Chapter 13: Overview of Cancer Care
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is caring for a patient with leukemia. Which treatment should the
nurse expect to be prescribed?
1. Chemotherapy
2. IV fluid therapy
3. Diuretic therapy
4. Electrolyte replacement therapy
____ 2. The nurse is caring for an adolescent Asian patient with a strong family
history of breast cancer. What should the nurse teach the patient regarding cancer
prevention?
1. Perform monthly breast self-examination.
2. Teach the side effects of cancer treatment.
3. Talk to family members who have the disease.
4. Discuss cancer fears with the health-care provider.
____ 3. A patient with anemia caused by chemotherapy is prescribed synthetic
erythropoietin. When teaching the patient about the therapeutic effect of this
treatment, which is appropriate for the nurse to include?
1. Increase in platelets
2. Decrease in lymph fluid
3. Increase in red blood cells
4. Decrease in white blood cells
____ 4. A nurse is caring for a patient with cancer. The nurse teaches the patient about
which potentially undesirable cellular alterations that can occur during the cell cycle?
1. Dysphagia
2. Adaptation
3. Hyperplasia
4. Differentiation
____ 5. During a treatment meeting on an oncology unit, the nurse learns that a
patient is scheduled for chemotherapy before surgery. What are the purposes for this
patient to receive chemotherapy at this specific time?
1. Shrink the tumor
,2. Improve wound healing
3. Eradicate all cancer cells
4. Allow the immune system to kill cancer cells
____ 6. The nurse has completed a seminar teaching a group in the community about
ways to reduce cancer risks. The nurse returns a month later to evaluate the
effectiveness of the seminar. Which statements made by members of the group
indicate retention and application of the material presented by the nurse to reduce the
risk of developing cancer?
1. “I stopped using tanning booths.”
2. “I have reduced my intake of fiber.”
3. “I have increased the amount of lean red meat in my diet.”
4. “I began drinking two glasses of red wine a day with dinner.”
____ 7. The nurse is preparing a seminar that discusses the risk and incidence of
cancer and culture. What information is considered culturally correct when teaching
about the risk of developing cancer?
1. Hispanics have an increased risk of cervical, stomach, and liver cancer.
2. African-Americans are more likely to develop cancer than any other ethnic group.
3. The incidence and mortality rate of all types of cancers are lowest in the Caucasian
population.
4. African-Americans are less likely to develop cancer than any other ethnic or racial
group in the United States.
____ 8. A patient being treated with chemotherapy for cancer complains of fatigue,
pallor, progressive weakness, exertional dyspnea, headache, and tachycardia. Which
diagnosis should the nurse use as the priority when planning this patient’s care?
1. Powerlessness
2. Ineffective Coping
3. Activity Intolerance
4. Imbalanced Nutrition, Less than Body Requirements
____ 9. The nurse accompanies the health-care provider into the patient’s room and
listens as the diagnosis of cancer is shared with the patient and family. Once the
health-care provider leaves the room, the nurse notes that the patient and family are
teary-eyed regarding the diagnosis. What is the nurse’s most appropriate intervention
at this time?
1. Provide emotional support in coping with the diagnosis.
, 2. Help the patient and family remain realistic about prognosis.
3. Provide teaching about the treatment options for this form of cancer.
4. Arrange for the patient to complete a medical power of attorney form.
____ 10. A patient being treated for cancer has a tumor designation of Stage IV, T4,
N3, M1. What does this staging indicate to the nurse?
1. The tumor is small in size.
2. There is one single tumor to treat.
3. The tumor will respond to chemotherapy.
4. The tumor has metastasized with lymph node involvement.
____ 11. During an assessment, the nurse notes that a patient receiving radiation
treatments for breast cancer has excoriated skin. What is the priority nursing
diagnosis?
1. Risk for Infection
2. Activity Intolerance
3. Excess Fluid Volume
4. Ineffective Breathing Pattern
____ 12. A patient has just been told that a colectomy and ileostomy are needed to
treat a new diagnosis of colon cancer. Which nursing diagnosis should the nurse use
to plan this patient’s preoperative nursing care?
1. Knowledge Deficit
2. Anticipatory Grieving
3. Risk for Disuse Syndrome
4. Risk for Perioperative–Positioning Injury
____ 13. The nurse is teaching a patient scheduled for a colonoscopy on pre- and
postprocedure care. Which statement by the patient indicates the need for further
teaching?
1. “It might be quite painful.”
2. “The procedure will only take about one hour.”
3. “The physician might take tissue samples for further analysis.”
4. “I will likely have medications that will make me drowsy during the test.”
____ 14. A patient receiving radiation therapy as treatment for colorectal cancer is
experiencing nausea and vomiting. What should the nurse encourage the patient to
do?
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is caring for a patient with leukemia. Which treatment should the
nurse expect to be prescribed?
1. Chemotherapy
2. IV fluid therapy
3. Diuretic therapy
4. Electrolyte replacement therapy
____ 2. The nurse is caring for an adolescent Asian patient with a strong family
history of breast cancer. What should the nurse teach the patient regarding cancer
prevention?
1. Perform monthly breast self-examination.
2. Teach the side effects of cancer treatment.
3. Talk to family members who have the disease.
4. Discuss cancer fears with the health-care provider.
____ 3. A patient with anemia caused by chemotherapy is prescribed synthetic
erythropoietin. When teaching the patient about the therapeutic effect of this
treatment, which is appropriate for the nurse to include?
1. Increase in platelets
2. Decrease in lymph fluid
3. Increase in red blood cells
4. Decrease in white blood cells
____ 4. A nurse is caring for a patient with cancer. The nurse teaches the patient about
which potentially undesirable cellular alterations that can occur during the cell cycle?
1. Dysphagia
2. Adaptation
3. Hyperplasia
4. Differentiation
____ 5. During a treatment meeting on an oncology unit, the nurse learns that a
patient is scheduled for chemotherapy before surgery. What are the purposes for this
patient to receive chemotherapy at this specific time?
1. Shrink the tumor
,2. Improve wound healing
3. Eradicate all cancer cells
4. Allow the immune system to kill cancer cells
____ 6. The nurse has completed a seminar teaching a group in the community about
ways to reduce cancer risks. The nurse returns a month later to evaluate the
effectiveness of the seminar. Which statements made by members of the group
indicate retention and application of the material presented by the nurse to reduce the
risk of developing cancer?
1. “I stopped using tanning booths.”
2. “I have reduced my intake of fiber.”
3. “I have increased the amount of lean red meat in my diet.”
4. “I began drinking two glasses of red wine a day with dinner.”
____ 7. The nurse is preparing a seminar that discusses the risk and incidence of
cancer and culture. What information is considered culturally correct when teaching
about the risk of developing cancer?
1. Hispanics have an increased risk of cervical, stomach, and liver cancer.
2. African-Americans are more likely to develop cancer than any other ethnic group.
3. The incidence and mortality rate of all types of cancers are lowest in the Caucasian
population.
4. African-Americans are less likely to develop cancer than any other ethnic or racial
group in the United States.
____ 8. A patient being treated with chemotherapy for cancer complains of fatigue,
pallor, progressive weakness, exertional dyspnea, headache, and tachycardia. Which
diagnosis should the nurse use as the priority when planning this patient’s care?
1. Powerlessness
2. Ineffective Coping
3. Activity Intolerance
4. Imbalanced Nutrition, Less than Body Requirements
____ 9. The nurse accompanies the health-care provider into the patient’s room and
listens as the diagnosis of cancer is shared with the patient and family. Once the
health-care provider leaves the room, the nurse notes that the patient and family are
teary-eyed regarding the diagnosis. What is the nurse’s most appropriate intervention
at this time?
1. Provide emotional support in coping with the diagnosis.
, 2. Help the patient and family remain realistic about prognosis.
3. Provide teaching about the treatment options for this form of cancer.
4. Arrange for the patient to complete a medical power of attorney form.
____ 10. A patient being treated for cancer has a tumor designation of Stage IV, T4,
N3, M1. What does this staging indicate to the nurse?
1. The tumor is small in size.
2. There is one single tumor to treat.
3. The tumor will respond to chemotherapy.
4. The tumor has metastasized with lymph node involvement.
____ 11. During an assessment, the nurse notes that a patient receiving radiation
treatments for breast cancer has excoriated skin. What is the priority nursing
diagnosis?
1. Risk for Infection
2. Activity Intolerance
3. Excess Fluid Volume
4. Ineffective Breathing Pattern
____ 12. A patient has just been told that a colectomy and ileostomy are needed to
treat a new diagnosis of colon cancer. Which nursing diagnosis should the nurse use
to plan this patient’s preoperative nursing care?
1. Knowledge Deficit
2. Anticipatory Grieving
3. Risk for Disuse Syndrome
4. Risk for Perioperative–Positioning Injury
____ 13. The nurse is teaching a patient scheduled for a colonoscopy on pre- and
postprocedure care. Which statement by the patient indicates the need for further
teaching?
1. “It might be quite painful.”
2. “The procedure will only take about one hour.”
3. “The physician might take tissue samples for further analysis.”
4. “I will likely have medications that will make me drowsy during the test.”
____ 14. A patient receiving radiation therapy as treatment for colorectal cancer is
experiencing nausea and vomiting. What should the nurse encourage the patient to
do?
