NURSING ONCOLOGY NCLEX PRACTICE
QUESTIONS WITH 100% CORRECT ANSWERS
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 - correct answer- 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." - correct answer-
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 - correct answer-
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.
QUESTIONS WITH 100% CORRECT ANSWERS
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 - correct answer- 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." - correct answer-
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 - correct answer-
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.
