Brunner: Medical-Surgical Nursing, 11th Edition
Test Bank
Chapter 16: Oncology: Nursing Management in Cancer Care
Multiple Choice
1. The school health nurse is presenting a health promotion class to a group of high school
students. Which intervention addresses health promotion strategies related to the leading cause of
cancer deaths in North America?
A) Monthly breast self-exams
B) Smoking cessation
C) Annual colonoscopies
D) Monthly testicular exams
Ans: B
Chapter: 16
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 4
Patient Needs: B-2
Feedback: Lung cancer is the leading cause of death for men and women in North America, so
smoking cessation is the health promotion initiative directly related to lung cancer.
2. The patient arrives in clinic for a 2-month follow-up appointment following chemotherapy.
The nurse notes that the patient's skin appears yellow. What blood tests should be done to further
explore this clinical sign?
A) Liver function test
B) CBC
C) Platelet count
D) Electrolytes
Ans: A
Chapter: 16
Cognitive Level: Analysis
, Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7
Patient Needs: D-4
Feedback: Yellow skin is a sign of jaundice. The liver is a common organ affected by metastatic
disease. A liver function test should be done to determine if the liver is functioning.
3. A patient tells the nurse that he has heard that certain foods can increase the incidence of
cancer. The nurse informs the patient that certain foods appear to increase the risk of cancer.
Which of the following menu selections would be the best choice for reducing the risk of cancer?
A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli
D) Liver, onions, and steamed peas
Ans: C
Chapter: 16
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 3
Patient Needs: B-2
Feedback: High-fiber foods, cruciferous vegetables (such as broccoli, cauliflower, and spinach),
and carotenoids (such as apricots and peaches) appear to reduce cancer risk. Salt-cured foods,
such as ham and processed luncheon meats, should be avoided.
4. Which of the following would be an example of primary prevention?
A) Yearly Papanicolaou tests
B) Testicular self-examination
C) Teaching patients to wear sunscreen
D) Screening mammogram
Ans: C
Chapter: 16
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 4
Patient Needs: B-2
Feedback: Primary prevention is concerned with reducing the risks of cancer in healthy people
Test Bank
Chapter 16: Oncology: Nursing Management in Cancer Care
Multiple Choice
1. The school health nurse is presenting a health promotion class to a group of high school
students. Which intervention addresses health promotion strategies related to the leading cause of
cancer deaths in North America?
A) Monthly breast self-exams
B) Smoking cessation
C) Annual colonoscopies
D) Monthly testicular exams
Ans: B
Chapter: 16
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 4
Patient Needs: B-2
Feedback: Lung cancer is the leading cause of death for men and women in North America, so
smoking cessation is the health promotion initiative directly related to lung cancer.
2. The patient arrives in clinic for a 2-month follow-up appointment following chemotherapy.
The nurse notes that the patient's skin appears yellow. What blood tests should be done to further
explore this clinical sign?
A) Liver function test
B) CBC
C) Platelet count
D) Electrolytes
Ans: A
Chapter: 16
Cognitive Level: Analysis
, Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7
Patient Needs: D-4
Feedback: Yellow skin is a sign of jaundice. The liver is a common organ affected by metastatic
disease. A liver function test should be done to determine if the liver is functioning.
3. A patient tells the nurse that he has heard that certain foods can increase the incidence of
cancer. The nurse informs the patient that certain foods appear to increase the risk of cancer.
Which of the following menu selections would be the best choice for reducing the risk of cancer?
A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli
D) Liver, onions, and steamed peas
Ans: C
Chapter: 16
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 3
Patient Needs: B-2
Feedback: High-fiber foods, cruciferous vegetables (such as broccoli, cauliflower, and spinach),
and carotenoids (such as apricots and peaches) appear to reduce cancer risk. Salt-cured foods,
such as ham and processed luncheon meats, should be avoided.
4. Which of the following would be an example of primary prevention?
A) Yearly Papanicolaou tests
B) Testicular self-examination
C) Teaching patients to wear sunscreen
D) Screening mammogram
Ans: C
Chapter: 16
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 4
Patient Needs: B-2
Feedback: Primary prevention is concerned with reducing the risks of cancer in healthy people
