Oncology Exam Questions and Answers |Complete Solutions Graded A+ |100% Correct
The home care nurse visits a client who has just returned home from the hospital after a
mastectomy with a suction drain in place. Which observed client behavior requires a need for
further teaching?
1.Empties the drain to prevent infection 2.Elevates the arm when lying and sitting 3.Applies
lotion to the area after the incision heals 4.Performs full range-of-motion exercises to the upper
arm 4
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which
assessment finding would the nurse expect to note specifically in the client?
1.Fatigue 2.Weakness 3.Weight gain 4.Enlarged lymph nodes 4
A client with bladder cancer has undergone surgical removal of the bladder with creation of an
ileal conduit. Which assessment findings indicate that the client is developing complications?
Select all that apply.
1.Dusky appearance of the stoma 2.Stoma protrusion from the skin 3.Sharp abdominal pain
with rigidity 4.Urine output greater than 30 mL/hour 5.Mucus shreds in the urine collection bag
1,2,3
The nurse is conducting a history and monitoring laboratory values on a client with multiple
myeloma. What assessment findings should the nurse expect to note? Select all that apply.
1.Pathological fracture 2.Urinalysis positive for Bence Jones protein 3.Hemoglobin level of 15.5
g/dL (155 mmol/L) 4.Calcium level of 8.6 mg/dL (2.15 mmol/L) 5.Serum creatinine level of 2.0
mg/dL (176.6 mcmol/L) 1,2,5
The nurse has provided instructions to a client receiving external radiation therapy. Which
client statement would indicate a need for further instruction regarding self-care related to the
radiation therapy?
1."I need to eat a high-protein diet." 2."I need to avoid exposure to sunlight." 3."I need to wash
my skin with a mild soap and pat dry." 4."I need to apply pressure on the irritated area by
wearing snug clothing to prevent bleeding." 4
,A client is admitted to the hospital with suspected bladder cancer. The nurse assesses the client
for which early signs and symptoms of the disease?
1.Proteinuria and dysuria 2.Hematuria and absence of pain 3.Painful urination and hematuria
4.Pyuria and palpable abdominal mass 2
The ambulatory care nurse is providing discharge instructions to a female client who underwent
cryosurgery with laser therapy because of a positive Papanicolaou test. Which statement by the
client indicates an understanding of the instructions?
1."I should take sitz baths every 4 hours for the next week." 2."I should expect the vaginal
discharge to be clear and watery." 3."Very strong pain medications will be needed to relieve
any discomfort I may have." 4."If I note any odor to the vaginal discharge, I should call the
primary health care provider immediately." 2
The nurse is assessing a client who has a new ureterostomy. Which statement by the client
indicates the need for more education about urinary stoma care?
1."I change my pouch every week." 2."I change the appliance in the morning." 3."I empty the
urinary collection bag when it is two-thirds full." 4."When I'm in the shower I direct the flow of
water away from my stoma." 3
A client who is receiving chemotherapy for breast cancer develops myelosuppression. Which
instructions should the nurse include in the client's discharge teaching plan? Select all that
apply.
1.Avoid contact sports. 2.Wash hands frequently. 3.Increase intake of fresh fruits and
vegetables. 4.Avoid crowded places such as shopping malls. 5.Treat a sore throat with over-the-
counter products. 6.Avoid people who have received live attenuated vaccines. 1,2,4,6
As part of chemotherapy education, the nurse teaches a female client about the risk for
bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The
nurse understands that further teaching is needed if the client makes which statement?
1."I should avoid blowing my nose." 2."I may need a platelet transfusion if my platelet count is
too low." 3."I'm going to take aspirin for my headache as soon as I get home." 4."I will count the
number of pads and tampons I use when menstruating." 3
, The nurse is reviewing the laboratory test results for a client with bladder cancer with bone
metastasis. The nurse should contact the primary health care provider (PHCP) if which finding is
noted?
1.Calcium level of 15 mg/dL (3.75 mmol/L) 2.Potassium level of 3.8 mEq/L (3.8 mmol/L)
3.Platelet count of 200,000 mm3 (200 × 109/L) 4.White blood cell (WBC) count of 6000 mm3 (6
× 109/L) 1
The nurse manager is teaching the nursing staff about signs and symptoms related to
hypercalcemia in a client with metastatic prostate cancer, and tells the staff that which is a late
sign or symptom of this oncological emergency?
1.Headache 2.Dysphagia 3.Constipation 4.Electrocardiographic changes 4
The clinic nurse prepares instructions for a client diagnosed with leukemia who developed
stomatitis after the administration of a course of antineoplastic medications. The nurse should
provide the client with which instruction?
1.Avoid foods and fluids for the next 12 to 24 hours. 2.Swab the mouth with lemon and
glycerin 4 times a day. 3.Rinse the mouth with a diluted solution of baking soda or saline.
4.Brush the teeth with a stiff-bristled toothbrush, and use dental floss 3 times a day. 3
A client seeks treatment in an ambulatory clinic for a complaint of hoarseness that has lasted
for 6 weeks. On the basis of this symptom, the nurse should consider developing a plan of care
for which possible medical diagnosis?
1.Thyroid cancer 2.Acute laryngitis 3.Laryngeal cancer 4.Bronchogenic cancer 3
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms
would the nurse recognize as indications of a possible oncological emergency? Select all that
apply.
1.Facial edema in the morning 2.Weight loss of 20 lb (9 kg) in 1 month 3.Serum calcium level of
12 mg/dL (3.0 mmol/L) 4.Serum sodium level of 136 mg/dL (136 mmol/L) 5.Serum potassium
level of 3.4 mg/dL (3.4 mmol/L) 6.Numbness and tingling of the lower extremities 1,3,6
The home care nurse visits a client who has just returned home from the hospital after a
mastectomy with a suction drain in place. Which observed client behavior requires a need for
further teaching?
1.Empties the drain to prevent infection 2.Elevates the arm when lying and sitting 3.Applies
lotion to the area after the incision heals 4.Performs full range-of-motion exercises to the upper
arm 4
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which
assessment finding would the nurse expect to note specifically in the client?
1.Fatigue 2.Weakness 3.Weight gain 4.Enlarged lymph nodes 4
A client with bladder cancer has undergone surgical removal of the bladder with creation of an
ileal conduit. Which assessment findings indicate that the client is developing complications?
Select all that apply.
1.Dusky appearance of the stoma 2.Stoma protrusion from the skin 3.Sharp abdominal pain
with rigidity 4.Urine output greater than 30 mL/hour 5.Mucus shreds in the urine collection bag
1,2,3
The nurse is conducting a history and monitoring laboratory values on a client with multiple
myeloma. What assessment findings should the nurse expect to note? Select all that apply.
1.Pathological fracture 2.Urinalysis positive for Bence Jones protein 3.Hemoglobin level of 15.5
g/dL (155 mmol/L) 4.Calcium level of 8.6 mg/dL (2.15 mmol/L) 5.Serum creatinine level of 2.0
mg/dL (176.6 mcmol/L) 1,2,5
The nurse has provided instructions to a client receiving external radiation therapy. Which
client statement would indicate a need for further instruction regarding self-care related to the
radiation therapy?
1."I need to eat a high-protein diet." 2."I need to avoid exposure to sunlight." 3."I need to wash
my skin with a mild soap and pat dry." 4."I need to apply pressure on the irritated area by
wearing snug clothing to prevent bleeding." 4
,A client is admitted to the hospital with suspected bladder cancer. The nurse assesses the client
for which early signs and symptoms of the disease?
1.Proteinuria and dysuria 2.Hematuria and absence of pain 3.Painful urination and hematuria
4.Pyuria and palpable abdominal mass 2
The ambulatory care nurse is providing discharge instructions to a female client who underwent
cryosurgery with laser therapy because of a positive Papanicolaou test. Which statement by the
client indicates an understanding of the instructions?
1."I should take sitz baths every 4 hours for the next week." 2."I should expect the vaginal
discharge to be clear and watery." 3."Very strong pain medications will be needed to relieve
any discomfort I may have." 4."If I note any odor to the vaginal discharge, I should call the
primary health care provider immediately." 2
The nurse is assessing a client who has a new ureterostomy. Which statement by the client
indicates the need for more education about urinary stoma care?
1."I change my pouch every week." 2."I change the appliance in the morning." 3."I empty the
urinary collection bag when it is two-thirds full." 4."When I'm in the shower I direct the flow of
water away from my stoma." 3
A client who is receiving chemotherapy for breast cancer develops myelosuppression. Which
instructions should the nurse include in the client's discharge teaching plan? Select all that
apply.
1.Avoid contact sports. 2.Wash hands frequently. 3.Increase intake of fresh fruits and
vegetables. 4.Avoid crowded places such as shopping malls. 5.Treat a sore throat with over-the-
counter products. 6.Avoid people who have received live attenuated vaccines. 1,2,4,6
As part of chemotherapy education, the nurse teaches a female client about the risk for
bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The
nurse understands that further teaching is needed if the client makes which statement?
1."I should avoid blowing my nose." 2."I may need a platelet transfusion if my platelet count is
too low." 3."I'm going to take aspirin for my headache as soon as I get home." 4."I will count the
number of pads and tampons I use when menstruating." 3
, The nurse is reviewing the laboratory test results for a client with bladder cancer with bone
metastasis. The nurse should contact the primary health care provider (PHCP) if which finding is
noted?
1.Calcium level of 15 mg/dL (3.75 mmol/L) 2.Potassium level of 3.8 mEq/L (3.8 mmol/L)
3.Platelet count of 200,000 mm3 (200 × 109/L) 4.White blood cell (WBC) count of 6000 mm3 (6
× 109/L) 1
The nurse manager is teaching the nursing staff about signs and symptoms related to
hypercalcemia in a client with metastatic prostate cancer, and tells the staff that which is a late
sign or symptom of this oncological emergency?
1.Headache 2.Dysphagia 3.Constipation 4.Electrocardiographic changes 4
The clinic nurse prepares instructions for a client diagnosed with leukemia who developed
stomatitis after the administration of a course of antineoplastic medications. The nurse should
provide the client with which instruction?
1.Avoid foods and fluids for the next 12 to 24 hours. 2.Swab the mouth with lemon and
glycerin 4 times a day. 3.Rinse the mouth with a diluted solution of baking soda or saline.
4.Brush the teeth with a stiff-bristled toothbrush, and use dental floss 3 times a day. 3
A client seeks treatment in an ambulatory clinic for a complaint of hoarseness that has lasted
for 6 weeks. On the basis of this symptom, the nurse should consider developing a plan of care
for which possible medical diagnosis?
1.Thyroid cancer 2.Acute laryngitis 3.Laryngeal cancer 4.Bronchogenic cancer 3
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms
would the nurse recognize as indications of a possible oncological emergency? Select all that
apply.
1.Facial edema in the morning 2.Weight loss of 20 lb (9 kg) in 1 month 3.Serum calcium level of
12 mg/dL (3.0 mmol/L) 4.Serum sodium level of 136 mg/dL (136 mmol/L) 5.Serum potassium
level of 3.4 mg/dL (3.4 mmol/L) 6.Numbness and tingling of the lower extremities 1,3,6
