NCLEX Review Questions on Cancer (31-35)

NCLEX Review Questions on Cancer

31. Which of these findings in the breast of a patient who is suspected of having breast cancer would support the diagnosis?

a) complaints of dull, achy, pain
b) palpation of a mobile mass
c) presence of an inverted nipple
d) area of discoloration skin

32. A nurse is caring for a client with an internal radiation implant. Which of the following instructions is appropriate?

a) allow the client to go to the bathroom
b) avoid creams and lotions
c) visitors are allowed to stay in the room
d) the client should remain in bed during the entire duration of treatment

33. How often should a female who is above 40 years old, go for cancer detection examination?

a) daily
b) weekly
c) monthly
d) yearly


34. The client is receiving internal radiation therapy. The nurse should

a) remember to give the badge to the next-shift nurse
b) maintain a 30-minute close contact with the patient in a shift
c) wear gloves, mask and gown when entering the client's room
d) instruct relatives no to visit the client during the entire duration of the treatment

35. A nurse is assessing a client with metastatic breast cancer who reports nocturia, weakness, nausea and vomiting. The client's serum electrolytes include potassium 4.2 mEq/L, sodium 135 mEq/L, calcium 7.0 mEq/L, and magnesium 2.0 mEq/L. Based on the assessment findings, the priority action for the nurse is to:

a) start client on fluid restriction
b) administer calcium gluconate
c) increase the client's IV fluids
d) administer Allopurinol




NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE

31) C

- inversion of nipple is one of the manifestations of breast cancer. A cancerous lesion is non-mobile.

32) D

- the client with internal radiation implant should be on bed rest. This is to prevent dislodgment of the implant.

33) D

- cancer screening for females who are above 40 years of age should be yearly.

34) A

- dosimeter badge is used to measure amount of exposure to radiation. It should be endorsed to the next shift.

35) C

- nocturia, nausea and vomiting cause dehydration. Therefore, the correct nursing action is to increase the client's IV fluids.




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