2024 CANCER NCLEX EXAM
QUESTIONS WITH CORRECT
ANSWERS
When caring for a patient who is pancytopenic, which action by unlicensed
assistive personnel (UAP) indicates a need for the nurse to intervene?
a. The UAP assists the patient to use dental floss after eating.
b. The UAP adds baking soda to the patient's saline oral rinses.
c. The UAP puts fluoride toothpaste on the patient's toothbrush.
d. The UAP has the patient rinse after meals with a saline solution. -
CORRECT-ANSWERSANS: A
Use of dental floss is avoided in patients with pancytopenia because of the
risk for infection and bleeding. The other actions are appropriate for oral care
of a pancytopenic patient.
DIF: Cognitive Level: Apply (application) REF: 266 | 268
OBJ: Special Questions: Delegation TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
The nurse supervises the care of a patient with a temporary radioactive
cervical implant. Which action by unlicensed assistive personnel (UAP), if
observed by the nurse, would require an intervention?
a. The UAP flushes the toilet once after emptying the patient's bedpan.
b. The UAP stands by the patient's bed for 30 minutes talking with the
patient.
c. The UAP places the patient's bedding in the laundry container in the
hallway.
, d. The UAP gives the patient an alcohol-containing mouthwash to use for oral
care. - CORRECT-ANSWERSANS: B
Because patients with temporary implants emit radioactivity while the
implants are in place, exposure to the patient is limited. Laundry and
urine/feces do not have any radioactivity and do not require special
precautions. Cervical radiation will not affect the oral mucosa, and alcohol-
based mouthwash is not contraindicated.
DIF: Cognitive Level: Apply (application) REF: 264
OBJ: Special Questions: Delegation TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
The nurse receives change-of-shift report on the oncology unit. Which patient
should the nurse assess first?
a. 35-year-old patient who has wet desquamation associated with abdominal
radiation
b. 42-year-old patient who is sobbing after receiving a new diagnosis of
ovarian cancer
c. 24-year-old patient who received neck radiation and has blood oozing from
the neck
d. 56-year-old patient who developed a new pericardial friction rub after
chest radiation - CORRECT-ANSWERSANS: C
Because neck bleeding may indicate possible carotid artery rupture in a
patient who is receiving radiation to the neck, this patient should be seen
first. The diagnoses and clinical manifestations for the other patients are not
immediately life threatening.
DIF: Cognitive Level: Analyze (analysis) REF: 278-279
OBJ: Special Questions: Multiple Patients TOP: Nursing Process: Planning
Which action should the nurse take when caring for a patient who is
receiving chemotherapy and complains of problems with concentration?
a. Teach the patient to rest the brain by avoiding new activities.
b. Teach that "chemo-brain" is a short-term effect of chemotherapy.
QUESTIONS WITH CORRECT
ANSWERS
When caring for a patient who is pancytopenic, which action by unlicensed
assistive personnel (UAP) indicates a need for the nurse to intervene?
a. The UAP assists the patient to use dental floss after eating.
b. The UAP adds baking soda to the patient's saline oral rinses.
c. The UAP puts fluoride toothpaste on the patient's toothbrush.
d. The UAP has the patient rinse after meals with a saline solution. -
CORRECT-ANSWERSANS: A
Use of dental floss is avoided in patients with pancytopenia because of the
risk for infection and bleeding. The other actions are appropriate for oral care
of a pancytopenic patient.
DIF: Cognitive Level: Apply (application) REF: 266 | 268
OBJ: Special Questions: Delegation TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
The nurse supervises the care of a patient with a temporary radioactive
cervical implant. Which action by unlicensed assistive personnel (UAP), if
observed by the nurse, would require an intervention?
a. The UAP flushes the toilet once after emptying the patient's bedpan.
b. The UAP stands by the patient's bed for 30 minutes talking with the
patient.
c. The UAP places the patient's bedding in the laundry container in the
hallway.
, d. The UAP gives the patient an alcohol-containing mouthwash to use for oral
care. - CORRECT-ANSWERSANS: B
Because patients with temporary implants emit radioactivity while the
implants are in place, exposure to the patient is limited. Laundry and
urine/feces do not have any radioactivity and do not require special
precautions. Cervical radiation will not affect the oral mucosa, and alcohol-
based mouthwash is not contraindicated.
DIF: Cognitive Level: Apply (application) REF: 264
OBJ: Special Questions: Delegation TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
The nurse receives change-of-shift report on the oncology unit. Which patient
should the nurse assess first?
a. 35-year-old patient who has wet desquamation associated with abdominal
radiation
b. 42-year-old patient who is sobbing after receiving a new diagnosis of
ovarian cancer
c. 24-year-old patient who received neck radiation and has blood oozing from
the neck
d. 56-year-old patient who developed a new pericardial friction rub after
chest radiation - CORRECT-ANSWERSANS: C
Because neck bleeding may indicate possible carotid artery rupture in a
patient who is receiving radiation to the neck, this patient should be seen
first. The diagnoses and clinical manifestations for the other patients are not
immediately life threatening.
DIF: Cognitive Level: Analyze (analysis) REF: 278-279
OBJ: Special Questions: Multiple Patients TOP: Nursing Process: Planning
Which action should the nurse take when caring for a patient who is
receiving chemotherapy and complains of problems with concentration?
a. Teach the patient to rest the brain by avoiding new activities.
b. Teach that "chemo-brain" is a short-term effect of chemotherapy.
