NCLEX -ONCOLOGY ACTUAL COMPLETE EXAM |WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
(SELECT ALL THAT APPLY) What diagnostic studies are
recommended to be performed annually on all women older than age
40? Correct Answers (1) Mammography (4) Clinical breast examination
(SELECT ALL THAT APPLY) A client in the terminal stage of cancer
is being transferred to hospice care. Which information should the nurse
include in the teaching plan regarding hospice care? Correct Answers (1)
Care focuses on controlling symptoms and relieving pain. (2) A
multidisciplinary team provides care. (5) Bereavement care is provided
to the family.
(SELECT ALL THAT APPLY) A client with bladder cancer undergoes
surgical removal of the bladder and construction of an ileal conduit.
Which data collection findings indicate that the client is developing
complications? Correct Answers (2) The stoma appears dusky. (3) The
stoma protrudes from the skin. (6) The client experiences sharp
abdominal pain and rigidity.
(SELECT ALL THAT APPLY) A client with laryngeal cancer has
undergone laryngectomy and is receiving radiation therapy to the head
and neck. The nurse should monitor the client for which adverse effects
of external radiation? Correct Answers (1) Xerostomia (2) Stomatitis (5)
Dysgeusia
(SELECT ALL THAT APPLY) After undergoing chemotherapy to treat
breast cancer, a client has a white blood cell (WBC) count of
,1,300/microliter. Which nursing interventions should be used with this
client? Correct Answers (1) Monitor the client's temperature and vital
signs; report temperature higher than 101.3° F (38.5° C). (2) Make sure
no one with a viral or bacterial infection enters the client's room. (3)
Administer hematopoietic growth factors as prescribed. (4) Reinforce
good hand-washing techniques to anyone entering the client's room.
(SELECT ALL THAT APPLY) A client receiving chemotherapy for
breast cancer develops myelosuppression. Which instructions should the
nurse include in the discharge teaching plan? Correct Answers (1) Avoid
people who have recently received attenuated vaccines. (2) Avoid
activities that may cause bleeding. (3) Wash hands frequently. (5) Avoid
crowded places, such as shopping malls.
(SELECT ALL THAT APPLY) After having a lobectomy for lung
cancer, a client receives a chest tube connected to a three-chamber chest
drainage system. The nurse observes that the drainage system is
functioning correctly when she notes which of the following? Correct
Answers (1) Fluctuations in the water-seal chamber occur when the
client breathes. (3) Intermittent bubbling occurs in the water-seal
chamber. (4) Gentle bubbling occurs in the suction control chamber. (5)
Drainage is collecting in the drainage chamber
"A 30-year-old client whose mother died of breast cancer at age 44 and
whose sister has ovarian cancer is concerned about developing cancer. A
nurse who is a member of the oncology multidisciplinary team should
suggest that the client ask the physician about which of the following
actions? Correct Answers Obtaining genetic counseling
, A 35-year-old female client is requesting information about
mammograms and breast cancer. She isn't considered at high risk for
breast cancer. What should the nurse tell this client? Correct Answers
She should eat a low-fat diet to further decrease her risk of breast cancer.
"A 43-year-old black client without a family history of prostate cancer
asks the nurse when he should have a prostate-specific antigen (PSA)
test and a digital rectal examination (DRE) performed. Which response
by the nurse is appropriate? Correct Answers You should start
undergoing prostate cancer screening at age 45.
"A 45-year-old client receiving radiation therapy for thyroid cancer
complains of mouth and throat pain. While inspecting the mouth and
throat, the nurse notices white patches and ulcerations in the oral
mucosa. What do these findings suggest? Correct Answers Candidiasis
A 65-year-old client is scheduled for a right lower lobectomy for lung
cancer. During the admission assessment, the client asks for information
about a living will and advance directive. The nurse knows that the
client understands her teaching about the living will when he says:
Correct Answers The advance directive allows me to state my health
care wishes while I'm still able to do so.
A client becomes neutropenic 11 days after his last chemotherapy cycle.
It's obvious that the client understands his condition when he states:
Correct Answers I'll monitor my temperature frequently and go to the
nearest emergency department if my temperature rises above 100.4° F."
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
(SELECT ALL THAT APPLY) What diagnostic studies are
recommended to be performed annually on all women older than age
40? Correct Answers (1) Mammography (4) Clinical breast examination
(SELECT ALL THAT APPLY) A client in the terminal stage of cancer
is being transferred to hospice care. Which information should the nurse
include in the teaching plan regarding hospice care? Correct Answers (1)
Care focuses on controlling symptoms and relieving pain. (2) A
multidisciplinary team provides care. (5) Bereavement care is provided
to the family.
(SELECT ALL THAT APPLY) A client with bladder cancer undergoes
surgical removal of the bladder and construction of an ileal conduit.
Which data collection findings indicate that the client is developing
complications? Correct Answers (2) The stoma appears dusky. (3) The
stoma protrudes from the skin. (6) The client experiences sharp
abdominal pain and rigidity.
(SELECT ALL THAT APPLY) A client with laryngeal cancer has
undergone laryngectomy and is receiving radiation therapy to the head
and neck. The nurse should monitor the client for which adverse effects
of external radiation? Correct Answers (1) Xerostomia (2) Stomatitis (5)
Dysgeusia
(SELECT ALL THAT APPLY) After undergoing chemotherapy to treat
breast cancer, a client has a white blood cell (WBC) count of
,1,300/microliter. Which nursing interventions should be used with this
client? Correct Answers (1) Monitor the client's temperature and vital
signs; report temperature higher than 101.3° F (38.5° C). (2) Make sure
no one with a viral or bacterial infection enters the client's room. (3)
Administer hematopoietic growth factors as prescribed. (4) Reinforce
good hand-washing techniques to anyone entering the client's room.
(SELECT ALL THAT APPLY) A client receiving chemotherapy for
breast cancer develops myelosuppression. Which instructions should the
nurse include in the discharge teaching plan? Correct Answers (1) Avoid
people who have recently received attenuated vaccines. (2) Avoid
activities that may cause bleeding. (3) Wash hands frequently. (5) Avoid
crowded places, such as shopping malls.
(SELECT ALL THAT APPLY) After having a lobectomy for lung
cancer, a client receives a chest tube connected to a three-chamber chest
drainage system. The nurse observes that the drainage system is
functioning correctly when she notes which of the following? Correct
Answers (1) Fluctuations in the water-seal chamber occur when the
client breathes. (3) Intermittent bubbling occurs in the water-seal
chamber. (4) Gentle bubbling occurs in the suction control chamber. (5)
Drainage is collecting in the drainage chamber
"A 30-year-old client whose mother died of breast cancer at age 44 and
whose sister has ovarian cancer is concerned about developing cancer. A
nurse who is a member of the oncology multidisciplinary team should
suggest that the client ask the physician about which of the following
actions? Correct Answers Obtaining genetic counseling
, A 35-year-old female client is requesting information about
mammograms and breast cancer. She isn't considered at high risk for
breast cancer. What should the nurse tell this client? Correct Answers
She should eat a low-fat diet to further decrease her risk of breast cancer.
"A 43-year-old black client without a family history of prostate cancer
asks the nurse when he should have a prostate-specific antigen (PSA)
test and a digital rectal examination (DRE) performed. Which response
by the nurse is appropriate? Correct Answers You should start
undergoing prostate cancer screening at age 45.
"A 45-year-old client receiving radiation therapy for thyroid cancer
complains of mouth and throat pain. While inspecting the mouth and
throat, the nurse notices white patches and ulcerations in the oral
mucosa. What do these findings suggest? Correct Answers Candidiasis
A 65-year-old client is scheduled for a right lower lobectomy for lung
cancer. During the admission assessment, the client asks for information
about a living will and advance directive. The nurse knows that the
client understands her teaching about the living will when he says:
Correct Answers The advance directive allows me to state my health
care wishes while I'm still able to do so.
A client becomes neutropenic 11 days after his last chemotherapy cycle.
It's obvious that the client understands his condition when he states:
Correct Answers I'll monitor my temperature frequently and go to the
nearest emergency department if my temperature rises above 100.4° F."
