NCLEX Review Questions on Cancer (51-55)

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NCLEX Review Questions on Cancer

51. The client suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which pre-procedure instruction to the client?

a) eat a light breakfast only
b) maintain an NPO before the procedure
c) wear comfortable clothing and shoes for the procedure
d) drink six to eight glasses of water without voiding before the test

52. A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder?

a) altered red blood cell production
b) altered production of lymph nodes
c) malignant exacerbation in the number of leukocytes
d) malignant proliferation of plasma cells within the bone



53. The oncology nurse specialist provides an educational session to nursing staff regarding the characteristics of Hodgkin's disease. The nurse determines that further teaching is needed if a nursing staff member states that which of the following is a characteristic of the disease?

a) presence of Reed-Sternberg cells
b) occurs most often in the older client
c) prognosis depending on the stage of the disease
d) involvement of lymph nodes, spleen, and liver

54.  The community health nurse conducts a health promotion program regarding testicular cancer to community members. The nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer?

a) alopecia
b) back pain
c) painless testicular swelling
d) heavy sensation in the scrotum

55. The client is receiving external radiation to the neck for cancer of the larynx. The most likely side effect to be expected is:

a) dyspnea
b) diarrhea
c) sore throat
d) constipation




NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE

51) D
- A pelvic ultrasound requires the ingestion of large volumes of water just before the procedure. A full bladder is necessary so that it will be visualized as such and not mistaken for a possible pelvic growth. An abdominal ultrasound may require that the client abstain from food or fluid for several hours before the procedure. Option 3 is unrelated to this specific procedure.

52) D
- Multiple myeloma is a B-cell neoplastic condition characterized by abnormal malignant proliferation of plasma cells and the accumulation of mature plasma cells in the bone marrow. Options A and B are not characteristics of multiple myeloma. Option C describes the leukemic process.

53) B
- Hodgkin’s disease is a disorder of young adults. Options A, C, and D are characteristics of this disease.

54) A
- Alopecia is not an assessment finding in testicular cancer. Alopecia may occur, however, as a result of radiation or chemotherapy. Options B, C, and D are assessment findings in testicular cancer. Back pain may indicate metastasis to the retroperitoneal lymph nodes.

55) C
- In general, only the area in the treatment field is affected by the radiation. Skin reactions, fatigue, nausea, and anorexia may occur with radiation to any site, whereas other side effects occur only when specific areas are involved in treatment. A client receiving radiation to the larynx is most likely to experience a sore throat. Options B and D may occur with radiation to the gastrointestinal tract. Dyspnea may occur with lung involvement.


Go to the next page ---> NCLEX Review Questions on Cancer 56-60 

Or go back to NCLEX Review Questions on Cancer 1-3 to start the practice test from the beginning.


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