MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
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)ANS: 1
Rationale:
Findings indicative of multiple myeloma are an increased number of plasma cells in the bone marrow,
anemia, hypercalcemia caused by the release of calcium from the deteriorating bone tissue, and an
elevated blood urea nitrogen level. An increased white blood cell count may or may not be present and
is not related specifically to multiple myeloma.
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
,MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
4. Monitoring the red blood cell count - (ANSWER)ANS: 1
Rationale:
Hypercalcemia caused by bone destruction is a priority concern in the client with multiple myeloma. The
nurse should administer fluids in adequate amounts to maintain a urine output of 1.5 to 2 L/day; this
requires about 3 L of fluid intake per day. The fluid is needed not only to dilute the calcium overload but
also to prevent protein from precipitating in the renal tubules. Options 2, 3, and 4 may be components
of the plan of care but are not the priority in this client.
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment
finding would the nurse expect to note specifically in the client?
1. Fatigue
2. Weakness
3. Weight gain
4. Enlarged lymph nodes - (ANSWER)ANS: 4
Rationale:
Hodgkin's disease is a chronic progressive neoplastic disorder of lymphoid tissue characterized by the
painless enlargement of lymph nodes with progression to extralymphatic sites, such as the spleen and
liver. Weight loss is most likely to be noted. Fatigue and weakness may occur but are not related
significantly to the disease.
,MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which
manifestation as typical of the disease?
1. Diarrhea
2. Hypermenorrhea
3. Abnormal bleeding
4. Abdominal distention - (ANSWER)ANS: 4
Rationale:
Clinical manifestations of ovarian cancer include abdominal distention, urinary frequency and urgency,
pleural effusion, malnutrition, pain from pressure caused by the growing tumor and the effects of
urinary or bowel obstruction, constipation, ascites with dyspnea, and ultimately general severe pain.
Abnormal bleeding, often resulting in hypermenorrhea, is associated with uterine cancer.
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would
the nurse recognize as indications of a possible oncological emergency? Select all that apply.
1. Facial edema in the morning
2. Weight loss of 20 lb (9 kg) in 1 month
3. Serum calcium level of 12 mg/dL (3.0 mmol/L)
, MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
4. Serum sodium level of 136 mg/dL (136 mmol/L)
5. Serum potassium level of 3.4 mg/dL (3.4 mmol/L)
6. Numbness and tingling of the lower extremities - (ANSWER)ANS: 1, 3, 6
Rationale:
Oncological emergencies include sepsis, disseminated intravascular coagulation, syndrome of
inappropriate antidiuretic hormone, spinal cord compression, hypercalcemia, superior vena cava
syndrome, and tumor lysis syndrome. Blockage of blood flow to the venous system of the head resulting
in facial edema is a sign of superior vena cava syndrome. A serum calcium level of 12 mg/dL (3.0
mmol/L) indicates hypercalcemia. Numbness and tingling of the lower extremities could be a sign of
spinal cord compression. Mild hypokalemia and weight loss are not oncological emergencies. A sodium
level of 136 mg/dL (136 mmol/L) is a normal level.
A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she
is voiding through the vagina. The nurse interprets that the client may be experiencing which condition?
1. Rupture of the bladder
2. The development of a vesicovaginal fistula
3. Extreme stress caused by the diagnosis of cancer
4. Altered perineal sensation as a side effect of radiation therapy - (ANSWER)ANS: 2
Rationale:
Answers |Latest Version |Already Graded A+
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)ANS: 1
Rationale:
Findings indicative of multiple myeloma are an increased number of plasma cells in the bone marrow,
anemia, hypercalcemia caused by the release of calcium from the deteriorating bone tissue, and an
elevated blood urea nitrogen level. An increased white blood cell count may or may not be present and
is not related specifically to multiple myeloma.
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
,MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
4. Monitoring the red blood cell count - (ANSWER)ANS: 1
Rationale:
Hypercalcemia caused by bone destruction is a priority concern in the client with multiple myeloma. The
nurse should administer fluids in adequate amounts to maintain a urine output of 1.5 to 2 L/day; this
requires about 3 L of fluid intake per day. The fluid is needed not only to dilute the calcium overload but
also to prevent protein from precipitating in the renal tubules. Options 2, 3, and 4 may be components
of the plan of care but are not the priority in this client.
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment
finding would the nurse expect to note specifically in the client?
1. Fatigue
2. Weakness
3. Weight gain
4. Enlarged lymph nodes - (ANSWER)ANS: 4
Rationale:
Hodgkin's disease is a chronic progressive neoplastic disorder of lymphoid tissue characterized by the
painless enlargement of lymph nodes with progression to extralymphatic sites, such as the spleen and
liver. Weight loss is most likely to be noted. Fatigue and weakness may occur but are not related
significantly to the disease.
,MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which
manifestation as typical of the disease?
1. Diarrhea
2. Hypermenorrhea
3. Abnormal bleeding
4. Abdominal distention - (ANSWER)ANS: 4
Rationale:
Clinical manifestations of ovarian cancer include abdominal distention, urinary frequency and urgency,
pleural effusion, malnutrition, pain from pressure caused by the growing tumor and the effects of
urinary or bowel obstruction, constipation, ascites with dyspnea, and ultimately general severe pain.
Abnormal bleeding, often resulting in hypermenorrhea, is associated with uterine cancer.
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would
the nurse recognize as indications of a possible oncological emergency? Select all that apply.
1. Facial edema in the morning
2. Weight loss of 20 lb (9 kg) in 1 month
3. Serum calcium level of 12 mg/dL (3.0 mmol/L)
, MS2- Oncology- NCLEX Saunders Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
4. Serum sodium level of 136 mg/dL (136 mmol/L)
5. Serum potassium level of 3.4 mg/dL (3.4 mmol/L)
6. Numbness and tingling of the lower extremities - (ANSWER)ANS: 1, 3, 6
Rationale:
Oncological emergencies include sepsis, disseminated intravascular coagulation, syndrome of
inappropriate antidiuretic hormone, spinal cord compression, hypercalcemia, superior vena cava
syndrome, and tumor lysis syndrome. Blockage of blood flow to the venous system of the head resulting
in facial edema is a sign of superior vena cava syndrome. A serum calcium level of 12 mg/dL (3.0
mmol/L) indicates hypercalcemia. Numbness and tingling of the lower extremities could be a sign of
spinal cord compression. Mild hypokalemia and weight loss are not oncological emergencies. A sodium
level of 136 mg/dL (136 mmol/L) is a normal level.
A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she
is voiding through the vagina. The nurse interprets that the client may be experiencing which condition?
1. Rupture of the bladder
2. The development of a vesicovaginal fistula
3. Extreme stress caused by the diagnosis of cancer
4. Altered perineal sensation as a side effect of radiation therapy - (ANSWER)ANS: 2
Rationale:
