Comprehensive Study 1 Up to Date Content
Oncology NCLEX practice Latest
Questions and Graded Answers
1. A male client has an abnormal result on a Papanicolaou
test. After admitting, he read his chart while the nurse was
out of the room, the client asks what dysplasia means. Which
definition should the nurse provide?
a. Presence of completely undifferentiated tumor cells that
don't resemble cells of the tissues of their origin
b. Increase in the number of normal cells in a normal
arrangement in a tissue or an organ
c. Replacement of one type of fully differentiated cell by
another in tissues where the second type normally isn't found
d. Alteration in the size, shape, and organization of
differentiated cells
Ans: 1.Answer D. Dysplasia refers to an alteration in
the size, shape, and organization of differentiated
cells. The presence of completely undifferentiated
tumor cells that don't resemble cells of the tissues of
their origin is called anaplasia. An increase in the
number of normal cells in a normal arrangement in a
tissue or an organ is called hyperplasia. Replacement
of one type of fully differentiated cell by another in
tissues where the second type normally isn't found is
called metaplasia.
2. For a female client with newly diagnosed cancer, the
nurse formulates a nursing diagnosis of Anxiety related to
the threat of death secondary to cancer diagnosis. Which
expected outcome would be appropriate for this client?
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,Comprehensive Study 2 Up to Date Content
a. "Client verbalizes feelings of anxiety."
b. "Client doesn't guess at prognosis."
c. "Client uses any effective method to reduce tension."
d. "Client stops seeking information."
Ans: 2.Answer A. Verbalizing feelings is the client's
first step in coping with the situational crisis. It also
helps the health care team gain insight into the
client's feelings, helping guide psychosocial care.
Option B is inappropriate because suppressing
speculation may prevent the client from coming to
terms with the crisis and planning 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.
Option D isn't appropriate because seeking
information can help a client with cancer gain a
sense of control over the crisis.
3. A male client with a cerebellar brain tumor is admitted to
an acute care facility. The nurse formulates a nursing
diagnosis of Risk for injury. Which "related-to" phrase should
the nurse add to complete the nursing diagnosis statement?
a. Related to visual field deficits
b. Related to difficulty swallowing
c. Related to impaired balance
d. Related to psychomotor seizures
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, Comprehensive Study 3 Up to Date Content
Ans: 3.Answer C. A client with a cerebellar brain
tumor may suffer injury from impaired balance as
well as disturbed gait and incoordination. Visual field
deficits, difficulty swallowing, and psychomotor
seizures may result from dysfunction of the pituitary
gland, pons, occipital lobe, parietal lobe, or temporal
lobe — not from a cerebellar brain tumor. Difficulty
swallowing suggests medullary dysfunction.
Psychomotor seizures suggest temporal lobe
dysfunction.
4. A female client with cancer is scheduled for radiation
therapy. The nurse knows that radiation at any treatment site
may cause a certain adverse effect. Therefore, the nurse
should prepare the client to expect:
a. hair loss.
b. stomatitis.
c. fatigue.
d. vomiting.
Ans: 4.Answer C. Radiation therapy may cause
fatigue, skin toxicities, and anorexia regardless of the
treatment site. Hair loss, stomatitis, and vomiting
are site-specific, not generalized, adverse effects of
radiation therapy.
5. Nurse April is teaching a client who suspects that she has
a lump in her breast. The nurse instructs the client that a
diagnosis of breast cancer is confirmed by:
a. breast self-examination.
Up to Date Content
Oncology NCLEX practice Latest
Questions and Graded Answers
1. A male client has an abnormal result on a Papanicolaou
test. After admitting, he read his chart while the nurse was
out of the room, the client asks what dysplasia means. Which
definition should the nurse provide?
a. Presence of completely undifferentiated tumor cells that
don't resemble cells of the tissues of their origin
b. Increase in the number of normal cells in a normal
arrangement in a tissue or an organ
c. Replacement of one type of fully differentiated cell by
another in tissues where the second type normally isn't found
d. Alteration in the size, shape, and organization of
differentiated cells
Ans: 1.Answer D. Dysplasia refers to an alteration in
the size, shape, and organization of differentiated
cells. The presence of completely undifferentiated
tumor cells that don't resemble cells of the tissues of
their origin is called anaplasia. An increase in the
number of normal cells in a normal arrangement in a
tissue or an organ is called hyperplasia. Replacement
of one type of fully differentiated cell by another in
tissues where the second type normally isn't found is
called metaplasia.
2. For a female client with newly diagnosed cancer, the
nurse formulates a nursing diagnosis of Anxiety related to
the threat of death secondary to cancer diagnosis. Which
expected outcome would be appropriate for this client?
Up to Date Content
,Comprehensive Study 2 Up to Date Content
a. "Client verbalizes feelings of anxiety."
b. "Client doesn't guess at prognosis."
c. "Client uses any effective method to reduce tension."
d. "Client stops seeking information."
Ans: 2.Answer A. Verbalizing feelings is the client's
first step in coping with the situational crisis. It also
helps the health care team gain insight into the
client's feelings, helping guide psychosocial care.
Option B is inappropriate because suppressing
speculation may prevent the client from coming to
terms with the crisis and planning 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.
Option D isn't appropriate because seeking
information can help a client with cancer gain a
sense of control over the crisis.
3. A male client with a cerebellar brain tumor is admitted to
an acute care facility. The nurse formulates a nursing
diagnosis of Risk for injury. Which "related-to" phrase should
the nurse add to complete the nursing diagnosis statement?
a. Related to visual field deficits
b. Related to difficulty swallowing
c. Related to impaired balance
d. Related to psychomotor seizures
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, Comprehensive Study 3 Up to Date Content
Ans: 3.Answer C. A client with a cerebellar brain
tumor may suffer injury from impaired balance as
well as disturbed gait and incoordination. Visual field
deficits, difficulty swallowing, and psychomotor
seizures may result from dysfunction of the pituitary
gland, pons, occipital lobe, parietal lobe, or temporal
lobe — not from a cerebellar brain tumor. Difficulty
swallowing suggests medullary dysfunction.
Psychomotor seizures suggest temporal lobe
dysfunction.
4. A female client with cancer is scheduled for radiation
therapy. The nurse knows that radiation at any treatment site
may cause a certain adverse effect. Therefore, the nurse
should prepare the client to expect:
a. hair loss.
b. stomatitis.
c. fatigue.
d. vomiting.
Ans: 4.Answer C. Radiation therapy may cause
fatigue, skin toxicities, and anorexia regardless of the
treatment site. Hair loss, stomatitis, and vomiting
are site-specific, not generalized, adverse effects of
radiation therapy.
5. Nurse April is teaching a client who suspects that she has
a lump in her breast. The nurse instructs the client that a
diagnosis of breast cancer is confirmed by:
a. breast self-examination.
Up to Date Content
