ELITE COMPREHENSIVE
ADVANCED MED-SURG ONCOLOGY ASSESSMENT
Chemotherapy Toxicity, Radiation Effects and
Oncologic Emergencies||Final Spring Exam
QUESTIONS AND ANSWERS|| GRADE A+
Which pt statement alerts the nurse to a warning sign of cancer?
A. "I have a BM every 4 days"
B. I had a wart on my finger that lasted for 2 weeks"
C. "I have a blister on my toe that never seems to get well"
D. I experience moderately heavy bleeding with my periods every month"
✓ C. "I have a blister on my toe that never seems to get well"
✓ A sore that does not heal is a warning sign of cancer. A bowel
movement every 4 days does not indicate any change in bowel
habits. Warts often last for several weeks, and the patient did not
describe any change in appearance. Moderately heavy bleeding in
conjunction with menstruation is normal and not unusual.
1
The nurse is caring for a pt who requires compromised host precautions. Which action
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is most important for the nurse to take before delivering the pt's breakfast tray?
, A. Ask pt if she feels like eating at this time
B. Remove fresh apple and orange from tray
C. Call dietary department and ask for disposable utensils
D. Declutter room before assisting pt to to couch to eat
✓ B. Remove fresh apple and orange from tray
✓ The patient is at a significantly increased risk for infection. Fresh
produce can harbor bacteria that can lead to infection, so the apple
and orange should be removed from the tray. Assessing the quality of
the patient's appetite does not protect against infection. Although
disposable utensils are not harmful, sterilized standard utensils do not
pose an overt risk for infection. Limiting clutter in the room is an
action that would protect the patient with a low platelet count in case
of a fall but would not decrease infection risk.
A nurse is obtaining a health history on a pt who was admitted with lung cancer. Which
question is most important for the nurse to ask to gather data about chief complaint?
A. "How often, if ever, do you drink alcohol"
B. "Do you see a primary care health provider regularly?"
C. "Do you have any history of serious diseases or cancer in your immediate family?"
D. "Can you tell me more about the problem that caused you to come to the hospital?"
✓ D. "Can you tell me more about the problem that caused you to come
to the hospital?"
2
✓ The chief complaint is the patient's main complaint or concern, and
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the nurse should seek a complete description of the problem with
, related signs and symptoms. Asking about alcohol consumption and
medical checkups are components of a functional assessment.
Incidence of familial diseases is part of the family history.
A patient has recently undergone surgery to remove a large melanoma from his back.
The patient is experiencing severe, incision-related pain and has been prescribed an
opioid analgesic medication by the health care provider. Which symptoms is the patient
likely to experience?
A. Diarrhea
B. Constipation
C. Peripheral neuropathy
D. Extrapyramidal symptoms
✓ B. Constipation
✓ Opioids can cause constipation and changes in bowel function when
used to alleviate pain. Opiate analgesic medications are not likely to
cause diarrhea, peripheral neuropathy, or extrapyramidal symptoms.
What type of information is most relevant to a 21-year-old patient who will be
undergoing surgery and radiotherapy for treatment of cancer of the testis?
A. A discussion about deep breathing to prevent pneumonia
B. A discussion about sperm banking because of possible sterility
C. A referral to the Look Good, Feel Better program because of altered body image
3
D. A referral to the Agency for Healthcare Research and Quality to manage cancer pain
Page
✓ B. A discussion about sperm banking because of possible sterility
ADVANCED MED-SURG ONCOLOGY ASSESSMENT
Chemotherapy Toxicity, Radiation Effects and
Oncologic Emergencies||Final Spring Exam
QUESTIONS AND ANSWERS|| GRADE A+
Which pt statement alerts the nurse to a warning sign of cancer?
A. "I have a BM every 4 days"
B. I had a wart on my finger that lasted for 2 weeks"
C. "I have a blister on my toe that never seems to get well"
D. I experience moderately heavy bleeding with my periods every month"
✓ C. "I have a blister on my toe that never seems to get well"
✓ A sore that does not heal is a warning sign of cancer. A bowel
movement every 4 days does not indicate any change in bowel
habits. Warts often last for several weeks, and the patient did not
describe any change in appearance. Moderately heavy bleeding in
conjunction with menstruation is normal and not unusual.
1
The nurse is caring for a pt who requires compromised host precautions. Which action
Page
is most important for the nurse to take before delivering the pt's breakfast tray?
, A. Ask pt if she feels like eating at this time
B. Remove fresh apple and orange from tray
C. Call dietary department and ask for disposable utensils
D. Declutter room before assisting pt to to couch to eat
✓ B. Remove fresh apple and orange from tray
✓ The patient is at a significantly increased risk for infection. Fresh
produce can harbor bacteria that can lead to infection, so the apple
and orange should be removed from the tray. Assessing the quality of
the patient's appetite does not protect against infection. Although
disposable utensils are not harmful, sterilized standard utensils do not
pose an overt risk for infection. Limiting clutter in the room is an
action that would protect the patient with a low platelet count in case
of a fall but would not decrease infection risk.
A nurse is obtaining a health history on a pt who was admitted with lung cancer. Which
question is most important for the nurse to ask to gather data about chief complaint?
A. "How often, if ever, do you drink alcohol"
B. "Do you see a primary care health provider regularly?"
C. "Do you have any history of serious diseases or cancer in your immediate family?"
D. "Can you tell me more about the problem that caused you to come to the hospital?"
✓ D. "Can you tell me more about the problem that caused you to come
to the hospital?"
2
✓ The chief complaint is the patient's main complaint or concern, and
Page
the nurse should seek a complete description of the problem with
, related signs and symptoms. Asking about alcohol consumption and
medical checkups are components of a functional assessment.
Incidence of familial diseases is part of the family history.
A patient has recently undergone surgery to remove a large melanoma from his back.
The patient is experiencing severe, incision-related pain and has been prescribed an
opioid analgesic medication by the health care provider. Which symptoms is the patient
likely to experience?
A. Diarrhea
B. Constipation
C. Peripheral neuropathy
D. Extrapyramidal symptoms
✓ B. Constipation
✓ Opioids can cause constipation and changes in bowel function when
used to alleviate pain. Opiate analgesic medications are not likely to
cause diarrhea, peripheral neuropathy, or extrapyramidal symptoms.
What type of information is most relevant to a 21-year-old patient who will be
undergoing surgery and radiotherapy for treatment of cancer of the testis?
A. A discussion about deep breathing to prevent pneumonia
B. A discussion about sperm banking because of possible sterility
C. A referral to the Look Good, Feel Better program because of altered body image
3
D. A referral to the Agency for Healthcare Research and Quality to manage cancer pain
Page
✓ B. A discussion about sperm banking because of possible sterility
