Portage Learning
4 MAXE · 132 RUN
★ ★
P Nursing Education · Online Excellence
EST. 2001
A D V A N C I N G H E A LT H C A R E T H R O U G H E D U C AT I O N
NUR 231 Exam 4 — Oncology Nursing Practice
Questions
O N CO LO G Y N U RS I N G — E X A M 4
INSTITUTION Portage Learning PROGRAM Bachelor of Science in Nursing
COURSE CODE NUR 231 COURSE TITLE Nursing Fundamentals
ACADEMIC YEAR EXAM TITLE NUR 231 Exam 4 — Oncology
Nursing Practice Questions
TOTAL QUESTIONS 50 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question based on oncology nursing principles.
▸ Topics covered include: cancer prevention, screening, staging, treatment modalities, chemotherapy
administration, radiation therapy, side effect management, and nursing care of oncology patients.
▸ All definitions and concepts from the study material are testable content.
▸ Correct answers and detailed rationales appear below each question for review purposes.
▸ All oncology concepts reflect current evidence-based practice and cancer care standards.
, SECTION I — ONCOLOGY NURSING Questions 1 – 50
1. The nurse provided education regarding cancer risk reduction. Which of the following
statements made by the client demonstrates understanding of the teaching? Select all
that apply.
A. "I will switch my lunch meat from hotdogs to smoked turkey breast"
B. "I will discuss the HPV vaccine for my child with our primary care provider"
C. "I will treat my ulcer with an OTC antacid"
D. "I will change our white bread to whole grain bread"
CORRECT ANSWER B, D — Discuss HPV vaccine, Change white bread to whole grain
RATIONALE The HPV vaccine helps prevent cervical and other HPV-related cancers. Whole
grain bread provides more fiber and nutrients than white bread, which may help
reduce cancer risk. Smoked turkey breast is processed meat and may still contain
carcinogens. OTC antacids do not address ulcer treatment adequately and may
mask symptoms.
2. The nurse instructs a group of community members on the difference between benign
and malignant neoplasms. Which participant statements indicate that the teaching has
been effective? Select all that apply.
A. "Malignant tumors can grow back"
B. "Benign tumors stay in one area"
C. "Benign tumors grow slowly"
D. "Malignant tumors are easy to remove"
E. "Malignant tumors grow in a controlled process"
CORRECT ANSWER A, B, C — Malignant can grow back, Benign stay in one area, Benign grow
slowly
RATIONALE Malignant tumors can recur after treatment, benign tumors typically stay
localized, and benign tumors grow slowly. Malignant tumors are not easy to
remove due to invasion into surrounding tissues, and they grow in an
uncontrolled, not controlled, process.
, 3. The nurse screens a patient for cancer risk. Which statements are concerning? Select all
that apply.
A. "I have a bowel movement every day"
B. "I have been coughing like this for months"
C. "I have a sore on my back that just won't heal"
D. "I have had this mole on my arm since I was born"
E. "I have developed heartburn within the last couple months"
CORRECT ANSWER B, C, E — Chronic cough, Non-healing sore, Recent heartburn
RATIONALE A chronic cough lasting months may indicate lung cancer. A non-healing sore can
be a sign of skin cancer. New-onset heartburn in an older adult may indicate
esophageal or gastric cancer. Daily bowel movements are normal, and a mole
present since birth is typically benign.
4. The nurse has completed a seminar teaching a group in the community about ways to
reduce cancer risks. The nurse returns a month later to evaluate the effectiveness of the
seminar. Which statement made by a member of the group indicates understanding of the
material presented by the nurse to reduce the risk of developing cancer?
A. "I apply sunscreen when I am going to be outside"
B. "I have reduced my intake of fiber"
C. "I have increased the amount of lean red meat in my diet"
D. "I began drinking two glasses of red wine a day with dinner"
CORRECT ANSWER A — "I apply sunscreen when I am going to be outside"
RATIONALE Sunscreen application is an evidence-based cancer prevention measure that
reduces the risk of skin cancer. Reducing fiber, increasing red meat, and drinking
excessive alcohol are all associated with increased cancer risk.
4 MAXE · 132 RUN
★ ★
P Nursing Education · Online Excellence
EST. 2001
A D V A N C I N G H E A LT H C A R E T H R O U G H E D U C AT I O N
NUR 231 Exam 4 — Oncology Nursing Practice
Questions
O N CO LO G Y N U RS I N G — E X A M 4
INSTITUTION Portage Learning PROGRAM Bachelor of Science in Nursing
COURSE CODE NUR 231 COURSE TITLE Nursing Fundamentals
ACADEMIC YEAR EXAM TITLE NUR 231 Exam 4 — Oncology
Nursing Practice Questions
TOTAL QUESTIONS 50 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question based on oncology nursing principles.
▸ Topics covered include: cancer prevention, screening, staging, treatment modalities, chemotherapy
administration, radiation therapy, side effect management, and nursing care of oncology patients.
▸ All definitions and concepts from the study material are testable content.
▸ Correct answers and detailed rationales appear below each question for review purposes.
▸ All oncology concepts reflect current evidence-based practice and cancer care standards.
, SECTION I — ONCOLOGY NURSING Questions 1 – 50
1. The nurse provided education regarding cancer risk reduction. Which of the following
statements made by the client demonstrates understanding of the teaching? Select all
that apply.
A. "I will switch my lunch meat from hotdogs to smoked turkey breast"
B. "I will discuss the HPV vaccine for my child with our primary care provider"
C. "I will treat my ulcer with an OTC antacid"
D. "I will change our white bread to whole grain bread"
CORRECT ANSWER B, D — Discuss HPV vaccine, Change white bread to whole grain
RATIONALE The HPV vaccine helps prevent cervical and other HPV-related cancers. Whole
grain bread provides more fiber and nutrients than white bread, which may help
reduce cancer risk. Smoked turkey breast is processed meat and may still contain
carcinogens. OTC antacids do not address ulcer treatment adequately and may
mask symptoms.
2. The nurse instructs a group of community members on the difference between benign
and malignant neoplasms. Which participant statements indicate that the teaching has
been effective? Select all that apply.
A. "Malignant tumors can grow back"
B. "Benign tumors stay in one area"
C. "Benign tumors grow slowly"
D. "Malignant tumors are easy to remove"
E. "Malignant tumors grow in a controlled process"
CORRECT ANSWER A, B, C — Malignant can grow back, Benign stay in one area, Benign grow
slowly
RATIONALE Malignant tumors can recur after treatment, benign tumors typically stay
localized, and benign tumors grow slowly. Malignant tumors are not easy to
remove due to invasion into surrounding tissues, and they grow in an
uncontrolled, not controlled, process.
, 3. The nurse screens a patient for cancer risk. Which statements are concerning? Select all
that apply.
A. "I have a bowel movement every day"
B. "I have been coughing like this for months"
C. "I have a sore on my back that just won't heal"
D. "I have had this mole on my arm since I was born"
E. "I have developed heartburn within the last couple months"
CORRECT ANSWER B, C, E — Chronic cough, Non-healing sore, Recent heartburn
RATIONALE A chronic cough lasting months may indicate lung cancer. A non-healing sore can
be a sign of skin cancer. New-onset heartburn in an older adult may indicate
esophageal or gastric cancer. Daily bowel movements are normal, and a mole
present since birth is typically benign.
4. The nurse has completed a seminar teaching a group in the community about ways to
reduce cancer risks. The nurse returns a month later to evaluate the effectiveness of the
seminar. Which statement made by a member of the group indicates understanding of the
material presented by the nurse to reduce the risk of developing cancer?
A. "I apply sunscreen when I am going to be outside"
B. "I have reduced my intake of fiber"
C. "I have increased the amount of lean red meat in my diet"
D. "I began drinking two glasses of red wine a day with dinner"
CORRECT ANSWER A — "I apply sunscreen when I am going to be outside"
RATIONALE Sunscreen application is an evidence-based cancer prevention measure that
reduces the risk of skin cancer. Reducing fiber, increasing red meat, and drinking
excessive alcohol are all associated with increased cancer risk.
