Cancer NCLEX Questions (66-70)

Welcome to Cancer NCLEX Questions. Enjoy answering and I hope that NCLEX Review and Secrets can somehow help you in your future examination.
Good Luck.

66.When assessing the laboratory results of the client with bladder cancer and bone metastasis, the nurse notes a calcium level of 12 mg/dl. The nurse recognizes that this is consistent with which oncological emergency?

a) hyperkalemia
b) hypercalemia
c) spinal cord compression
d) superior vena cava syndrome

67. The client reports to the nurse that when performing testicular self-examination, he found a lump the size and shape of a pea. The appropriate response to the client is which of the following?

a) lumps like that are normal, don't worry
b) let me know if it gets bigger next month
c) that could be cancer. I'll ask the doctor to examine you
d) that's important to report even though it might not be serious



68. The hospice nurse visits a client dying of ovarian cancer. During the visit, the client expresses that "If I can just live long enough to attend my daughter's graduation, I'll be ready to die." Which phase of coping is this client experiencing?

a) anger
b) denial
c) bargaining
d) depression

69. The nurse is caring for a client following mastectomy. Which assessment finding indicates that the client is experiencing a complication related to the surgery?

a) pain at the incisional site
b) arm edema on the operative side
c) sanguineous drainage in the Jackson-Pratt drain
d) complaints of decreased sensation near the operative side

70. The nurse is admitting a client with laryngeal cancer to the nursing unit. The nurse assesses for which most common risk factor for this type of cancer?

a) alcohol abuse
b) cigarette smoking
c) use of chewing tobacco
d) exposure to air pollutants





Cancer NCLEX QuestionsAnswers and Rationale

66) B

- Hypercalcemia is a serum calcium level higher than 10 mg/dL, most often occurs in clients who have bone metastasis, and is a late manifestation of extensive malignancy. The presence of cancer in the bone causes the bone to release calcium into the bloodstream.

67) D

- Testicular cancer almost always occurs in only one testicle and is usually a pea-sized painless lump. The cancer is highly curable when found early. The finding should be reported to the physician.

68) C

- Denial, bargaining, anger, depression, and acceptance are recognized stages that a person facing a life-threatening illness experiences. Bargaining identifies a behavior in which the individual is willing to do anything to avoid loss or change prognosis or fate. Denial is expressed as shock and disbelief and may be the first response to hearing bad news. Depression may be manifested by hopelessness, weeping openly, or remaining quiet or withdrawn. Anger also may be a first response to upsetting news and the predominant theme is “why me?” or the blaming of others.

69) B

- Arm edema on the operative side (lymphedema) is a complication following mastectomy and can occur immediately postoperatively or may occur months or even years after surgery. Options A, C and D are expected occurrences following mastectomy and do not indicate a complication.

70) B

- The most common risk factor associated with laryngeal cancer is cigarette smoking. Heavy alcohol use and the combined use of tobacco increase the risk. Another risk factor is exposure to environmental pollutants.




Go to the next page ---> Cancer NCLEX Questions (71-75)  

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