ENA Oncology and Hematology
2025/2026 Exam Questions Marking
Scheme New Update | A+ Rated
Which intervention would the nurse take to improve nutrition after
identifying that a client receiving chemotherapy has lost weight? Select all
that apply. One, some, or all responses may be correct.
A. Provide low-carbohydrate meals.
B. Decrease fluid intake at mealtime.
C. Encourage the intake of preferred foods.
D. Promote the intake of small, frequent meals
E. Administer prescribed antiemetics before meals - 🧠ANSWER ✔✔C.
Encourage the intake of preferred foods.
D. Promote the intake of small, frequent meals
E. Administer prescribed antiemetics before meals
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,Which concept is important to teach a client in relation to why medication
cocktails are more effective than a single medication in cancer therapy?
A. Medication resistance
B. Tumor doubling time
C. Cellular growth cycle
D. Retained radioactive particles - 🧠ANSWER ✔✔C. Cellular growth cycle
Which systemic side effect would the nurse monitor for in a client receiving
combination chemotherapy for the treatment of metastatic carcinoma?
A. Ascites
B. Nystagmus
C. Leukopenia
D. Polycythemia - 🧠ANSWER ✔✔C. Leukopenia
The nurse is assessing a child receiving chemotherapy for treatment of
leukemia. Which side effect would the nurse anticipate?
A. Epistaxis
B. Tachycardia
C. Flushed skin
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,D. Increased temperature - 🧠ANSWER ✔✔A. Epistaxis
A client develops severe bone marrow suppression related to cancer
treatment. Which instruction is important for the nurse to include in the
client's teaching?
A. Be prepared to experience alopecia.
B. Increase fluids to at least 3 liters per day.
C. Use a soft toothbrush for oral hygiene.
D. Monitor your intake and output of fluids - 🧠ANSWER ✔✔C. Use a soft
toothbrush for oral hygiene.
A client with laryngeal cancer is receiving chemotherapy. Which laboratory
report is most important for the nurse to monitor when considering the
effects of chemotherapy?
A. Platelets
B. Hemoglobin level
C. Red blood cell count
D. White blood cell count - 🧠ANSWER ✔✔D. White blood cell count
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STATEMENT. ALL RIGHTS RESERVED
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, A client is diagnosed with multiple myeloma. Which intervention would the
nurse expect the plan of care to include?
A. Radiotherapy on an outpatient basis
B. Human leukocyte interferon therapy
C. Surgery to remove the invasive lesions
D. Chemotherapy employing a combination of medication - 🧠ANSWER
✔✔D. Chemotherapy employing a combination of medication
A complete blood count is prescribed before each round of a client's cancer
chemotherapy. Which component of the complete blood count is of
greatest concern to the nurse?
A. Platelets
B. Hematocrit
C. Red blood cells (RBCs)
D. White blood cells (WBCs) - 🧠ANSWER ✔✔D. White blood cells (WBCs)
A client with multiple myeloma who is receiving the alkylating agent
melphalan returns to the oncology clinic for a follow-up visit. For which
adverse effect will the nurse monitor the client?
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STATEMENT. ALL RIGHTS RESERVED
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2025/2026 Exam Questions Marking
Scheme New Update | A+ Rated
Which intervention would the nurse take to improve nutrition after
identifying that a client receiving chemotherapy has lost weight? Select all
that apply. One, some, or all responses may be correct.
A. Provide low-carbohydrate meals.
B. Decrease fluid intake at mealtime.
C. Encourage the intake of preferred foods.
D. Promote the intake of small, frequent meals
E. Administer prescribed antiemetics before meals - 🧠ANSWER ✔✔C.
Encourage the intake of preferred foods.
D. Promote the intake of small, frequent meals
E. Administer prescribed antiemetics before meals
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
1
,Which concept is important to teach a client in relation to why medication
cocktails are more effective than a single medication in cancer therapy?
A. Medication resistance
B. Tumor doubling time
C. Cellular growth cycle
D. Retained radioactive particles - 🧠ANSWER ✔✔C. Cellular growth cycle
Which systemic side effect would the nurse monitor for in a client receiving
combination chemotherapy for the treatment of metastatic carcinoma?
A. Ascites
B. Nystagmus
C. Leukopenia
D. Polycythemia - 🧠ANSWER ✔✔C. Leukopenia
The nurse is assessing a child receiving chemotherapy for treatment of
leukemia. Which side effect would the nurse anticipate?
A. Epistaxis
B. Tachycardia
C. Flushed skin
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
2
,D. Increased temperature - 🧠ANSWER ✔✔A. Epistaxis
A client develops severe bone marrow suppression related to cancer
treatment. Which instruction is important for the nurse to include in the
client's teaching?
A. Be prepared to experience alopecia.
B. Increase fluids to at least 3 liters per day.
C. Use a soft toothbrush for oral hygiene.
D. Monitor your intake and output of fluids - 🧠ANSWER ✔✔C. Use a soft
toothbrush for oral hygiene.
A client with laryngeal cancer is receiving chemotherapy. Which laboratory
report is most important for the nurse to monitor when considering the
effects of chemotherapy?
A. Platelets
B. Hemoglobin level
C. Red blood cell count
D. White blood cell count - 🧠ANSWER ✔✔D. White blood cell count
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A client is diagnosed with multiple myeloma. Which intervention would the
nurse expect the plan of care to include?
A. Radiotherapy on an outpatient basis
B. Human leukocyte interferon therapy
C. Surgery to remove the invasive lesions
D. Chemotherapy employing a combination of medication - 🧠ANSWER
✔✔D. Chemotherapy employing a combination of medication
A complete blood count is prescribed before each round of a client's cancer
chemotherapy. Which component of the complete blood count is of
greatest concern to the nurse?
A. Platelets
B. Hematocrit
C. Red blood cells (RBCs)
D. White blood cells (WBCs) - 🧠ANSWER ✔✔D. White blood cells (WBCs)
A client with multiple myeloma who is receiving the alkylating agent
melphalan returns to the oncology clinic for a follow-up visit. For which
adverse effect will the nurse monitor the client?
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
4
