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 a contact mold.

B systemic radiation.

C external beam radiation therapy.

D brachytherapy.

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 Normal finding

B Malignant tumor with metastasis to surrounding tissue

C Malignant tumor

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 Inherited gene mutation

B Exposure to chemicals and spermicides

C Smoking and tobacco use

D Increased tumor suppressor genes

Question #4

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

A Alkylating

B Mitotic spindle poisons

C Nitrosoureas

D Antimetabolite

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 Anxiety related to change in role function

B Risk for infection related to inadequate defenses

C Activity intolerance related to side effects of chemotherapy

D Fatigue related to deficient blood cells

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 gloves.

B inhalation of aerosols.

C absorption through the goggles.

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 replace my toothbrush every month.”

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

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

D “I lubricate my lips with petroleum jelly.”

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 Provide time for the patient to discuss her concerns.

C Provide aseptic care to the incision postoperatively

D Clarify information provided by the physician.

Question #9

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

A Retinoids

B Monoclonal antibodies

C Antimetabolites

D Cytokine

Question #10

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

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

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

C The client states he is nauseous.

D The client begins to shiver.

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 Reproductive trac

B Colon

C White blood cells (WBCs)

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 prevent the formation of new cancer cells

B To destroy marginal tissues

C To analyze the lymph nodes involved

D To remove the tumor from the brain

Question #13

Which statement is true about malignant tumors?

A They grow by expansion.

B They usually grow slowly.

C They demonstrate cells that are well differentiated.

D They gain access to the blood and lymphatic channels

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 An aberrant psychologic reaction to the chemotherapy.

B A normal reaction to the diagnosis of cancer.

C A side effect of the neoplastic drugs

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

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 be unable to have children.”

C “You will experience menopause now.”

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

Question #16

A decrease in circulating white blood cells is

A thrombocytopenia

B granulocytopenia

C neutropenia

D leukopenia

Question #17

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

A osteoma

B neuroma

C hemangioma

D chondroma

Question #18

Which is a growth-based classification of tumors?

A Carcinoma

B Malignancy

C Leukemia

D Sarcoma

Question #19

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

A Promotion

B Prolongation

C Progression

D Initiation

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 chemotherapy exposure and risk factors.

B signs and symptoms of infection.

C expected chemotherapy-related adverse effects.

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 Bone pain

B Nausea and vomiting

C Stomatitis

D Extravasation

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 Random, rapid growth of the tumor

B Emission of abnormal proteins

C Tumor pressure against normal tissues

D Cells colonizing to distant body parts

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 physical condition.

B Monitor the client’s toilet patterns.

C Monitor the client’s heart rate.

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 Taking prescribed ondansetron

C Using imagery techniques

D Practicing relaxation techniques

Question #25

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

A eats red meat such as steaks or hamburgers every day

B drinks one glass of wine at dinner each night

C works as a secretary at a medical radiation treatment center

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

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 Ate 75% of all meals during the day

B Stage 3 pressure ulcer on the left heel

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

D Temperature of 98.3° F (36.8° C)

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 Fish and poultry

B Ham and bacon

C Eggs and milk

D Green, leafy vegetables

Question #28

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

A Distant metastasis

B No distant metastasis

C No evidence of primary tumor

D No regional lymph node 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 Family history

B Allergy history

C Drug 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 not use my heating pad during my treatment.”

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

Question #32

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

A Placing the client in strict isolation

B Inspecting the skin for petechiae once every shift

C Providing for frequent rest periods

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

Question #33

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

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

B Serving small portions of bland food

C Encouraging rhythmic breathing exercises

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 Sodium level of 142 mEq/L

B Serum potassium level of 2.6 mEq/L

C Urine output of 400 ml in 8 hours

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

B Disconnect I.V. tubing with gloved hands.

C Wear disposable gloves and protective clothing.

D Break needles after the infusion is discontinued.

Question #36

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

A The client begins to shiver.

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

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 Allow visitors to telephone only.

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

C Place the client in a private room.

D Have visitors wear dosimeters for safety

Question #38

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

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

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

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

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 Allergy history

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

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

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

Question #41

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

A G1 phase

B G2 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 Angiogenesis

B Mitosis

C Apoptosis

D Carcinogenesis

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 Suck on hard candy during treatment.

B Encourage maximum fluid intake

C Stay away from protein beverages.

D Encourage eating cheese, eggs, and legumes

Question #44

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

A Use sunscreen when outdoors.

B Obtain a cancer history from her parents.

C Exercise 30 minutes 3 times each week.

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

Question #45

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

A SIADH

B DIC

C Superior vena cava syndrome (SVCS)

D Cardiac tamponade

Question #46

Chemotherapeutic agents have which effect associated with the renal system?

A Hypokalemia

B Hypophosphatemia

C Increased uric acid excretion

D Hypercalcemia

Question #47

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

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

B Encourage fluid intake to dilute the urine.

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

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 causes a systemic reaction.

B It attacks cancer cells during their vulnerable phase.

C It functions against disseminated disease.

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

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 Prophylactic

B Diagnostic

C Reconstructive

D Palliative

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 removes an entire lesion and the surrounding tissue.

C It removes a wedge of tissue for diagnosis.

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

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 Extravasation

B Neutropenia

C Nadir

D Stomatitis

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

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

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

D “The hair loss is usually temporary.”

Question #53

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

A Tumor lysis syndrome

B Syndrome of inappropriate antidiuretic hormone release (SIADH)

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 Syngeneic

C Autologous

D Allogeneic

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 three drugs can be given at lower doses.

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

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

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

Question #56

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

A antibiotic

B antimetabolite.

C antiemetic.

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 Angiogenesis

B To prevent metastasis

C Stomatitis

D Fatigue

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

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

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

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

Question #59

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

A Avoid intake of fluids.

B Eat warm or hot foods.

C Avoid spicy and fatty foods.

D Eat wholesome meals.

Question #60

Which is a sign or symptom of septic shock?

A Increased urine output

B Hypertension

C Altered mental status

D Warm, moist skin

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

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

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

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

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