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Nursing Officer Quiz
Topic- Review of Oncological
Nursing
Oncology Nursing-----
1)A client being treated for advanced
breast cancer with chemotherapy
reports that she must be allergic
to one of her drugs because her
entire face is swollen.
What assessment does the nurse
perform?
a. Asks whether the client has other
known allergies
b. Checks the capillary refill on
fingernails bilaterally
c. Examines the client's neck and
chest for edema and engorged veins
d. Compares blood pressure
measured in the right arm with that
in the left arm
2)The nurse is giving a group
presentation on cancer prevention
and recognition.
Which statement by an older adult
client indicates understanding of the
nurse's instructions?
a)"Cigarette smoking always causes
lung cancer."
b)"Taking multivitamins will
prevent me from developing cancer."
c)"If I have only one shot of whiskey
a day, I probably will not develop
cancer."
d)"I need to report the pain going
down my legs to my health care
provider."
3)The client has a diagnosis of lung
cancer.
To which areas does the nurse
anticipate that this client's tumor
may metastasize?
Select all that apply.
a)Brain
b)Bone
c)Lymph nodes
d)Kidneys
e)Liver
4)The Nurse Geeta suspects
metastasis from left breast cancer to
the thoracic
spine when the client has which
symptom?
a)Vomiting
b)Back pain
c)Frequent urination
d)Cyanosis of the toes
5)The nurse is caring for an adult
client with Down syndrome who
reports fatigue and shortness of
breath.
Which type of cancer has been
identified in clients with Down
syndrome?
a) Breast cancer
b) Colorectal cancer
c) Malignant melanoma
d) Leukemia
6)The home health RN is caring for a
client who has a history of a kidney
transplant and takes cyclosporine
(Sandimmune) and prednisone
(Deltasone) to prevent rejection.
Which assessment data would be
most important to communicate to
the transplant team?
a)The temperature is 96.6° F.
b)The client reports joint pain.
c)The oral mucosa appears pink and
dry.
d)A lump is palpable in the client's
axilla.
7)The most common site of skeletal
metastases in
carcinoma of the breast is ?
a) Pelvis
b) Skull
c) Lumbar vertebrae
d) Thoracic vertebrae
8)A patient who has underwent a
bone marrow transplant is at most
risk for what?
a)Bleeding and infection
b)Congestive heart failure
c)Liver failure
d)HIV
9)For comparison grading of pain
the which of the following scale used
is
a) Face’s scale
b)CHEOPES
c) Numerical charts
d) Visual scale
10)Both hyperplasia and hypertrophy
is found in which of the following?
a) Pregnancy uterus
b) Cardiac muscle in cardiomegaly
c) Skeletal muscle in athelete
d) Breast development in puberty
11)Most common tumour of the
posterior cranial fossa
is?
a) Glioma
b) Medulloblastoma
c) Meningioma
d) Oligodendroglioma
12)Lymphnode metastasis is seen
with which of the following?
a) Liposarcoma
b) Neurofibrosarcoma
c) Histiocytoma
d) Angiosarcoma
13)Commonest cancer in which
metastasis is seen in
the brain is ?
a)Breast
b)Lung
c)Kidney
d)Liver
14)Radiation can causes which of the
following cancer?
a) Non Hodgkin lymphoma
b) Hodgkins lymphoma
c) Acute leukemia
d) Papillary carcinoma
thyroidIntestines
15)Carcinomas of all of following
sites metastasize
to vertebral column except?
a) Breast
b) Bronchus
c) Prostate
d) Esophagus
16)Radiotherapy is not used in which
of the following?
a) Ca oesophagus
b) Ca cervix
c) Ca stomach
d) Brain tumour
17)Kaposi’s sarcoma is caused by
which of the following?
a)HHV-5
b)HHHV-5
c)HHV-7
d)HHV-8
18)Hyperkeratosis of palm and sole is
seen in which of the following Ca ?
a) Carcinoma colon
b) Hepatoma
c) Adenocarcinoma lung
d) CA oesophagus
19)Drug of choice for cisplatin
induced emesis
is ?
a) Metoclopramide
b) Domperidone
c) Ondansetron
d) Octreotide
20)Which of the following is most
common site of rhabdomyosarcoma
in children
is ?
a) Genito urinary area
b) Head and neck region
c) Trunk
d) Extremities
21)Chemotherapy is useful in all,
except ?
a) Ewing’s sarcoma
b) Germ cell tumor
c) Secondaries
d) Carcinoma cervix
22)The commonest side effect of
cisplatinum in a
Client using it for esophageal
carcinoma is ?
a) Acute tubular necrosis
b) Thrombocytopenia
c) Hepatic failure
d) Cardiomyopathy
23)A client with cancer presents with
secondaries to the adrenals.
The most common site of primary is
?
a) Lung
b) Kidney
c) Breast
d) Stomach
24) A Nurse seema caring a clinet
with carcinoid tumour,
which of the Following sign &
symptoms
the Nurse should be alert to monitor?
a) Wheezing
b) Flushing
c) Cyanosis
d) Clubbing
e) Diarrhoea
25)You are teaching a group of new
nurse graduates hired on your
oncology unit
about oncological disorders.
Which statement by a nursing
graduate
about Hodgkin's Disease require
re-education?
a)This disease always presents with
hallmark signs of bone pain in the
ribs, spine,
and pelvis.
b)Reed Stenberg cells are present in
the nodes.
c)A positive CT scan of liver and
spleen presents.
d)A positive biopsy of the lymph
nodes with cervical nodes most often
affect
26)As an oncological nurse, you
know what finding is correct
regarding breast cancer?
a)Masses are usually felt in the upper
outer quadrant beneath the nipple or
axilla.
b)Women who've had a late
menarche and early menopause are
at risk for breast cancer.
c)Nipple retraction is never present.
d)The mass is typically painful and
red
27)Which of the following is the
most common type of Skin cancer?
a)Basal cell carcinoma
b)Melanoma
c)Squamous cell carcinoma
d)Small cell carcinoma
28)A patient has an
electrodessication and curettage
(EDC) performed to remove a skin
cancer lesion.
How will the nurse educate the
patient on how to care for the
surgical site?
a. Apply dry, sterile gauze with a
nonstick bandage.
b. Apply a saline sterile gauze with a
bandage.
c. Apply petroleum jelly to the site
with a nonstick bandage.
d. Allow the site to stay open to air.
29)Which precaution is most
important for the nurse to teach a
client
receiving radiation therapy for head
and neck cancer?
a. Avoid eating red meat during
treatment.
b. Pace your leisure activities to
prevent fatigue.
c. See your dentist twice yearly for
the rest of your life.
d. Avoid using headphones or
headsets until your hair grows back.
30)The client receiving
chemotherapy will experience the
lowest level of bone marrow activity
and neutropenia during which
period?
a)Peak
b)Trough
c)Nadir
d)Adjuvant
31)When caring for a client with
cachexia, the nurse expects to note
which symptom?
a)Weight loss
b)Anemia
c)Bleeding tendencies
d)Motor deficits
32)Which teaching is most
appropriate for a client with
chemotherapy-induced neuropathy?
a)Bathe in cold water.
b)Wear cotton gloves when cooking.
c)Consume a diet high in fiber.
d)Make sure shoes are snug.
33)Which manifestation of an
oncologic emergency requires the
nurse to contact the health care
provider immediately?
a)New onset of fatigue
b)Edema of arms and hands
c)Dry cough
d)Weight gain
34)A 33-year-old patient has
recently been diagnosed with stage II
cervical cancer.
The nurse would understand that the
patient's cancer
a)Is in situ.
b)Has metastasized.
c)Has spread locally.
d)Has spread extensively.
35)Which precaution is most
important for the nurse to teach a
client with leukemia
to prevent an infection by
autocontamination?
a)Take antibiotics exactly as
prescribed.
b)Perform mouth care three times
daily.
c)Avoid the use of pepper and raw
foods.
d)Report any burning on urination
immediately.
36)Which assessment is most
important for the nurse to perform
for the client receiving one unit
of packed red blood cells from an
autologous donation?
a)Temperature
b)Blood pressure
c)Oxygen saturation
d)IV site for hives
37)A client had a transurethral
resection of the prostate (TURP)
yesterday.
The staff nurse notes that the
hemoglobin is 8.2 g/dL. What is the
nurse's best action?
a)Notify the charge nurse as soon as
possible.
b)Irrigate the catheter with 30 mL
normal saline.
c)Document the assessment in the
medical record.
d)Prepare for a blood transfusion.
38)Which of the following is the
most beneficial technique of using
chemotherapy with a course of
radiotherapy in head and neck
malignancies?
a)Neoadjuvant chemotherapy
b)Adjuvant chemotherapy
c)Concurrent chemotherapy
d)Alternating chemotherapy
39) Which of the following malignant
tumor is radioresistant?
a)Ewing’s sarcoma
b)Retinoblastoma
c)Osteosarcoma
d)Neuroblastoma
40)Which of the following imaging
techniques gives maximum radiation
exposure to the Client ?
a)Chest X-ray
b)MRI
c)CT scan
d)Bone scan
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