PRN1178, Client-Centered Care II curriculum Exam IV
1. Which warning sign of cancer is associated with the letter "C" in the CAUTION
acronym? A. Chronic fatigue B. Change in bowel or bladder habits C. Constant
headaches D. Chest pain
2. A patient is diagnosed with cancer that has spread to a regional area and nearby lymph
nodes but not to distant organs. What stage is this cancer? A. Stage 0 B. Stage 1 C. Stage
2 D. Stage 4
3. Metastatic cancer is most commonly associated with which stage? A. Stage 1 B. Stage 2
C. Stage 3 D. Stage 4
4. Which risk factor for lung cancer is most significant for an individual who has smoked a
pack a day for 20 years? A. Exposure to coal tar B. History of IBS C. Heavy smoking
history D. Consumption of alcohol
5. A patient reports difficulty urinating and blood in the urine. These are common warning
signs of which type of cancer? A. Lung B. Prostate C. Colon D. Skin
6. What is a primary risk factor for the development of skin cancer? A. High-protein diet B.
Excessive exposure to sun or tanning booths C. History of rectal polyps D. Late
menopause
7. Which tumor marker is specifically used to aid in the detection of prostate cancer? A.
CA-125 B. PSA C. Philadelphia chromosome D. CBC
8. A patient is undergoing brachytherapy. This is defined as: A. External beam radiation B.
Internal radiation involving a radioactive element placed in the body C. Biological
therapy using the immune system D. Chemotherapy using oral drugs
9. Which side effect of chemotherapy is specifically termed "mucositis"? A. Hair loss B.
Irritation and inflammation of the oral mucosa C. Loss of appetite D. Easy bruising
10. What is the primary purpose of palliative care for a cancer patient? A. To cure the cancer
completely B. To provide comfort and maintain high quality of life for a dying
patient C. To administer high doses of chemotherapy D. To replace diseased bone
marrow
11. When teaching a patient about skin care during external radiation, which instruction is
correct? A. Use an electric razor to shave the area daily. B. Apply thick lotions or salves
to the area before treatment. C. Wash the area once a day using warm water and mild
soap. D. Remove the markings for radiation treatment after each session.
12. A patient receiving chemotherapy is at high risk for infection. This is primarily due to: A.
Thrombocytopenia B. Neutropenia (low white blood cell count) C. Anemia D.
Hypokalemia
13. What is the characteristic of malignant cells that differs from normal cells? A. They grow
in a controlled, slow manner. B. They stay in the location where they started. C. They
grow in an uncontrolled manner and invade nearby tissues. D. They have undamaged
DNA.
14. Which dietary recommendation helps reduce the risk of cancer? A. Increase intake of red
and processed meats. B. Eat five or more servings of vegetables and fruits each day.
C. Consume a diet heavy in pickled and salty foods. D. Limit intake of fatty fish.
, 15. A patient with thrombocytopenia should be instructed to: A. Take their temperature every
4 hours. B. Use a soft-bristled toothbrush and avoid flossing. C. Eat only raw fruits
and vegetables. D. Use a sharp razor for shaving.
16. Why does chemotherapy often cause hair loss? A. It targets only the cancer cells in the
scalp. B. It is a sign of protein deficiency. C. It targets all rapidly dividing cells,
including hair follicles. D. It indicates the patient has a low white blood cell count.
17. Which medication is often used to stimulate appetite in cancer patients (anorexia)? A.
Megestrol (Megace) B. Vincristine C. Tamoxifen D. Cytoxan
18. What is a systemic reaction to radiation therapy? A. Skin redness B. Diarrhea C.
Suppressed immune function and fatigue D. Cystitis
19. In a patient with bone marrow suppression, what is the priority nursing action if the nurse
has a cold? A. Proceed with care but wash hands. B. Ask for an assignment change to
avoid contact with the immunosuppressed patient. C. Tell the patient to wear a mask.
D. Increase the patient's fluid intake.
20. Which type of cancer is often "silent" until it is well advanced? A. Skin B. Ovary C. Oral
D. Bladder
21. Blood in the stool and an altered bowel pattern are primary signs of: A. Prostate cancer B.
Colon/Rectum cancer C. Uterine cancer D. Leukemia
22. A patient receiving a chemotherapy agent that is a "vesicant" must be monitored for: A.
Extravasation or infiltration into the surrounding skin B. Increased hair growth C.
Orthostatic hypotension D. High blood sugar
23. Philadelphia chromosome is a diagnostic marker for: A. Breast cancer B. Leukemia C.
Stomach cancer D. Pancreatic cancer
24. Which intervention is appropriate for a terminally ill patient experiencing noisy breathing
("death rattle")? A. Place the patient in a supine position. B. Force oral fluids. C.
Administer atropine eye drops (as ordered) to dry secretions. D. Perform aggressive
suctioning every 15 minutes.
25. Hormone therapy is most commonly used for which types of cancer? A. Lung and Skin
B. Breast and Prostate C. Leukemia and Lymphoma D. Colon and Stomach
26. Which laboratory test measures various types of blood cells to detect cancers like
leukemia? A. Complete blood count (CBC) B. PSA C. CA-125 D. Electrophoresis
27. A person with a fair complexion who works with coal tar is at higher risk for: A. Lung
cancer B. Skin cancer C. Bladder cancer D. Prostate cancer
28. Which staging indicates that cancer cells have not yet spread from the location where
they started? A. Stage 0 B. Stage 1 C. Stage 2 D. Stage 3
29. What is a common side effect of biologic response modifiers? A. Severe hair loss B.
Fever, chills, and flu-like symptoms C. Constipation D. Shortness of breath
30. To help a patient with mucositis, the nurse should encourage: A. Use of alcohol-based
mouthwash. B. Eating spicy foods to stimulate taste. C. Increasing fluid intake to 3000
mL/day and using soft sponges. D. Limiting oral hygiene to once a day.
31. What is the definition of an electrolyte? A. A chemical that provides calories for energy.
B. A chemical that conducts electricity when mixed with water. C. A protein that
builds muscle tissue. D. A waste product of metabolism.
32. Which fluid compartment contains approximately 2/3 of the total body water? A.
Extracellular (ECF) B. Intracellular (ICF) C. Intravascular D. Interstitial
1. Which warning sign of cancer is associated with the letter "C" in the CAUTION
acronym? A. Chronic fatigue B. Change in bowel or bladder habits C. Constant
headaches D. Chest pain
2. A patient is diagnosed with cancer that has spread to a regional area and nearby lymph
nodes but not to distant organs. What stage is this cancer? A. Stage 0 B. Stage 1 C. Stage
2 D. Stage 4
3. Metastatic cancer is most commonly associated with which stage? A. Stage 1 B. Stage 2
C. Stage 3 D. Stage 4
4. Which risk factor for lung cancer is most significant for an individual who has smoked a
pack a day for 20 years? A. Exposure to coal tar B. History of IBS C. Heavy smoking
history D. Consumption of alcohol
5. A patient reports difficulty urinating and blood in the urine. These are common warning
signs of which type of cancer? A. Lung B. Prostate C. Colon D. Skin
6. What is a primary risk factor for the development of skin cancer? A. High-protein diet B.
Excessive exposure to sun or tanning booths C. History of rectal polyps D. Late
menopause
7. Which tumor marker is specifically used to aid in the detection of prostate cancer? A.
CA-125 B. PSA C. Philadelphia chromosome D. CBC
8. A patient is undergoing brachytherapy. This is defined as: A. External beam radiation B.
Internal radiation involving a radioactive element placed in the body C. Biological
therapy using the immune system D. Chemotherapy using oral drugs
9. Which side effect of chemotherapy is specifically termed "mucositis"? A. Hair loss B.
Irritation and inflammation of the oral mucosa C. Loss of appetite D. Easy bruising
10. What is the primary purpose of palliative care for a cancer patient? A. To cure the cancer
completely B. To provide comfort and maintain high quality of life for a dying
patient C. To administer high doses of chemotherapy D. To replace diseased bone
marrow
11. When teaching a patient about skin care during external radiation, which instruction is
correct? A. Use an electric razor to shave the area daily. B. Apply thick lotions or salves
to the area before treatment. C. Wash the area once a day using warm water and mild
soap. D. Remove the markings for radiation treatment after each session.
12. A patient receiving chemotherapy is at high risk for infection. This is primarily due to: A.
Thrombocytopenia B. Neutropenia (low white blood cell count) C. Anemia D.
Hypokalemia
13. What is the characteristic of malignant cells that differs from normal cells? A. They grow
in a controlled, slow manner. B. They stay in the location where they started. C. They
grow in an uncontrolled manner and invade nearby tissues. D. They have undamaged
DNA.
14. Which dietary recommendation helps reduce the risk of cancer? A. Increase intake of red
and processed meats. B. Eat five or more servings of vegetables and fruits each day.
C. Consume a diet heavy in pickled and salty foods. D. Limit intake of fatty fish.
, 15. A patient with thrombocytopenia should be instructed to: A. Take their temperature every
4 hours. B. Use a soft-bristled toothbrush and avoid flossing. C. Eat only raw fruits
and vegetables. D. Use a sharp razor for shaving.
16. Why does chemotherapy often cause hair loss? A. It targets only the cancer cells in the
scalp. B. It is a sign of protein deficiency. C. It targets all rapidly dividing cells,
including hair follicles. D. It indicates the patient has a low white blood cell count.
17. Which medication is often used to stimulate appetite in cancer patients (anorexia)? A.
Megestrol (Megace) B. Vincristine C. Tamoxifen D. Cytoxan
18. What is a systemic reaction to radiation therapy? A. Skin redness B. Diarrhea C.
Suppressed immune function and fatigue D. Cystitis
19. In a patient with bone marrow suppression, what is the priority nursing action if the nurse
has a cold? A. Proceed with care but wash hands. B. Ask for an assignment change to
avoid contact with the immunosuppressed patient. C. Tell the patient to wear a mask.
D. Increase the patient's fluid intake.
20. Which type of cancer is often "silent" until it is well advanced? A. Skin B. Ovary C. Oral
D. Bladder
21. Blood in the stool and an altered bowel pattern are primary signs of: A. Prostate cancer B.
Colon/Rectum cancer C. Uterine cancer D. Leukemia
22. A patient receiving a chemotherapy agent that is a "vesicant" must be monitored for: A.
Extravasation or infiltration into the surrounding skin B. Increased hair growth C.
Orthostatic hypotension D. High blood sugar
23. Philadelphia chromosome is a diagnostic marker for: A. Breast cancer B. Leukemia C.
Stomach cancer D. Pancreatic cancer
24. Which intervention is appropriate for a terminally ill patient experiencing noisy breathing
("death rattle")? A. Place the patient in a supine position. B. Force oral fluids. C.
Administer atropine eye drops (as ordered) to dry secretions. D. Perform aggressive
suctioning every 15 minutes.
25. Hormone therapy is most commonly used for which types of cancer? A. Lung and Skin
B. Breast and Prostate C. Leukemia and Lymphoma D. Colon and Stomach
26. Which laboratory test measures various types of blood cells to detect cancers like
leukemia? A. Complete blood count (CBC) B. PSA C. CA-125 D. Electrophoresis
27. A person with a fair complexion who works with coal tar is at higher risk for: A. Lung
cancer B. Skin cancer C. Bladder cancer D. Prostate cancer
28. Which staging indicates that cancer cells have not yet spread from the location where
they started? A. Stage 0 B. Stage 1 C. Stage 2 D. Stage 3
29. What is a common side effect of biologic response modifiers? A. Severe hair loss B.
Fever, chills, and flu-like symptoms C. Constipation D. Shortness of breath
30. To help a patient with mucositis, the nurse should encourage: A. Use of alcohol-based
mouthwash. B. Eating spicy foods to stimulate taste. C. Increasing fluid intake to 3000
mL/day and using soft sponges. D. Limiting oral hygiene to once a day.
31. What is the definition of an electrolyte? A. A chemical that provides calories for energy.
B. A chemical that conducts electricity when mixed with water. C. A protein that
builds muscle tissue. D. A waste product of metabolism.
32. Which fluid compartment contains approximately 2/3 of the total body water? A.
Extracellular (ECF) B. Intracellular (ICF) C. Intravascular D. Interstitial
