NEWLY MODIFIED 2025/2026 LATEST
What is an important nursing intervention for a patient with a mastectomy --
ANSWER--No BP or injections on the side with mastectomy, and elevate arm
to help with flow of lymph due to the risk of lymphedema
Characteristics of benign tumors? -- ANSWER--slow steady growth, remains
localized, contained within a capsule, crowds normal tissue, rarely fatal, rarely
reoccurs after removal, movable when palpated
A patient is receiving chemo, which lab result would mean the patient should be
put on neutropenic precautions? -- ANSWER--WBC
The nurse is teaching a nursing student about the stages of cancer development.
Which statement by the student indicates a need for further teaching?
1.The promotion stage includes strategies for preventing cancer.
2.Progression indicates that abnormal cells are being produced at the same rate
as normal cells without stopping.
3.The event that begins the initiation stage is when the DNA in a cell is
damaged or altered -- ANSWER--Progression indicates that abnormal cells are
being produced at the same rate as normal cells without stopping.
A patient is being treated with chemotherapy for breast cancer. The patient's
meal tray was just delivered. What foods would the nurse remove from the tray?
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,1.Roast beef with gravy
2.Salad with ranch dressing
3.Steamed vegetables
4.Chocolate cake -- ANSWER--Salad with ranch dressing
A patient is being treated with chemotherapy for breast cancer. What lab test
would the nurse evaluate to determine if there is concern for spontaneous
bleeding?
1.White blood cell count
2.Hemoglobin
3.Basophil count
4.Platelet count -- ANSWER--Platelet count
Which genetic marker indicates that a patient may be at an increased risk of
breast and/or ovarian cancer? -- ANSWER--BRCA1/BRCA2
Anatomical site classifications of cancer -- ANSWER--Carcinoma-skin, glands,
mucous membranes.
Sarcoma-muscle, connective tissue, bone, and fat.
Lymphoma/leukemia-Originate in blood.
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,Cancer Staging -- ANSWER--Stage 0-Cancer in situ-localized cells with no
threat of metastasis.
Stage 1-Limited local growth-limited to tissue of origin.
Stage 2-Limited local spread.
Stage 3-Extensive local and regional spread.
Stage 4-Metastasis.
TNM classification -- ANSWER--T-Tumor size and invasiveness.
N-Spread to lymph nodes.
M-Metastasis.
CAUTION -- ANSWER--C-changes in bowel/bladder habits.
A-A sore that doesn't heal.
U-Unusual bleeding or discharge.
T-Thickening or a lump in breast or elsewhere.
I-Indigestion or difficulty swallowing.
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, O-Obvious changes in wart or mole.
N-Nagging cough or hoarseness.
Thrombocytopenia -- ANSWER--Platelet count <50,000.
DELAYED TOXICITY caused by chemotherapy, may cause bleeding and
hemorrhage. Pt should avoid straining, platelet transfusion may be needed.
Caused by radiation to head and neck and chemo -- ANSWER--Mucousitis,
Stomatitis, Esophagitis
Delayed effects of chemotherapy -- ANSWER--Occur 2 hours to months after
treatment. Include: alopecia, mucousitis, neurotoxicity, thrombocytopenia, bone
marrow suppression, neutropenia, anemia, fatigue that interferes with normal
daily living, nausea, vomiting diarrhea.
Acute toxicity -- ANSWER--Occurs during or immediately after chemo
administration. Usually anaphylactic or hypersensitivity reaction. Nausea,
vomiting, and heart dysrhythmias are anticipated.
Cell cycle phase specific chemo -- ANSWER--Attacks cells in proliferation
stage to reduce spread of cancer.
Cell cycle phase non-specific -- ANSWER--Will attack any area of cell
proliferation, in any cell cycle.
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