NURS 2207 Oncology Evolve EAQ Graded
UPDATED ACTUAL Questions and CORRECT Answers
Question: A client diagnosed with invasive cancer of the bladder has brachytherapy
scheduled. Which successful therapy outcome would the nurse expect with
this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs)
Correct Answer: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The
isotope seeds interfere with cell
multiplication, which should control the growth and metastasis of cancerous tumors.
Radiation affects healthy as well
as abnormal cells; urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase
in pulse strength is not a sign of success. The radioactive isotope seeds may affect the
client's bone marrow sites,
resulting in a reduction of WBCs.
Question: Which task can be safely delegated by the registered nurse (RN) to unli-
censed assistive personnel (UAP) for a client with thrombocytopenia?
1. Shaving the client
2. Positioning the client
3. Performing oral hygiene
4. Giving intravenous platelet infusions
,Correct Answer: 2
Positioning the client
NURS 2207- Oncology Evolve EAQ (Graded)
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight bruising. Tasks that
do not risk bruising the client
may be delegated to the UAP. The RN would shave the client and perform oral
hygiene. Intravenous infusions would
not be administered by UAP to any client.
Question: The registered nurse is teaching a nursing student about ways to minimize
heat radiation. Which statements made by the nursing student indicate effec-
tive learning? Select all that apply. One, some, or all responses may be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes."
Correct Answer: 1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results in minimizing
heat radiation. Wearing dark
clothes and lying in the fetal position will minimize heat radiation. Removing extra
clothes will increase heat radiation.
Wearing sparsely woven clothes will enhance heat radiation.
,Question: The nurse observes the student nurse caring for the skin of the client who re-
cently underwent radiation therapy. Which actions made by the student nurse
would the nurse correct? Select all that apply. One, some, or all responses may
be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
NURS 2207- Oncology Evolve EAQ (Graded)
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of
radiation
Correct Answer: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the radiated site.
This is to provide gentle care
to the site. The irradiated area should be dried using patting motions rather than
rubbing motions. The ink marks
present on the site exactly identify where the location of beam radiation is to be
focused. The nurse should take
care not to remove these. The skin of the client should be thoroughly rinsed using a
mild soap as prescribed by the
radiation oncology department. The client's clothing should be loose over the
radiation site.
Question: Which instruction would the nurse provide to a client receiving brachyther-
apy for prostate cancer to prevent injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
, 4. "Refrain from close contact with others."
Correct Answer: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the tumor to
destroy cancer cells. Clients are
radioactive while receiving treatment, making them potentially hazardous to others.
Therefore, the nurse will instruct
clients to refrain from close contact with others. Using bleach with the laundry and
flushing the toilet several times
are instructions for clients receiving chemotherapy. Clients who are
immunosuppressed will be instructed to wear a
face mask to help prevent infections.
NURS 2207- Oncology Evolve EAQ (Graded)
Question: The nurse is caring for a client who underwent surgical resection of an oral
cancerous tumor. Which client problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains.
Correct Answer: 1
Maintain airway.
Rationale:
The highest priority in planning care for a client who underwent a surgical resection
for oral cancer is to maintain the
airway and promote gas exchange. Other interventions include monitoring vital signs,
administering IV fluids, and
empty surgical drains, but these are of lower priority.
UPDATED ACTUAL Questions and CORRECT Answers
Question: A client diagnosed with invasive cancer of the bladder has brachytherapy
scheduled. Which successful therapy outcome would the nurse expect with
this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs)
Correct Answer: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The
isotope seeds interfere with cell
multiplication, which should control the growth and metastasis of cancerous tumors.
Radiation affects healthy as well
as abnormal cells; urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase
in pulse strength is not a sign of success. The radioactive isotope seeds may affect the
client's bone marrow sites,
resulting in a reduction of WBCs.
Question: Which task can be safely delegated by the registered nurse (RN) to unli-
censed assistive personnel (UAP) for a client with thrombocytopenia?
1. Shaving the client
2. Positioning the client
3. Performing oral hygiene
4. Giving intravenous platelet infusions
,Correct Answer: 2
Positioning the client
NURS 2207- Oncology Evolve EAQ (Graded)
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight bruising. Tasks that
do not risk bruising the client
may be delegated to the UAP. The RN would shave the client and perform oral
hygiene. Intravenous infusions would
not be administered by UAP to any client.
Question: The registered nurse is teaching a nursing student about ways to minimize
heat radiation. Which statements made by the nursing student indicate effec-
tive learning? Select all that apply. One, some, or all responses may be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes."
Correct Answer: 1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results in minimizing
heat radiation. Wearing dark
clothes and lying in the fetal position will minimize heat radiation. Removing extra
clothes will increase heat radiation.
Wearing sparsely woven clothes will enhance heat radiation.
,Question: The nurse observes the student nurse caring for the skin of the client who re-
cently underwent radiation therapy. Which actions made by the student nurse
would the nurse correct? Select all that apply. One, some, or all responses may
be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
NURS 2207- Oncology Evolve EAQ (Graded)
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of
radiation
Correct Answer: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the radiated site.
This is to provide gentle care
to the site. The irradiated area should be dried using patting motions rather than
rubbing motions. The ink marks
present on the site exactly identify where the location of beam radiation is to be
focused. The nurse should take
care not to remove these. The skin of the client should be thoroughly rinsed using a
mild soap as prescribed by the
radiation oncology department. The client's clothing should be loose over the
radiation site.
Question: Which instruction would the nurse provide to a client receiving brachyther-
apy for prostate cancer to prevent injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
, 4. "Refrain from close contact with others."
Correct Answer: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the tumor to
destroy cancer cells. Clients are
radioactive while receiving treatment, making them potentially hazardous to others.
Therefore, the nurse will instruct
clients to refrain from close contact with others. Using bleach with the laundry and
flushing the toilet several times
are instructions for clients receiving chemotherapy. Clients who are
immunosuppressed will be instructed to wear a
face mask to help prevent infections.
NURS 2207- Oncology Evolve EAQ (Graded)
Question: The nurse is caring for a client who underwent surgical resection of an oral
cancerous tumor. Which client problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains.
Correct Answer: 1
Maintain airway.
Rationale:
The highest priority in planning care for a client who underwent a surgical resection
for oral cancer is to maintain the
airway and promote gas exchange. Other interventions include monitoring vital signs,
administering IV fluids, and
empty surgical drains, but these are of lower priority.
