Onco Nursing exam 1 questions
neoplastic transformation in human cancers involves the following sequence of events: - ✔✔ correct
answer initiation, promotion, and progression
according to the american cancer society guidelines, for optimal breast health, asymptomatic women
should do which of the following? - ✔✔ correct answer annual clinical breast examination (CBE) and
mammogram starting at age 40. just self-awareness rather than formalized monthly BSE
Human papilloma virus (HPV) is a precursor to genital condyloma, cervical dysplasia, and cervical cancer.
Which high-risk HPV strains are among those being targeted by new cervical cancer vaccines? - ✔✔
correct answer 16 and 18
The nurse practitioner sees a 45-year-old African American male for an annual physical exam. Which of
the following would be the most appropriate screening test for his race and age? - ✔✔ correct answer
DRE and PSA
The overall incidence of cancers can best be reduced by which of the following? - ✔✔ correct answer
prevention
The American Cancer Society estimates that 80% of all cancers are associated with which of the
following? - ✔✔ correct answer environmental exposures
Mary is not a good candidate for tamoxifen because: - ✔✔ correct answer her estimated 5-year risk for
breast cancer is 1.4%
what is the single most effective means by which Mary can reduce her risk for cancer? - ✔✔ correct
answer stop smoking
The nurse practitioner prescribes the following medication for Mary to use in combination with a
nicotine replacement therapy and behavioral therapy for smoking cessation: - ✔✔ correct answer
Buproprion
According to the ACS cervical cancer screening guidelines, by what schedule might Mary be screened for
cervical cancer after three consecutive, negative pap smears? - ✔✔ correct answer every 2 to 3 years
with liquid-based pap smears
, Onco Nursing exam 1 questions
What is he most important focus for the initial interaction with the patient? - ✔✔ correct answer assess
the findings and the patient's perception of the problem
during the course of the interview, the patient tells you that she is a new widow and her two adult
children live out of state. She is living alone. Anticipating the need foe more thorough evaluation of the
mammogram, what is your next course of action? - ✔✔ correct answer discuss with the patient her
children, her support system, her work, and usual activities
You learn from Mrs. Conner that she has been very faithful in obtaining yearly screening mammogram
evaluations, all of which were within normal limits. She is perplexed and in disbelief as to why this
happened to her. The correct response(s) to Mrs. Conner include the following (more than one of the
following might apply): - ✔✔ correct answer You provide positive appraisal of her for following the
recommended breast cancer screening guidelines AND you assure her that because she has followed the
recommended guidelines, her cancer is probably found in an early , most treatable stage
You learn that Mrs. Conner has a sister and a paternal aunt who have had breast cancer in the past. They
were in their 50s at diagnosis. Further, her father was diagnosed with prostate cancer at age 54. What
significance does this information have for your assessment and planning for Mrs. Conner? - ✔✔ correct
answer This family constellation points to a possible genetic link with her developing breast cancer
The surgeon examines Mrs. Conner and determines that there is no focal mass that she can appreciate
clinically. She recommends three potential options for Mrs. Conner. Which of the three is most
appropriate? - ✔✔ correct answer an incision or core biopsy using an imaging technique to obtain a
piece of the tissue to make or rule out a definitive diagnosis of cancer
Mrs. Conner's biopsy was positive for an infiltrating ductal carcinoma. The surgical options discussed
with her are based on which of the two of the following? - ✔✔ correct answer Knowledge of the natural
history of this type of cancer AND Mrs. Conner's lifestyle and personal preference
Mrs. Conner then returns and has an excisional biopsy and lumpectomy. What additional testing will
likely be ordered to determine distant metastatic spread? - ✔✔ correct answer CT scans of chest, pelvis,
abdomen, and bone
neoplastic transformation in human cancers involves the following sequence of events: - ✔✔ correct
answer initiation, promotion, and progression
according to the american cancer society guidelines, for optimal breast health, asymptomatic women
should do which of the following? - ✔✔ correct answer annual clinical breast examination (CBE) and
mammogram starting at age 40. just self-awareness rather than formalized monthly BSE
Human papilloma virus (HPV) is a precursor to genital condyloma, cervical dysplasia, and cervical cancer.
Which high-risk HPV strains are among those being targeted by new cervical cancer vaccines? - ✔✔
correct answer 16 and 18
The nurse practitioner sees a 45-year-old African American male for an annual physical exam. Which of
the following would be the most appropriate screening test for his race and age? - ✔✔ correct answer
DRE and PSA
The overall incidence of cancers can best be reduced by which of the following? - ✔✔ correct answer
prevention
The American Cancer Society estimates that 80% of all cancers are associated with which of the
following? - ✔✔ correct answer environmental exposures
Mary is not a good candidate for tamoxifen because: - ✔✔ correct answer her estimated 5-year risk for
breast cancer is 1.4%
what is the single most effective means by which Mary can reduce her risk for cancer? - ✔✔ correct
answer stop smoking
The nurse practitioner prescribes the following medication for Mary to use in combination with a
nicotine replacement therapy and behavioral therapy for smoking cessation: - ✔✔ correct answer
Buproprion
According to the ACS cervical cancer screening guidelines, by what schedule might Mary be screened for
cervical cancer after three consecutive, negative pap smears? - ✔✔ correct answer every 2 to 3 years
with liquid-based pap smears
, Onco Nursing exam 1 questions
What is he most important focus for the initial interaction with the patient? - ✔✔ correct answer assess
the findings and the patient's perception of the problem
during the course of the interview, the patient tells you that she is a new widow and her two adult
children live out of state. She is living alone. Anticipating the need foe more thorough evaluation of the
mammogram, what is your next course of action? - ✔✔ correct answer discuss with the patient her
children, her support system, her work, and usual activities
You learn from Mrs. Conner that she has been very faithful in obtaining yearly screening mammogram
evaluations, all of which were within normal limits. She is perplexed and in disbelief as to why this
happened to her. The correct response(s) to Mrs. Conner include the following (more than one of the
following might apply): - ✔✔ correct answer You provide positive appraisal of her for following the
recommended breast cancer screening guidelines AND you assure her that because she has followed the
recommended guidelines, her cancer is probably found in an early , most treatable stage
You learn that Mrs. Conner has a sister and a paternal aunt who have had breast cancer in the past. They
were in their 50s at diagnosis. Further, her father was diagnosed with prostate cancer at age 54. What
significance does this information have for your assessment and planning for Mrs. Conner? - ✔✔ correct
answer This family constellation points to a possible genetic link with her developing breast cancer
The surgeon examines Mrs. Conner and determines that there is no focal mass that she can appreciate
clinically. She recommends three potential options for Mrs. Conner. Which of the three is most
appropriate? - ✔✔ correct answer an incision or core biopsy using an imaging technique to obtain a
piece of the tissue to make or rule out a definitive diagnosis of cancer
Mrs. Conner's biopsy was positive for an infiltrating ductal carcinoma. The surgical options discussed
with her are based on which of the two of the following? - ✔✔ correct answer Knowledge of the natural
history of this type of cancer AND Mrs. Conner's lifestyle and personal preference
Mrs. Conner then returns and has an excisional biopsy and lumpectomy. What additional testing will
likely be ordered to determine distant metastatic spread? - ✔✔ correct answer CT scans of chest, pelvis,
abdomen, and bone
