Oncology Test Bank questions with |\ |\ |\ |\ |\
answers
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 - CORRECT ANSWERS ✔✔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 patients 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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔C - |\ |\ |\ |\ |\ |\ |\
Prophylactic surgery is used when there is an extensive family |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history and nonvital tissues are removed. Salvage surgery is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
additional treatment option that uses an extensive surgical
|\ |\ |\ |\ |\ |\ |\ |\
approach to treat the local recurrence of a cancer after the use of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a less extensive primary approach. Palliative surgery is
|\ |\ |\ |\ |\ |\ |\ |\ |\
performed in an attempt to relieve complications of cancer, such
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as ulceration, obstruction, hemorrhage, pain, and malignant
|\ |\ |\ |\ |\ |\ |\
effusion. Reconstructive surgery may follow curative or radical
|\ |\ |\ |\ |\ |\ |\ |\
surgery in an attempt to improve function or obtain a more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
desirable cosmetic effect. |\ |\
The nurse is caring for a patient who is to begin receiving
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
external radiation for a malignant tumor of the neck. While
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
providing patient education, what potential adverse effects
|\ |\ |\ |\ |\ |\ |\
should the nurse discuss with the patient?
|\ |\ |\ |\ |\ |\
, A)Impaired nutritional status |\ |\
B)Cognitive changes |\
C)Diarrhea
D)Alopecia - CORRECT ANSWERS ✔✔A - Alterations in oral |\ |\ |\ |\ |\ |\ |\ |\ |\
mucosa, change and loss of taste, pain, and dysphasia often
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occur as a result of radiotherapy to the head and neck. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is at an increased risk of impaired nutritional status.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Radiotherapy does not cause cognitive changes. Diarrhea is not a |\ |\ |\ |\ |\ |\ |\ |\ |\
likely concern for this patient. Radiation only results in alopecia
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
when targeted at the whole brain; radiation of other parts of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
body does not lead to hair loss.
|\ |\ |\ |\ |\ |\
While a patient is receiving IV doxorubicin hydrochloride for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment of cancer, the nurse observes swelling and pain at the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
IV site. The nurse should prioritize what action?
|\ |\ |\ |\ |\ |\ |\
A)Stopping the administration of the drug immediately |\ |\ |\ |\ |\ |\
B)Notifying the patients physician |\ |\ |\
C)Continuing the infusion but decreasing the rate |\ |\ |\ |\ |\ |\
D)Applying a warm compress to the infusion site - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A - Doxorubicin hydrochloride is a |\ |\ |\ |\ |\ |\ |\
chemotherapeutic vesicant that can cause severe tissue damage. |\ |\ |\ |\ |\ |\ |\
The nurse should stop the administration of the drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
immediately and then notify the patients physician. Ice can be |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
applied to the site once the drug therapy has stopped.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A patient newly diagnosed with cancer is scheduled to begin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chemotherapy treatment and the nurse is providing anticipatory |\ |\ |\ |\ |\ |\ |\ |\
guidance about potential adverse effects. When addressing the
|\ |\ |\ |\ |\ |\ |\ |\
most common adverse effect, what should the nurse describe?
|\ |\ |\ |\ |\ |\ |\ |\
answers
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 - CORRECT ANSWERS ✔✔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 patients 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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔C - |\ |\ |\ |\ |\ |\ |\
Prophylactic surgery is used when there is an extensive family |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history and nonvital tissues are removed. Salvage surgery is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
additional treatment option that uses an extensive surgical
|\ |\ |\ |\ |\ |\ |\ |\
approach to treat the local recurrence of a cancer after the use of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a less extensive primary approach. Palliative surgery is
|\ |\ |\ |\ |\ |\ |\ |\ |\
performed in an attempt to relieve complications of cancer, such
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as ulceration, obstruction, hemorrhage, pain, and malignant
|\ |\ |\ |\ |\ |\ |\
effusion. Reconstructive surgery may follow curative or radical
|\ |\ |\ |\ |\ |\ |\ |\
surgery in an attempt to improve function or obtain a more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
desirable cosmetic effect. |\ |\
The nurse is caring for a patient who is to begin receiving
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
external radiation for a malignant tumor of the neck. While
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
providing patient education, what potential adverse effects
|\ |\ |\ |\ |\ |\ |\
should the nurse discuss with the patient?
|\ |\ |\ |\ |\ |\
, A)Impaired nutritional status |\ |\
B)Cognitive changes |\
C)Diarrhea
D)Alopecia - CORRECT ANSWERS ✔✔A - Alterations in oral |\ |\ |\ |\ |\ |\ |\ |\ |\
mucosa, change and loss of taste, pain, and dysphasia often
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occur as a result of radiotherapy to the head and neck. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is at an increased risk of impaired nutritional status.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Radiotherapy does not cause cognitive changes. Diarrhea is not a |\ |\ |\ |\ |\ |\ |\ |\ |\
likely concern for this patient. Radiation only results in alopecia
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
when targeted at the whole brain; radiation of other parts of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
body does not lead to hair loss.
|\ |\ |\ |\ |\ |\
While a patient is receiving IV doxorubicin hydrochloride for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment of cancer, the nurse observes swelling and pain at the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
IV site. The nurse should prioritize what action?
|\ |\ |\ |\ |\ |\ |\
A)Stopping the administration of the drug immediately |\ |\ |\ |\ |\ |\
B)Notifying the patients physician |\ |\ |\
C)Continuing the infusion but decreasing the rate |\ |\ |\ |\ |\ |\
D)Applying a warm compress to the infusion site - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A - Doxorubicin hydrochloride is a |\ |\ |\ |\ |\ |\ |\
chemotherapeutic vesicant that can cause severe tissue damage. |\ |\ |\ |\ |\ |\ |\
The nurse should stop the administration of the drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
immediately and then notify the patients physician. Ice can be |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
applied to the site once the drug therapy has stopped.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A patient newly diagnosed with cancer is scheduled to begin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chemotherapy treatment and the nurse is providing anticipatory |\ |\ |\ |\ |\ |\ |\ |\
guidance about potential adverse effects. When addressing the
|\ |\ |\ |\ |\ |\ |\ |\
most common adverse effect, what should the nurse describe?
|\ |\ |\ |\ |\ |\ |\ |\
