NURSING ONCOLOGY TEST BANK
QUESTIONS WITH DETAILED VERIFIED
ANSWERS; ALREADY GRADED A
___________ prevention is the use of strategies to prevent the
actual occurrence of cancer, most effective when there's a
known cause for a cancer type; _____________ prevention is
the use of screening strategies to detect cancer early, at a time
when cure/control is more likely. - correct answer- -primary
-secondary
_____________ is a complex, multiphase process at the cellular
level started in response to cytotoxic chemotherapy that
develops in the GI tract, especially in the mouth. - correct
answer- mucositis (sores in the MM)
*stomatits - (mouth sores) cause pain & interfere with eating &
the quality of life*
*frequent mouth assessment & oral hygiene is key in managing
mucositis
,_____________ of tumors classifies *cellular aspects* of the
cancer, while __________ classifies *clinical aspects* of the
cancer. - correct answer- grading - cellular aspects
(compares to parent tissue)
staging - clinical aspects
______________ occurs in up to 1/3 of cancer patients & is most
commonly caused by breast/lung/renal cell carcinomas, multiple
myeloma, & adult T-cell leukemia & lymphoma. - correct
answer- *hypercalcemia* (high levels = emergent & lead to
death)
-these cancers secrete *PTH*, causing bone to *release calcium*
-systemic secretion of *vitamin D analogues* by the tumor also
cause elevated calcium levels
*dehydration & decreased mobility worsen hypercalcemia*
_______________ may trigger CINV almost as soon as the drug
is started; ________________ induces delayed NV that can
continue as long as *5-7 days* after receiving it - correct
answer- -*dacarbazine* (DTIC)
,-*cisplatin* (Platinol)
"This disease always presents with hallmark signs of *bone pain
in the ribs, spine, and pelvis*" --> this is true for which type of
cancer?
a) Hodgkin's
b) multiple myeloma
c) lung cancer
d) cervical cancer - correct answer- b (multiple myeloma
affects plasma cells --> causes increased uric acid & calcium
levels which *increases risk for renal issues & bone fractures*)
---> encourage fluids to keep the kidneys "flushed" and skeletal
support for the bones helps with further complications
A 28 year old female patient asks you when it is best to perform
a self breast exam. Your response is the following:
a) it's best to perform a self breast exam 7 to 10 days after
menses.
, b) it's best to perform a self breast exam every 6 months on the
1st day of bleeding.
c) it's best to perform a self breast exam on the same time every
month of the day.
d) t's best to perform a self breast exam on the day after
ovulation. - correct answer- a (self breast exams should be
performed *7 to 10 day after the start of menses* - the first day
of bleeding....Breast tissue is soft at this time due to hormone
levels)
*masses are usually felt in the upper outer quadrant beneath
the nipple or axilla*
A 65 yo client tells the nurse she does not have mammograms
b/c there is no history of breast cancer in her family. What is the
nurse's best response?
a) "You are correct. Breast cancer is an inherited type of
malignancy & your family history indicates a low risk for you."
b) "Performing breast self-exams monthly at home is sufficient
screening for someone with your family history."
c) "B/c your breasts are no longer as dense as they were when
you were younger, your risk for breast cancer is now decreased."
QUESTIONS WITH DETAILED VERIFIED
ANSWERS; ALREADY GRADED A
___________ prevention is the use of strategies to prevent the
actual occurrence of cancer, most effective when there's a
known cause for a cancer type; _____________ prevention is
the use of screening strategies to detect cancer early, at a time
when cure/control is more likely. - correct answer- -primary
-secondary
_____________ is a complex, multiphase process at the cellular
level started in response to cytotoxic chemotherapy that
develops in the GI tract, especially in the mouth. - correct
answer- mucositis (sores in the MM)
*stomatits - (mouth sores) cause pain & interfere with eating &
the quality of life*
*frequent mouth assessment & oral hygiene is key in managing
mucositis
,_____________ of tumors classifies *cellular aspects* of the
cancer, while __________ classifies *clinical aspects* of the
cancer. - correct answer- grading - cellular aspects
(compares to parent tissue)
staging - clinical aspects
______________ occurs in up to 1/3 of cancer patients & is most
commonly caused by breast/lung/renal cell carcinomas, multiple
myeloma, & adult T-cell leukemia & lymphoma. - correct
answer- *hypercalcemia* (high levels = emergent & lead to
death)
-these cancers secrete *PTH*, causing bone to *release calcium*
-systemic secretion of *vitamin D analogues* by the tumor also
cause elevated calcium levels
*dehydration & decreased mobility worsen hypercalcemia*
_______________ may trigger CINV almost as soon as the drug
is started; ________________ induces delayed NV that can
continue as long as *5-7 days* after receiving it - correct
answer- -*dacarbazine* (DTIC)
,-*cisplatin* (Platinol)
"This disease always presents with hallmark signs of *bone pain
in the ribs, spine, and pelvis*" --> this is true for which type of
cancer?
a) Hodgkin's
b) multiple myeloma
c) lung cancer
d) cervical cancer - correct answer- b (multiple myeloma
affects plasma cells --> causes increased uric acid & calcium
levels which *increases risk for renal issues & bone fractures*)
---> encourage fluids to keep the kidneys "flushed" and skeletal
support for the bones helps with further complications
A 28 year old female patient asks you when it is best to perform
a self breast exam. Your response is the following:
a) it's best to perform a self breast exam 7 to 10 days after
menses.
, b) it's best to perform a self breast exam every 6 months on the
1st day of bleeding.
c) it's best to perform a self breast exam on the same time every
month of the day.
d) t's best to perform a self breast exam on the day after
ovulation. - correct answer- a (self breast exams should be
performed *7 to 10 day after the start of menses* - the first day
of bleeding....Breast tissue is soft at this time due to hormone
levels)
*masses are usually felt in the upper outer quadrant beneath
the nipple or axilla*
A 65 yo client tells the nurse she does not have mammograms
b/c there is no history of breast cancer in her family. What is the
nurse's best response?
a) "You are correct. Breast cancer is an inherited type of
malignancy & your family history indicates a low risk for you."
b) "Performing breast self-exams monthly at home is sufficient
screening for someone with your family history."
c) "B/c your breasts are no longer as dense as they were when
you were younger, your risk for breast cancer is now decreased."
