CHAPTER 15: ONCOLOGY: NURSING MANAGEMENT IN
CANCER CARE NCLE XACTUAL COMPLETE EXAM |WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
The public health nurse is presenting a health-promotion class to a group
at a local community center. Which intervention most directly addresses
the leading cause of cancer deaths in North America?
A) Monthly self-breast exams
B) Smoking cessation
C) Annual colonoscopies
D) Monthly testicular exams Ans✓✓✓ B
(Cancer is second only to cardiovascular disease as a leading cause of
death in the United States. Although the numbers of cancer deaths have
decreased slightly, more than 570,000 Americans were expected to die
from a malignant process in 2011. The leading causes of cancer death in
the United States, in order of frequency, are lung, prostate, and
colorectal cancer in men and lung, breast, and colorectal cancer in
women, so smoking cessation is the health promotion initiative directly
related to lung cancer.)
A nurse who works in an oncology clinic is assessing a patient who has
arrived for a 2- month follow-up appointment following chemotherapy.
The nurse notes that the patient's skin appears yellow. Which blood tests
should be done to further explore this clinical sign?
,A) Liver function tests (LFTs)
B) Complete blood count (CBC)
C) Platelet count
D) Blood urea nitrogen and creatinine Ans✓✓✓ A
(Yellow skin is a sign of jaundice and the liver is a common organ
affected by metastatic disease. An LFT should be done to determine if
the liver is functioning. A CBC, platelet count and tests of renal function
would not directly assess for liver disease.)
The school nurse is teaching a nutrition class in the local high school.
One student states that he has heard that certain foods can increase the
incidence of cancer. The nurse responds, "Research has shown that
certain foods indeed appear to increase the risk of cancer." Which of the
following menu selections would be the best choice for potentially
reducing the risks of cancer?
A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli
D) Liver, onions, and steamed peas Ans✓✓✓ C
(Fruits and vegetables appear to reduce cancer risk. Salt-cured foods,
such as ham and processed meats, as well as red meats, should be
limited.)
, Traditionally, nurses have been involved with tertiary cancer prevention.
However, an increasing emphasis is being placed on both primary and
secondary prevention. What would be an example of primary
prevention?
A) Yearly Pap tests
B) Testicular self-examination
C) Teaching patients to wear sunscreen
D) Screening mammograms Ans✓✓✓ C
(Primary prevention is concerned with reducing the risks of cancer in
healthy people through practices such as use of sunscreen. Secondary
prevention involves detection and screening to achieve early diagnosis,
as demonstrated by Pap tests, mammograms, and testicular exams.)
The nurse is caring for a 39-year-old woman with a family history of
breast cancer. She requested a breast tumor marking test and the results
have come back positive. As a result, the patient is requesting a bilateral
mastectomy. This surgery is an example of what type of oncologic
surgery?
A) Salvage surgery
B) Palliative surgery
C) Prophylactic surgery
D) Reconstructive surgery Ans✓✓✓ C
CANCER CARE NCLE XACTUAL COMPLETE EXAM |WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
The public health nurse is presenting a health-promotion class to a group
at a local community center. Which intervention most directly addresses
the leading cause of cancer deaths in North America?
A) Monthly self-breast exams
B) Smoking cessation
C) Annual colonoscopies
D) Monthly testicular exams Ans✓✓✓ B
(Cancer is second only to cardiovascular disease as a leading cause of
death in the United States. Although the numbers of cancer deaths have
decreased slightly, more than 570,000 Americans were expected to die
from a malignant process in 2011. The leading causes of cancer death in
the United States, in order of frequency, are lung, prostate, and
colorectal cancer in men and lung, breast, and colorectal cancer in
women, so smoking cessation is the health promotion initiative directly
related to lung cancer.)
A nurse who works in an oncology clinic is assessing a patient who has
arrived for a 2- month follow-up appointment following chemotherapy.
The nurse notes that the patient's skin appears yellow. Which blood tests
should be done to further explore this clinical sign?
,A) Liver function tests (LFTs)
B) Complete blood count (CBC)
C) Platelet count
D) Blood urea nitrogen and creatinine Ans✓✓✓ A
(Yellow skin is a sign of jaundice and the liver is a common organ
affected by metastatic disease. An LFT should be done to determine if
the liver is functioning. A CBC, platelet count and tests of renal function
would not directly assess for liver disease.)
The school nurse is teaching a nutrition class in the local high school.
One student states that he has heard that certain foods can increase the
incidence of cancer. The nurse responds, "Research has shown that
certain foods indeed appear to increase the risk of cancer." Which of the
following menu selections would be the best choice for potentially
reducing the risks of cancer?
A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli
D) Liver, onions, and steamed peas Ans✓✓✓ C
(Fruits and vegetables appear to reduce cancer risk. Salt-cured foods,
such as ham and processed meats, as well as red meats, should be
limited.)
, Traditionally, nurses have been involved with tertiary cancer prevention.
However, an increasing emphasis is being placed on both primary and
secondary prevention. What would be an example of primary
prevention?
A) Yearly Pap tests
B) Testicular self-examination
C) Teaching patients to wear sunscreen
D) Screening mammograms Ans✓✓✓ C
(Primary prevention is concerned with reducing the risks of cancer in
healthy people through practices such as use of sunscreen. Secondary
prevention involves detection and screening to achieve early diagnosis,
as demonstrated by Pap tests, mammograms, and testicular exams.)
The nurse is caring for a 39-year-old woman with a family history of
breast cancer. She requested a breast tumor marking test and the results
have come back positive. As a result, the patient is requesting a bilateral
mastectomy. This surgery is an example of what type of oncologic
surgery?
A) Salvage surgery
B) Palliative surgery
C) Prophylactic surgery
D) Reconstructive surgery Ans✓✓✓ C
