Oncology NCLEX Questions with Correct Answers
The nurse is teaching the 47-year-old female client about recommended screening practices for breast
cancer. Which statement by the client indicates understanding of the nurse's instructions?
A. "My mother and grandmother had breast cancer, so I am at risk."
B. "I get a mammography every 2 years since I turned 30."
C. "A clinical breast examination is performed every month since I turned 40."
D. "A CT scan will be done every year after I turn 50." - CORRECT ANSWER-A. A strong family history of
breast cancer indicates a risk for breast cancer. Annual screening may be indicated for a strong family
history. The client may perform a self-breast examination monthly; a clinical examination by a health
care provider is indicated annually. An annual mammography is performed after age 40 or in younger
clients with a strong family history.
The nurse manager in a long-term care facility is developing a plan for primary and secondary prevention
of colorectal cancer. Which tasks associated with the screening plan will be delegated to nursing
assistants within the facility?
A. Testing of stool specimens for occult blood
B. Teaching about the importance of dietary fiber
C. Referring clients for colonoscopy procedures
D. Giving vitamin and mineral supplements - CORRECT ANSWER-A. Testing of stool specimens for occult
blood is done according to a standardized protocol and can be delegated to nursing assistants.
The nurse includes which of the following in teaching regarding the warning signs of cancer? Select all
that apply.
A. Persistent constipation
B. Scab present for 6 months
C. Curdlike vaginal discharge
D. Axillary swelling
E. Headache - CORRECT ANSWER-A,B,D: Change in bowel habit, A sore that does not heal, A lump or
thickening in the breast or elsewhere is a warning signal of cancer.
Which of these does the nurse recognize as the goal of palliative surgery for the client with cancer?
A. Cure of the cancer
, B. Relief of symptoms or improved quality of life
C. Allowing other therapies to be more effective
D. Prolonging the client's survival time - CORRECT ANSWER-B. The focus of palliative surgery is to
improve quality of life during the survival time.
Which signs or symptoms should the nurse report immediately because they indicate thrombocytopenia
secondary to cancer chemotherapy? Select all that apply.
A. Bruises
B. Fever
C. Petechiae
D. Epistaxis
E. Pallor - CORRECT ANSWER-A,C,D: Fever is a sign of infection secondary to neutropenia.Pallor is a sign
of anemia.
Which intervention will be most helpful for the client with mucositis?
A. Administering a biological response modifier
B. Encouraging oral care with commercial mouthwash
C. Providing oral care with a disposable mouth swab
D. Maintaining NPO until the lesions have resolved - CORRECT ANSWER-C. Mouth swabs are soft and
disposable and therefore clean. Commercial mouthwashes should be avoided because they may contain
alcohol or other drying agents that may further irritate the mucosa.
When caring for a client who has had a colostomy created as part of a regimen to treat colon cancer,
which activities would help to support the client in accepting changes in appearance or function? Select
all that apply.
A. Explain to the client that the colostomy is only temporary.
B. Encourage the client to participate in changing the ostomy.
C. Obtain a psychiatric consultation.
D. Offer to have a person who is coping with a colostomy visit.
E. Encourage the client and family members to express their feelings and concerns - CORRECT ANSWER-
B,D,E
The nurse is teaching the 47-year-old female client about recommended screening practices for breast
cancer. Which statement by the client indicates understanding of the nurse's instructions?
A. "My mother and grandmother had breast cancer, so I am at risk."
B. "I get a mammography every 2 years since I turned 30."
C. "A clinical breast examination is performed every month since I turned 40."
D. "A CT scan will be done every year after I turn 50." - CORRECT ANSWER-A. A strong family history of
breast cancer indicates a risk for breast cancer. Annual screening may be indicated for a strong family
history. The client may perform a self-breast examination monthly; a clinical examination by a health
care provider is indicated annually. An annual mammography is performed after age 40 or in younger
clients with a strong family history.
The nurse manager in a long-term care facility is developing a plan for primary and secondary prevention
of colorectal cancer. Which tasks associated with the screening plan will be delegated to nursing
assistants within the facility?
A. Testing of stool specimens for occult blood
B. Teaching about the importance of dietary fiber
C. Referring clients for colonoscopy procedures
D. Giving vitamin and mineral supplements - CORRECT ANSWER-A. Testing of stool specimens for occult
blood is done according to a standardized protocol and can be delegated to nursing assistants.
The nurse includes which of the following in teaching regarding the warning signs of cancer? Select all
that apply.
A. Persistent constipation
B. Scab present for 6 months
C. Curdlike vaginal discharge
D. Axillary swelling
E. Headache - CORRECT ANSWER-A,B,D: Change in bowel habit, A sore that does not heal, A lump or
thickening in the breast or elsewhere is a warning signal of cancer.
Which of these does the nurse recognize as the goal of palliative surgery for the client with cancer?
A. Cure of the cancer
, B. Relief of symptoms or improved quality of life
C. Allowing other therapies to be more effective
D. Prolonging the client's survival time - CORRECT ANSWER-B. The focus of palliative surgery is to
improve quality of life during the survival time.
Which signs or symptoms should the nurse report immediately because they indicate thrombocytopenia
secondary to cancer chemotherapy? Select all that apply.
A. Bruises
B. Fever
C. Petechiae
D. Epistaxis
E. Pallor - CORRECT ANSWER-A,C,D: Fever is a sign of infection secondary to neutropenia.Pallor is a sign
of anemia.
Which intervention will be most helpful for the client with mucositis?
A. Administering a biological response modifier
B. Encouraging oral care with commercial mouthwash
C. Providing oral care with a disposable mouth swab
D. Maintaining NPO until the lesions have resolved - CORRECT ANSWER-C. Mouth swabs are soft and
disposable and therefore clean. Commercial mouthwashes should be avoided because they may contain
alcohol or other drying agents that may further irritate the mucosa.
When caring for a client who has had a colostomy created as part of a regimen to treat colon cancer,
which activities would help to support the client in accepting changes in appearance or function? Select
all that apply.
A. Explain to the client that the colostomy is only temporary.
B. Encourage the client to participate in changing the ostomy.
C. Obtain a psychiatric consultation.
D. Offer to have a person who is coping with a colostomy visit.
E. Encourage the client and family members to express their feelings and concerns - CORRECT ANSWER-
B,D,E
