NCLEX Review Questions on Cancer
26. A 40-year old woman is admitted to the hospital for a radiation implant therapy to treat recently diagnosed cervical cancer. The most important consideration when planning care is her
a) level of anxiety
b) loss of income due to inability to work
c) support system
d) energy level to perform ADL's
27. When the nurse is discussing risk factors for cervical cancer, which of these women would be at greatest risk?
a) a 25-year old woman with family history of cancer and using birth control pills
b) a 50-year old woman who has several exposures to radiation and has chronic anemia
c) a 19-year old woman who initiated sexual intercourse early with multiple partners
d) a 60-year old woman who had smoked cigarettes for 5 years and used diaphragm for birth control
28. Which of the following nursing diagnoses would rank as the most important in the planning of care for a client in two weeks after the chemotherapy has begun?
a) potential for infection
b) activity intolerance
c) impaired skin integrity
d) self-esteem disturbance
29. During the administration of a chemotherapeutic drug, the nurse observes that there is a lack of blood return from the intravenous catheter. The priority action by the nurse would be to
a) stop the administration of the drug immediately
b) reposition the client's arm and continue with the administration of the drug
c) apply a tourniquet to the patient's affected arm and notify the doctor
d) continue to administer the drug and assess for edema at the IV site
30. A patient who is receiving chemotherapy develops stomatitis. Which of the following actions would be priority for the nurse to incorporate into the plan of care?
a) rinse the patient's mouth with full strength hydrogen peroxide every 4 hours
b) use a soft toothbrush after each meal
c) provide hot tea with honey to soothe the patient's painful oral mucosa
d) use dental floss only
NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE
26) A
- anxiety is the usual response to a change in life situation like undergoing treatment for cancer.
27) C
- early sexual intercourse and having multiple sexual partners pose highest risk to cervical cancer.
28) A
- chemotherapy causes immunosuppression. Therefore, the patient is at risk to develop infection.
29) A
- chemotherapeutic agents are irritating to tissues. Lack of blood return from the IV catheter indicates that it is out of vein. Therefore, administration of the drug should be stopped immediately.
30) B
- use soft toothbrush in a client with stomatitis to prevent further trauma and pain to the oral mucosa. Half-strength hydrogen peroxide is recommended to relieve stomatitis not full strength. Hot beverages will further cause irritation. Honey may support proliferation of microorganisms in the oral mucosa. Flossing may also cause trauma to the mouth and gums of the patient with stomatitis.
Go to the next page ---> NCLEX Review Questions on Cancer (31-35)
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 (26-30)
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