Oncology
The nurse teaches skin care to a client receiving external radiation therapy. Which client statement indicates
the need for further instruction?
1."I will handle the area gently."
2."I will wear loose-fitting clothing."
3."I will avoid the use of deodorants."
4."I will limit sun exposure to 1 hour daily." - ANSWER: 4
The nurse is creating a plan of care for the client with multiple myeloma and includes which priority
intervention in the plan?
1.Encouraging fluids
2.Providing frequent oral care
3.Coughing and deep breathing
4.Monitoring the red blood cell count - ANSWER: 1
A 67-year-old man is receiving outpatient radiation treatments for carcinoma of the oropharynx and has
developed dysphagia. The nurse develops a teaching plan regarding dysphagia and includes which
interventions in the plan? Select all that apply.
1.Teach the man to speak slowly.
2.Teach the man to enunciate clearly.
3.Encourage the man to drink only thin liquids.
4.Teach the man to examine his oral mucosa daily.
5.Encourage the man to use artificial saliva to manage dryness. - ANSWER: 4, 5
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the
nurse expect to note specifically in this disorder?
1.Increased calcium level
2.Increased white blood cells
3.Decreased blood urea nitrogen level
4.Decreased number of plasma cells in the bone marrow - ANSWER: 1
,The nurse has conducted an educational session about risk factors for bladder cancer with clients in the
ambulatory care center. Which statements by the clients indicate that teaching was effective? Select all that
apply.
1."Quitting smoking will help to reduce my risk."
2."I have to consider natural alternatives to dye my hair."
3."Infections of the bladder cannot cause bladder cancer."
4."Chemicals have to enter the bladder directly in order to cause bladder cancer."
5."I have to consult with my primary health care provider about long-term use of cyclophosphamide
medications." - ANSWER: 1, 2, 5
The nurse is providing instructions to the client who is receiving external radiation therapy. Which statement,
if made by the client, indicates the need for further instruction?
1."I will dry affected areas with patting motions."
2."I will wear soft clothing over the affected site."
3."I will use a washcloth to wash the affected area."
4."I need to make sure I carry my purse on the unaffected side." - ANSWER: 3
The nurse is monitoring the intravenous (IV) infusion of an antineoplastic medication to treat breast cancer.
During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes
redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects
extravasation and should take which actions? Select all that apply.
1.Stop the infusion.
2.Prepare to apply ice or heat to the site.
3.Notify the primary health care provider (PHCP).
4.Restart the IV at a distal part of the same vein.
5.Prepare to administer a prescribed antidote into the site. 6.Increase the flow rate of the solution to flush the
skin and subcutaneous tissue - ANSWER: 1, 2, 3, 5
The nurse is providing discharge instructions to a client who has undergone treatment of cervical cancer with
a radiation (cesium) implant. Which instruction should the nurse provide to the client?
1.Avoid douching for at least 1 year.
2.Use a vaginal dilator 3 times a week.
, 3.Sexual activity can be resumed in about 2 months.
4.Bed rest is recommended for at least 1 week after discharge. - ANSWER: 2
The community nurse is conducting a health promotion program, and the topic of the discussion relates to the
risk factors for gastric cancer. Which item, if identified as a risk factor by a client, indicates a need for further
discussion?
1.Smoking
2.A low-fat diet
3.Foods containing nitrates
4.A diet of smoked, highly salted, and spiced foods - ANSWER: 2
The nurse is admitting a client with laryngeal cancer to the nursing unit. What should the nurse assess for as
the most common risk factor for this type of cancer?
1.Alcohol abuse
2.Cigarette smoking
3.Use of chewing tobacco
4.Exposure to air pollutants - ANSWER: 2
The nurse is reviewing the laboratory test results for a client with a diagnosis of leukemia who is receiving
chemotherapy. The nurse notes that the client's platelet count is 20,000 mm3 (200 × 109/L). The nurse should
prepare to implement which action based on this finding?
1.Remove the fresh flowers from the client's room.
2.Remove the rectal thermometer from the client's room.
3.Instruct family members to wear a mask when entering the client's room.
4.Call the dietary department to report that the client will be on a low-bacteria diet. - ANSWER: 2
The nurse is reviewing a plan of care for a client with cancer of the cervix who is undergoing treatment with a
cesium (radiation) implant. Which nursing interventions are most appropriate for this client? Select all that
apply.
1.Maintain the client on bed rest.
2.Place the client on a low-fiber diet.
3.Keep the head of the bed flat at all times.
The nurse teaches skin care to a client receiving external radiation therapy. Which client statement indicates
the need for further instruction?
1."I will handle the area gently."
2."I will wear loose-fitting clothing."
3."I will avoid the use of deodorants."
4."I will limit sun exposure to 1 hour daily." - ANSWER: 4
The nurse is creating a plan of care for the client with multiple myeloma and includes which priority
intervention in the plan?
1.Encouraging fluids
2.Providing frequent oral care
3.Coughing and deep breathing
4.Monitoring the red blood cell count - ANSWER: 1
A 67-year-old man is receiving outpatient radiation treatments for carcinoma of the oropharynx and has
developed dysphagia. The nurse develops a teaching plan regarding dysphagia and includes which
interventions in the plan? Select all that apply.
1.Teach the man to speak slowly.
2.Teach the man to enunciate clearly.
3.Encourage the man to drink only thin liquids.
4.Teach the man to examine his oral mucosa daily.
5.Encourage the man to use artificial saliva to manage dryness. - ANSWER: 4, 5
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the
nurse expect to note specifically in this disorder?
1.Increased calcium level
2.Increased white blood cells
3.Decreased blood urea nitrogen level
4.Decreased number of plasma cells in the bone marrow - ANSWER: 1
,The nurse has conducted an educational session about risk factors for bladder cancer with clients in the
ambulatory care center. Which statements by the clients indicate that teaching was effective? Select all that
apply.
1."Quitting smoking will help to reduce my risk."
2."I have to consider natural alternatives to dye my hair."
3."Infections of the bladder cannot cause bladder cancer."
4."Chemicals have to enter the bladder directly in order to cause bladder cancer."
5."I have to consult with my primary health care provider about long-term use of cyclophosphamide
medications." - ANSWER: 1, 2, 5
The nurse is providing instructions to the client who is receiving external radiation therapy. Which statement,
if made by the client, indicates the need for further instruction?
1."I will dry affected areas with patting motions."
2."I will wear soft clothing over the affected site."
3."I will use a washcloth to wash the affected area."
4."I need to make sure I carry my purse on the unaffected side." - ANSWER: 3
The nurse is monitoring the intravenous (IV) infusion of an antineoplastic medication to treat breast cancer.
During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes
redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects
extravasation and should take which actions? Select all that apply.
1.Stop the infusion.
2.Prepare to apply ice or heat to the site.
3.Notify the primary health care provider (PHCP).
4.Restart the IV at a distal part of the same vein.
5.Prepare to administer a prescribed antidote into the site. 6.Increase the flow rate of the solution to flush the
skin and subcutaneous tissue - ANSWER: 1, 2, 3, 5
The nurse is providing discharge instructions to a client who has undergone treatment of cervical cancer with
a radiation (cesium) implant. Which instruction should the nurse provide to the client?
1.Avoid douching for at least 1 year.
2.Use a vaginal dilator 3 times a week.
, 3.Sexual activity can be resumed in about 2 months.
4.Bed rest is recommended for at least 1 week after discharge. - ANSWER: 2
The community nurse is conducting a health promotion program, and the topic of the discussion relates to the
risk factors for gastric cancer. Which item, if identified as a risk factor by a client, indicates a need for further
discussion?
1.Smoking
2.A low-fat diet
3.Foods containing nitrates
4.A diet of smoked, highly salted, and spiced foods - ANSWER: 2
The nurse is admitting a client with laryngeal cancer to the nursing unit. What should the nurse assess for as
the most common risk factor for this type of cancer?
1.Alcohol abuse
2.Cigarette smoking
3.Use of chewing tobacco
4.Exposure to air pollutants - ANSWER: 2
The nurse is reviewing the laboratory test results for a client with a diagnosis of leukemia who is receiving
chemotherapy. The nurse notes that the client's platelet count is 20,000 mm3 (200 × 109/L). The nurse should
prepare to implement which action based on this finding?
1.Remove the fresh flowers from the client's room.
2.Remove the rectal thermometer from the client's room.
3.Instruct family members to wear a mask when entering the client's room.
4.Call the dietary department to report that the client will be on a low-bacteria diet. - ANSWER: 2
The nurse is reviewing a plan of care for a client with cancer of the cervix who is undergoing treatment with a
cesium (radiation) implant. Which nursing interventions are most appropriate for this client? Select all that
apply.
1.Maintain the client on bed rest.
2.Place the client on a low-fiber diet.
3.Keep the head of the bed flat at all times.
