43. Syndrome of inappropriate 65. Renal cancer
antidiuretic hormone 66. Skin cancer
44. Tumor lysis syndrome 67. Stomach cancer
45. Aids-related malignancies 68. Testicular germ cell cancer
46. Bone and soft tissue sarcomas 69. Vulvar and vaginal cancer
47. Bladder cancer 70. Cancer survivorship: a critical
48. Breast cancer aspect of care
49. Central nervous system cancers 71. Late effects of cancer treatment
50. Cervical cancer 72. Family and caregiver issues
51. Colon, rectal, and anal cancers 73. Spiritual responses to cancer
52. Endocrine malignancies 74. Principles and issues in palliative
53. Endometrial cancer care
54. Esophageal cancer 75. Care during the final day of life
55. Gallbladder and bile duct cancer 76. Advanced oncology practice nurse
56. Head and neck malignancies 77. Legal issues
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Chapter 1: Biology of cancer
Focus: disease-specific nursing management
Question 1. A nurse caring for a patient with biology of cancer identifies which
finding as most consistent with early recognition?
A. A targeted assessment that identifies early changes in early recognition before
severe decompensation occurs
B. Waiting for definitive symptoms before reassessing the patient to reduce
unnecessary interventions
C. Limiting patient education until all diagnostic studies are complete
D. Deferring communication with the oncology team unless the patient requests it
✅ Correct Answer: A. A targeted assessment that identifies early changes in early
recognition before severe decompensation occurs
Rationale: A targeted assessment that identifies early changes in early recognition
before severe decompensation occurs is correct because in biology of cancer, early
recognition depends on recognizing clinically meaningful patterns and acting
before instability progresses. The best nursing decisions connect assessment data,
treatment context, and anticipated complications so the patient receives timely
supportive or definitive intervention. This choice is correct because it reflects
proactive oncology nursing surveillance rather than reactive care.
DIF: Easy
TOP: Biology of cancer - core concepts
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 2. When teaching a newly diagnosed patient about biology of cancer,
which statement by the nurse best reflects current oncology nursing priorities
related to patient education?
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A. Stable symptoms, improved function, and findings consistent with controlled
patient education
B. Persistent decline that is expected and therefore not clinically significant
C. New red-flag symptoms without any change in the plan of care
D. Reduced monitoring because complications are unlikely after initial treatment
✅ Correct Answer: B. Persistent decline that is expected and therefore not
clinically significant
Rationale: Persistent decline that is expected and therefore not clinically significant
is correct because in biology of cancer, patient education depends on recognizing
clinically meaningful patterns and acting before instability progresses. The best
nursing decisions connect assessment data, treatment context, and anticipated
complications so the patient receives timely supportive or definitive intervention. It
ties assessment findings to the clinical trajectory and supports early intervention,
which is essential in cancer care.
DIF: Moderate
TOP: Biology of cancer - risk factors
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 3. Which assessment finding should the oncology nurse interpret as the
highest-priority indicator of worsening clinical monitoring in a patient with
biology of cancer?
A. Rapid recognition of complications, prompt reporting, and intervention guided
by current assessment data
B. Treating all symptoms as routine effects of cancer regardless of severity
C. Postponing evaluation until the next scheduled clinic appointment
D. Relying on one data point without correlating clinical findings
✅ Correct Answer: C. Postponing evaluation until the next scheduled clinic
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appointment
Rationale: Postponing evaluation until the next scheduled clinic appointment is
correct because in biology of cancer, clinical monitoring depends on recognizing
clinically meaningful patterns and acting before instability progresses. The best
nursing decisions connect assessment data, treatment context, and anticipated
complications so the patient receives timely supportive or definitive intervention.
The distractors are less appropriate because they delay evaluation, minimize
meaningful warning signs, or omit patient-safety communication.
DIF: Moderate
TOP: Biology of cancer - pathophysiology
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 4. The nurse is reviewing the plan of care for a patient experiencing
biology of cancer. Which intervention most directly addresses priority intervention?
A. Education that helps the patient connect warning signs, self-management steps,
and when to seek urgent care
B. General reassurance that serious complications are rare and usually resolve
without treatment
C. A fixed teaching plan that ignores the patient's treatment phase and symptom
burden
D. Instructions focused only on diagnosis rather than ongoing surveillance and
safety
✅ Correct Answer: D. Instructions focused only on diagnosis rather than ongoing
surveillance and safety
Rationale: Instructions focused only on diagnosis rather than ongoing surveillance
and safety is correct because in biology of cancer, priority intervention depends on
recognizing clinically meaningful patterns and acting before instability progresses.
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The best nursing decisions connect assessment data, treatment context, and
anticipated complications so the patient receives timely supportive or definitive
intervention. In practice, the nurse must integrate symptoms, treatment context,
and risk for deterioration instead of waiting for overt instability.
DIF: Easy
TOP: Biology of cancer - assessment findings
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 5. Which patient outcome best demonstrates an effective response to
nursing management of risk reduction associated with biology of cancer?
A. Integrating symptom pattern, treatment history, and objective data to guide
timely oncology nursing decisions
B. Separating symptoms from treatment effects because they should be evaluated
independently
C. Using patient preference alone to determine physiologic urgency
D. Avoiding escalation until multiple body systems are affected
✅ Correct Answer: B. Separating symptoms from treatment effects because they
should be evaluated independently
Rationale: Separating symptoms from treatment effects because they should be
evaluated independently is correct because in biology of cancer, risk reduction
depends on recognizing clinically meaningful patterns and acting before instability
progresses. The best nursing decisions connect assessment data, treatment context,
and anticipated complications so the patient receives timely supportive or
definitive intervention. That approach supports safer monitoring, better symptom
control, and more accurate escalation when the condition changes.
DIF: Moderate
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TOP: Biology of cancer - priority diagnostics
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 6. During interdisciplinary rounds, which patient factor should the nurse
emphasize when discussing treatment response in the context of biology of cancer?
A. A targeted assessment that identifies early changes in treatment response before
severe decompensation occurs
B. Waiting for definitive symptoms before reassessing the patient to reduce
unnecessary interventions
C. Limiting patient education until all diagnostic studies are complete
D. Deferring communication with the oncology team unless the patient requests it
✅ Correct Answer: C. Limiting patient education until all diagnostic studies are
complete
Rationale: Limiting patient education until all diagnostic studies are complete is
correct because in biology of cancer, treatment response depends on recognizing
clinically meaningful patterns and acting before instability progresses. The best
nursing decisions connect assessment data, treatment context, and anticipated
complications so the patient receives timely supportive or definitive intervention.
This choice is correct because it reflects proactive oncology nursing surveillance
rather than reactive care.
DIF: Hard
TOP: Biology of cancer - treatment indications
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 7. A patient receiving treatment related to biology of cancer asks why
frequent monitoring is necessary. Which explanation most accurately addresses
safety surveillance?
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Cancer Nursing: Principles and
Practice (Cancer Nursing Principles
and Practice) – Test Bank
Edition: 7th Edition
Chapters
1. Biology of cancer 17. Chemotherapy toxicities and
2. Immunology management
3. Epidemiology 18. Principles and techniques of blood
4. Cultural diversity among individuals and marrow transplantation
with cancer 19. Complications of hematopoietic
5. Dynamics of cancer prevention cell transplantation
6. Screening and detection for 20. Biotherapy
asymptomatic individuals 21. Targeted therapy
7. Genetic risk and hereditary cancer 22. Gene therapy
syndromes 23. Hematopoietic therapy
8. Diagnostic evaluation, classification, 24. Complementary and alternative
and staging medicine (CAM) therapies in
9. Quality of life as an outcome of integrative oncology
cancer care 25. Evidence-based oncology nursing
10. Principles of cancer clinical trials 26. Cancer-related distress
11. Surgical therapy 27. Cancer pain management
12. Principles of radiation therapy 28. Infection
13. Radiation treatment planning 29. Bleeding
14. Radiation therapy: toxicities and 30. Cancer-related fatigue
management 31. Hypersensitivity reactions to
15. Cytotoxic chemotherapy: principles antineoplastic drugs
of therapy 32. Oral mucositis
16. Chemotherapy: principles of 33. Nutritional disturbances
administration 34. Paraneoplastic syndromes
35. Malignant effusions
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36. Sexual and reproductive 57. Leukemia and myelodysplastic
dysfunction syndromes
37. Cardiac tamponade 58. Liver cancer
38. Disseminated intravascular 59. Lung cancer
coagulation 60. Lymphomas
39. Hypercalcemia of malignancy 61. Multiple myeloma
40. Septic shock 62. Ovarian cancer
41. Spinal cord compression 63. Pancreatic cancer
42. Superior vena cava syndrome 64. Prostate cancer
43. Syndrome of inappropriate 65. Renal cancer
antidiuretic hormone 66. Skin cancer
44. Tumor lysis syndrome 67. Stomach cancer
45. Aids-related malignancies 68. Testicular germ cell cancer
46. Bone and soft tissue sarcomas 69. Vulvar and vaginal cancer
47. Bladder cancer 70. Cancer survivorship: a critical
48. Breast cancer aspect of care
49. Central nervous system cancers 71. Late effects of cancer treatment
50. Cervical cancer 72. Family and caregiver issues
51. Colon, rectal, and anal cancers 73. Spiritual responses to cancer
52. Endocrine malignancies 74. Principles and issues in palliative
53. Endometrial cancer care
54. Esophageal cancer 75. Care during the final day of life
55. Gallbladder and bile duct cancer 76. Advanced oncology practice nurse
56. Head and neck malignancies 77. Legal issues
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Chapter 1: Biology of cancer
Focus: disease-specific nursing management
Question 1. A nurse caring for a patient with biology of cancer identifies which
finding as most consistent with early recognition?
A. A targeted assessment that identifies early changes in early recognition before
severe decompensation occurs
B. Waiting for definitive symptoms before reassessing the patient to reduce
unnecessary interventions
C. Limiting patient education until all diagnostic studies are complete
D. Deferring communication with the oncology team unless the patient requests it
✅ Correct Answer: A. A targeted assessment that identifies early changes in early
recognition before severe decompensation occurs
Rationale: A targeted assessment that identifies early changes in early recognition
before severe decompensation occurs is correct because in biology of cancer, early
recognition depends on recognizing clinically meaningful patterns and acting
before instability progresses. The best nursing decisions connect assessment data,
treatment context, and anticipated complications so the patient receives timely
supportive or definitive intervention. This choice is correct because it reflects
proactive oncology nursing surveillance rather than reactive care.
DIF: Easy
TOP: Biology of cancer - core concepts
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 2. When teaching a newly diagnosed patient about biology of cancer,
which statement by the nurse best reflects current oncology nursing priorities
related to patient education?
, 3
A. Stable symptoms, improved function, and findings consistent with controlled
patient education
B. Persistent decline that is expected and therefore not clinically significant
C. New red-flag symptoms without any change in the plan of care
D. Reduced monitoring because complications are unlikely after initial treatment
✅ Correct Answer: B. Persistent decline that is expected and therefore not
clinically significant
Rationale: Persistent decline that is expected and therefore not clinically significant
is correct because in biology of cancer, patient education depends on recognizing
clinically meaningful patterns and acting before instability progresses. The best
nursing decisions connect assessment data, treatment context, and anticipated
complications so the patient receives timely supportive or definitive intervention. It
ties assessment findings to the clinical trajectory and supports early intervention,
which is essential in cancer care.
DIF: Moderate
TOP: Biology of cancer - risk factors
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 3. Which assessment finding should the oncology nurse interpret as the
highest-priority indicator of worsening clinical monitoring in a patient with
biology of cancer?
A. Rapid recognition of complications, prompt reporting, and intervention guided
by current assessment data
B. Treating all symptoms as routine effects of cancer regardless of severity
C. Postponing evaluation until the next scheduled clinic appointment
D. Relying on one data point without correlating clinical findings
✅ Correct Answer: C. Postponing evaluation until the next scheduled clinic
, 4
appointment
Rationale: Postponing evaluation until the next scheduled clinic appointment is
correct because in biology of cancer, clinical monitoring depends on recognizing
clinically meaningful patterns and acting before instability progresses. The best
nursing decisions connect assessment data, treatment context, and anticipated
complications so the patient receives timely supportive or definitive intervention.
The distractors are less appropriate because they delay evaluation, minimize
meaningful warning signs, or omit patient-safety communication.
DIF: Moderate
TOP: Biology of cancer - pathophysiology
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 4. The nurse is reviewing the plan of care for a patient experiencing
biology of cancer. Which intervention most directly addresses priority intervention?
A. Education that helps the patient connect warning signs, self-management steps,
and when to seek urgent care
B. General reassurance that serious complications are rare and usually resolve
without treatment
C. A fixed teaching plan that ignores the patient's treatment phase and symptom
burden
D. Instructions focused only on diagnosis rather than ongoing surveillance and
safety
✅ Correct Answer: D. Instructions focused only on diagnosis rather than ongoing
surveillance and safety
Rationale: Instructions focused only on diagnosis rather than ongoing surveillance
and safety is correct because in biology of cancer, priority intervention depends on
recognizing clinically meaningful patterns and acting before instability progresses.
, 5
The best nursing decisions connect assessment data, treatment context, and
anticipated complications so the patient receives timely supportive or definitive
intervention. In practice, the nurse must integrate symptoms, treatment context,
and risk for deterioration instead of waiting for overt instability.
DIF: Easy
TOP: Biology of cancer - assessment findings
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 5. Which patient outcome best demonstrates an effective response to
nursing management of risk reduction associated with biology of cancer?
A. Integrating symptom pattern, treatment history, and objective data to guide
timely oncology nursing decisions
B. Separating symptoms from treatment effects because they should be evaluated
independently
C. Using patient preference alone to determine physiologic urgency
D. Avoiding escalation until multiple body systems are affected
✅ Correct Answer: B. Separating symptoms from treatment effects because they
should be evaluated independently
Rationale: Separating symptoms from treatment effects because they should be
evaluated independently is correct because in biology of cancer, risk reduction
depends on recognizing clinically meaningful patterns and acting before instability
progresses. The best nursing decisions connect assessment data, treatment context,
and anticipated complications so the patient receives timely supportive or
definitive intervention. That approach supports safer monitoring, better symptom
control, and more accurate escalation when the condition changes.
DIF: Moderate
, 6
TOP: Biology of cancer - priority diagnostics
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 6. During interdisciplinary rounds, which patient factor should the nurse
emphasize when discussing treatment response in the context of biology of cancer?
A. A targeted assessment that identifies early changes in treatment response before
severe decompensation occurs
B. Waiting for definitive symptoms before reassessing the patient to reduce
unnecessary interventions
C. Limiting patient education until all diagnostic studies are complete
D. Deferring communication with the oncology team unless the patient requests it
✅ Correct Answer: C. Limiting patient education until all diagnostic studies are
complete
Rationale: Limiting patient education until all diagnostic studies are complete is
correct because in biology of cancer, treatment response depends on recognizing
clinically meaningful patterns and acting before instability progresses. The best
nursing decisions connect assessment data, treatment context, and anticipated
complications so the patient receives timely supportive or definitive intervention.
This choice is correct because it reflects proactive oncology nursing surveillance
rather than reactive care.
DIF: Hard
TOP: Biology of cancer - treatment indications
MSC: NCLEX Client Needs Category: Physiological Integrity
Question 7. A patient receiving treatment related to biology of cancer asks why
frequent monitoring is necessary. Which explanation most accurately addresses
safety surveillance?
