NURS 498 EXAM 3 QUESTIONS AND ANSWERS | NURS 498
STUDY GUIDE & PRACTICE TEST 2026/2027
Which nursing roles are important for the prevention and detection of cancer?
a) Teaching about cancer risk factors
b) Using people's natural fear of cancer to motivate changes in unhealthy lifestyles
c) Health promotion in relation to eating low-fibre, refined-carbohydrate diets
d) Encouraging the public to participate in regular screening tests for all detectable cancer sites - correct
answer ✔✔A
Which is an inappropriate nursing intervention to promote nutrition in a client with cancer?
a) Providing increased protein for normal cell recovery and immune system function
b) Alerting the physician that nutritional supplements may be needed when the client has a 4-kg weight
loss
c) Encouraging the client to eat a high-calorie, high-protein snack every few hours to prevent weight loss
d) Providing bland, pureed food because the person's taste sensation is altered - correct answer ✔✔D
A client is told that he will require a right orchiectomy and chemotherapy for testicular cancer. The client
asks the nurse of he will be infertile after the procedure. Which response should be made by the nurse?
a) "Has your surgeon discussed cryopreservation of your sperm?"
b) "Don't be concerned about this now, at this point you need to be concerned about removal of the
cancer."
c) "Since only one testicle is being removed your fertility will not be effected."
d) "This procedure will make you infertile." - correct answer ✔✔A
Which information will the nurse provide to a client receiving radiation therapy or chemotherapy?
a) The cycle of fatigue-depression-fatigue that may occur during treatment can be reduced by restricting
activity.
b) Effective birth control methods should be used for the rest of the client's life.
c) After successful treatment, the client returns to previous functional level.
d) Notify the health care team if nausea and vomiting are experienced during treatment so that these
can be managed. - correct answer ✔✔D
Which points would be part of nursing teaching for a client undergoing brachytherapy of the cervix?
a) The client will be taught that she may experience desquamation of the skin on the abdomen and
upper legs.
b) The client will be taught about the treatment and need for staff time limitations in relation to her care.
c) The client will require shielding of the ovaries during treatment to prevent ovarian damage.
d) The client will learn that she must undergo simulation to locate the treatment area. - correct answer
✔✔B
A patient diagnosed with acute myeloid leukemia receives a bone marrow transplant. Which medication
to prevent graft-versus-host disease should a nurse anticipate receiving an order to administer
a) Chemotherapeutic agents such as cisplatin
b) Peginterferon-alpha-2a for prevention and treatment of hepatitis
, c) An immunosuppressant such as cyclosporin
d) A cyclosporine antibiotic such as ceftazidime - correct answer ✔✔C
A nurse obtains the following assessment data for a client diagnosed with acute myeloid leukemia. For
which finding should a nurse plan interventions first?
a) Weakness and fatigue
b) Pain from mucositis
c) Ecchymosis and petechiae noted on arms
d) T-37.2º - correct answer ✔✔C
If extravasation of an antineoplastic medication occurs, which intervention will the nurse perform first?
a) Inject the appropriate antidote through the IV catheter.
b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.
c) Stop the infusion immediately, while leaving the catheter in place.
d) Apply cold compresses to the site while elevating the arm. - correct answer ✔✔C
Why does stomatitis, a common adverse effect of chemotherapeutic agents, occur?
a) The general health of the client with cancer is poor.
b) The site of the malignancy is near the oral cavity.
c) Rapidly dividing cells of the mucous membranes of the mouth are being destroyed.
d) Chemotherapeutic drugs have a local and irritating effect on epithelial cells. - correct answer ✔✔C
The nurse is assessing a patient who has experienced severe neutropenia after chemotherapy and will
monitor for which possible signs of infection? (Select all that apply.)
a) Elevated WBC count
b) Sore throat
c) Chills
d) Fever
e) Nausea - correct answer ✔✔B, C, D
The nurse monitors a patient who is experiencing thrombocytopenia from severe bone marrow
suppression by looking for which symptom(s):
a) Severe weakness and fatigue
b) Excessive bleeding and bruising
c) Decreased skin turgor
d) Elevated body temperature - correct answer ✔✔B
A nurse is developing a care plan for a client with hepatic encephalopathy. Which are goals for the care
of this client? Select all that apply.
A) Prevent constipation
B) Check the pupil reaction
C) Administer lactulose to reduce blood ammonialevels
D) Encourage physical activity
E) Monitor cordiation while walking
F) Provide foods and fluids high in carbohydrates - correct answer ✔✔A, B, C, E, F
The nurse is providing discharge teaching to a client following gastrectomy and should instruct the client
to take which measures to assist in preventing dumping syndrome?
STUDY GUIDE & PRACTICE TEST 2026/2027
Which nursing roles are important for the prevention and detection of cancer?
a) Teaching about cancer risk factors
b) Using people's natural fear of cancer to motivate changes in unhealthy lifestyles
c) Health promotion in relation to eating low-fibre, refined-carbohydrate diets
d) Encouraging the public to participate in regular screening tests for all detectable cancer sites - correct
answer ✔✔A
Which is an inappropriate nursing intervention to promote nutrition in a client with cancer?
a) Providing increased protein for normal cell recovery and immune system function
b) Alerting the physician that nutritional supplements may be needed when the client has a 4-kg weight
loss
c) Encouraging the client to eat a high-calorie, high-protein snack every few hours to prevent weight loss
d) Providing bland, pureed food because the person's taste sensation is altered - correct answer ✔✔D
A client is told that he will require a right orchiectomy and chemotherapy for testicular cancer. The client
asks the nurse of he will be infertile after the procedure. Which response should be made by the nurse?
a) "Has your surgeon discussed cryopreservation of your sperm?"
b) "Don't be concerned about this now, at this point you need to be concerned about removal of the
cancer."
c) "Since only one testicle is being removed your fertility will not be effected."
d) "This procedure will make you infertile." - correct answer ✔✔A
Which information will the nurse provide to a client receiving radiation therapy or chemotherapy?
a) The cycle of fatigue-depression-fatigue that may occur during treatment can be reduced by restricting
activity.
b) Effective birth control methods should be used for the rest of the client's life.
c) After successful treatment, the client returns to previous functional level.
d) Notify the health care team if nausea and vomiting are experienced during treatment so that these
can be managed. - correct answer ✔✔D
Which points would be part of nursing teaching for a client undergoing brachytherapy of the cervix?
a) The client will be taught that she may experience desquamation of the skin on the abdomen and
upper legs.
b) The client will be taught about the treatment and need for staff time limitations in relation to her care.
c) The client will require shielding of the ovaries during treatment to prevent ovarian damage.
d) The client will learn that she must undergo simulation to locate the treatment area. - correct answer
✔✔B
A patient diagnosed with acute myeloid leukemia receives a bone marrow transplant. Which medication
to prevent graft-versus-host disease should a nurse anticipate receiving an order to administer
a) Chemotherapeutic agents such as cisplatin
b) Peginterferon-alpha-2a for prevention and treatment of hepatitis
, c) An immunosuppressant such as cyclosporin
d) A cyclosporine antibiotic such as ceftazidime - correct answer ✔✔C
A nurse obtains the following assessment data for a client diagnosed with acute myeloid leukemia. For
which finding should a nurse plan interventions first?
a) Weakness and fatigue
b) Pain from mucositis
c) Ecchymosis and petechiae noted on arms
d) T-37.2º - correct answer ✔✔C
If extravasation of an antineoplastic medication occurs, which intervention will the nurse perform first?
a) Inject the appropriate antidote through the IV catheter.
b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.
c) Stop the infusion immediately, while leaving the catheter in place.
d) Apply cold compresses to the site while elevating the arm. - correct answer ✔✔C
Why does stomatitis, a common adverse effect of chemotherapeutic agents, occur?
a) The general health of the client with cancer is poor.
b) The site of the malignancy is near the oral cavity.
c) Rapidly dividing cells of the mucous membranes of the mouth are being destroyed.
d) Chemotherapeutic drugs have a local and irritating effect on epithelial cells. - correct answer ✔✔C
The nurse is assessing a patient who has experienced severe neutropenia after chemotherapy and will
monitor for which possible signs of infection? (Select all that apply.)
a) Elevated WBC count
b) Sore throat
c) Chills
d) Fever
e) Nausea - correct answer ✔✔B, C, D
The nurse monitors a patient who is experiencing thrombocytopenia from severe bone marrow
suppression by looking for which symptom(s):
a) Severe weakness and fatigue
b) Excessive bleeding and bruising
c) Decreased skin turgor
d) Elevated body temperature - correct answer ✔✔B
A nurse is developing a care plan for a client with hepatic encephalopathy. Which are goals for the care
of this client? Select all that apply.
A) Prevent constipation
B) Check the pupil reaction
C) Administer lactulose to reduce blood ammonialevels
D) Encourage physical activity
E) Monitor cordiation while walking
F) Provide foods and fluids high in carbohydrates - correct answer ✔✔A, B, C, E, F
The nurse is providing discharge teaching to a client following gastrectomy and should instruct the client
to take which measures to assist in preventing dumping syndrome?
