N275 Cancer Final Practice questions With Complete
Solutions
1. The nurse is caring for a client with an internal radiation
implant. When caring for the client, the nurse should observe
which principle?
1. Limit the time with the client to 1 hour per shift.
2. Do not allow pregnant women into the client's room.
3. Remove the dosimeter film badge when entering the client's
room.
4. Individuals younger than 16 years old may be allowed to go
in the room as long as they are 6 feet away from the client.
Correct Answers 2. The time that the nurse spends in a room of
a client with an internal radiation implant is 30 minutes per 8-
hour shift. The dosimeter film badge must be worn when in the
client's room. Children younger than 16 years of age and
pregnant women are not allowed in the client's room.
10. The nurse is assessing the colostomy of a client who has had
an abdominal perineal resection for a bowel tumor. Which of the
following assessment findings indicates that the colostomy is
beginning to function?
1. Absent bowel sounds
2. The passage of flatus
3. The client's ability to tolerate food
4. Bloody drainage from the colostomy Correct Answers 2.
Following abdominal perineal resection, the nurse would expect
the colostomy to begin to function within 72 hours after surgery,
although it may take up to 5 days. The nurse should assess for a
return of peristalsis, listen for bowel sounds, and check for the
passage of flatus. Absent bowel sounds would not indicate the
,return of peristalsis. The client would remain NPO until bowel
sounds return and the colostomy is functioning. Bloody drainage
is not expected from a colostomy.
10. The nurse is teaching a client about the risk factors
associated with colorectal cancer. The nurse determines that
further teaching related to colorectal cancer is necessary if the
client identifies which of the following as an associated risk
factor?
1. Age younger than 50 years
2. History of colorectal polyps
3. Family history of colorectal cancer
4. Chronic inflammatory bowel disease Correct Answers 1.
Colorectal cancer risk factors include age older than 50 years, a
family history of the disease, colorectal polyps, and chronic
inflammatory bowel disease.
11. A nurse is monitoring a client for signs and symptoms
related to superior vena cava syndrome. Which of the following
is an early sign of this oncological emergency?
1. cyanosis
2. arm edema
3. periorbital edema
4. mental status changes Correct Answers 3. Superior vena
cava syndrome occurs when the superior vena cava is
compressed or obstructed by tumor growth. Early signs and
symptoms generally occur in the morning and include edema of
the face, especially around the eyes, and client complaints of
tightness of a shirt or blouse collar. As the compression worsens,
, the client experiences edema of the hands and arms. Mental
status and cyanosis are late signs.
12. As part of chemotherapy education, the nurse teaches a
female client about the risk for bleeding and self-care during the
period of greatest bone marrow suppression (the nadir). The
nurse understands that further teaching is needed when the client
states:
1. "I should avoid blowing my nose."
2. "I may need a platelet transfusion if my platelet count is too
low."
3. "I'm going to take aspirin for my headache as soon as I get
home."
4. "I will count the number of pads and tampons I use when
menstruating." Correct Answers 3. During the period of
greatest bone marrow suppression, the platelet count may be
low, less than 20,000 cells/mm3. Option 3 describes an incorrect
statement by the client. ASA and nonsteroidal anti-inflammatory
drugs and products that contain aspirin should be avoided
because of their antiplatelet activity.
13. The client is diagnosed as having a bowel tumor and several
diagnostic tests are prescribed. The nurse understands that which
test will confirm the diagnosis of malignancy?
1. biopsy of the tumor
2. abdominal ultrasound
3. magnetic resonance imaging
4. computed tomography scan Correct Answers 1. A biopsy is
done to determine whether a tumor is malignant or benign. MRI
Solutions
1. The nurse is caring for a client with an internal radiation
implant. When caring for the client, the nurse should observe
which principle?
1. Limit the time with the client to 1 hour per shift.
2. Do not allow pregnant women into the client's room.
3. Remove the dosimeter film badge when entering the client's
room.
4. Individuals younger than 16 years old may be allowed to go
in the room as long as they are 6 feet away from the client.
Correct Answers 2. The time that the nurse spends in a room of
a client with an internal radiation implant is 30 minutes per 8-
hour shift. The dosimeter film badge must be worn when in the
client's room. Children younger than 16 years of age and
pregnant women are not allowed in the client's room.
10. The nurse is assessing the colostomy of a client who has had
an abdominal perineal resection for a bowel tumor. Which of the
following assessment findings indicates that the colostomy is
beginning to function?
1. Absent bowel sounds
2. The passage of flatus
3. The client's ability to tolerate food
4. Bloody drainage from the colostomy Correct Answers 2.
Following abdominal perineal resection, the nurse would expect
the colostomy to begin to function within 72 hours after surgery,
although it may take up to 5 days. The nurse should assess for a
return of peristalsis, listen for bowel sounds, and check for the
passage of flatus. Absent bowel sounds would not indicate the
,return of peristalsis. The client would remain NPO until bowel
sounds return and the colostomy is functioning. Bloody drainage
is not expected from a colostomy.
10. The nurse is teaching a client about the risk factors
associated with colorectal cancer. The nurse determines that
further teaching related to colorectal cancer is necessary if the
client identifies which of the following as an associated risk
factor?
1. Age younger than 50 years
2. History of colorectal polyps
3. Family history of colorectal cancer
4. Chronic inflammatory bowel disease Correct Answers 1.
Colorectal cancer risk factors include age older than 50 years, a
family history of the disease, colorectal polyps, and chronic
inflammatory bowel disease.
11. A nurse is monitoring a client for signs and symptoms
related to superior vena cava syndrome. Which of the following
is an early sign of this oncological emergency?
1. cyanosis
2. arm edema
3. periorbital edema
4. mental status changes Correct Answers 3. Superior vena
cava syndrome occurs when the superior vena cava is
compressed or obstructed by tumor growth. Early signs and
symptoms generally occur in the morning and include edema of
the face, especially around the eyes, and client complaints of
tightness of a shirt or blouse collar. As the compression worsens,
, the client experiences edema of the hands and arms. Mental
status and cyanosis are late signs.
12. As part of chemotherapy education, the nurse teaches a
female client about the risk for bleeding and self-care during the
period of greatest bone marrow suppression (the nadir). The
nurse understands that further teaching is needed when the client
states:
1. "I should avoid blowing my nose."
2. "I may need a platelet transfusion if my platelet count is too
low."
3. "I'm going to take aspirin for my headache as soon as I get
home."
4. "I will count the number of pads and tampons I use when
menstruating." Correct Answers 3. During the period of
greatest bone marrow suppression, the platelet count may be
low, less than 20,000 cells/mm3. Option 3 describes an incorrect
statement by the client. ASA and nonsteroidal anti-inflammatory
drugs and products that contain aspirin should be avoided
because of their antiplatelet activity.
13. The client is diagnosed as having a bowel tumor and several
diagnostic tests are prescribed. The nurse understands that which
test will confirm the diagnosis of malignancy?
1. biopsy of the tumor
2. abdominal ultrasound
3. magnetic resonance imaging
4. computed tomography scan Correct Answers 1. A biopsy is
done to determine whether a tumor is malignant or benign. MRI
