Cancer NCLEX Exam questions &accurate answers with
rationales & explanation| updated |graded A+
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
Temperature elevation is an emergency in neutropenic patients because of the risk for rapid progression to
severe infections and sepsis. The other patients also require assessments or interventions, but do not need to
be assessed as urgently. Patients with thrombocytopenia do not have spontaneous bleeding until the
platelets are 20,000/µL. Xerostomia does not require immediate intervention. Although breakthrough pain
needs to be addressed rapidly, the patient does not appear to have breakthrough pain.
DIF: Cognitive Level: Analyze (analysis) REF: 277
OBJ: Special Questions: Prioritization; Multiple Patients
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
The nurse at the clinic is interviewing a 64-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds
(57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a
glass of wine 2 or 3 times a week. Which topics will the nurse plan to include in patient teaching about cancer
screening and decreasing cancer risk (select all that apply)?
Pap testing
. Sunscreen use
. Mammography
Colorectal screening
, Cancer NCLEX Exam questions &accurate answers with
rationales & explanation| updated |graded A+
The patient's age, gender, and history indicate a need for screening and/or teaching about colorectal cancer,
mammography, Pap smears, and sunscreen. The patient does not use excessive alcohol or tobacco, she is
physically active, and her body weight is healthy.
DIF: Cognitive Level: Analyze (analysis) REF: 255
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent
infection will the nurse include in the teaching plan (select all that apply)?
. Cook food thoroughly before eating.
. Avoid public transportation such as buses.
Talk to the oncologist before having any dental work done.
Eating only cooked food and avoiding public transportation will decrease infection risk. A high-fiber diet is
recommended for neutropenic patients to decrease constipation. Because bacteria may enter the circulation
during dental work or oral surgery, the patient may need to postpone dental work or take antibiotics.
DIF: Cognitive Level: Apply (application) REF: 265 | eTable 16-16
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
.
During a routine health examination, a 40-year-old patient tells the nurse about a family history of colon
cancer. Which action should the nurse take next?
c. Obtain more information from the patient about the family history.
rationales & explanation| updated |graded A+
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
Temperature elevation is an emergency in neutropenic patients because of the risk for rapid progression to
severe infections and sepsis. The other patients also require assessments or interventions, but do not need to
be assessed as urgently. Patients with thrombocytopenia do not have spontaneous bleeding until the
platelets are 20,000/µL. Xerostomia does not require immediate intervention. Although breakthrough pain
needs to be addressed rapidly, the patient does not appear to have breakthrough pain.
DIF: Cognitive Level: Analyze (analysis) REF: 277
OBJ: Special Questions: Prioritization; Multiple Patients
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
The nurse at the clinic is interviewing a 64-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds
(57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a
glass of wine 2 or 3 times a week. Which topics will the nurse plan to include in patient teaching about cancer
screening and decreasing cancer risk (select all that apply)?
Pap testing
. Sunscreen use
. Mammography
Colorectal screening
, Cancer NCLEX Exam questions &accurate answers with
rationales & explanation| updated |graded A+
The patient's age, gender, and history indicate a need for screening and/or teaching about colorectal cancer,
mammography, Pap smears, and sunscreen. The patient does not use excessive alcohol or tobacco, she is
physically active, and her body weight is healthy.
DIF: Cognitive Level: Analyze (analysis) REF: 255
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent
infection will the nurse include in the teaching plan (select all that apply)?
. Cook food thoroughly before eating.
. Avoid public transportation such as buses.
Talk to the oncologist before having any dental work done.
Eating only cooked food and avoiding public transportation will decrease infection risk. A high-fiber diet is
recommended for neutropenic patients to decrease constipation. Because bacteria may enter the circulation
during dental work or oral surgery, the patient may need to postpone dental work or take antibiotics.
DIF: Cognitive Level: Apply (application) REF: 265 | eTable 16-16
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
.
During a routine health examination, a 40-year-old patient tells the nurse about a family history of colon
cancer. Which action should the nurse take next?
c. Obtain more information from the patient about the family history.
