ONCOLOGY PRACTICE FINAL REVIEW FOR
NURSING STUDENTS (NURS 452)
QUESTIONS AND CORRECT ANSWERS
● A diagnosis of Hodgkin’s disease was made to a 58- year old man and
is admitted for the initial cycle of chemotherapy. During the
hospitalization, the nurse should watch out for the following
complication, except?
A. Fertility problems
B. Benign prostatic hyperplasia
C. Secondary cancer
D. Infection
Correct Answer: B. Benign prostatic hyperplasia
Option B: Hodgkin’s disease (Hodgkin’s lymphoma) is a type of cancer
that affects the lymphatic system (bone marrow, spleen, liver, and
lymph node tissue. Symptoms include painless swelling of a lymph
node, recurrent fever, night sweats, pruritus, and unexplained weight
loss. Prostate involvement is rare in Hodgkin’s disease.
● The nurse is reviewing the chart of a client who is newly diagnosed
with chronic lymphocytic leukemia. Which of the following
laboratory values is expected to be seen?
A. Elevated aspartate aminotransferase and alanine aminotransferase
levels
B. Thrombocytopenia and increased lymphocytes
C. C. Elevated sedimentation rate
D. Uncontrolled proliferation of granulocytes
Correct Answer: B. Thrombocytopenia and increased lymphocytes
Option B: Chronic lymphocytic leukemia shows a proliferation of small
abnormal mature B lymphocytes and decreased antibody response.
Thrombocytopenia also is often present.
● Maria was recently diagnosed with Hodgkin’s lymphoma. Upon the
early diagnosis, the nurse will expect which of the following areas is
often involved?
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A. Chest
B. Neck
C. Groin
D. Pelvis
Correct Answer: B. Neck
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Option B: A common early sign of Hodgkin lymphoma is swelling in one
or more lymph nodes, which is often seen in the neck.
● According to a standard staging classification of Hodgkin’s disease,
which of the following criteria reflects stage III?
A. Involvement of lymph node regions or structures on both sides of the
diaphragm
B. Involvement of two or more lymph node regions or structures
C. Involvement of single lymph node region or structure
D. Involvement of extralymphatic organs or tissues
Correct Answer: A. Involvement of lymph node regions or structures on
both sides of the diaphragm
Option A: Hodgkin lymphoma is classified into stages to determine the
state of the disease and where it has already spread. Stage III involves
nodes on both sides of the diaphragm.
.
● Angela, a clinical instructor is conducting a lecture about
chemotherapy. Which of the following statements is correct about
the rate of cell growth in relation to chemotherapy?
A. Faster growing cells are more susceptible to chemotherapy
B. Faster growing cells are less susceptible to chemotherapy
C. Slower growing cells are more susceptible to chemotherapy
D. Non-dividing cells are more susceptible to chemotherapy
Correct Answer: A. Faster growing cells are more susceptible to
chemotherapy
Option A: The faster the cell grows, the more susceptible it is to
chemotherapy and radiation therapy.
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● A 40-year-old male diagnosed with acute lymphocytic leukemia
finished his first cycle of chemotherapy. Which of the following
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statements by the nurse is wrong?
A. “You can eat soft cheeses from pasteurized milk”
B. “You can enjoy the turkey on the day of thanksgiving party”
C. “Try eating sashimi in one of the famous Japanese restaurants around
the city”