Multiple Myeloma, Blood Brain Barrier,
Misc. Oncology Exam Questions and
Answers 2025/2026 A+ Graded 100%
Verified
The nurse is caring for a client with suspected multiple myeloma. Which of the following tests
does the nurse anticipate will be ordered to confirm the diagnosis? Select all that apply. -
ANS-CBC, Calcium, Bone marrow for myeloma cells, creatinine due to elev levels in kidney
A patient with meningitis asks how they were infected with the pathogen, what is the appropriate
response? - ANS-Bacteria was small enough
A client suspected of multiple myeloma asks why they need an MRI, what does the nurse say? -
ANS-"To look for evidence of cancer in your bones."
This is correct. Multiple myeloma may cause bone abnormalities and lesions. MRI is one way to
evaluate for these abnormalities during the work up process.
The nurse is caring for a client with multiple myeloma with bone involvement. Which of the
following signs would require immediate intervention? - ANS-Legs tingling
This is correct. Legs tingling would be the highest priority to address because it could indicate
spinal cord damage, which is a potential complication of multiple myeloma with bone
involvement.
The nurse in the intensive care unit is caring for a client who is intubated and on a ventilator.
The nurse needs to check brainstem reflexes by eliciting a cough. Which is the best approach? -
ANS-Insert catheter into airway- Advance a suction catheter into the airway.
This is correct. To check for a cough reflex in clients on a ventilator, advance a suction catheter
into the airway and observe for cough.
Babinski reflex- toes fanned out and extended in response to stimulation - ANS-It is abnormal
and indicates a neurological issue.
This is correct. When the toes fan out and extend, this is considered a positive Babinski reflex
and indicates a neurological issue may be occurring.
The nurse is providing education to parents of a newborn client with imperforate anus. Which of
the following educational items should the nurse include? - ANS-Child may have issues with
constipation later on
, The nurse is assessing a client with suspected meningitis and needs to check for a Brudzinski's
sign. The client is lying supine. What is the nurse's next step? - ANS-Lift the chin toward the
chest
This is correct. To check for nuchal rigidity with the Brudzinksi sign, lift the chin toward the chest
while the client is supine. If positive, it will elicit hip and knee flexion.
The nurse is providing education to the parents of a newborn with imperforate anus. Which of
the following statements by the parents would warrant further education? - ANS-"We may need
a feeding tube for nutritional support" Not true.
A nurse is caring for a client with continuous bladder irrigation in place. The nurse uses a
three-way catheter for the irrigation system. Which best describes the purpose of this type of
catheter? - ANS-It allows for irrigate to flow in and out of the bladder
A continuous bladder irrigation system is used to infuse irrigate or medication into the bladder
and to clear the bladder of clots, debris, and tissue following surgery. The system uses a
three-way catheter: one lumen is used for inflating the balloon of the catheter to keep it in place,
one is used to infuse fluid into the bladder, and one is used to drain the fluid from the bladder.
A client with a femur fracture is being assessed by the nurse. The nurse is concerned about a
fat embolism and knows that which of the following is NOT a sign or symptom of a fat
embolism? - ANS-Hypotension-Hypotension
A fat embolism may occur when a client fractures a long bone such as the femur, tibia, or pelvis.
Hypotension is NOT a sign or symptom of a fat embolism.
The nurse is caring for a client who is being hospitalized for illness. The nurse is repositioning
the client into the Trendelenburg position. This position is best used for a client with which
condition? - ANS-Postural drainage in cystic fibrosis
The Trendelenburg position involves placing the client so that the head is lower than the feet.
This position can be used for short-term therapeutic purposes to control or manage symptoms
of disease. For example, a client with cystic fibrosis benefits from gravity assisting postural
drainage. Another example is a client with hypovolemia, who may benefit from the
Trendelenburg position because it increases cardiac output.
The nurse is working a shift in the emergency department. A client presents in respiratory
distress, and the provider orders emergency intubation using rocuronium. Which of the following
client conditions will prolong the elimination of rocuronium from the client's body? Select all that
apply. - ANS-Kidney failure and Liver Failure
Rocuronium is a nondepolarizing skeletal muscle relaxant used for rapid sequence intubation. It
is eliminated through the kidneys and liver.
A 21-year-old client is undergoing radiation to the pelvis for treatment of uterine cancer. Which
of the following complications should be discussed by the nurse during client education? -
ANS-Radiation treatment can be administered to various areas of the body, including the pelvis
Misc. Oncology Exam Questions and
Answers 2025/2026 A+ Graded 100%
Verified
The nurse is caring for a client with suspected multiple myeloma. Which of the following tests
does the nurse anticipate will be ordered to confirm the diagnosis? Select all that apply. -
ANS-CBC, Calcium, Bone marrow for myeloma cells, creatinine due to elev levels in kidney
A patient with meningitis asks how they were infected with the pathogen, what is the appropriate
response? - ANS-Bacteria was small enough
A client suspected of multiple myeloma asks why they need an MRI, what does the nurse say? -
ANS-"To look for evidence of cancer in your bones."
This is correct. Multiple myeloma may cause bone abnormalities and lesions. MRI is one way to
evaluate for these abnormalities during the work up process.
The nurse is caring for a client with multiple myeloma with bone involvement. Which of the
following signs would require immediate intervention? - ANS-Legs tingling
This is correct. Legs tingling would be the highest priority to address because it could indicate
spinal cord damage, which is a potential complication of multiple myeloma with bone
involvement.
The nurse in the intensive care unit is caring for a client who is intubated and on a ventilator.
The nurse needs to check brainstem reflexes by eliciting a cough. Which is the best approach? -
ANS-Insert catheter into airway- Advance a suction catheter into the airway.
This is correct. To check for a cough reflex in clients on a ventilator, advance a suction catheter
into the airway and observe for cough.
Babinski reflex- toes fanned out and extended in response to stimulation - ANS-It is abnormal
and indicates a neurological issue.
This is correct. When the toes fan out and extend, this is considered a positive Babinski reflex
and indicates a neurological issue may be occurring.
The nurse is providing education to parents of a newborn client with imperforate anus. Which of
the following educational items should the nurse include? - ANS-Child may have issues with
constipation later on
, The nurse is assessing a client with suspected meningitis and needs to check for a Brudzinski's
sign. The client is lying supine. What is the nurse's next step? - ANS-Lift the chin toward the
chest
This is correct. To check for nuchal rigidity with the Brudzinksi sign, lift the chin toward the chest
while the client is supine. If positive, it will elicit hip and knee flexion.
The nurse is providing education to the parents of a newborn with imperforate anus. Which of
the following statements by the parents would warrant further education? - ANS-"We may need
a feeding tube for nutritional support" Not true.
A nurse is caring for a client with continuous bladder irrigation in place. The nurse uses a
three-way catheter for the irrigation system. Which best describes the purpose of this type of
catheter? - ANS-It allows for irrigate to flow in and out of the bladder
A continuous bladder irrigation system is used to infuse irrigate or medication into the bladder
and to clear the bladder of clots, debris, and tissue following surgery. The system uses a
three-way catheter: one lumen is used for inflating the balloon of the catheter to keep it in place,
one is used to infuse fluid into the bladder, and one is used to drain the fluid from the bladder.
A client with a femur fracture is being assessed by the nurse. The nurse is concerned about a
fat embolism and knows that which of the following is NOT a sign or symptom of a fat
embolism? - ANS-Hypotension-Hypotension
A fat embolism may occur when a client fractures a long bone such as the femur, tibia, or pelvis.
Hypotension is NOT a sign or symptom of a fat embolism.
The nurse is caring for a client who is being hospitalized for illness. The nurse is repositioning
the client into the Trendelenburg position. This position is best used for a client with which
condition? - ANS-Postural drainage in cystic fibrosis
The Trendelenburg position involves placing the client so that the head is lower than the feet.
This position can be used for short-term therapeutic purposes to control or manage symptoms
of disease. For example, a client with cystic fibrosis benefits from gravity assisting postural
drainage. Another example is a client with hypovolemia, who may benefit from the
Trendelenburg position because it increases cardiac output.
The nurse is working a shift in the emergency department. A client presents in respiratory
distress, and the provider orders emergency intubation using rocuronium. Which of the following
client conditions will prolong the elimination of rocuronium from the client's body? Select all that
apply. - ANS-Kidney failure and Liver Failure
Rocuronium is a nondepolarizing skeletal muscle relaxant used for rapid sequence intubation. It
is eliminated through the kidneys and liver.
A 21-year-old client is undergoing radiation to the pelvis for treatment of uterine cancer. Which
of the following complications should be discussed by the nurse during client education? -
ANS-Radiation treatment can be administered to various areas of the body, including the pelvis
