NCLEX Oncology Exam Marking Scheme

NCLEX Oncology Exam Marking Scheme The nurse is reviewing the laboratory results of a client with bladder cancer and bone metastasis and notes that the calcium level is 15 mg/dL. The nurse should take which appropriate action? - ANSWER- Notify the primary health care provider. A nursing student is assisting in caring for a client with a lung tumor; the client will be having a pneumonectomy. The nursing instructor reviews the postoperative plan of care developed by the student and suggests deleting which item from the plan? - ANSWER- Monitoring the closed chest tube drainage system When reinforcing teaching about signs and symptoms of ovarian cancer with a community group of women, the nurse emphasizes which sign/symptom as being a typical manifestation of the disease recognized by persons diagnosed with the condition? - ANSWER- Abdominal distention or fullness The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding is indicative of the massive cell destruction that occurs with the chemotherapy? - ANSWER- Increased uric acid level The nurse is reinforcing instructions to a client scheduled for conization in 1 week for the treatment of microinvasive cervical cancer. The procedure has been explained by the primary health care provider, and the nurse is reviewing the complications associated with the procedure. The nurse determines that the client needs further teaching if the client states that which is a complication of this procedure? - ANSWER- Ovarian perforation A client with which type of cancer is at greatest risk for experiencing the complication vena cava syndrome? - ANSWER- Lung cancer The nurse is assisting in planning care for a client with Hodgkin's disease who is neutropenic as a result of radiation and chemotherapy. Which actions should be included in the client's plan of care? Select all that apply. - ANSWER- 3.Monitor white blood cell counts daily. 4.Ensure meticulous hand washing before caring for the client. 5.Ask visitors with respiratory infection symptoms to not visit the client. A client receiving chemotherapy asks the nurse, "What will I do when my hair starts to fall out?" Which action by the nurse is therapeutic? - ANSWER- Assist her to express feelings. The nurse is monitoring a client on chemotherapy for signs and symptoms related to tumor lysis syndrome. The nurse understands that which is an early sign of this oncological emergency? - ANSWER- Elevated potassium The nurse is teaching a local women's church group about the risks of cervical cancer. The nurse determines that there is a need for further teaching if a group member states that which is a risk factor? - ANSWER- Intercourse with a circumcised male The nurse reinforces the teaching plan for a client with a family history of breast cancer. Which teaching point should be included? - ANSWER- Measures to prevent and screen for cancer A client with endometrial cancer is receiving doxorubicin, an antineoplastic agent. The nurse should specifically collect data about which criteria? Select all that apply. - ANSWER- Electrocardiogram Hematological laboratory values