Lewis Med Surg - Chap 16 –
Cancer 2026 Exam Questions
and Answers | Already Graded
A+
Chapter 16: Cancer
Chapter 16: Cancer
Test Bank
MULTIPLE CHOICE
1. A patient who is scheduled for a right breast biopsy asks the nurse the
difference between a benign tumor and a malignant tumor. Which
answer by the nurse is correct?
,a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." -
ANSWER ✔✔ANS: C
The major difference between benign and malignant tumors is that
malignant tumors invade adjacent tissues and spread to distant tissues
and benign tumors never metastasize. The other statements are
inaccurate. Both types of tumors may cause damage to adjacent tissues.
Malignant cells do not reproduce more rapidly than normal cells. Benign
tumors do not usually recur.
DIF: Cognitive Level: Understand (comprehension) REF: 253
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological
Integrity
2. The nurse is caring for a patient receiving intravesical bladder
chemotherapy. The nurse should monitor for which adverse effect?
a. Nausea
b. Alopecia
c. Mucositis
,d. Hematuria - ANSWER ✔✔ANS: D
The adverse effects of intravesical chemotherapy are confined to the
bladder. The other adverse effects are associated with systemic
chemotherapy.
DIF: Cognitive Level: Apply (application) REF: 261
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
3. The nurse is caring for a patient who smokes 2 packs/day. To reduce
the patient's risk of lung cancer, which action by the nurse is best?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level.
c. Discuss the risks associated with cigarettes during every patient
encounter.
d. Teach the patient about the use of annual chest x-rays for lung cancer
screening. - ANSWER ✔✔ANS: C
Teaching about the risks associated with cigarette smoking is
recommended at every patient encounter because cigarette smoking is
associated with multiple health problems. A tumor must be at least 0.5
cm large before it is detectable by current screening methods and may
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, already have metastasized by that time. Oncofetal antigens such as
CEA may be used to monitor therapy or detect tumor reoccurrence, but
are not helpful in screening for cancer. The seven warning signs of
cancer are actually associated with fairly advanced disease.
DIF: Cognitive Level: Apply (application) REF: 255-256
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion
and Maintenance
4. The nurse should include which food choice when providing dietary
teaching for a patient scheduled to receive external beam radiation for
abdominal cancer?
a. Fresh fruit salad
b. Roasted chicken
c. Whole wheat toast
d. Cream of potato soup - ANSWER ✔✔ANS: B
To minimize the diarrhea that is commonly associated with bowel
radiation, the patient should avoid foods high in roughage, such as fruits
and whole grains. Lactose intolerance may develop secondary to
radiation, so dairy products should also be avoided.
DIF: Cognitive Level: Apply (application) REF: 268
Cancer 2026 Exam Questions
and Answers | Already Graded
A+
Chapter 16: Cancer
Chapter 16: Cancer
Test Bank
MULTIPLE CHOICE
1. A patient who is scheduled for a right breast biopsy asks the nurse the
difference between a benign tumor and a malignant tumor. Which
answer by the nurse is correct?
,a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." -
ANSWER ✔✔ANS: C
The major difference between benign and malignant tumors is that
malignant tumors invade adjacent tissues and spread to distant tissues
and benign tumors never metastasize. The other statements are
inaccurate. Both types of tumors may cause damage to adjacent tissues.
Malignant cells do not reproduce more rapidly than normal cells. Benign
tumors do not usually recur.
DIF: Cognitive Level: Understand (comprehension) REF: 253
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological
Integrity
2. The nurse is caring for a patient receiving intravesical bladder
chemotherapy. The nurse should monitor for which adverse effect?
a. Nausea
b. Alopecia
c. Mucositis
,d. Hematuria - ANSWER ✔✔ANS: D
The adverse effects of intravesical chemotherapy are confined to the
bladder. The other adverse effects are associated with systemic
chemotherapy.
DIF: Cognitive Level: Apply (application) REF: 261
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
3. The nurse is caring for a patient who smokes 2 packs/day. To reduce
the patient's risk of lung cancer, which action by the nurse is best?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level.
c. Discuss the risks associated with cigarettes during every patient
encounter.
d. Teach the patient about the use of annual chest x-rays for lung cancer
screening. - ANSWER ✔✔ANS: C
Teaching about the risks associated with cigarette smoking is
recommended at every patient encounter because cigarette smoking is
associated with multiple health problems. A tumor must be at least 0.5
cm large before it is detectable by current screening methods and may
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, already have metastasized by that time. Oncofetal antigens such as
CEA may be used to monitor therapy or detect tumor reoccurrence, but
are not helpful in screening for cancer. The seven warning signs of
cancer are actually associated with fairly advanced disease.
DIF: Cognitive Level: Apply (application) REF: 255-256
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion
and Maintenance
4. The nurse should include which food choice when providing dietary
teaching for a patient scheduled to receive external beam radiation for
abdominal cancer?
a. Fresh fruit salad
b. Roasted chicken
c. Whole wheat toast
d. Cream of potato soup - ANSWER ✔✔ANS: B
To minimize the diarrhea that is commonly associated with bowel
radiation, the patient should avoid foods high in roughage, such as fruits
and whole grains. Lactose intolerance may develop secondary to
radiation, so dairy products should also be avoided.
DIF: Cognitive Level: Apply (application) REF: 268
