Oncology Exam with verified answers

Oncology Exam with verified answers |\ |\ |\ |\




Lab values you should know - CORRECT ANSWERS ✔✔WBC-
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Chemo causes bone marrow suppression. (below 4500)
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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
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meat, smoked meats/foods, charred meats, processed, salty,
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fatty foods, spicy foods for prostate cancer. Artificial sweeteners.
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After learning that he has a benign tumor in his abdomen, the
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patient is overheard telling his wife that he has cancer. What
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should the nurse say to the patient and spouse?
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1. "There is a growth in the abdomen but it is encapsulated and
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after being removed, will not recur."
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2. "This type of cancer is easily treated."
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3. "This type of cancer will not spread to other tissues."
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4. "Even though this growth has invaded other tissues, it can be
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contained." - CORRECT ANSWERS ✔✔Correct Answer: 1 |\ |\ |\ |\ |\ |\




A benign tumor is encapsulated, slow-growing, and once
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removed, will not recur. The patient does not have cancer but
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rather a benign tumor. Even though benign tumors will not
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,spread to other tissues, the nurse should not refer to the growth
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as being cancer. The growth has not invaded other tissues.
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A patient tells the nurse that he has a benign tumor that has
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spread into his lymph glands. How should the nurse respond to
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this patient? |\




1. "What did your doctor tell you about the tumor?"
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2. "Benign tumors do not spread."
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3. "That's a good thing that the tumor is benign."
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4. "Since it is benign, are you going to have surgery to remove
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it?" - CORRECT ANSWERS ✔✔Correct Answer: 1
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The patient believes that the tumor is benign; however, benign
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tumors do not spread. These types of tumors are encapsulated
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and can be easily removed. Since the patient seems to have
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conflicting information, the nurse should assess the patient by|\ |\ |\ |\ |\ |\ |\ |\ |\


asking what the physician explained about the tumor. The nurse
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should not tell the patient that benign tumors do not spread. The
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nurse should not reinforce the patient's belief that the tumor is
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benign. The patient may or may not know if surgery is indicated
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to remove the tumor.
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A patient with a history of cancer is surprised to learn that new
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cancer has been diagnosed in another body part. What should
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the nurse realize this patient is experiencing?
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1. metastasis
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2. contact inhibition
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3. destructive force from a benign neoplasm
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4. a solid mass - CORRECT ANSWERS ✔✔Correct Answer: 1
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,Malignant cells from the primary tumor may travel through the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


blood or lymph to invade other tissues and organs of the body
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and form a secondary tumor called a metastasis. Malignant
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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
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a benign neoplasm is when the benign tumor impinges upon a
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body part causing damage. Benign tumors are usually solid
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masses.


A college student is diagnosed with Epstein-Barr virus. The
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student has a history of smoking and recreational cocaine use
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and works for a floor refinishing company part-time. Which
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factors increase this student's risk for developing cancer?
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Standard Text: Select all that apply. |\ |\ |\ |\ |\




1. drug use
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2. occupation
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3. smoking|\




4. viral infection
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5. age - CORRECT ANSWERS ✔✔Correct Answer: 1, 2, 3, 4
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Some recreational drugs are also implicated as carcinogens.
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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
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and environmental chemicals are considered promotional agents.
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These include wood and leather dust, polymer esters used in
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plastics and paints, carbon tetrachloride, asbestos, and phenol.
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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-
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Barr. The patient's young age is not a risk factor for the
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development of cancer. |\ |\




The nurse is preparing to provide care to a group of assigned
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patients. Which patient should the nurse realize is at the highest
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risk for developing cancer?
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1. an African American man
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2. a Native American woman
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3. an Hispanic man
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4. an Hispanic woman - CORRECT ANSWERS ✔✔Correct Answer:
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1
African Americans have the highest mortality rate for all cancers
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and major cancers among all ethnic groups. Cancer incidence
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and mortality are lower in Native American men and women than
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in any other ethnic or racial group. Hispanics have higher rates
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of cancers associated with infectious agents, such as uterine,
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cervix, liver, and stomach cancer.
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The nurse is preparing to assess a patient who is newly
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diagnosed with cancer. What should the nurse include in this
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assessment?
1. body image concerns
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2. increased leukocytes
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3. bone pain
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4. increased hunger - CORRECT ANSWERS ✔✔Correct Answer: 1
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There are several physical and psychologic effects that occur in a
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patient diagnosed with cancer. One of these effects is body
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