Cancer NCLEX Questions 106-110

Cancer NCLEX Questions

106. A nurse is preparing a list of home care instructions regarding stoma and laryngectomy care to a client who had a laryngectomy. Select all instructions that would be included in the list

a) avoid swimming and use care when showering
b) keep the humidity in the home low
c) avoid exposure to people with infections
d) restrict fluid intake
e) obtain a Medic-Alert bracelet
f) prevent debris from entering the stoma

107. A client suspected of having an abdominal tumor is scheduled for a computed tomography (CT) scan with dye injection. The nurse tells the client that:

a) the test may be painful
b) the dye injected may cause a warm, flushing sensation
c) fluids will be restricted following the test
d) the test takes approximately 2 hours

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Cancer NCLEX Questions 101-105

Cancer NCLEX Questions

101. The nurse is teaching the client who has had a laryngectomy for laryngeal cancer how to use an artificial larynx. The nurse tells the client to:

a) insert the device into the tracheostomy
b) hold the device alongside the neck
c) hold the device over the upper

102. A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic visit. The nurse provides instructions to the client regarding preparation for this test. The nurse tells the client that:

a) the test can be performed during menstruation
b) fluids are restricted on the day of the test
c) the test is painless
d) vaginal douching is required 2 hours before the test

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NCLEX Review Questions on Cancer 96 -100

NCLEX Review Questions on Cancer

96. The client is preparing for discharge from the hospital after radical vulvectomy. The nurse plans to teach this client that which of the following activities is acceptable after discharge because it will no precipitate complications?

a) sexual activity
b) walking
c) sitting for lengthy periods
d) driving a car

97. The nurse has admitted a client to the clinical nursing unit following a modified right radical mastectomy for the treatment of breast cancer. The nurse plans to place the right arm in which of the following positions?

a) elevated above shoulder level
b) elevated on a pillow
c) level with the right atrium
d) dependent to the right atrium

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NCLEX Review Questions on Cancer 91-95

NCLEX Review Questions on Cancer

91. A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency?

a) cyanosis
b) arm edema
c) periorbital edema
d) mental status changes


92. A nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which of the following is a serious late sign of this oncological emergency?

a) headache
b) dysphagia
c) constipation
d) electrocardiographic changes

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NCLEX Review Questions on Cancer 86-90

NCLEX Review Questions on Cancer

86. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer?

a) dysuria
b) hematuria
c) urgency on urination
d) frequency of urination

87. The nurse is caring for a client following intravesical instillation of an alkylating chemotherapeutic agent into the bladder for the treatment of bladder cancer. Following the instillation, the nurse should instruct the client to:

a) urinate immediately
b) maintain strict bed rest
c) change position every 15 minutes
d) retain the instillation fluid for 30 minutes

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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

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NCLEX Review Questions on Cancer (76-80)

NCLEX Review Questions on Cancer

76. The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching related to colorectal cancer is necessary if the client identifies which of the following as an associated risk factor?

a) age younger than 50 years
b) history of colorectal polyps
c) family history of colorectal cancer
d) chronic inflammatory bowel disease

77. The nurse is performing an admission assessment on a client diagnosed with a right colon tumor. The nurse asks the client about which characteristic symptom of this type of tumor?

a) rectal bleeding
b) flat, ribbon-like stool
c) crampy, colicky abdominal pain
d) alternating constipation and diarrhea

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Cancer NCLEX Questions (71-75)

Welcome to Cancer NCLEX Questions. Enjoy answering and I hope that NCLEX Review and Secrets can somehow help you in your future examination.
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71. The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
a) rupture of the bladder
b) the development of a vesicovaginal fistula
c) extreme stress caused by the diagnosis of cancer
d) altered personal sensation as the side effect of radiation therapy

72. The client with leukemia is receiving busulfan (Myleran) and allupurinol (Zyloprim) is prescribed for the client. The nurse tells the client that the purpose of the allupurinol is to prevent:

a) nausea
b) alopecia
c) vomiting
d) hyperuricemia

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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

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NCLEX Review Questions on Cancer (61-65)

NCLEX Review Questions on Cancer

61. The home health care nurse is caring for a client with cancer and the client is complaining of acute pain. The appropriate nursing assessment of the client's pain would include which of the following?

a) the client's pain rating
b) nonverbal cues from the client
c) the nurse's impression of the client's pain
d) pain relief after appropriate nursing intervention

62. The nurse is caring for a client who is a pelvic exenteration and the physician changes the client's diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet?

a) bowel sounds
b) ability to ambulate
c) incision appearance
d) urine specific gravity

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NCLEX Review Questions on Cancer (56-60)

NCLEX Review Questions on Cancer

56. The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles?

a) limit the time with the client to 1 hour per shift
b) do not allow pregnant women into the client's room
c) remove the dosimeter badge when entering the client's room
d) individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client

57. A cervical radiation implant is placed in the client for the treatment of cervical cancer. The nurse initiates what most appropriate activity order for this client?

a) bed rest
b) out of bed ad lib
c) out of bed in a chair only
d) ambulation to the bathroom only

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NCLEX Review Questions on Cancer (51-55)

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

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NCLEX Review Questions on Cancer (46-50)

NCLEX Review Questions on Cancer

46. The nurse is instructing the client to perform a testicular self-examination. The nurse tells the client:

a) to examine the testicles while lying down
that the best time for the examination is after a shower
c) to gently feel the testicles with one finger to feel for a growth
d) that testicular self-examinations should be done at least every 6 months

47. The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?

a) monitoring temperature
b) ambulation three times daily
c) monitoring the platelet count
d) monitoring for pathological fractures

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NCLEX Review Questions on Cancer (41-45)

NCLEX Review Questions on Cancer

41. The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which statement by a client indicates a need for further instructions?

a) I will avoid sun exposure after 3 pm
b) I will use sunscreen when participating in outdoor activities
c) I will wear a hat, opaque clothing, and sunglasses when in the sun
d) I will examine my body monthly for any lesions that may be suspicious

42. The client is undergoing radiation therapy to treat lung cancer. Following treatment, the nurse notes erythema on the client's chest and neck, and the client is complaining of pain at the radiation site. The nurse interprets this assessment data a(n):

a) allergic reaction to the radiation
b) superficial injury to tissue from the radiation
c) cutaneous reaction to products formed by the lysis of the neoplastic cells
d) ischemic injury, much like pressure ulcer formation. caused by pressure from the linear accelerator

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Online Nursing Practice Test/Exam about Cancer (36-40)

36. The nurse on the oncology unit enters the room of the client with lung cancer. Which action is most appropriate for the nurse to do first?

a) check the client's IV infusion pump and IV fluid rate
b) take the client's blood pressure and pulse
c) assess the client's mental status
d) elevate the client's head of the bed

37. The nurse on the oncology unit is planning care for the client with colon cancer who is refusing a diagnostic test. Which action is most appropriate for the nurse to take first?

a) call the radiology department to let them know the client will not be going to take the test
b) speak with the client to determine the reason for refusing the test
c) inform the health care provider that the client is refusing the test
d) ask the client's spouse why the client is refusing the test

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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.




Go to the next page ---> NCLEX Review Questions on Cancer (36-40)  

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Related Topics:

•  Mesothelioma Cancer

• All about Cancer
• Cancer for Nursing Reviewees  

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NCLEX Review Questions on Cancer (26-30)

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.


Related Topics:

•  Mesothelioma Cancer
  
• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts

• All about Cancer
• Cancer for Nursing Reviewees  

• Online Nursing Classes: NCLEX Practice Test Downloads

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NCLEX Review Questions on Cancer (21-25)

NCLEX Review Questions on Cancer

21. Which of the following nursing actions is most appropriate when caring for a client with radium implant?

a) wear gloves when entering the client's room
b) wear masks and gloves when performing procedures to the client
c) avoid staying with the client for more than 30 minutes in a shift
d) place client's soiled gowns and linens in a plastic bag

22. A woman had been diagnosed to have breast cancer. Which of the following factors is most significant to her prognosis?

a) she had her menarche at age 12 years
b) her sister died of breast cancer 5 years ago
c) she delivered her first born at age 25 years
d) she had her menopause at age 50 years

23. Which of the following are characteristics of a client most susceptible to develop malignant melanoma?

a) dark skin, black hair
b) coarse skin, black hair
c) fair skin, blond hair
d) oily skin, brown hair

24. Which of the following statements when made by the client with implant radiation therapy needs intervention by the nurse?

a) I will have to go to the toilet to void
b) my visitors are allowed to visit me for 30 minutes only in a day
c) the nurse needs to wear a badge when caring for me
d) I need to remain in bed during the entire duration of the treatment

25. Which of the following statements when made by the client with leukemia indicates that the client understands the health teachings given by the nurse? Select all that apply

a) I am allowed to eat raw foods
b) I have to avoid raw fruits and vegetables
c) fresh flowers should not be allowed in my room
d) if I developed joint pains, I should apply cold compress to the area
e) if I developed high fever, I should take aspirin
f) I am allowed to watch baseball games
g) I should use soft-bristled toothbrush






NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE

21) C
- the nurse must limit her exposure to the client having internal radiation therapy to prevent contamination. The nurse must observe DTS (distance, time, and shielding). Time: 5 minutes/exposure; maximum of 30 minutes in an 8-hour shift.

22) B
- positive family history plays vital role in the predisposition to cancer.

23) C
- clients with fair skin, blond hair are prone to skin cancer. This is because they have lesser melanin in their skin, which serves as protection of the skin.

24) A
- the client receiving internal radiation therapy should be on complete bed rest to prevent dislodgement of the implant. The client has 2-way foley catheter during the treatment.
Choices B, C, and D indicate correct understanding of the patient on internal radiation therapy, and do not need intervention by the nurse.

25) B, C, D, G
- indicates that the client with leukemia understands health teachings. A client with leukemia has low resistance to infection and bleeding tendencies.


Go to the next page ---> NCLEX Review Questions on Cancer (26-30) 

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


Related Topics:

•  Mesothelioma Cancer
  
• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts

• All about Cancer
• Cancer for Nursing Reviewees  

• Online Nursing Classes: NCLEX Practice Test Downloads

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Online Nursing Practice Test/Exam about Cancer (16-20)

16. After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/cu.mm. What term should the nurse use to describe this low platelet count?

17. Which of the following should the nurse include when providing health teachings for patients at risk of developing prostatic cancer?

a) participate in smoking cessation program
b) perform monthly self-testicular examination
c) maintain daily walking exercise
d) undergo monthly digital rectal examination

18. Which of the following questions should the nurse ask in a client who is at risk for breast cancer?

a) does your family have a history of multiple gestation?
b) does your family have a history of ovarian cancer?
c) does your family have a history of early menopause?
d) does your family have a history of late menarche?

19. Which of the following client history increases risk for anorectal cancer?

a) chronic constipation
b) high fiber diet
c) alcohol abuse
d) chronic inflammatory bowel disease

20. A client will be for uterine radium implant. Which of the following statement when made by the client indicates the need for further teaching?

a) my sister is coming to stay with me today after implant insertion
b) I will be in bed for the duration of the treatment
c) I will have a foley catheter in place
d) I will have enema before the procedure



ANSWERS AND RATIONALE

16) thrombocytopenia
- the normal thrombocyte count is 150,000 to 450,000/ cu.mm.

17) A
- smoking increases risk for prostatic cancer. Choice B is done to detect cancer of the testes. Choice D, digital rectal examination is recommended annually, not monthly.

18) B
- history of cancer of the reproductive system (cancer of the uterus, cervix, and ovaries) increase risk for breast cancer.

19) D
- chronic inflammatory bowel disease are primarily associated with anorectal cancer.

20) A
- the client on internal radiation therapy should be on isolation to prevent radiation contamination of other people.


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NCLEX Review Questions on Cancer (11-15)

NCLEX Review Questions on Cancer

11. Which of the following should the nurse assess prior to administration of cisplatin?

a) hydration
b) hemoglobin
c) weight
d) ECG

12. The client is receiving internal radiation therapy. What is the appropriate nursing action to minimize radiation contamination?

a) put the soiled linens in double bag
b) keep clients things close to her bedside
c) always wear gloves when entering the client's room
d) minimize contact with the client

13. A client is suspected of having pheochromocytoma. Which of the following signs and symptoms would help support this diagnosis?

a) abdominal pain
b) anuria
c) hypertension
d) weight gain

14. Before uterine radioactive implant is inserted, which of the following physician's orders does the nurse expect?

a) administer analgesic
b) administer sedative
c) administer enema
d) administer antibiotic

15. The nurse is admitting a patient with jaundice, due to pancreatic cancer. Which of the following would the nurse give highest priority?

a) body image
b) nutrition
c) skin integrity
d) anticipatory grieving




NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE

11) A
- cisplatin, a neoplastic agent is nephrotoxic. The client should be adequately hydrated before administration of the drug.

12) D
- Each contact with the client undergoing internal radiation therapy should last for 5 minutes only, a total of 30 minutes in an 8-hour shift, to minimize radiation contamination. The nurse should wear dosimeter badge to measure radiation exposure.

13) C
- pheochromocytoma is a tumor in the adrenal medulla that stimulates increased secretion of catecholamines (epinephrine/norepinephrine). This causes hypertension.

14) C
- during uterine radioactive implant, the client should be on bedrest. Defecation should be avoided during treatment to prevent dislodgement of the implant. Therefore, enema is usually ordered by the physician before the treatment.

15) C
- give priority to physiologic before psychosocial needs. Jaundice causes severe pruritus. Therefore, maintaining skin integrity is a priority.

Go to the next page ---> NCLEX Review Questions on Cancer (16-20) 

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


Related Topics:

•  Mesothelioma Cancer
  
• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts

• All about Cancer
• Cancer for Nursing Reviewees  

• Online Nursing Classes: NCLEX Practice Test Downloads

Read More