MDC 2 Exam 1 NCLEX Style Practice Questions
1. A client is receiving chemotherapy to treat breast cancer. Which
assessment finding indicates a chemotherapy-induced complication?
Urine output of 400 ml in 8 hours
Serum potassium level of 2.6 mEq/L
Blood pressure of 120/64 to 130/72 mm HgSodium level of 142 mEq/L,:
Serum potassium level of 2.6 mEq/L
2. A client receiving external radiation to the left thorax to treat lung
cancer has a nursing diagnosis of Risk for impaired skin integrity. Which
intervention should be part of this client's care plan?
Avoiding using soap on the irradiated areas Applying talcum powder to the
irradiated areas daily after bathing
Wearing a lead apron during direct contact with the client
Removing thoracic skin markings after each radiation treatment,: Avoiding
using soap on the irradiated areas
3. A nurse is caring for a client who is receiving chemotherapy and has a
platelet count of 30,000/mm3. Which statement by the client indicates a need
for additional teaching?
"I floss my teeth every morning."
"I use an electric razor to shave."
"I take a stool softener every morning."
"I removed all the throw rugs from the house.",: "I floss my teeth every morning."
4. A nurse is caring for a client receiving chemotherapy. Which assessment
finding places the client at the greatest risk for an infection?
White blood cell (WBC) count of 9,000 cells/mm3
Stage 3 pressure ulcer on the left heel
Temperature of 98.3° F (36.8° C)
Ate 75% of all meals during the day,: Stage 3 pressure ulcer on the left heel 5.
A client received chemotherapy 24 hours ago. Which precautions are
necessary when caring for the client?
Wear sterile gloves.
, MDC 2 Exam 1 NCLEX Style Practice Questions
Place incontinence pads in the regular trash container.
Wear personal protective equipment when handling blood, body fluids, and
feces.
Provide a urinal or bedpan to decrease the likelihood of soiling linens.,:
Wear personal protective equipment when handling blood, body fluids, and feces.
6. Palliation refers to
The spread of cancer cells from the primary tumor to distant sites.
Hair loss related to the treatment of cancer.
Relief of symptoms associated with disease and promotion of comfort and
quality of life.
The lowest point of white blood cell depression after therapy that has toxic
effects on bone marrow.,: Relief of symptoms associated with disease and
promotion of comfort and quality of life.
7. Which is a sign or symptom of septic shock?
Hypertension
Warm, moist skin
Altered mental status
Increased urine output,: Altered mental status
8. A client is receiving radiation therapy and asks the nurse about oral
hygiene. What teaching specific to the client's situation should the nurse
include?
Gargle after each meal.
Floss before going to bed.
Treat cavities immediately.
Use a soft toothbrush and allow it to air dry before storing.,: Use a soft
toothbrush and allow it to air dry before storing.
9. The nurse is providing client teaching for a client undergoing
chemotherapy.
What dietary modifications should the nurse advise?
Eat wholesome meals.
, MDC 2 Exam 1 NCLEX Style Practice Questions
Avoid spicy and fatty foods.
Avoid intake of fluids.
Eat warm or hot foods.,: Avoid spicy and fatty foods.
10. An oncology nurse is caring for a client who relates that certain tastes
have changed. The client states that "meat tastes bad." What nursing
intervention can be used to increase protein intake for a client with taste
changes?
Stay away from protein beverages. Encourage maximum fluid intake.
Encourage eating cheese, eggs, and legumesSuck on hard candy during
treatment.,: Encourage eating cheese, eggs, and legumes
11. You are a clinic nurse. One of your clients has found she is at high risk
for breast cancer. She asks you what can be done to reduce her risk. What
is a means of reducing the risk for breast cancer?
Palliative surgery
Prophylactic surgery
Curative surgery
Reduction surgery,: Prophylactic surgery
12. Which oncologic emergency involves the accumulation of fluid in the
pericardial space?
Cardiac tamponade
Disseminated intravascular coagulation (DIC)
Syndrome of inappropriate antidiuretic hormone release (SIADH)
Tumor lysis syndrome,: Cardiac tamponade
13. What should the nurse tell a client who is about to begin chemotherapy
and is anxious about hair loss?
The client should consider getting a wig or cap prior to beginning treatment.
Alopecia related to chemotherapy is relatively uncommon.
The hair will grow back within 2 months post therapy.: The client should
consider getting a wig or cap prior to beginning treatment.
, MDC 2 Exam 1 NCLEX Style Practice Questions
14. The nurse working on a bone marrow unit knows that it is a priority to
monitor which of the following in a client who has just undergone a stem
cell transplant?
Monitor the client's toilet patterns.
Monitor the client closely to prevent infection.
Monitor the client's physical condition.Monitor the client's heart rate.,:
Monitor the client closely to prevent infection.
15. The client is diagnosed with a benign brain tumor. Which of the
following features of a benign tumor is of most concern to the nurse?
Random, rapid growth of the tumor
Cells colonizing to distant body parts
Tumor pressure against normal tissues
Emission of abnormal proteins,: Tumor pressure against normal tissues
16. A client with metastatic pancreatic cancer underwent surgery to remove
a malignant tumor in the pancreas. Despite the tumor being removed, the
physician informs the client that chemotherapy must be started. Why
might the physician opt for chemotherapy?
To prevent metastasis
Angiogenesis
Stomatitis
Fatigue,: To prevent metastasis
17. The nurse at the clinic explains to the patient that the surgeon will be
removing a mole on the patient's back that has the potential to develop
into cancer. The nurse informs the patient that this is what type of
procedure?
Diagnostic
Palliative
Prophylactic
Reconstructive,: Prophylactic
18. A nurse is caring for a client after a bone marrow transplant. What is
the nurse's priority in caring for the client?
1. A client is receiving chemotherapy to treat breast cancer. Which
assessment finding indicates a chemotherapy-induced complication?
Urine output of 400 ml in 8 hours
Serum potassium level of 2.6 mEq/L
Blood pressure of 120/64 to 130/72 mm HgSodium level of 142 mEq/L,:
Serum potassium level of 2.6 mEq/L
2. A client receiving external radiation to the left thorax to treat lung
cancer has a nursing diagnosis of Risk for impaired skin integrity. Which
intervention should be part of this client's care plan?
Avoiding using soap on the irradiated areas Applying talcum powder to the
irradiated areas daily after bathing
Wearing a lead apron during direct contact with the client
Removing thoracic skin markings after each radiation treatment,: Avoiding
using soap on the irradiated areas
3. A nurse is caring for a client who is receiving chemotherapy and has a
platelet count of 30,000/mm3. Which statement by the client indicates a need
for additional teaching?
"I floss my teeth every morning."
"I use an electric razor to shave."
"I take a stool softener every morning."
"I removed all the throw rugs from the house.",: "I floss my teeth every morning."
4. A nurse is caring for a client receiving chemotherapy. Which assessment
finding places the client at the greatest risk for an infection?
White blood cell (WBC) count of 9,000 cells/mm3
Stage 3 pressure ulcer on the left heel
Temperature of 98.3° F (36.8° C)
Ate 75% of all meals during the day,: Stage 3 pressure ulcer on the left heel 5.
A client received chemotherapy 24 hours ago. Which precautions are
necessary when caring for the client?
Wear sterile gloves.
, MDC 2 Exam 1 NCLEX Style Practice Questions
Place incontinence pads in the regular trash container.
Wear personal protective equipment when handling blood, body fluids, and
feces.
Provide a urinal or bedpan to decrease the likelihood of soiling linens.,:
Wear personal protective equipment when handling blood, body fluids, and feces.
6. Palliation refers to
The spread of cancer cells from the primary tumor to distant sites.
Hair loss related to the treatment of cancer.
Relief of symptoms associated with disease and promotion of comfort and
quality of life.
The lowest point of white blood cell depression after therapy that has toxic
effects on bone marrow.,: Relief of symptoms associated with disease and
promotion of comfort and quality of life.
7. Which is a sign or symptom of septic shock?
Hypertension
Warm, moist skin
Altered mental status
Increased urine output,: Altered mental status
8. A client is receiving radiation therapy and asks the nurse about oral
hygiene. What teaching specific to the client's situation should the nurse
include?
Gargle after each meal.
Floss before going to bed.
Treat cavities immediately.
Use a soft toothbrush and allow it to air dry before storing.,: Use a soft
toothbrush and allow it to air dry before storing.
9. The nurse is providing client teaching for a client undergoing
chemotherapy.
What dietary modifications should the nurse advise?
Eat wholesome meals.
, MDC 2 Exam 1 NCLEX Style Practice Questions
Avoid spicy and fatty foods.
Avoid intake of fluids.
Eat warm or hot foods.,: Avoid spicy and fatty foods.
10. An oncology nurse is caring for a client who relates that certain tastes
have changed. The client states that "meat tastes bad." What nursing
intervention can be used to increase protein intake for a client with taste
changes?
Stay away from protein beverages. Encourage maximum fluid intake.
Encourage eating cheese, eggs, and legumesSuck on hard candy during
treatment.,: Encourage eating cheese, eggs, and legumes
11. You are a clinic nurse. One of your clients has found she is at high risk
for breast cancer. She asks you what can be done to reduce her risk. What
is a means of reducing the risk for breast cancer?
Palliative surgery
Prophylactic surgery
Curative surgery
Reduction surgery,: Prophylactic surgery
12. Which oncologic emergency involves the accumulation of fluid in the
pericardial space?
Cardiac tamponade
Disseminated intravascular coagulation (DIC)
Syndrome of inappropriate antidiuretic hormone release (SIADH)
Tumor lysis syndrome,: Cardiac tamponade
13. What should the nurse tell a client who is about to begin chemotherapy
and is anxious about hair loss?
The client should consider getting a wig or cap prior to beginning treatment.
Alopecia related to chemotherapy is relatively uncommon.
The hair will grow back within 2 months post therapy.: The client should
consider getting a wig or cap prior to beginning treatment.
, MDC 2 Exam 1 NCLEX Style Practice Questions
14. The nurse working on a bone marrow unit knows that it is a priority to
monitor which of the following in a client who has just undergone a stem
cell transplant?
Monitor the client's toilet patterns.
Monitor the client closely to prevent infection.
Monitor the client's physical condition.Monitor the client's heart rate.,:
Monitor the client closely to prevent infection.
15. The client is diagnosed with a benign brain tumor. Which of the
following features of a benign tumor is of most concern to the nurse?
Random, rapid growth of the tumor
Cells colonizing to distant body parts
Tumor pressure against normal tissues
Emission of abnormal proteins,: Tumor pressure against normal tissues
16. A client with metastatic pancreatic cancer underwent surgery to remove
a malignant tumor in the pancreas. Despite the tumor being removed, the
physician informs the client that chemotherapy must be started. Why
might the physician opt for chemotherapy?
To prevent metastasis
Angiogenesis
Stomatitis
Fatigue,: To prevent metastasis
17. The nurse at the clinic explains to the patient that the surgeon will be
removing a mole on the patient's back that has the potential to develop
into cancer. The nurse informs the patient that this is what type of
procedure?
Diagnostic
Palliative
Prophylactic
Reconstructive,: Prophylactic
18. A nurse is caring for a client after a bone marrow transplant. What is
the nurse's priority in caring for the client?
