Chapter 15 Quiz

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Question #1

The nurse is completing an admission assessment for a client receiving interstitial implants for prostate cancer. The nurse documents this as

A systemic radiation.

B a contact mold.

C brachytherapy.

D external beam radiation therapy.

Question #2

The nurse performs a breast exam on a client and finds a firm, non-moveable lump in the upper outer quadrant of the right breast that the client reports was not there 3 weeks ago. What does this finding suggest?

A Malignant tumor

B Malignant tumor with metastasis to surrounding tissue

C Normal finding

D Benign fibrocystic disease

Question #3

While completing an admission assessment, the client reports a family history of ovarian cancer among a maternal grandmother, aunt, and sister. The nurse knows that these cancers are most likely associated with what etiology?

A Exposure to chemicals and spermicides

B Inherited gene mutation

C Smoking and tobacco use

D Increased tumor suppressor genes

Question #4

5-Fluorouracil (5FU) is classified as which type of antineoplastic agent?

A Nitrosoureas

B Alkylating

C Antimetabolite

D Mitotic spindle poisons

Question #5

A male client has been unable to return to work for 10 days following chemotherapy as the result of ongoing fatigue and inability to perform usual activities. Laboratory test results are WBCs 2000/mm³, RBCs 3.2 x 10¹²/L, and platelets 85,000/mm³. The nurse notes that the client is anxious. Which of the following is the priority nursing diagnosis?

A Activity intolerance related to side effects of chemotherapy

B Fatigue related to deficient blood cells

C Risk for infection related to inadequate defenses

D Anxiety related to change in role function

Question #6

A nurse caring for a client who has just received chemotherapy infusion is wearing a disposable gown, gloves, and goggles for protection. The nurse knows that accidental exposure to chemotherapy agents can occur through:

A absorption through the goggles.

B inhalation of aerosols.

C absorption through the gloves.

D absorption through the gown.

Question #7

An oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. Which statement by the client indicates that teaching was successful?

A “I lubricate my lips with petroleum jelly.”

B “I replace my toothbrush every month.”

C “I clean my teeth gently several times per day.”

D “I use an alcohol-based mouthwash every morning.”

Question #8

A patient is admitted for an excisional biopsy of a breast lesion. What intervention should the nurse provide for the care of this patient?

A Counsel the patient about the possibility of losing her breast.

B Clarify information provided by the physician.

C Provide aseptic care to the incision postoperatively

D Provide time for the patient to discuss her concerns.

Question #9

The drug interleukin-2 is an example of which type of biologic response modifier?

A Cytokine

B Antimetabolites

C Retinoids

D Monoclonal antibodies

Question #10

A nurse is administering daunorubicin (DaunoXome) to a patient with lung cancer. Which situation requires immediate intervention?

A The laboratory reports a white blood cell (WBC) count of 1,000/mm3.

B The client states he is nauseous.

C The client begins to shiver.

D The I.V. site is red and swollen.

Question #11

A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells?

A White blood cells (WBCs)

B Reproductive trac

C Colon

D Liver

Question #12

The physician is attending to a 72-year-old client with a malignant brain tumor. The physician recommends immediate radiation therapy. What is a reason for the physician’s recommendation?

A To analyze the lymph nodes involved

B To prevent the formation of new cancer cells

C To remove the tumor from the brain

D To destroy marginal tissues

Question #13

Which statement is true about malignant tumors?

A They grow by expansion.

B They usually grow slowly.

C They gain access to the blood and lymphatic channels

D They demonstrate cells that are well differentiated.

Question #14

The oncology nurse is giving chemotherapy to a client in a short stay area. The client confides that they are very depressed. The nurse recognizes depression as which of the following?

A A normal reaction to the diagnosis of cancer.

B A side effect of the neoplastic drugs

C A psychiatric diagnosis everyone has at one time or another.

D An aberrant psychologic reaction to the chemotherapy.

Question #15

A young female client has received chemotherapeutic medications and asks about any effects the treatments will have related to her sexual health. The most appropriate statement by the nurse is

A “You will need to practice birth control measures.”

B “You will continue having your menses every month.”

C “You will experience menopause now.”

D “You will be unable to have children.”

Question #16

A decrease in circulating white blood cells is

A thrombocytopenia

B leukopenia

C granulocytopenia

D neutropenia

Question #17

A benign tumor of the blood vessels is a(n)

A hemangioma

B neuroma

C chondroma

D osteoma

Question #18

Which is a growth-based classification of tumors?

A Leukemia

B Sarcoma

C Malignancy

D Carcinoma

Question #19

During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior?

A Progression

B Prolongation

C Initiation

D Promotion

Question #20

A nurse is performing a home visit for a client who received chemotherapy within the past 24 hours. The nurse observes a small child playing in the bathroom, where the toilet lid has been left up. Based on these observations, the nurse modifies the client’s teaching plan to include:

A signs and symptoms of infection.

B expected chemotherapy-related adverse effects.

C chemotherapy exposure and risk factors.

D reinforcement of the client’s medication regimen.

Question #21

The client is receiving a vesicant antineoplastic for treatment of cancer. Which assessment finding would require the nurse to take immediate action?

A Stomatitis

B Nausea and vomiting

C Extravasation

D Bone pain

Question #22

The client is diagnosed with a benign brain tumor. Which of the following features of a benign tumor is of most concern to the nurse?

A Tumor pressure against normal tissues

B Random, rapid growth of the tumor

C Cells colonizing to distant body parts

D Emission of abnormal proteins

Question #23

The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a stem cell transplant?

A Monitor the client’s heart rate.

B Monitor the client’s toilet patterns.

C Monitor the client’s physical condition.

D Monitor the client closely to prevent infection.

Question #24

A client calls the oncology office nurse and reports nausea and vomiting one week after receiving chemotherapy. What action should the nurse recommend?

A Obtaining acupressure treatments

B Using imagery techniques

C Taking prescribed ondansetron

D Practicing relaxation techniques

Question #25

The nurse is evaluating the client’s risk for cancer. What lifestyle change should the nurse recommend?

A uses the treadmill for 30 minutes on 5 days each week

B works as a secretary at a medical radiation treatment center

C eats red meat such as steaks or hamburgers every day

D drinks one glass of wine at dinner each night

Question #26

A nurse is caring for a client receiving chemotherapy. Which assessment finding places the client at the greatest risk for an infection?

A Temperature of 98.3° F (36.8° C)

B Stage 3 pressure ulcer on the left heel

C White blood cell (WBC) count of 9,000 cells/mm3

D Ate 75% of all meals during the day

Question #27

What foods should the nurse suggest that the patient consume less of in order to reduce nitrate intake because of the possibility of carcinogenic action?

A Green, leafy vegetables

B Eggs and milk

C Ham and bacon

D Fish and poultry

Question #28

According to the tumor-node-metastasis (TNM) classification system, T0 means there is

A No evidence of primary tumor

B No regional lymph node metastasis

C Distant metastasis

D No distant metastasis

Question #29

The nurse is caring for a thyroid cancer client following oral radioactive iodine treatment. Which teaching point is most important?

A Prepare food separately from family members.

B Flush the toilet twice after every use.

C Use disposable utensils for the next month.

D Shield your throat area when near others.

Question #30

Which should a nurse thoroughly evaluate before a bone marrow transplant (BMT) procedure?

A Drug history

B Allergy history

C Family history

D Blood studies

Question #31

Which statement by a client undergoing external radiation therapy indicates the need for further teaching?

A “I’ll wear protective clothing when outside.”

B “I’m worried I’ll expose my family members to radiation.”

C “I’ll wash my skin with mild soap and water only.”

D “I’ll not use my heating pad during my treatment.”

Question #32

For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the care plan?

A Administering aspirin if the temperature exceeds 102° F (38.8° C)

B Providing for frequent rest periods

C Inspecting the skin for petechiae once every shift

D Placing the client in strict isolation

Question #33

After cancer chemotherapy, a client experiences nausea and vomiting. The nurse should assign highest priority to which intervention?

A Serving small portions of bland food

B Encouraging rhythmic breathing exercises

C Withholding fluids for the first 4 to 6 hours after chemotherapy administration

D Administering metoclopramide and dexamethasone as ordered

Question #34

A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication?

A Urine output of 400 ml in 8 hours

B Sodium level of 142 mEq/L

C Serum potassium level of 2.6 mEq/L

D Blood pressure of 120/64 to 130/72 mm Hg

Question #35

A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents?

A Disconnect I.V. tubing with gloved hands.

B Break needles after the infusion is discontinued.

C Wear disposable gloves and protective clothing.

D Throw I.V. tubing in the trash after the infusion is stopped.

Question #36

A nurse is administering daunorubicin (DaunoXome) to a patient with lung cancer. Which situation requires immediate intervention?

A The laboratory reports a white blood cell (WBC) count of 1,000/mm3.

B The client begins to shiver.

C The I.V. site is red and swollen.

D The client states he is nauseous.

Question #37

A nurse is receiving a client with a radioactive implant for the treatment of cervical cancer. What is the nurse’s best action

A Place the client in a private room.

B Have visitors wear dosimeters for safety

C Place a chair next to the bed to allow the spouse to sit.

D Allow visitors to telephone only.

Question #38

A side-effect of chemotherapy is renal damage. To prevent this, the nurse should:

A Limit fluids to 1,000 mL/day to minimize stress on the renal tubules.

B Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.

C Encourage fluid intake, if possible, to dilute the urine.

D Modify the diet to acidify the urine, thus preventing uric acid crystallization.

Question #39

Which does a nurse thoroughly evaluate before a hematopoietic stem cell transplant (HSCT) procedure?

A Blood studies

B Drug history

C Allergy history

Question #40

While doing a health history, a client tells the nurse that her mother, grandmother, and sister died of cancer. The client wants to know what she can do to keep from getting cancer. What would be the nurse’s best response?

A “You can’t prevent cancer, but you can have your blood analyzed for tumor markers to see what your risk level is.”

B “If you eat right, exercise, and get enough rest, you can prevent breast cancer.”

C “With your family history, there is nothing you can do to prevent getting cancer.”

D “Cancer often skips a generation, so don’t worry about it.”

Question #41

In which phase of the cell cycle does cell division occur?

A G2 phase

B G1 phase

C Mitosis

D S phase

Question #42

Which of the following is a term used to describe the process of programmed cell death?

A Mitosis

B Angiogenesis

C Carcinogenesis

D Apoptosis

Question #43

An oncology nurse is caring for a client who relates that certain tastes have changed. The client states that “meat tastes bad.” What nursing intervention can be used to increase protein intake for a client with taste changes?

A Encourage maximum fluid intake

B Stay away from protein beverages.

C Suck on hard candy during treatment.

D Encourage eating cheese, eggs, and legumes

Question #44

The nurse evaluates teaching as effective when a female client states that she will

A Decrease tobacco smoking from one pack/day to half a pack/day

B Obtain a cancer history from her parents.

C Use sunscreen when outdoors.

D Exercise 30 minutes 3 times each week.

Question #45

Which occurs when fluid accumulates in the pericardial space and compresses the heart?

A Cardiac tamponade

B DIC

C SIADH

D Superior vena cava syndrome (SVCS)

Question #46

Chemotherapeutic agents have which effect associated with the renal system?

A Hypercalcemia

B Hypophosphatemia

C Increased uric acid excretion

D Hypokalemia

Question #47

What intervention should the nurse provide to reduce the incidence of renal damage when a patient is taking a chemotherapy regimen?

A Limit fluids to 1,000 mL daily to prevent accumulation of the drug’s end products after cell lysis.

B Take measures to acidify the urine and prevent uric acid crystallization.

C Encourage fluid intake to dilute the urine.

D Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL.

Question #48

What disadvantages of chemotherapy should the patient be informed about prior to starting the regimen?

A It functions against disseminated disease.

B It causes a systemic reaction.

C It targets normal body cells as well as cancer cells.

D It attacks cancer cells during their vulnerable phase.

Question #49

The nurse at the clinic explains to the patient that the surgeon will be removing a mole on the patient’s back that has the potential to develop into cancer. The nurse informs the patient that this is what type of procedure?

A Palliative

B Prophylactic

C Diagnostic

D Reconstructive

Question #50

The nurse is caring for a client undergoing an incisional biopsy. Which statement does the nurse understand to be true about an incisional biopsy?

A It treats cancer with lymph node involvement.

B It is used to remove cancerous cells using a needle.

C It removes an entire lesion and the surrounding tissue.

D It removes a wedge of tissue for diagnosis.

Question #51

A client with a brain tumor is undergoing radiation and chemotherapy for treatment of cancer. The client has recently reported swelling in the gums, tongue, and lips. Which is the most likely cause of these symptoms?

A Stomatitis

B Extravasation

C Neutropenia

D Nadir

Question #52

The nurse is caring for a client who is scheduled for chemotherapy. Which is the best statement the nurse can make about the client experiencing chemotherapy-induced alopecia?

A “Wigs can be used after the chemotherapy is completed.”

B “New hair growth will return without any change to color or texture.”

C “The hair loss is usually temporary.”

D “Clients with alopecia will have delay in grey hair.”

Question #53

Which oncologic emergency involves the failure in the negative feedback mechanism that normally regulates the release of antidiuretic hormone (ADH)?

A Syndrome of inappropriate antidiuretic hormone release (SIADH)

B Tumor lysis syndrome

C Cardiac tamponade

D Disseminated intravascular coagulation (DIC)

Question #54

Which type of hematopoietic stem cell transplantation (HSCT) is characterized by cells from a donor other than the patient?

A Homogenic

B Allogeneic

C Autologous

D Syngeneic

Question #55

A 36-year-old man is receiving three different chemotherapeutic agents for Hodgkin’s disease. The nurse explains to the client that the three drugs are given over an extended period because:

A The second and third drugs increase the effectiveness of the first drug.

B The three drugs have a synergistic effect and act on the cancer cells with different mechanisms.

C The three drugs can be given at lower doses.

D The first two drugs are toxic to cancer cells, and the third drug promotes cell growth.

Question #56

To combat the most common adverse effects of chemotherapy, a nurse should administer an:

A antiemetic.

B antimetabolite.

C antibiotic

D anticoagulant.

Question #57

A client with metastatic pancreatic cancer underwent surgery to remove a malignant tumor in the pancreas. Despite the tumor being removed, the physician informs the client that chemotherapy must be started. Why might the physician opt for chemotherapy?

A To prevent metastasis

B Fatigue

C Angiogenesis

D Stomatitis

Question #58

A client diagnosed with cancer makes the following statement to the nurse: “I guess I will tell my health care provider to forego the chemotherapy. I do not want to be throwing up all the time. I would rather die.” Which of the following facts supports the use of chemotherapy for this client?

A Most clients believe the discomfort is well worth the cure for cancer.

B Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects.

C Nausea and vomiting are only a factor for the first 24 hours after treatment.

D Clinical trials are opening up new cancer treatments all the time.

Question #59

The nurse is providing client teaching for a client undergoing chemotherapy. What dietary modifications should the nurse advise?

A Eat warm or hot foods.

B Avoid intake of fluids.

C Eat wholesome meals.

D Avoid spicy and fatty foods.

Question #60

Which is a sign or symptom of septic shock?

A Warm, moist skin

B Increased urine output

C Hypertension

D Altered mental status

Question #61

A nurse is teaching a client who is receiving radiation treatment for left lower lobe lung cancer. Which client statement indicates a need for further teaching?

A “Most of the adverse effects should go away shortly after my last radiation treatment.”

B “I’ll use hats to protect my head from the sun when my hair falls out.”

C “If I get nauseous, I’ll try to eat several small, bland meals each day.”

D “I’ll allow myself plenty of time to rest between activities.”

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