POST TEST - ONCOLOGIC NURSING
1 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
POST TEST - ONCOLOGIC NURSING
Total points 20/25
Prepared By: Mr. Orlan Balano
Email *
angelolaurence23@gmail.com
0 of 0 points
SURNAME: *
SORIANO
FIRST NAME: *
ANGELO LAURENCE
MIDDLE NAME: *
SALAN
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
2 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
SCHOOL: *
PHINMA - UNIVERSITY OF PANGASINAN
SECTION: *
4BSNSA4
POST TEST
20 of 25 points
DISTURBANCES IN CELLULAR FUNCTIONING
1. A client has squamous cell cancer of the right lung that has
*0/1
metastasized to the brain. In addition to chemotherapy for lung cancer,
the physician prescribes lomustine (CeeNU), 100 mg/m2 as a single
dose, to treat the brain metastasis. What are the major administration and
excretion routes of lomustine?
a. Oral administration and urinary excretion
b. Oral administration and fecal excretion
c. I.V. administration and urinary excretion
d. I.V administration and fecal excretion
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
3 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
2. A client with suspected lung cancer is scheduled for thoracentesis as *1/1
part of the diagnostic workup. The nurse reviews the client’s history for
conditions that might contraindicate this procedure. Which condition is a
contraindication for thoracentesis?
a. A seizure disorder
b. Chronic obstructive pulmonary disease
c. Anemia
d. A bleeding disorder
3. A client who reports increasing difficulty swallowing, weight loss, and *1/1
fatigue is diagnosed with esophageal cancer. Because this client has
difficulty swallowing, the nurse should assign highest priority to:
a. Helping the client cope with body image changes.
b. Ensuring adequate nutrition.
c. Maintaining a patent airway.
d. Preventing injury.
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
4 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
4. The nurse is caring for a client who has just had a modified radical
*0/1
mastectomy with immediate reconstruction. She’s in her 30s and has two
young children. Although she’s worried about her future, she seems to be
adjusting well to her diagnosis. What should the nurse do to support her
coping?
a. Tell the client’s spouse or partner to be supportive while she recovers.
c. Recommend that the client remain cheerful for the sake of her children.
d. Refer the client to the American Cancer Society’s Reach for Recovery
program or another support program.
5. When caring for a client diagnosed with a brain tumor of the parietal
lobe, the nurse expects to assess:
*1/1
a. Short-term memory impairment.
b. Tactile agnosia.
c. Seizures.
d. Contralateral homonymous hemianopia.
Situation: The American cancer Society recommends routine screening to detect
colorectal cancer.
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
5 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
6. Which screening test for colorectal cancer should the nurse
recommend?
*1/1
a. Carcinoembryonic antigen (CEA) test after ago 50
b. Proctosigmoidoscopy after age 50
c. Annual digital examination after age 50
d. Barium enema after age 50
7. The nurse is caring for a client receiving the fentanyl transdermal
system (Duragesic-50) for pain management. When applying a new
system, the nurse should:
*0/1
a. Press the system in place for 30 to 60 seconds.
b. Choose a site on the lower torso.
c.
.
d. Apply the system immediately after removal from a package.
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
6 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
8. What is the most important postoperative instruction the nurse must
give a client who has just returned from the operating room after
receiving a subarachnoid block?
*1/1
a. “Avoid drinking liquids until the gag reflex returns.”
b. “Avoid eating milk products for 24 hours.”
c. “Notify a nurse if you experience blood in your urine.”
d. “Remain supine for the time specified by the physician.”
9. A client with a nagging cough makes an appointment to see the
physician after reading that this symptom is one of the seven warning
signs of cancer. What is another warning sign of cancer?
*1/1
a. Persistent nausea
b. Rash
c. Indigestion
d. Chronic ache or pain
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
7 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
10. The nurse is assessing a client with multiple myeloma. The nurse
should keep in mind that clients with multiple myeloma are at risk for:
*1/1
a. Chronic liver failure.
b. Acute heart failure.
c. Pathologic bone fractures.
d. Hypoxemia.
11. The nurse is teaching a class about breast self-examinations. A client *1/1
asks if the she should have an annual mammogram. According to the
American Cancer Society, how should the nurse respond?
a. All women over age 30 should have an annual mammogram.
b. All women over age 40 should have an annual mammogram.
c. Any woman over age 20 whose mother had breast cancer should have an annual
mammogram.
d. Any woman who feels she is at risk for breast cancer should have an annual
mammogram.
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
8 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
12. The nurse is preparing a client for magnetic resonance imaging
(MRI) to confirm or rule out a spinal cord lesion. During the MRI scan,
which of the following would pose a threat to the client?
*1/1
a. The client lies still.
b. The client asks questions.
c. the client hears thumping sounds.
d. The client wears a watch and wedding band.
13. In assessing a post mastectomy client, the nurse determines that the *1/1
client is in denial. The nurse can best respond by:
a. Accepting the denial.
b. Confronting the denial.
c. Supporting the denial.
d. Interpreting the denial.
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
9 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
14. An oncology nurse educator is speaking to a women’s group about
breast cancer. Questions and comments from the audience reveal a
misunderstanding of some aspects of the disease. Various members of
the audience have made all of the following statements. Which one is
accurate?
*1/1
a. Mammography is the most reliable method for detecting breast cancer.
b. Breast cancer is the leading killer of women of childbearing age.
c. Breast cancer requires a mastectomy.
d. Men can develop breast cancer.
15. A client has been receiving chemotherapy to treat cancer. Which
assessment finding suggests that the client has developed stomatitis
(inflammation of the mouth)?
*1/1
a. White, cottage cheese-like patches on the tongue
b. Yellow tooth discoloration
c. Red, open sores on the oral mucosa
d. Rust-colored sputum
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
10 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
16. A client undergoes a laryngectomy to treat laryngeal cancer. When
teaching the client how to care for the neck stoma, the nurse should
include which instruction?
*1/1
a. “Keep the stoma uncovered.”
b. “Keep the stoma dry.”
c. “Have a family member perform stoma care initially until you get used to the
procedure.”
d. “Keep the stoma moist.”
17. At a public health fair, the nurse teaches a group of women about
breast cancer awareness. Possible signs of breast cancer include:
*1/1
a. Fever.
b. Breast changes during menstruation.
c. Nipple discharge and a breast nodule.
d. Fever and erythema of the breast.
18. Which intervention is appropriate for the nurse caring for a client in
severe pain receiving a continuous I.V. infusion of morphine?
*1/1
a. Assisting with a naloxone challenge test before therapy begins
b. Discontinuing the drug immediately if signs of dependence appear
c. Changing the administration route to P.O. if the client can tolerate fluids
d. Obtaining baseline vital signs before administering the first dose
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
11 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
19. A client undergoes a biopsy of a suspicious lesion. The biopsy report *0/1
classifies the lesion according to the TNM staging system as follows: TIS,
NO, MO. What does this classification mean?
a. No evidence of primary tumor, no abnormal regional lymph nodes, and no
evidence of distant metastasis
b. Carcinoma is situ, no abnormal regional lymph nodes, and no evidence of distant
metastasis
c. Can’t assess tumor or regional lymph nodes and no evidence of metastasis
d. Carcinoma in situ, no demonstrable metastasis of the regional lymph nodes, and
ascending degrees of distant metastasis
20. After being in remission from Hodgkin’s disease for 18 months, a
*1/1
client develops a fever of unknown origin. The physician orders a blind
liver biopsy to rule out advancing Hodgkin’sdisease and infection. Twentyfour hours after the biopsy, the client has a fever, complains of severe
abdominal pain, and seems increasingly confused. The nurse suspects
that these finding result from:
a. Bleeding in the liver caused by the liver biopsy.
b. Perforation of the colon caused by the liver biopsy.
c. An allergic reaction to the contrast media used during liver biopsy.
d. Normal post procedural pain, with a change in the level of consciousness
resulting from the preexisting fever.
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
12 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
21. On a visit to the gynecologist, a client complains of urinary
*0/1
frequency, pelvic discomfort, and weight loss. After a complete physical
examination, blood studies, and a pelvic examination with a Papanicolaou
test, the physician diagnoses stage IV ovarian cancer. The nurse expects
to prepare the client for which initial treatment?
a. Radiation therapy
b. Major surgery
c. Chemotherapy
d. None
22. A home care nurse assesses for disease complications in a client
with bone cancer. The nurse knows that bone cancer may cause which
electrolyte disturbance?
*1/1
a. Hyperkalemia
b. Hypercalcemia
c. Hyponatremia
d. hypomagnesemia
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
13 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
23. A client metastatic ovarian cancer is prescribed cisplatin (Platinol). *1/1
Before administering the first dose, the nurse reviews the client’s
medication history for drugs that may interact with cisplatin. Which drug
may cause significant interactions when given concomitantly with
cisplatin?
a. Erythromycin
b. A tetracycline
c. A cephalosporin
d. An amino glycoside
Situation: A client with ovarian cancer is prescribed hydroxyurea (Hydrea), an
antimetabolite drug.
24. Antimetabolites are a diverse group of antineoplastic agents that
interfere with various metabolic actions of the cell. The mechanism of
action of antimetabolites interferes with:
*1/1
a. Cell division or mitosis during the M phase of the cell cycle.
b. Normal cellular processes during the S phase of the cell cycle.
c. The chemical structure of deoxyribonucleic acid (DNA) and chemical binding
between DNA molecules (cell cycle-nonspecific).
d. One or more stages of ribonucleic acid (RNA) synthesis, DNA synthesis, or both
(cell cycle-nonspecific).
6/14/2024, 15:21
POST TEST - ONCOLOGIC NURSING
14 of 14
https://docs.google.com/forms/d/e/1FAIpQLScchOeg2xQ1Jw3UyWb...
25. A client is scheduled to receive methotrexate (Folex), 0.625 mg/kg
P.O. daily, to treat malignant lymphoma. Before administering the drug,
the nurse reviews the client’s medication history. Which of the following
drugs might interact with methotrexate?
*1/1
a. digoxin (Lanoxin)
b. theophylline (Slo-Phyllin)
c. Probenecid (Benemid)
d. Famotidine (Pepcid)
This form was created inside of TopRank Review Academy. Report Abuse
Forms
6/14/2024, 15:21