Question 1
The nurse teaches a patient that the purpose of a living will is to:
establish the patient's desires for care prior to a life-threatening illness.
make final decisions regarding treatment until disease progression.
acknowledge the risks and limitations of recommended therapies.
appoint a surrogate to make medical decisions.
ANSWER
establish the patient's desires for care prior to a life-threatening illness.
Answer: Living wills are designed to determine the care that a patient is agreeable to receive
or not receive in the event of a terminal illness.
Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing
Society, p. 655(t).
Question 2
Which of the following is an advantage of an implanted vascular access device over a
tunneled central venous catheter?
Decreased risk of infection
1
,Short-term use
Low cost of insertion
Unlimited ability to access
ANSWER
Decreased risk of infection
Answer: Implanted ports have a lower risk of infection than tunneled central venous
catheters.
Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of practice
for oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 67.
Question 3
Within which timeframe will chemotherapy-induced alopecia normally begin after receiving
a first treatment?
2 weeks
24 hours
1 month
3 months
ANSWER
2 weeks
Answer: Hair loss from chemotherapy usually begins two weeks after beginning treatment.
Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing
Society, p. 360.
2
, Question 4
A patient with breast cancer who received cyclophospamide five years ago reports a new
onset of bruising and fatigue. The nurse suspects:
a secondary leukemia.
liver failure.
leukoencephalopathy.
cardiomyopathy.
ANSWER
a secondary leukemia.
Answer: The risk of secondary leukemia increases with the use of alkylating agents.
Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and
biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology
Nursing Society, p. 446(t).
Question 5
A patient with a permanent colostomy expresses concern about engaging in sexual
intercourse. The nurse first recommends:
tracking bowel habits to best schedule sexual intercourse.
eating immediately before engaging in sexual intercourse.
having further discussions with a therapist prior to having sexual intercourse.
3
The nurse teaches a patient that the purpose of a living will is to:
establish the patient's desires for care prior to a life-threatening illness.
make final decisions regarding treatment until disease progression.
acknowledge the risks and limitations of recommended therapies.
appoint a surrogate to make medical decisions.
ANSWER
establish the patient's desires for care prior to a life-threatening illness.
Answer: Living wills are designed to determine the care that a patient is agreeable to receive
or not receive in the event of a terminal illness.
Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing
Society, p. 655(t).
Question 2
Which of the following is an advantage of an implanted vascular access device over a
tunneled central venous catheter?
Decreased risk of infection
1
,Short-term use
Low cost of insertion
Unlimited ability to access
ANSWER
Decreased risk of infection
Answer: Implanted ports have a lower risk of infection than tunneled central venous
catheters.
Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of practice
for oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 67.
Question 3
Within which timeframe will chemotherapy-induced alopecia normally begin after receiving
a first treatment?
2 weeks
24 hours
1 month
3 months
ANSWER
2 weeks
Answer: Hair loss from chemotherapy usually begins two weeks after beginning treatment.
Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing
Society, p. 360.
2
, Question 4
A patient with breast cancer who received cyclophospamide five years ago reports a new
onset of bruising and fatigue. The nurse suspects:
a secondary leukemia.
liver failure.
leukoencephalopathy.
cardiomyopathy.
ANSWER
a secondary leukemia.
Answer: The risk of secondary leukemia increases with the use of alkylating agents.
Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and
biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology
Nursing Society, p. 446(t).
Question 5
A patient with a permanent colostomy expresses concern about engaging in sexual
intercourse. The nurse first recommends:
tracking bowel habits to best schedule sexual intercourse.
eating immediately before engaging in sexual intercourse.
having further discussions with a therapist prior to having sexual intercourse.
3
