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CANCER QUIZ NCLEX QUESTIONS Flashcards | StudBud
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CANCER QUIZ NCLEX QUESTIONS
CANCER QUIZ NCLEX QUESTIONS
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1
Which of the following are the number two common causes of lung cancer? (SATA
Strong family hx
Smoking
Radon
Chronic alcoholism
2
The nurse is teaching a client about ALL therapy. What statement should be included in the plan of care?
Side effects are rare with therapy.
Treatment is simple and consists of single-drug therapy.
The goal of therapy is palliation
Intrathecal Chemotherapy is used primarily as preventative therapy.
3
Laryngeal cancer is the ___ most common HNC in the United States?
2nd
4th
1st
3rd
4
RN talking cancer stats w community. Which info ab death rates from lung cancer is most accurate?
Lung cancer death are not significant in relation to other cancers
Lung cancer is the number 2 cause of cancer death in both men and women
Lung cancer have continued to increase in the male population.
Lung cancer is the number 1 cause of cancer death in both men and women
5
WHAT R 2PRIMARY COMPLICATIONS THAT ARE MAJOR CAUSES OF DEATH SEEN IN ACUTE MYELOID LEUKEMIA (AML)?
BLEEDING
Fevers
Gingival infiltration
INFECTION
6
patient with cancer tells the nurse she has numbness and weakness in her legs. What is the nurse’s best response?
Are you having any back pain?”
When was your last dose of pain medication?
“Don’t worry. This is a normal response to chemotherapy.”
Have you been exercising vigorously?”
7
Pt refuses to acknowledge her breast was just removed. She believes her breast is intact under the dressing. RN should
Recognize that she is experiencing denial, a normal stage of the grieving p
Reinforce her belief for several days until her body can adjust to stress
Call the MD to change the dressing so the patient can see the incision
Remind the patient that she needs to accept her dx so she can do rehab
8
RN completing an assessment of a client who has increased ICP. Which are expected findings?
HA
Unequal pupils
Disoriented to time and place
Restless and irritability
9
Pt w pancreatic cancer the RN writes the collab problem of “altered nutrition”. Which intervention include in POC?
Have the family bring in foods from home
Refer the client to the dietitian
Assess for food preference
Continuous feeding via PEG tube
10
Which statement indicates the client understands teaching about induction therapy for leukemia?
“I will start slowly with medication treatment.”
“I will need to come every week for treatment.”
“I will be in the hospital for several weeks.
“I know I can never be cured”
11
Which common hematological conditions result from leukemia cancer invading the bone marrow? (select all that apply)
Bleeding
Cachexia
Thrombocytopenia
Anemia
None of the above
Bruising
12
Mid-age client has 2 lesions dx as basal cell carcinoma removed. Which discharge instruction should RN include?
Demonstrate care of the surgical site
Instruct the client how to apply sunscreen to the area
Refer the client to a pathologist.
Teach the client that there is no more risk for skin cancer
13
Pt concerned ab having cancer. Waiting on results of dx test. Pt is fearful and concern ab fam and work. RN intervention
Ask what pt already knows ab cancer and how a cancer dx affect work and fm
Encourage the client to take control over scheduled activities.
Inform the physician with the client’s concern and need for further info
Provide the client with literature on cancer support groups.
14
Pt w lung cancer is receiving chemo tx complains of anorexia. What should RN recommend to PT to promote adequate nutrio
Eat frequent small meals throughout the course of the day
Try to eat preferred food before chemotherapy
No change in nutritional status is needed
Eat a large meal as soon as they wake up.
15
Which of the following clients is at a high risk for skin cancer? (SATA)
29-year-old who reports a family history of melanoma
35 yo f light-colored skin and eyes that reports frequent sunburns as kid
55yo M with dark skin that reports always wearing sunscreen outdoors
22-year-old female who reports using a tanning bed three times per week
16
. A client receiving radiation therapy has fatigue. What should the nurse include in the teaching plan?
Increase fluid intake
Conserve energy by prioritizing activities
Minimize naps or periods of rest during the day
Limit dietary intake of high-fiber foods
17
What object is about the correct anatomical size of a prostate?
Grain of rice
Munchkin
Walnut
Grapefruit
18
Pt w benign brain tumor. Pt asks the RN if he can expect this same type of tumor to occur in other areas? Correct repons
can spread to breast tissue and kidneys
is limited only to your brain tissue
can develop in your GI tract
probably started in another area of your body and spread to the brain
19
nurse is caring for a client with an intestinal stoma. Which intervention is most important?
Cleansing the stoma with cool water
spraying an air freshener deodorant in the room
selecting a bag with an appropriate size stomal opening
wearing sterile non latex gloves when caring for the stoma
20
Pt dx w pancreatic cancer When assessing the patient, which signs and symptoms would expect to find?
Nausea and coffee-ground emesis
Clay-colored stools and dark urine
Left lower abdominal cramps
Night sweats and fever
21
56yo pT report rectal bleedin w intermittent diarrhea and constip for sevrl months. Fam hx CRC. RN teaching pT gets mad
Elimination
Anxiety
Patient education
Cellular regulation
22
RN teaching prevention and early detection of pancreatic cancer. Which primaryself-care activity should the nurse teach?
Monitor for elevated blood glucose at random intervals
Inspect the skin and sclera of the eyes for a yellow tint
Instruct the client with hyperglycemia about insulin injections
Limit meat in the diet and eat a diet that is low in fats
23
RN assesd dimpling of the skin in the left upper quadrant of the right breast and nipple discharge. Which question 4 BC?
Does the area in question feel warm to the touch?
Have you been experiencing any night sweats or low-grade fevers?
“Have you noticed a rash or skin irritation around the nipple area?”
Have you noticed any itching around the nipple or in the area affected
24
Client dx w leukemia. The doc asks RN to set up teaching session. Pt is worried. What’s primary nursing management?
Use medical terminology throughout the teaching session
Assess pt baseline about leukemia
Hand out pamphlets about leukemia
Explain what leukemia is
25
Which of these are risk factors for cervical cancer?
None of the above
Smoking
human papilloma virus
HIV/AIDS
26
A client with AML has pale mucous membranes and bruises on the legs. What is the primary intervention?
Assess the client’s skin
Assess the client’s hemoglobin and platelets
Assess the client’s pulse and blood pressure
Check the client’s history
27
Routine exam firmmass is palpated in the right breast of a 35yo f. Which of the following findings BC> fibrocystic dise
Increased vascularity of the breast
History of anovulatory cycles
History of early menarche
Cyclic changes in mass size
28
Pt with cancer has anemia. RN is planning to Admin a transfusion of packed RBCs. What can RN delegate to UAP?
Assess the client for a transfusion reaction.
Obtain the temperature, blood pressure, and pulse before the transfusion.
Assess the IV site before administering blood.
Educate the client on the blood transfusion process.
29
Pt colonoscopy with several polyps excised for biopsies. The nurse teaches the client routine postprocedure expectations
Some abdominal bloating
Continuous abdominal cramping
Minimal rectal bleeding
Intermittent passage of gas from the anus
30
RN reviewing aftercare w pT taking RAI. Which statement by the pT needs further education?
have booked a flight to Miami between my RAI sessions to relieve stress
I must be cautious around my pregnant wife
Iwill sit down to urinate to prevent splashing
Still take meds since RAI takes several weeks to show effectiveness
31
RN Teaching HS students things to decrease risks of brain cancer. Which statement made by the nurse is correct?
Maintaining an exercise routine will decrease the chance
Eating bacon every morning is a good choice
Drinking alcohol will increase your chance
Smoking cigarettes will not have an effect
32
Pt in ED worsening headaches, blurred vision, loss of balance and seizures. What should RN anticipate order will be?
Lumbar puncture
CT
MRI
PET SCAN
33
On what part of the cervix do most cancers develop?
None of the above
Lymph nodes
External lining
Internal lining
34
What is a sign or symptom of septic shock?
Hypertension
Altered Mental Status
Increased Urine Output
Warm, moist skin
35
A client who is undergoing chemotherapy reports pain in the low back. What is the nurse’s first action?
Refer the client to a chiropractor
Administer pain medicine as ordered
Place heating pads on the client’s back
Assess renal function
36
Pt w removal of an encapsulated acoustic tumor. Which of the following potential complications should RN monitor postop
Increased ICP
Hypoglycemia
Hemorrhagic shock
Hydrocephalus
37
When should women start cervical cancer screening?
At age 25(21)
No later than age 30
No later than age 18
When they start having sex
38
PT with ALL is starting chemo. When teaching the patient about the induction stg of chemo. What’s an good response?
“The drugs are started slowly to minimize side effects.”
“Most patients have more energy and are resistant to infection.”
“You will be at increased risk for bleeding and infection.”
“High doses will be administered every day for several months.”
39
elderly client has oral cancer. To conduct a focused assessment, the nurse should do which of the following?
Inquire about loss of sense of taste
Inspect the mouth and surrounding tissues for infection and inflammation
Determine presence of dysphagia.
Monitor the client’s height and weight
40
68yo F dx w neutropenia dt acute lymphocytic leukemia. She is admitted to hospital for tx. The RN should assign pT to…
A shared room to build immunity
A private room to prevent infection
A private room to contain spread of leukemia
None of the above
41
lung cancer pt told that the cancer has metastasized to the brain. Which intervention should the nurse implement?
Discuss implementing an advance directive
Explain the use of chemotherapy for brain involvement
None of the above
Have the significant other make decisions for the client
42
RN preparing a community presentation on oral cancer. Which of the following is a primary risk factor for oral cancer?
Frequent use of mouthwash Remove the tube and reinsert when no resp distres
Use of alcohol
Lack of B12
Lack of regular teeth cleaning by a dentist
43
Which of the following statements should be included when teaching a client newly diagnosed with testicular cancer?
Self exams are important still bc your risk for a second tumor is increased
Radiationtherapy is never used, so the unaffected testicle remains healthy
Taking testosterone aft orchiectomy changes appear and sex function
isn’t responsive to chemo, but it’s highly curative with surgery
44
Pt with cancer is receiving radiation & gets thrombocytopenia. Whats the priority to prevent which effect of tbcp 4 pt?
. Injury related to the decreased platelet count
Skin breakdown related to decreased tissue perfusion
Altered nutrition related to anemia
Pain related to spontaneous bleeding episodes
45
Pt complain of urinary retention after being dx w stage 4 prostate cancer. Which intervention should RN prioritize?
Catheterize the client to determine amount of residual urine
Encourage the client to assume a normal position for voiding.
Determine the client’s normal voiding pattern
Teach the client to use the Valsalva maneuver to empty the bladder
46
When obtaining a focused health history for a patient with possible testicular cancer, the RN should ask ab hx of…
STD infection
Testicular torsion
Testicular trauma
Undescended testicle
47
What risk factors increase the risk for thyroid cancer SATA?
Obesity
High iodine diet
Gender
Exposure to radiation
48
Pt has just admitted to unit post op Thyroidectomy, which of the following nursing intervention is priority for pt?
Give pain med
Obtain blood sugar
Redress surgical dressing
Monitor airway
49
RN doing d/c teaching for a Near-total thyroidectomy post-op. Which statement by the pt. ensures understanding?
will decrease my risk of developing hypoparathyroidism
will not have to worry about infection
This will not cause any damage to my vocal cord
will decrease my risk of developing hyperparathyroidism
