NURSING CARE OF THE CANCER
1. A nurse is assessing a patient with glioblastoma. What assessment is most
important?
a) Abdominal palpation
b) Abdominal percussion
c) Lung auscultation
d) Neurologic examination
ANSWER= D Neurologic examination
Explanation: Glioblastoma is a brain tumor, so neurological changes (e.g.,
cognition, motor ability, cranial nerve function) are the most critical
findings.
2. A nurse has taught a patient about dietary changes that can reduce the
chances of developing cancer. What statement by the patient indicates the
nurse needs to provide additional teaching?
a) “Foods high in vitamin A and vitamin C are important.”
b) “I’ll have to cut down on the amount of bacon I eat.”
c) “I’m so glad I don’t have to give up my juicy steaks.”
d) “Vegetables, fruit, and high-fiber grains are important.”
ANSWER= C “I’m so glad I don’t have to give up my juicy steaks.”
Explanation: Red and processed meats (like steak) have been linked to
increased cancer risk. This response shows the patient needs more
teaching.
3. A patient is in the oncology clinic for a first visit since being diagnosed with
cancer. The nurse reads in the patient’s chart that the cancer classification is
TISN0M0. What does the nurse cYJonclude about this patient’s cancer?
a) The primary site of the cancer cannot be determined.
b) Regional lymph nodes could not be assessed.
c) There are multiple lymph nodes involved already.
d) There are no distant metastases noted in the report.
ANSWER=There are no distant metastases noted in the report.
Explanation: TIS = tumor in situ
, N0 = no regional lymph node involvement
M0 = no metastasis
4. A patient asks the nurse if eating only preservative- and dye-free foods will
decrease cancer risk. What response by the nurse is best?
a) “Maybe; preservatives, dyes, and preparation methods may be risk
factors.”
b) “No; research studies have never shown those things to cause
cancer.”
c) “There are other things you can do that will more effectively lower
your risk.”
d) “Yes; preservatives and dyes are well known to be carcinogens.”
ANSWER= A “Maybe; preservatives, dyes, and preparation methods may
be risk factors.”
Explanation: While the evidence is inconclusive, some preservatives and
food additives may be linked to cancer risks.
5. The nurse working with oncology patients understands that interacting
factors affect cancer development. Which factors does this include? (Select
all that apply.)
a) Exposure to carcinogens
b) Genetic predisposition
c) Immune function
d) Normal doubling time
e) State of euploidy
ANSWER=a), b), c)
Explanation:
a) Carcinogens can cause mutations
b) Genetics play a role
c) Immune function impacts cancer surveillance
d, e) Not directly involved in cancer development
1. A nurse is assessing a patient with glioblastoma. What assessment is most
important?
a) Abdominal palpation
b) Abdominal percussion
c) Lung auscultation
d) Neurologic examination
ANSWER= D Neurologic examination
Explanation: Glioblastoma is a brain tumor, so neurological changes (e.g.,
cognition, motor ability, cranial nerve function) are the most critical
findings.
2. A nurse has taught a patient about dietary changes that can reduce the
chances of developing cancer. What statement by the patient indicates the
nurse needs to provide additional teaching?
a) “Foods high in vitamin A and vitamin C are important.”
b) “I’ll have to cut down on the amount of bacon I eat.”
c) “I’m so glad I don’t have to give up my juicy steaks.”
d) “Vegetables, fruit, and high-fiber grains are important.”
ANSWER= C “I’m so glad I don’t have to give up my juicy steaks.”
Explanation: Red and processed meats (like steak) have been linked to
increased cancer risk. This response shows the patient needs more
teaching.
3. A patient is in the oncology clinic for a first visit since being diagnosed with
cancer. The nurse reads in the patient’s chart that the cancer classification is
TISN0M0. What does the nurse cYJonclude about this patient’s cancer?
a) The primary site of the cancer cannot be determined.
b) Regional lymph nodes could not be assessed.
c) There are multiple lymph nodes involved already.
d) There are no distant metastases noted in the report.
ANSWER=There are no distant metastases noted in the report.
Explanation: TIS = tumor in situ
, N0 = no regional lymph node involvement
M0 = no metastasis
4. A patient asks the nurse if eating only preservative- and dye-free foods will
decrease cancer risk. What response by the nurse is best?
a) “Maybe; preservatives, dyes, and preparation methods may be risk
factors.”
b) “No; research studies have never shown those things to cause
cancer.”
c) “There are other things you can do that will more effectively lower
your risk.”
d) “Yes; preservatives and dyes are well known to be carcinogens.”
ANSWER= A “Maybe; preservatives, dyes, and preparation methods may
be risk factors.”
Explanation: While the evidence is inconclusive, some preservatives and
food additives may be linked to cancer risks.
5. The nurse working with oncology patients understands that interacting
factors affect cancer development. Which factors does this include? (Select
all that apply.)
a) Exposure to carcinogens
b) Genetic predisposition
c) Immune function
d) Normal doubling time
e) State of euploidy
ANSWER=a), b), c)
Explanation:
a) Carcinogens can cause mutations
b) Genetics play a role
c) Immune function impacts cancer surveillance
d, e) Not directly involved in cancer development
