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Comprehensive Exam Bank on Oncology Nursing and
Cancer Care: Treatment Navigation, Symptom
Management, and Emotional Support
Table of Contents
Topic 1: Principles and Foundations of Oncology Nursing ................................................ 2
Topic 2: Chemotherapy and Targeted Cancer Therapies ................................................. 10
Topic 3: Radiation Therapy and Oncologic Emergencies ................................................. 19
Topic 4: Symptom Management in Cancer Patients ....................................................... 28
Topic 5: Psychosocial and Emotional Support in Oncology ............................................. 36
Topic 6: Cancer Prevention, Screening, and Early Detection ........................................... 45
Topic 7: Chemotherapy Administration and Safety Protocols .......................................... 54
Topic 8: Oncologic Pharmacology and Targeted Therapies.............................................. 62
Topic 9: Patient-Centered Education and Psychosocial Support ..................................... 71
Topic 10: Survivorship, End-of-Life Care, and Palliative Support ...................................... 79
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Topic 1: Principles and Foundations of Oncology Nursing
Questions 1–20
Question 1:
What is the primary role of an oncology nurse navigator in the care of a newly diagnosed
cancer patient?
A. Administer chemotherapy
B. Coordinate care and guide the patient through the cancer treatment process
C. Monitor blood counts during treatment
D. Provide hospice care
Correct Answer: B
Rationale: Oncology nurse navigators are key in helping patients understand their
diagnosis, explore treatment options, schedule appointments, and access resources
throughout the cancer journey. Their coordination and support improve outcomes and
reduce delays in care.
Question 2:
Which phase of cancer care focuses on screening and early detection?
A. Primary prevention
B. Diagnosis
C. Treatment
D. Palliative care
Correct Answer: A
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Rationale: Primary prevention includes health promotion and screening activities aimed at
reducing the risk of cancer development and detecting disease early when it's most
treatable.
Question 3:
Which of the following best describes the concept of survivorship in oncology nursing?
A. The period during hospice care
B. The time following remission only
C. The physical, psychological, and social experience of living with, through, and beyond
cancer
D. Only the end-of-life stage
Correct Answer: C
Rationale: Survivorship starts at diagnosis and includes the entire experience of living with
cancer, not just after treatment ends. Nurses play a critical role in addressing long-term
and late effects.
Question 4:
A nurse is educating a patient about the TNM staging system. What does the "N" represent?
A. Nuclear activity of the tumor
B. Lymph node involvement
C. Nutritional impact of cancer
D. Number of treatment cycles
Correct Answer: B
Rationale: In the TNM system, "N" refers to the extent of spread to regional lymph nodes,
which is a key component in determining cancer stage.
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Question 5:
What ethical principle is primarily upheld when obtaining informed consent from a cancer
patient before chemotherapy?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Beneficence
Correct Answer: B
Rationale: Autonomy respects a patient’s right to make informed decisions about their
care. Informed consent ensures they understand risks and benefits before agreeing to
treatment.
Question 6:
Which lab result is most critical to assess before administering chemotherapy?
A. Absolute neutrophil count (ANC)
B. Hemoglobin A1C
C. Creatinine clearance
D. Albumin level
Correct Answer: A
Rationale: An adequate ANC is essential before chemotherapy to reduce infection risk.
Severe neutropenia increases vulnerability to life-threatening infections.
Question 7:
Which organization provides clinical practice guidelines specifically for oncology nurses?
A. CDC
Comprehensive Exam Bank on Oncology Nursing and
Cancer Care: Treatment Navigation, Symptom
Management, and Emotional Support
Table of Contents
Topic 1: Principles and Foundations of Oncology Nursing ................................................ 2
Topic 2: Chemotherapy and Targeted Cancer Therapies ................................................. 10
Topic 3: Radiation Therapy and Oncologic Emergencies ................................................. 19
Topic 4: Symptom Management in Cancer Patients ....................................................... 28
Topic 5: Psychosocial and Emotional Support in Oncology ............................................. 36
Topic 6: Cancer Prevention, Screening, and Early Detection ........................................... 45
Topic 7: Chemotherapy Administration and Safety Protocols .......................................... 54
Topic 8: Oncologic Pharmacology and Targeted Therapies.............................................. 62
Topic 9: Patient-Centered Education and Psychosocial Support ..................................... 71
Topic 10: Survivorship, End-of-Life Care, and Palliative Support ...................................... 79
, 2
Topic 1: Principles and Foundations of Oncology Nursing
Questions 1–20
Question 1:
What is the primary role of an oncology nurse navigator in the care of a newly diagnosed
cancer patient?
A. Administer chemotherapy
B. Coordinate care and guide the patient through the cancer treatment process
C. Monitor blood counts during treatment
D. Provide hospice care
Correct Answer: B
Rationale: Oncology nurse navigators are key in helping patients understand their
diagnosis, explore treatment options, schedule appointments, and access resources
throughout the cancer journey. Their coordination and support improve outcomes and
reduce delays in care.
Question 2:
Which phase of cancer care focuses on screening and early detection?
A. Primary prevention
B. Diagnosis
C. Treatment
D. Palliative care
Correct Answer: A
, 3
Rationale: Primary prevention includes health promotion and screening activities aimed at
reducing the risk of cancer development and detecting disease early when it's most
treatable.
Question 3:
Which of the following best describes the concept of survivorship in oncology nursing?
A. The period during hospice care
B. The time following remission only
C. The physical, psychological, and social experience of living with, through, and beyond
cancer
D. Only the end-of-life stage
Correct Answer: C
Rationale: Survivorship starts at diagnosis and includes the entire experience of living with
cancer, not just after treatment ends. Nurses play a critical role in addressing long-term
and late effects.
Question 4:
A nurse is educating a patient about the TNM staging system. What does the "N" represent?
A. Nuclear activity of the tumor
B. Lymph node involvement
C. Nutritional impact of cancer
D. Number of treatment cycles
Correct Answer: B
Rationale: In the TNM system, "N" refers to the extent of spread to regional lymph nodes,
which is a key component in determining cancer stage.
, 4
Question 5:
What ethical principle is primarily upheld when obtaining informed consent from a cancer
patient before chemotherapy?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Beneficence
Correct Answer: B
Rationale: Autonomy respects a patient’s right to make informed decisions about their
care. Informed consent ensures they understand risks and benefits before agreeing to
treatment.
Question 6:
Which lab result is most critical to assess before administering chemotherapy?
A. Absolute neutrophil count (ANC)
B. Hemoglobin A1C
C. Creatinine clearance
D. Albumin level
Correct Answer: A
Rationale: An adequate ANC is essential before chemotherapy to reduce infection risk.
Severe neutropenia increases vulnerability to life-threatening infections.
Question 7:
Which organization provides clinical practice guidelines specifically for oncology nurses?
A. CDC
