Oncology NCLEX Questions Exam test Questions with 100%
Verified Answers
1. During a routine physical examination, a firm mass is Increased vascu-
palpated in the right breast of a 35-year-old woman. larity of the breast.
Which of the following findings or client history would Increase in breast
suggest cancer of the breast as opposed to fibrocys- size or vascu-
tic disease? larity is consis-
tent with can-
cer of the breast.
Early menarche
as well as late
menopause or a
history of anovu-
latory cycles are
associated with fi-
brocystic disease.
Masses associat-
ed with fibrocys-
tic disease of the
breast are firm,
most often locat-
ed in the upper
outer quadrant of
the breast, and in-
crease in size pri-
or to menstruation.
They may be bilat-
eral in a mirror im-
age and are typ-
ically well demar-
cated and freely
moveable.
2. Which of the following types of leukemia carries the Acute lymphoblas-
best prognosis? tic leukemia.
Acute lymphoblas-
tic leukemia, which
accounts for more
than 80% of
all childhood cas-
es, carries the
, Oncology NCLEX Questions Exam test Questions with 100%
Verified Answers
best prognosis.
Acute myeloge-
nous leukemia,
with several sub-
types, accounts
for most of the
other leukemias
affecting chil-
dren. Basophilic
and eosinophilic
leukemia are
named for the spe-
cific cells involved.
These are much
rarer and carry a
poorer prognosis.
3. Which of the following clients is most at risk for devel- A 60-year-old
oping multiple myeloma? Black man.
Multiple myeloma
is more common in
middle-aged and
older clients (the
median age at
diagnosis is 60
years) and is twice
as common in
Blacks as Whites.
It occurs most of-
ten in Black men.
4. The nurse is reviewing the laboratory results of a Assess level of
client receiving chemotherapy. The platelet count is consciousness.
10,000 cells/mm. Based on this laboratory value, the A high risk of
priority nursing assessment is which of the following? hemorrhage exists
when the platelet
count is fewer than
20,000. Fatal cen-
tral nervous sys-
, Oncology NCLEX Questions Exam test Questions with 100%
Verified Answers
tem hemorrhage
or massive gas-
trointestinal hem-
orrhage can oc-
cur when the
platelet count is
fewer than 10,000.
The client should
be assessed for
changes in lev-
els of conscious-
ness, which may
be an early indi-
cation of an in-
tracranial hemor-
rhage. Option 2 is
a priority nursing
assessment when
the white blood
cell count is low
and the client is at
risk for an infec-
tion.
5. Which of the following medications usually is given to Bactrim.
a client with leukemia as prophylaxis against P. carinii The most frequent
pneumonia? cause of death
from leukemia is
overwhelming in-
fection. P. carinii
infection is lethal
to a child with
leukemia. As pro-
phylaxis against
P. carinii pneu-
monia, continu-
ous low dos-
es of co-trimox-
azole (Bactrim)
Verified Answers
1. During a routine physical examination, a firm mass is Increased vascu-
palpated in the right breast of a 35-year-old woman. larity of the breast.
Which of the following findings or client history would Increase in breast
suggest cancer of the breast as opposed to fibrocys- size or vascu-
tic disease? larity is consis-
tent with can-
cer of the breast.
Early menarche
as well as late
menopause or a
history of anovu-
latory cycles are
associated with fi-
brocystic disease.
Masses associat-
ed with fibrocys-
tic disease of the
breast are firm,
most often locat-
ed in the upper
outer quadrant of
the breast, and in-
crease in size pri-
or to menstruation.
They may be bilat-
eral in a mirror im-
age and are typ-
ically well demar-
cated and freely
moveable.
2. Which of the following types of leukemia carries the Acute lymphoblas-
best prognosis? tic leukemia.
Acute lymphoblas-
tic leukemia, which
accounts for more
than 80% of
all childhood cas-
es, carries the
, Oncology NCLEX Questions Exam test Questions with 100%
Verified Answers
best prognosis.
Acute myeloge-
nous leukemia,
with several sub-
types, accounts
for most of the
other leukemias
affecting chil-
dren. Basophilic
and eosinophilic
leukemia are
named for the spe-
cific cells involved.
These are much
rarer and carry a
poorer prognosis.
3. Which of the following clients is most at risk for devel- A 60-year-old
oping multiple myeloma? Black man.
Multiple myeloma
is more common in
middle-aged and
older clients (the
median age at
diagnosis is 60
years) and is twice
as common in
Blacks as Whites.
It occurs most of-
ten in Black men.
4. The nurse is reviewing the laboratory results of a Assess level of
client receiving chemotherapy. The platelet count is consciousness.
10,000 cells/mm. Based on this laboratory value, the A high risk of
priority nursing assessment is which of the following? hemorrhage exists
when the platelet
count is fewer than
20,000. Fatal cen-
tral nervous sys-
, Oncology NCLEX Questions Exam test Questions with 100%
Verified Answers
tem hemorrhage
or massive gas-
trointestinal hem-
orrhage can oc-
cur when the
platelet count is
fewer than 10,000.
The client should
be assessed for
changes in lev-
els of conscious-
ness, which may
be an early indi-
cation of an in-
tracranial hemor-
rhage. Option 2 is
a priority nursing
assessment when
the white blood
cell count is low
and the client is at
risk for an infec-
tion.
5. Which of the following medications usually is given to Bactrim.
a client with leukemia as prophylaxis against P. carinii The most frequent
pneumonia? cause of death
from leukemia is
overwhelming in-
fection. P. carinii
infection is lethal
to a child with
leukemia. As pro-
phylaxis against
P. carinii pneu-
monia, continu-
ous low dos-
es of co-trimox-
azole (Bactrim)
