NCLEX Review Questions on Cancer 81-85

NCLEX Review Questions on Cancer

81. The nurse is caring for a client following a radical neck dissection and creation of a tracheostomy performed for laryngeal cancer and is providing discharge instructions to the client. Which statement by the client indicates a need for further instructions?

a) I will protect the stoma from water
b) I need to keep powders and sprays away from the stoma
c) I need to use an air conditioner to provide cool air to assist in breathing
d) I need to apply a thin layer of petrolatum to the skin around the stoma to prevent cracking

82. What is the purpose of cytoreductive ("debulking") surgery for ovarian cancer?

a) cancer control by reducing the size of the tumor
b) cancer prevention by removal of precancerous tissue
c) cancer cure by removing all gross and microscopic tumor cells
d) cancer rehabilitation by improving the appearance of a previously treated body part



83. Hormone therapy is prescribed as the mode of treatment for a client with prostate cancer. The nurse understands that the goal of this form of treatment is to:

a) increase testosterone levels
b) increase prostaglandin levels
c) limit the amount of circulating androgens
d) increase the amount of circulating androgens

84. The nurse is caring for a client with cancer of the prostate following a prostatectomy. The nurse provides discharge instructions to the client and tells the client to:

a) avoid driving the car for 1 week
b) restrict fluid intake to prevent incontinence
c) avoid lifting objects heavier than 20 lb for at least 6 weeks
d) notify the physician if small blood clots are noticed during urination

85. The oncology nurse is providing a teaching session to group of nursing students regarding the risks and causes of bladder cancer. Which statement by a student indicates a need for further teaching?

a) bladder cancer most often occurs in women
b) using cigarettes and coffee drinking can increase the risk
c) bladder cancer generally is seen in client older than 40
d) environmental health hazards have been attributed as a cause




NCLEX REVIEW QUESTIONS ON CANCER:
ANSWERS AND RATIONALE

81) C

- Air conditioners need to be avoided to protect from excessive coldness. A humidifier in the home should be used if excessive dryness is a problem. Options A, B, and D are appropriate interventions regarding stoma care following radical neck dissection and creation of a tracheotomy.

82) A

- Cytoreductive or “debulking” surgery may be used if a large tumor cannot be completely removed as is often the case with late-stage ovarian cancer (e.g., the tumor is attached to a vital organ or spread throughout the abdomen). When this occurs, as much tumor as possible is removed and adjuvant chemotherapy or radiation may be prescribed.

83) C

- Hormone therapy (androgen deprivation) is a mode of treatment for prostatic cancer. The goal is to limit the amount of circulating androgens because prostate cells depend on androgen for cellular maintenance. Deprivation of androgen often can lead to regression of disease and improvement of symptoms.

84) C

- Small pieces of tissue or blood clots can be passed during urination for up to 2 weeks after surgery. Driving a car and sitting for long periods of time are restricted for at least 3 weeks. A high daily fluid intake should be maintained to limit clot formation and prevent infection. Option C is an accurate discharge instruction following prostatectomy.

85)  A

- The incidence of bladder cancer is greater in men than in women and affects the white population twice as often as blacks. Options B, C, and D are associated with the incidence of bladder cancer.




Go to the next page ---> NCLEX Review Questions on Cancer 86-90 

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


Related Topics:

•  Mesothelioma Cancer

• All about Cancer
• Cancer for Nursing Reviewees  

• Online Nursing Classes: NCLEX Practice Test Downloads