NCLEX Review Questions on Cancer
21. Which of the following nursing actions is most appropriate when caring for a client with radium implant?
a) wear gloves when entering the client's room
b) wear masks and gloves when performing procedures to the client
c) avoid staying with the client for more than 30 minutes in a shift
d) place client's soiled gowns and linens in a plastic bag
22. A woman had been diagnosed to have breast cancer. Which of the following factors is most significant to her prognosis?
a) she had her menarche at age 12 years
b) her sister died of breast cancer 5 years ago
c) she delivered her first born at age 25 years
d) she had her menopause at age 50 years
23. Which of the following are characteristics of a client most susceptible to develop malignant melanoma?
a) dark skin, black hair
b) coarse skin, black hair
c) fair skin, blond hair
d) oily skin, brown hair
24. Which of the following statements when made by the client with implant radiation therapy needs intervention by the nurse?
a) I will have to go to the toilet to void
b) my visitors are allowed to visit me for 30 minutes only in a day
c) the nurse needs to wear a badge when caring for me
d) I need to remain in bed during the entire duration of the treatment
25. Which of the following statements when made by the client with leukemia indicates that the client understands the health teachings given by the nurse? Select all that apply
a) I am allowed to eat raw foods
b) I have to avoid raw fruits and vegetables
c) fresh flowers should not be allowed in my room
d) if I developed joint pains, I should apply cold compress to the area
e) if I developed high fever, I should take aspirin
f) I am allowed to watch baseball games
g) I should use soft-bristled toothbrush
NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE
21) C
- the nurse must limit her exposure to the client having internal radiation therapy to prevent contamination. The nurse must observe DTS (distance, time, and shielding). Time: 5 minutes/exposure; maximum of 30 minutes in an 8-hour shift.
22) B
- positive family history plays vital role in the predisposition to cancer.
23) C
- clients with fair skin, blond hair are prone to skin cancer. This is because they have lesser melanin in their skin, which serves as protection of the skin.
24) A
- the client receiving internal radiation therapy should be on complete bed rest to prevent dislodgement of the implant. The client has 2-way foley catheter during the treatment.
Choices B, C, and D indicate correct understanding of the patient on internal radiation therapy, and do not need intervention by the nurse.
25) B, C, D, G
- indicates that the client with leukemia understands health teachings. A client with leukemia has low resistance to infection and bleeding tendencies.
Go to the next page ---> NCLEX Review Questions on Cancer (26-30)
Or go back toNCLEX Review Questions on Cancer (1-3) to start the practice test from the beginning.
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NCLEX Review Questions on Cancer (21-25)
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