Verified Answers
1. 1. A male client has an abnormal result on a 1. Answer D. Dysplasia refers
Papanicolaou test. After admitting, he read to an alteration in the size,
his chart while the nurse was out of the shape, and organization of
room, the client asks what dysplasia means. differentiated cells. The pres-
Which definition should the nurse provide? ence of completely undif-
ferentiated tumor cells that
a. Presence of completely undifferentiated don't resemble cells of the
tumor cells that don't resemble cells of the tissues of their origin is called
tissues of their origin anaplasia. An increase in the
b. Increase in the number of normal cells in a number of normal cells in a
normal arrangement in a tissue or an organ normal arrangement in a tis-
c. Replacement of one type of fully differen- sue or an organ is called
tiated cell by another in tissues where the hyperplasia. Replacement of
second type normally isn't found one type of fully differenti-
d. Alteration in the size, shape, and organi- ated cell by another in tis-
zation of differentiated cells sues where the second type
normally isn't found is called
metaplasia.
2. 2. For a female client with newly diagnosed 2. Answer A. Verbalizing feel-
cancer, the nurse formulates a nursing di- ings is the client's first step
agnosis of Anxiety related to the threat of in coping with the situation-
death secondary to cancer diagnosis. Which al crisis. It also helps the
expected outcome would be appropriate for health care team gain in-
this client? sight into the client's feelings,
helping guide psychosocial
a. "Client verbalizes feelings of anxiety." care. Option B is inappro-
b. "Client doesn't guess at prognosis." priate because suppressing
c. "Client uses any effective method to re- speculation may prevent the
duce tension." client from coming to terms
d. "Client stops seeking information." with the crisis and plan-
ning accordingly. Option C is
undesirable because some
methods of reducing tension,
such as illicit drug or alcohol
use, may prevent the client
from coming to terms with
the threat of death as well
as cause physiologic harm.
, Oncology NCLEX practice questions Test Questions with 100%
Verified Answers
Option D isn't appropriate
because seeking information
can help a client with cancer
gain a sense of control over
the crisis.
3. 3. A male client with a cerebellar brain tu- 3. Answer C. A client with a
mor is admitted to an acute care facility. cerebellar brain tumor may
The nurse formulates a nursing diagnosis suffer injury from impaired
of Risk for injury. Which "related-to" phrase balance as well as dis-
should the nurse add to complete the nurs- turbed gait and incoordina-
ing diagnosis statement? tion. Visual field deficits, dif-
ficulty swallowing, and psy-
a. Related to visual field deficits chomotor seizures may re-
b. Related to difficulty swallowing sult from dysfunction of the
c. Related to impaired balance pituitary gland, pons, occip-
d. Related to psychomotor seizures ital lobe, parietal lobe, or
temporal lobe — not from a
cerebellar brain tumor. Dif-
ficulty swallowing suggests
medullary dysfunction. Psy-
chomotor seizures suggest
temporal lobe dysfunction.
4. 4. A female client with cancer is scheduled 4. Answer C. Radiation ther-
for radiation therapy. The nurse knows that apy may cause fatigue, skin
radiation at any treatment site may cause a toxicities, and anorexia re-
certain adverse effect. Therefore, the nurse gardless of the treatment
should prepare the client to expect: site. Hair loss, stomatitis, and
vomiting are site-specific, not
a. hair loss. generalized, adverse effects
b. stomatitis. of radiation therapy.
c. fatigue.
d. vomiting.
5. 5. Nurse April is teaching a client who sus- 5. Answer C. Fine needle as-
pects that she has a lump in her breast. The piration and biopsy provide
nurse instructs the client that a diagnosis of cells for histologic examina-
breast cancer is confirmed by: tion to confirm a diagnosis