N312 ONCOLOGY NCLEX ACTUAL COMPLETE EXAM |WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
1. A male client has an abnormal result on a Papanicolaou test. After
admitting, he read his chart while the nurse was out of the room, the
client asks what dysplasia means. Which definition should the nurse
provide?
a. Presence of completely undifferentiated tumor cells that don't
resemble cells of the tissues of their origin
b. Increase in the number of normal cells in a normal arrangement in a
tissue or an organ
c. Replacement of one type of fully differentiated cell by another in
tissues where the second type normally isn't found
d. Alteration in the size, shape, and organization of differentiated cells
Ans✓✓✓ 1.Answer D. Dysplasia refers to an alteration in the size,
shape, and organization of differentiated cells. The presence of
completely undifferentiated tumor cells that don't resemble cells of the
tissues of their origin is called anaplasia. An increase in the number of
normal cells in a normal arrangement in a tissue or an organ is called
hyperplasia. Replacement of one type of fully differentiated cell by
another in tissues where the second type normally isn't found is called
metaplasia.
2. For a female client with newly diagnosed cancer, the nurse formulates
a nursing diagnosis of Anxiety related to the threat of death secondary to
cancer diagnosis. Which expected outcome would be appropriate for this
client?
,a. "Client verbalizes feelings of anxiety."
b. "Client doesn't guess at prognosis."
c. "Client uses any effective method to reduce tension."
d. "Client stops seeking information." Ans✓✓✓ 2.Answer A.
Verbalizing feelings is the client's first step in coping with the situational
crisis. It also helps the health care team gain insight into the client's
feelings, helping guide psychosocial care. Option B is inappropriate
because suppressing speculation may prevent the client from coming to
terms with the crisis and planning accordingly. Option C is undesirable
because some methods of reducing tension, such as illicit drug or
alcohol use, may prevent the client from coming to terms with the threat
of death as well as cause physiologic harm. Option D isn't appropriate
because seeking information can help a client with cancer gain a sense
of control over the crisis.
3. A male client with a cerebellar brain tumor is admitted to an acute
care facility. The nurse formulates a nursing diagnosis of Risk for injury.
Which "related-to" phrase should the nurse add to complete the nursing
diagnosis statement?
a. Related to visual field deficits
b. Related to difficulty swallowing
c. Related to impaired balance
d. Related to psychomotor seizures Ans✓✓✓ 3.Answer C. A client with
a cerebellar brain tumor may suffer injury from impaired balance as well
as disturbed gait and incoordination. Visual field deficits, difficulty
, swallowing, and psychomotor seizures may result from dysfunction of
the pituitary gland, pons, occipital lobe, parietal lobe, or temporal lobe
— not from a cerebellar brain tumor. Difficulty swallowing suggests
medullary dysfunction. Psychomotor seizures suggest temporal lobe
dysfunction.
4. A female client with cancer is scheduled for radiation therapy. The
nurse knows that radiation at any treatment site may cause a certain
adverse effect. Therefore, the nurse should prepare the client to expect:
a. hair loss.
b. stomatitis.
c. fatigue.
d. vomiting. Ans✓✓✓ 4.Answer C. Radiation therapy may cause
fatigue, skin toxicities, and anorexia regardless of the treatment site.
Hair loss, stomatitis, and vomiting are site-specific, not generalized,
adverse effects of radiation therapy.
5. Nurse April is teaching a client who suspects that she has a lump in
her breast. The nurse instructs the client that a diagnosis of breast cancer
is confirmed by:
a. breast self-examination.
b. mammography.
c. fine needle aspiration.
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
1. A male client has an abnormal result on a Papanicolaou test. After
admitting, he read his chart while the nurse was out of the room, the
client asks what dysplasia means. Which definition should the nurse
provide?
a. Presence of completely undifferentiated tumor cells that don't
resemble cells of the tissues of their origin
b. Increase in the number of normal cells in a normal arrangement in a
tissue or an organ
c. Replacement of one type of fully differentiated cell by another in
tissues where the second type normally isn't found
d. Alteration in the size, shape, and organization of differentiated cells
Ans✓✓✓ 1.Answer D. Dysplasia refers to an alteration in the size,
shape, and organization of differentiated cells. The presence of
completely undifferentiated tumor cells that don't resemble cells of the
tissues of their origin is called anaplasia. An increase in the number of
normal cells in a normal arrangement in a tissue or an organ is called
hyperplasia. Replacement of one type of fully differentiated cell by
another in tissues where the second type normally isn't found is called
metaplasia.
2. For a female client with newly diagnosed cancer, the nurse formulates
a nursing diagnosis of Anxiety related to the threat of death secondary to
cancer diagnosis. Which expected outcome would be appropriate for this
client?
,a. "Client verbalizes feelings of anxiety."
b. "Client doesn't guess at prognosis."
c. "Client uses any effective method to reduce tension."
d. "Client stops seeking information." Ans✓✓✓ 2.Answer A.
Verbalizing feelings is the client's first step in coping with the situational
crisis. It also helps the health care team gain insight into the client's
feelings, helping guide psychosocial care. Option B is inappropriate
because suppressing speculation may prevent the client from coming to
terms with the crisis and planning accordingly. Option C is undesirable
because some methods of reducing tension, such as illicit drug or
alcohol use, may prevent the client from coming to terms with the threat
of death as well as cause physiologic harm. Option D isn't appropriate
because seeking information can help a client with cancer gain a sense
of control over the crisis.
3. A male client with a cerebellar brain tumor is admitted to an acute
care facility. The nurse formulates a nursing diagnosis of Risk for injury.
Which "related-to" phrase should the nurse add to complete the nursing
diagnosis statement?
a. Related to visual field deficits
b. Related to difficulty swallowing
c. Related to impaired balance
d. Related to psychomotor seizures Ans✓✓✓ 3.Answer C. A client with
a cerebellar brain tumor may suffer injury from impaired balance as well
as disturbed gait and incoordination. Visual field deficits, difficulty
, swallowing, and psychomotor seizures may result from dysfunction of
the pituitary gland, pons, occipital lobe, parietal lobe, or temporal lobe
— not from a cerebellar brain tumor. Difficulty swallowing suggests
medullary dysfunction. Psychomotor seizures suggest temporal lobe
dysfunction.
4. A female client with cancer is scheduled for radiation therapy. The
nurse knows that radiation at any treatment site may cause a certain
adverse effect. Therefore, the nurse should prepare the client to expect:
a. hair loss.
b. stomatitis.
c. fatigue.
d. vomiting. Ans✓✓✓ 4.Answer C. Radiation therapy may cause
fatigue, skin toxicities, and anorexia regardless of the treatment site.
Hair loss, stomatitis, and vomiting are site-specific, not generalized,
adverse effects of radiation therapy.
5. Nurse April is teaching a client who suspects that she has a lump in
her breast. The nurse instructs the client that a diagnosis of breast cancer
is confirmed by:
a. breast self-examination.
b. mammography.
c. fine needle aspiration.
