Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
The public health nurse is presenting a health-promotion class to a group at a local
community center. Which intervention most directly addresses the leading cause of
cancer deaths in North America?
A)Monthly self-breast exams
B)Smoking cessation
C)Annual colonoscopies
D)Monthly testicular exams
- Answer-B - Cancer is second only to cardiovascular disease as a leading cause of death
in the United States. Although the numbers of cancer deaths have decreased slightly,
more than 570,000 Americans were expected to die from a malignant process in 2011.
The leading causes of cancer death in the United States, in order of frequency, are lung,
prostate, and colorectal cancer in men and lung, breast, and colorectal cancer in women,
so smoking cessation is the health promotion initiative directly related to lung cancer.
A nurse who works in an oncology clinic is assessing a patient who has arrived for a 2-
month follow-up appointment following chemotherapy. The nurse notes that the patient’s
skin appears yellow. Which blood tests should be done to further explore this clinical
sign?
A)Liver function tests (LFTs)
B)Complete blood count (CBC)
C)Platelet count
D)Blood urea nitrogen and creatinine
- Answer-A - Yellow skin is a sign of jaundice and the liver is a common organ affected
by metastatic disease. An LFT should be done to determine if the liver is functioning. A
CBC, platelet count and tests of renal function would not directly assess for liver disease.
, Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
The school nurse is teaching a nutrition class in the local high school. One student states
that he has heard that certain foods can increase the incidence of cancer. The nurse
responds, Research has shown that certain foods indeed appear to increase the risk of
cancer. Which of the following menu selections would be the best choice for potentially
reducing the risks 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
- Answer-C - Fruits and vegetables appear to reduce cancer risk. Salt-cured foods, such
as ham and processed meats, as well as red meats, should be limited.
Traditionally, nurses have been involved with tertiary cancer prevention. However, an
increasing emphasis is being placed on both primary and secondary prevention. What
would be an example of primary prevention?
A)Yearly Pap tests
B)Testicular self-examination
C)Teaching patients to wear sunscreen
D)Screening mammograms
- Answer-C - Primary prevention is concerned with reducing the risks of cancer in
healthy people through practices such as use of sunscreen. Secondary prevention involves
detection and screening to achieve early diagnosis, as demonstrated by Pap tests,
mammograms, and testicular exams.
The nurse is caring for a 39-year-old woman with a family history of breast cancer. She
requested a breast tumor marking test and the results have come back positive. As a
, Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
result, the patient is requesting a bilateral mastectomy. This surgery is an example of
what type of oncologic surgery?
A)Salvage surgery
B)Palliative surgery
C)Prophylactic surgery
D) Reconstructive surgery
- Answer-C - Prophylactic surgery is used when there is an extensive family history and
nonvital tissues are removed. Salvage surgery is an additional treatment option that uses
an extensive surgical approach to treat the local recurrence of a cancer after the use of a
less extensive primary approach. Palliative surgery is performed in an attempt to relieve
complications of cancer, such as ulceration, obstruction, hemorrhage, pain, and malignant
effusion. Reconstructive surgery may follow curative or radical surgery in an attempt to
improve function or obtain a more desirable cosmetic effect.
The nurse is caring for a patient who is to begin receiving external radiation for a
malignant tumor of the neck. While providing patient education, what potential adverse
effects should the nurse discuss with the patient?
A)Impaired nutritional status
B)Cognitive changes
C)Diarrhea
D) Alopecia
- Answer-A - Alterations in oral mucosa, change and loss of taste, pain, and dysphasia
often occur as a result of radiotherapy to the head and neck. The patient is at an increased
risk of impaired nutritional status. Radiotherapy does not cause cognitive changes.
Diarrhea is not a likely concern for this patient. Radiation only results in alopecia when
targeted at the whole brain; radiation of other parts of the body does not lead to hair loss.
, Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
While a patient is receiving IV doxorubicin hydrochloride for the treatment of cancer, the
nurse observes swelling and pain at the IV site. The nurse should prioritize what action?
A)Stopping the administration of the drug immediately
B)Notifying the patient’s physician
C)Continuing the infusion but decreasing the rate
D)Applying a warm compress to the infusion site
- Answer-A - Doxorubicin hydrochloride is a chemotherapeutic vesicant that can cause
severe tissue damage. The nurse should stop the administration of the drug immediately
and then notify the patients physician. Ice can be applied to the site once the drug therapy
has stopped.
A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and
the nurse is providing anticipatory guidance about potential adverse effects. When
addressing the most common adverse effect, what should the nurse describe?
A)Pruritis (itching)
B)Nausea and vomiting
C)Altered glucose metabolism
D)Confusion
- Answer-B - Nausea and vomiting, the most common side effects of chemotherapy, may
persist for as long as 24 to 48 hours after its administration. Antiemetic drugs are
frequently prescribed for these patients. Confusion, alterations in glucose metabolism,
and pruritis are not common adverse effects.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
The public health nurse is presenting a health-promotion class to a group at a local
community center. Which intervention most directly addresses the leading cause of
cancer deaths in North America?
A)Monthly self-breast exams
B)Smoking cessation
C)Annual colonoscopies
D)Monthly testicular exams
- Answer-B - Cancer is second only to cardiovascular disease as a leading cause of death
in the United States. Although the numbers of cancer deaths have decreased slightly,
more than 570,000 Americans were expected to die from a malignant process in 2011.
The leading causes of cancer death in the United States, in order of frequency, are lung,
prostate, and colorectal cancer in men and lung, breast, and colorectal cancer in women,
so smoking cessation is the health promotion initiative directly related to lung cancer.
A nurse who works in an oncology clinic is assessing a patient who has arrived for a 2-
month follow-up appointment following chemotherapy. The nurse notes that the patient’s
skin appears yellow. Which blood tests should be done to further explore this clinical
sign?
A)Liver function tests (LFTs)
B)Complete blood count (CBC)
C)Platelet count
D)Blood urea nitrogen and creatinine
- Answer-A - Yellow skin is a sign of jaundice and the liver is a common organ affected
by metastatic disease. An LFT should be done to determine if the liver is functioning. A
CBC, platelet count and tests of renal function would not directly assess for liver disease.
, Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
The school nurse is teaching a nutrition class in the local high school. One student states
that he has heard that certain foods can increase the incidence of cancer. The nurse
responds, Research has shown that certain foods indeed appear to increase the risk of
cancer. Which of the following menu selections would be the best choice for potentially
reducing the risks 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
- Answer-C - Fruits and vegetables appear to reduce cancer risk. Salt-cured foods, such
as ham and processed meats, as well as red meats, should be limited.
Traditionally, nurses have been involved with tertiary cancer prevention. However, an
increasing emphasis is being placed on both primary and secondary prevention. What
would be an example of primary prevention?
A)Yearly Pap tests
B)Testicular self-examination
C)Teaching patients to wear sunscreen
D)Screening mammograms
- Answer-C - Primary prevention is concerned with reducing the risks of cancer in
healthy people through practices such as use of sunscreen. Secondary prevention involves
detection and screening to achieve early diagnosis, as demonstrated by Pap tests,
mammograms, and testicular exams.
The nurse is caring for a 39-year-old woman with a family history of breast cancer. She
requested a breast tumor marking test and the results have come back positive. As a
, Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
result, the patient is requesting a bilateral mastectomy. This surgery is an example of
what type of oncologic surgery?
A)Salvage surgery
B)Palliative surgery
C)Prophylactic surgery
D) Reconstructive surgery
- Answer-C - Prophylactic surgery is used when there is an extensive family history and
nonvital tissues are removed. Salvage surgery is an additional treatment option that uses
an extensive surgical approach to treat the local recurrence of a cancer after the use of a
less extensive primary approach. Palliative surgery is performed in an attempt to relieve
complications of cancer, such as ulceration, obstruction, hemorrhage, pain, and malignant
effusion. Reconstructive surgery may follow curative or radical surgery in an attempt to
improve function or obtain a more desirable cosmetic effect.
The nurse is caring for a patient who is to begin receiving external radiation for a
malignant tumor of the neck. While providing patient education, what potential adverse
effects should the nurse discuss with the patient?
A)Impaired nutritional status
B)Cognitive changes
C)Diarrhea
D) Alopecia
- Answer-A - Alterations in oral mucosa, change and loss of taste, pain, and dysphasia
often occur as a result of radiotherapy to the head and neck. The patient is at an increased
risk of impaired nutritional status. Radiotherapy does not cause cognitive changes.
Diarrhea is not a likely concern for this patient. Radiation only results in alopecia when
targeted at the whole brain; radiation of other parts of the body does not lead to hair loss.
, Oncology Test Bank.
Latest Verified Review 2024 Practice Questions and Answers
for Exam Preparation, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
While a patient is receiving IV doxorubicin hydrochloride for the treatment of cancer, the
nurse observes swelling and pain at the IV site. The nurse should prioritize what action?
A)Stopping the administration of the drug immediately
B)Notifying the patient’s physician
C)Continuing the infusion but decreasing the rate
D)Applying a warm compress to the infusion site
- Answer-A - Doxorubicin hydrochloride is a chemotherapeutic vesicant that can cause
severe tissue damage. The nurse should stop the administration of the drug immediately
and then notify the patients physician. Ice can be applied to the site once the drug therapy
has stopped.
A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and
the nurse is providing anticipatory guidance about potential adverse effects. When
addressing the most common adverse effect, what should the nurse describe?
A)Pruritis (itching)
B)Nausea and vomiting
C)Altered glucose metabolism
D)Confusion
- Answer-B - Nausea and vomiting, the most common side effects of chemotherapy, may
persist for as long as 24 to 48 hours after its administration. Antiemetic drugs are
frequently prescribed for these patients. Confusion, alterations in glucose metabolism,
and pruritis are not common adverse effects.
