Oncology Exam with verified answers |\ |\ |\ |\
Lab values you should know - CORRECT ANSWERS ✔✔WBC-
|\ |\ |\ |\ |\ |\ |\ |\ |\
Chemo causes bone marrow suppression. (below 4500)
|\ |\ |\ |\ |\ |\
Platelets- Below 150,000 |\ |\
Hyperphosphatemia - 2.7-4.5 |\ |\
Hyperkalemia - 8.8-10.4 |\ |\
Hyperuricemia - men 3.5-8.0, women 2.8-6.8 |\ |\ |\ |\ |\
Hypocalcemia - 3.5-5.2 |\ |\
foods that increase cancer risk - CORRECT ANSWERS ✔✔Red
|\ |\ |\ |\ |\ |\ |\ |\ |\
meat, smoked meats/foods, charred meats, processed, salty,
|\ |\ |\ |\ |\ |\ |\
fatty foods, spicy foods for prostate cancer. Artificial sweeteners.
|\ |\ |\ |\ |\ |\ |\ |\
After learning that he has a benign tumor in his abdomen, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is overheard telling his wife that he has cancer. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse say to the patient and spouse?
|\ |\ |\ |\ |\ |\ |\ |\
1. "There is a growth in the abdomen but it is encapsulated and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after being removed, will not recur."
|\ |\ |\ |\ |\
2. "This type of cancer is easily treated."
|\ |\ |\ |\ |\ |\ |\
3. "This type of cancer will not spread to other tissues."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. "Even though this growth has invaded other tissues, it can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contained." - CORRECT ANSWERS ✔✔Correct Answer: 1 |\ |\ |\ |\ |\ |\
A benign tumor is encapsulated, slow-growing, and once
|\ |\ |\ |\ |\ |\ |\ |\
removed, will not recur. The patient does not have cancer but
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rather a benign tumor. Even though benign tumors will not
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,spread to other tissues, the nurse should not refer to the growth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as being cancer. The growth has not invaded other tissues.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A patient tells the nurse that he has a benign tumor that has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spread into his lymph glands. How should the nurse respond to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this patient? |\
1. "What did your doctor tell you about the tumor?"
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. "Benign tumors do not spread."
|\ |\ |\ |\ |\
3. "That's a good thing that the tumor is benign."
|\ |\ |\ |\ |\ |\ |\ |\ |\
4. "Since it is benign, are you going to have surgery to remove
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
it?" - CORRECT ANSWERS ✔✔Correct Answer: 1
|\ |\ |\ |\ |\ |\
The patient believes that the tumor is benign; however, benign
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tumors do not spread. These types of tumors are encapsulated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and can be easily removed. Since the patient seems to have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conflicting information, the nurse should assess the patient by|\ |\ |\ |\ |\ |\ |\ |\ |\
asking what the physician explained about the tumor. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should not tell the patient that benign tumors do not spread. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should not reinforce the patient's belief that the tumor is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
benign. The patient may or may not know if surgery is indicated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to remove the tumor.
|\ |\ |\
A patient with a history of cancer is surprised to learn that new
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cancer has been diagnosed in another body part. What should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse realize this patient is experiencing?
|\ |\ |\ |\ |\ |\
1. metastasis
|\
2. contact inhibition
|\ |\
3. destructive force from a benign neoplasm
|\ |\ |\ |\ |\ |\
4. a solid mass - CORRECT ANSWERS ✔✔Correct Answer: 1
|\ |\ |\ |\ |\ |\ |\ |\ |\
,Malignant cells from the primary tumor may travel through the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
blood or lymph to invade other tissues and organs of the body
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and form a secondary tumor called a metastasis. Malignant
|\ |\ |\ |\ |\ |\ |\ |\ |\
neoplasms can recur after surgical removal of the primary and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
secondary tumors and after other treatments. Contact inhibition |\ |\ |\ |\ |\ |\ |\ |\
is a characteristic of benign neoplasms. A destructive force from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a benign neoplasm is when the benign tumor impinges upon a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
body part causing damage. Benign tumors are usually solid
|\ |\ |\ |\ |\ |\ |\ |\ |\
masses.
A college student is diagnosed with Epstein-Barr virus. The
|\ |\ |\ |\ |\ |\ |\ |\ |\
student has a history of smoking and recreational cocaine use
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and works for a floor refinishing company part-time. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
factors increase this student's risk for developing cancer?
|\ |\ |\ |\ |\ |\ |\
Standard Text: Select all that apply. |\ |\ |\ |\ |\
1. drug use
|\ |\
2. occupation
|\
3. smoking|\
4. viral infection
|\ |\
5. age - CORRECT ANSWERS ✔✔Correct Answer: 1, 2, 3, 4
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Some recreational drugs are also implicated as carcinogens.
|\ |\ |\ |\ |\ |\ |\ |\
Immunosuppressant promoters include heroin and cocaine. |\ |\ |\ |\ |\ |\
Examples of industrial and environmental carcinogens include |\ |\ |\ |\ |\ |\ |\
polycyclic hydrocarbons, found in soot; benzopyrene, found in |\ |\ |\ |\ |\ |\ |\ |\
cigarette smoke; and arsenic, found in pesticides. Other industrial
|\ |\ |\ |\ |\ |\ |\ |\
and environmental chemicals are considered promotional agents.
|\ |\ |\ |\ |\ |\ |\
These include wood and leather dust, polymer esters used in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plastics and paints, carbon tetrachloride, asbestos, and phenol.
|\ |\ |\ |\ |\ |\ |\ |\
Benzopyrene found in cigarette smoke contributes to the |\ |\ |\ |\ |\ |\ |\ |\
development of cancer. Several viruses have been associated |\ |\ |\ |\ |\ |\ |\ |\
, with the development of cancer. These viruses include Epstein-
|\ |\ |\ |\ |\ |\ |\ |\
Barr. The patient's young age is not a risk factor for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
development of cancer. |\ |\
The nurse is preparing to provide care to a group of assigned
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patients. Which patient should the nurse realize is at the highest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk for developing cancer?
|\ |\ |\
1. an African American man
|\ |\ |\ |\
2. a Native American woman
|\ |\ |\ |\
3. an Hispanic man
|\ |\ |\
4. an Hispanic woman - CORRECT ANSWERS ✔✔Correct Answer:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1
African Americans have the highest mortality rate for all cancers
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and major cancers among all ethnic groups. Cancer incidence
|\ |\ |\ |\ |\ |\ |\ |\ |\
and mortality are lower in Native American men and women than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in any other ethnic or racial group. Hispanics have higher rates
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of cancers associated with infectious agents, such as uterine,
|\ |\ |\ |\ |\ |\ |\ |\ |\
cervix, liver, and stomach cancer.
|\ |\ |\ |\
The nurse is preparing to assess a patient who is newly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosed with cancer. What should the nurse include in this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment?
1. body image concerns
|\ |\ |\
2. increased leukocytes
|\ |\
3. bone pain
|\ |\
4. increased hunger - CORRECT ANSWERS ✔✔Correct Answer: 1
|\ |\ |\ |\ |\ |\ |\ |\
There are several physical and psychologic effects that occur in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient diagnosed with cancer. One of these effects is body
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Lab values you should know - CORRECT ANSWERS ✔✔WBC-
|\ |\ |\ |\ |\ |\ |\ |\ |\
Chemo causes bone marrow suppression. (below 4500)
|\ |\ |\ |\ |\ |\
Platelets- Below 150,000 |\ |\
Hyperphosphatemia - 2.7-4.5 |\ |\
Hyperkalemia - 8.8-10.4 |\ |\
Hyperuricemia - men 3.5-8.0, women 2.8-6.8 |\ |\ |\ |\ |\
Hypocalcemia - 3.5-5.2 |\ |\
foods that increase cancer risk - CORRECT ANSWERS ✔✔Red
|\ |\ |\ |\ |\ |\ |\ |\ |\
meat, smoked meats/foods, charred meats, processed, salty,
|\ |\ |\ |\ |\ |\ |\
fatty foods, spicy foods for prostate cancer. Artificial sweeteners.
|\ |\ |\ |\ |\ |\ |\ |\
After learning that he has a benign tumor in his abdomen, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is overheard telling his wife that he has cancer. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse say to the patient and spouse?
|\ |\ |\ |\ |\ |\ |\ |\
1. "There is a growth in the abdomen but it is encapsulated and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after being removed, will not recur."
|\ |\ |\ |\ |\
2. "This type of cancer is easily treated."
|\ |\ |\ |\ |\ |\ |\
3. "This type of cancer will not spread to other tissues."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. "Even though this growth has invaded other tissues, it can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contained." - CORRECT ANSWERS ✔✔Correct Answer: 1 |\ |\ |\ |\ |\ |\
A benign tumor is encapsulated, slow-growing, and once
|\ |\ |\ |\ |\ |\ |\ |\
removed, will not recur. The patient does not have cancer but
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rather a benign tumor. Even though benign tumors will not
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,spread to other tissues, the nurse should not refer to the growth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as being cancer. The growth has not invaded other tissues.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A patient tells the nurse that he has a benign tumor that has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spread into his lymph glands. How should the nurse respond to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this patient? |\
1. "What did your doctor tell you about the tumor?"
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. "Benign tumors do not spread."
|\ |\ |\ |\ |\
3. "That's a good thing that the tumor is benign."
|\ |\ |\ |\ |\ |\ |\ |\ |\
4. "Since it is benign, are you going to have surgery to remove
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
it?" - CORRECT ANSWERS ✔✔Correct Answer: 1
|\ |\ |\ |\ |\ |\
The patient believes that the tumor is benign; however, benign
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tumors do not spread. These types of tumors are encapsulated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and can be easily removed. Since the patient seems to have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conflicting information, the nurse should assess the patient by|\ |\ |\ |\ |\ |\ |\ |\ |\
asking what the physician explained about the tumor. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should not tell the patient that benign tumors do not spread. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should not reinforce the patient's belief that the tumor is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
benign. The patient may or may not know if surgery is indicated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to remove the tumor.
|\ |\ |\
A patient with a history of cancer is surprised to learn that new
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cancer has been diagnosed in another body part. What should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse realize this patient is experiencing?
|\ |\ |\ |\ |\ |\
1. metastasis
|\
2. contact inhibition
|\ |\
3. destructive force from a benign neoplasm
|\ |\ |\ |\ |\ |\
4. a solid mass - CORRECT ANSWERS ✔✔Correct Answer: 1
|\ |\ |\ |\ |\ |\ |\ |\ |\
,Malignant cells from the primary tumor may travel through the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
blood or lymph to invade other tissues and organs of the body
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and form a secondary tumor called a metastasis. Malignant
|\ |\ |\ |\ |\ |\ |\ |\ |\
neoplasms can recur after surgical removal of the primary and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
secondary tumors and after other treatments. Contact inhibition |\ |\ |\ |\ |\ |\ |\ |\
is a characteristic of benign neoplasms. A destructive force from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a benign neoplasm is when the benign tumor impinges upon a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
body part causing damage. Benign tumors are usually solid
|\ |\ |\ |\ |\ |\ |\ |\ |\
masses.
A college student is diagnosed with Epstein-Barr virus. The
|\ |\ |\ |\ |\ |\ |\ |\ |\
student has a history of smoking and recreational cocaine use
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and works for a floor refinishing company part-time. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
factors increase this student's risk for developing cancer?
|\ |\ |\ |\ |\ |\ |\
Standard Text: Select all that apply. |\ |\ |\ |\ |\
1. drug use
|\ |\
2. occupation
|\
3. smoking|\
4. viral infection
|\ |\
5. age - CORRECT ANSWERS ✔✔Correct Answer: 1, 2, 3, 4
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Some recreational drugs are also implicated as carcinogens.
|\ |\ |\ |\ |\ |\ |\ |\
Immunosuppressant promoters include heroin and cocaine. |\ |\ |\ |\ |\ |\
Examples of industrial and environmental carcinogens include |\ |\ |\ |\ |\ |\ |\
polycyclic hydrocarbons, found in soot; benzopyrene, found in |\ |\ |\ |\ |\ |\ |\ |\
cigarette smoke; and arsenic, found in pesticides. Other industrial
|\ |\ |\ |\ |\ |\ |\ |\
and environmental chemicals are considered promotional agents.
|\ |\ |\ |\ |\ |\ |\
These include wood and leather dust, polymer esters used in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plastics and paints, carbon tetrachloride, asbestos, and phenol.
|\ |\ |\ |\ |\ |\ |\ |\
Benzopyrene found in cigarette smoke contributes to the |\ |\ |\ |\ |\ |\ |\ |\
development of cancer. Several viruses have been associated |\ |\ |\ |\ |\ |\ |\ |\
, with the development of cancer. These viruses include Epstein-
|\ |\ |\ |\ |\ |\ |\ |\
Barr. The patient's young age is not a risk factor for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
development of cancer. |\ |\
The nurse is preparing to provide care to a group of assigned
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patients. Which patient should the nurse realize is at the highest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk for developing cancer?
|\ |\ |\
1. an African American man
|\ |\ |\ |\
2. a Native American woman
|\ |\ |\ |\
3. an Hispanic man
|\ |\ |\
4. an Hispanic woman - CORRECT ANSWERS ✔✔Correct Answer:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1
African Americans have the highest mortality rate for all cancers
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and major cancers among all ethnic groups. Cancer incidence
|\ |\ |\ |\ |\ |\ |\ |\ |\
and mortality are lower in Native American men and women than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in any other ethnic or racial group. Hispanics have higher rates
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of cancers associated with infectious agents, such as uterine,
|\ |\ |\ |\ |\ |\ |\ |\ |\
cervix, liver, and stomach cancer.
|\ |\ |\ |\
The nurse is preparing to assess a patient who is newly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosed with cancer. What should the nurse include in this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment?
1. body image concerns
|\ |\ |\
2. increased leukocytes
|\ |\
3. bone pain
|\ |\
4. increased hunger - CORRECT ANSWERS ✔✔Correct Answer: 1
|\ |\ |\ |\ |\ |\ |\ |\
There are several physical and psychologic effects that occur in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient diagnosed with cancer. One of these effects is body
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
