ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
The client has a diagnosis of lung cancer. To which areas does the nurse anticipate that this
client's tumor may metastasize? Select all that apply.
A. Brain
B. Bone
C. Lymph nodes
D. Kidneys
E. Liver - CORRECT ANSWERS a-c, e. as well as the pancreas.
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 ANSWERS A. Testing of stool specimens
for occult blood is done according to a standardized protocol and can be delegated to nursing
assistants.
The nurse is conducting a community health education class on diet and cancer risk reduction.
What should be included in the discussion? Select all the apply.
A. Limit sodium intake.
B. Avoid beef and processed meats.
C. Increase consumption of whole grains.
D. Eat "colorful fruits and vegetables," including greens.
,ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
E. Avoid gas-producing vegetables such as cabbage. - CORRECT ANSWERS B-D. Eating
cruciferous vegetables such as broccoli, cauliflower, brussels sprouts, and cabbage may reduce
cancer risk.
The nurse presents a cancer prevention program to teens. Which of the following will have the
greatest impact in cancer prevention?
A. Avoid asbestos.
B. Wear sunscreen.
C. Get the human papilloma virus (HPV) vaccine.
D. Do not smoke cigarettes. - CORRECT ANSWERS D. Tobacco is the single most important
source of preventable carcinogenesis.
The nurse is teaching a group of clients about cancers related to tobacco or tobacco smoke.
Identify the common cancers related to tobacco use. Select all that apply.
A. Cardiac cancer
B. Lung cancer
C. Cancer of the tongue
D. Skin cancer
E. Cancer of the larynx - CORRECT ANSWERS B,C,E: The heart does not contain cells that
divide; therefore cardiac cancer is unlikely.
The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has
which symptom?
A. Vomiting
,ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
B. Back pain
C. Frequent urination
D. Cyanosis of the toes - CORRECT ANSWERS B. Typical sites of breast cancer metastasis
include bone, manifested by back pain, lung, liver, and brain. Signs of metastasis to the spine
may include numbness, pain, paresthesias and tingling, and loss of bowel and bladder control.
The nurse explains to the client that which risk factor most likely contributed to his primary
liver carcinoma?
A. Infection with hepatitis B virus
B. Consuming a diet high in animal fat
C. Exposure to radon
D. Familial polyposis - CORRECT ANSWERS A. Hepatitis B and C are risk factors for primary liver
cancer. Consuming a diet high in animal fat may predispose to colon or breast cancer. Exposure
to radon is a risk factor for lung cancer. Familial polyposis is a risk factor for colorectal cancer.
A client diagnosed with widespread lung cancer asks the nurse why he must be careful to avoid
crowds and people who are ill. What is the nurse's best response?
A. "With lung cancer, you are more likely to develop pneumonia and could pass this on to other
people who are already ill."
B. "When lung cancer is in the bones, it becomes a bone marrow malignancy, which stops
producing immune system cells."
C. "The large amount of mucus produced by the cancer cells is a good breeding ground for
bacteria and other microorganisms."
D. "When lung cancer is in the bones, it can prevent production of immune system cells, making
you less resistant to infection." - CORRECT ANSWERS D. Tumor cells that enter the bone
, ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
marrow reduce the production of healthy white blood cells (WBCs), which are needed for
normal immune function. Therefore clients who have cancer, especially leukemia, are at an
increased risk for infection. Other people are not at risk for becoming infected as a result of
contact with a person who has lung cancer. Lung cancer that has spread to the bone is still lung
cancer; it is not a bone marrow malignancy. It is true that the person with lung cancer may
produce more mucus, which can harbor microorganisms, but this is not the main reason why
the client should avoid crowds and people who are ill.
Which precaution is most important for the nurse to teach a client receiving radiation therapy
for head and neck cancer?
A. Avoid eating red meat during treatment.
B. Pace your leisure activities to prevent fatigue.
C. See your dentist twice yearly for the rest of your life.
D. Avoid using headphones or headsets until your hair grows back. - CORRECT ANSWERS C.
Radiation therapy that is directed in or around the oral cavity has a variety of actions that
increase the risk for dental caries (cavities) and tooth decay. The salivary glands are affected,
which changes the composition of the person's saliva and often causes "dry mouth." This result
allows rapid bacterial overgrowth, which leads to cavity formation. In addition, the radiation
damages the integrity of the enamel and also damages some of the living cells in the tooth. All
contribute to an increased risk for dental infections and cavities.
A client receiving high-dose chemotherapy who has bone marrow suppression has been
receiving daily injections of epoetin alfa (Procrit). Which assessment finding indicates to the
nurse that today's dose should be held and the health care provider notified?
A. Hematocrit of 28%
B. Total white blood cell count of 6200 cells/mm3
C. Blood pressure change from 130/90 mm Hg to 148/98 mm Hg
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
The client has a diagnosis of lung cancer. To which areas does the nurse anticipate that this
client's tumor may metastasize? Select all that apply.
A. Brain
B. Bone
C. Lymph nodes
D. Kidneys
E. Liver - CORRECT ANSWERS a-c, e. as well as the pancreas.
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 ANSWERS A. Testing of stool specimens
for occult blood is done according to a standardized protocol and can be delegated to nursing
assistants.
The nurse is conducting a community health education class on diet and cancer risk reduction.
What should be included in the discussion? Select all the apply.
A. Limit sodium intake.
B. Avoid beef and processed meats.
C. Increase consumption of whole grains.
D. Eat "colorful fruits and vegetables," including greens.
,ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
E. Avoid gas-producing vegetables such as cabbage. - CORRECT ANSWERS B-D. Eating
cruciferous vegetables such as broccoli, cauliflower, brussels sprouts, and cabbage may reduce
cancer risk.
The nurse presents a cancer prevention program to teens. Which of the following will have the
greatest impact in cancer prevention?
A. Avoid asbestos.
B. Wear sunscreen.
C. Get the human papilloma virus (HPV) vaccine.
D. Do not smoke cigarettes. - CORRECT ANSWERS D. Tobacco is the single most important
source of preventable carcinogenesis.
The nurse is teaching a group of clients about cancers related to tobacco or tobacco smoke.
Identify the common cancers related to tobacco use. Select all that apply.
A. Cardiac cancer
B. Lung cancer
C. Cancer of the tongue
D. Skin cancer
E. Cancer of the larynx - CORRECT ANSWERS B,C,E: The heart does not contain cells that
divide; therefore cardiac cancer is unlikely.
The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has
which symptom?
A. Vomiting
,ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
B. Back pain
C. Frequent urination
D. Cyanosis of the toes - CORRECT ANSWERS B. Typical sites of breast cancer metastasis
include bone, manifested by back pain, lung, liver, and brain. Signs of metastasis to the spine
may include numbness, pain, paresthesias and tingling, and loss of bowel and bladder control.
The nurse explains to the client that which risk factor most likely contributed to his primary
liver carcinoma?
A. Infection with hepatitis B virus
B. Consuming a diet high in animal fat
C. Exposure to radon
D. Familial polyposis - CORRECT ANSWERS A. Hepatitis B and C are risk factors for primary liver
cancer. Consuming a diet high in animal fat may predispose to colon or breast cancer. Exposure
to radon is a risk factor for lung cancer. Familial polyposis is a risk factor for colorectal cancer.
A client diagnosed with widespread lung cancer asks the nurse why he must be careful to avoid
crowds and people who are ill. What is the nurse's best response?
A. "With lung cancer, you are more likely to develop pneumonia and could pass this on to other
people who are already ill."
B. "When lung cancer is in the bones, it becomes a bone marrow malignancy, which stops
producing immune system cells."
C. "The large amount of mucus produced by the cancer cells is a good breeding ground for
bacteria and other microorganisms."
D. "When lung cancer is in the bones, it can prevent production of immune system cells, making
you less resistant to infection." - CORRECT ANSWERS D. Tumor cells that enter the bone
, ONCOLOGY NCLEX QUESTIONS AND ANSWERS
NEWEST UPDATED 2024/2025 A COMPLETE EXAM
SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS BEST RATED A+ FOR
SUCCESS
marrow reduce the production of healthy white blood cells (WBCs), which are needed for
normal immune function. Therefore clients who have cancer, especially leukemia, are at an
increased risk for infection. Other people are not at risk for becoming infected as a result of
contact with a person who has lung cancer. Lung cancer that has spread to the bone is still lung
cancer; it is not a bone marrow malignancy. It is true that the person with lung cancer may
produce more mucus, which can harbor microorganisms, but this is not the main reason why
the client should avoid crowds and people who are ill.
Which precaution is most important for the nurse to teach a client receiving radiation therapy
for head and neck cancer?
A. Avoid eating red meat during treatment.
B. Pace your leisure activities to prevent fatigue.
C. See your dentist twice yearly for the rest of your life.
D. Avoid using headphones or headsets until your hair grows back. - CORRECT ANSWERS C.
Radiation therapy that is directed in or around the oral cavity has a variety of actions that
increase the risk for dental caries (cavities) and tooth decay. The salivary glands are affected,
which changes the composition of the person's saliva and often causes "dry mouth." This result
allows rapid bacterial overgrowth, which leads to cavity formation. In addition, the radiation
damages the integrity of the enamel and also damages some of the living cells in the tooth. All
contribute to an increased risk for dental infections and cavities.
A client receiving high-dose chemotherapy who has bone marrow suppression has been
receiving daily injections of epoetin alfa (Procrit). Which assessment finding indicates to the
nurse that today's dose should be held and the health care provider notified?
A. Hematocrit of 28%
B. Total white blood cell count of 6200 cells/mm3
C. Blood pressure change from 130/90 mm Hg to 148/98 mm Hg
