ONCOLOGY Flashcards
(68 cards)
The nurse is instructing a client how to do
testicular examination. The nurse tells the client:
a. To examine testicles while lying down
b. That the best time for examination is
after a shower
c. To gently feel the testicle with 1 finger
to feel for a growth
d. That testicular self-exam is done at least
every 6 months
b. That the best time for examination is
after a shower
A patient with breast cancer is anxious about his
condition and asks the nurse about the site
where metastasis would most likely occur. The
nurse’s best response would be:
a. Brain
b. Bone
c. Liver
d. Spine and Legs
b. Bone - nearest to breast
A student nurse was giving a client with cancer
information regarding radiation therapy. The
staff nurse would intervene if the student nurse
states that:
a. “Unsealed radiation may be
administered via IV route”
b. “Unsealed radiation makes the patient
radio-active”
c. “Sealed radiation is a solid implant
placed anywhere in the body”
d. “Sealed radiation emits radiation thru
the implants”
c. “Sealed radiation is a solid implant
placed anywhere in the body”
A patient with a dislodged radiation source
needs more health teachings if he/she does
which of the following?
a. Prohibits visitor from visiting
b. covers radiation source with hands
c. prevents contact with pregnant women
d. notify the nurse
b. covers radiation source with hands - It has to be handled by long forcep
All of the following are diagnostic procedures of cancer except: a. MRI b. CT-scan c. CBC d. U/A
d. U/A - Urinalysis is wrong
All of the following are warning signs of cancer
except:
a. Hoarseness of voice
b. Lump in the testicles
c. Impaired digestion
d. Impaired respiratory function
d. Impaired respiratory function
A patient with cancer was admitted and
scheduled for biopsy of the staging type. It was
then confirmed that the cancer is in stage III. As
a nurse, you understand that this stage is:
a. Distant metastasis
b. Limited local spread
c. Tumor limited tissue of origin
d. Extensive local and regional spread
d. Extensive local and regional spread
Each of the following are carcinogenic chemicals
except:
a. Epstein-barr
b. Benzopyrene
c. Nitrosamine
d. Aflatoxin
a. Epstein-barr
Which of the following neoplastic disorders is most likely caused by HPV? a. Lymphoma b. Liver cancer c. Nasopharyngeal cancer d. Cervical cancer
d. Cervical cancer
A. patient taking chemotherapy is suffering from nausea and vomiting. One of the best interventions that the nurse could give would be: a. Increase sodium in diet b. Prevent complications of hyperaemia c. Ingestion of more than the optimal amount of nutrients d. Watch out for signs and symptoms of hyperkalemia
c. Ingestion of more than the optimal
amount of nutrients
The client reports that while performing
testicular self exam, he found a lump the size
and shape of a pea. The appropriate response to
the client is:
a. Lumps like that are normal; don’t worry
b. Let me know if it gets bigger next
month
c. That could be cancer, I’ll ask the doctor
to examine you
d. That’s important to report even though
it might not be serious
d. That’s important to report even though
it might not be serious
The community nurse is conducting a health
promotion program at a health center and is
discussing the risk factors associated with
cervical cancer. Which of the following, if
identified by the client as a risk factor for
cervical cancer, indicates a need for further
teaching?
a. Smoking
b. multiple sex partners
c. 1st intercourse after age 20
d. HPV
c. 1st intercourse after age 20 -> Should be Upon 16 years Below
A patient with laryngeal cancer is undergoing
total laryngectomy. As a nurse, you must plan
for a post-operative care. All of the following are
included in post-op intervention except:
a. maintain surgical drains in the chest
b. maintain mechanical ventilator support
c. Increase activity as tolerated
d. assess gag reflex & cough reflex
a. maintain surgical drains in the chest
R: The word “chest” makes it wrong, it should be at the neck.
A patient with gastric cancer underwent gastrojejunostomy(Billroth II). Which of the following interventions is included in the patient’s post-op care? a. Give patient a high fiber diet b. Plan for TPN c. Regular NGT irrigation d. Instruct client to eat solid foods
d. Instruct client to eat solid foods
R: Dire-diretso na ang pagkain dahil sa gastrojejunostomy(Billroth II). = Solid ffoods dapat para mapabagal pa ang digestion.
The nurse is developing a plan of care for a
patient with multiple myeloma & includes which
priority intervention in the plan?
a. Encouraging fluids
b. Providing frequent oral care
c. Coughing & DBE
d. Monitoring RBC count
a. Encouraging fluids
R: Due to plasma gradually destroying the bones = decrease in density = decrease Ca in Blood = hypercalcemia = risk for renal calculi = FLUIDS
The hospice nurse visits a client dying of ovarian
cancer. During the visit, the client expresses that
“If I can just live long enough to attend my
daughter’s graduation, I’ll be ready to die”
Which phase of coping is the client
experiencing?
a. Anger
b. Denial
c. Bargaining
d. Depression
c. Bargaining
When assessing the laboratory results of the
client with bladder cancer and bone metastasis,
the nurse notes a calcium level of 12 mg/dl. The
nurse recognizes that this is consistent with
which oncological emergency?
a. Hyperkalemia
b. Hypercalcemia
c. Spinal cord depression
d. Superior vena cava syndrome
b. Hypercalcemia
The client is admitted with a suspected Hodgkin’s Disease. Which assessment finding would the nurse expect to note specifically in the client? a. Fatigue b. Weakness c. Weight gain d. Enlarged lymph nodes
d. Enlarged lymph nodes
. In the immediate post-op period the nurse notes
a bloody drainage from the NGT of a patient
who underwent gastrectomy. Which of the
following is the appropriate nursing intervention?
a. Irrigate the NGT
b. Continue monitoring drainage
c. Replace NGT
d. Notify the physician
b. Continue monitoring
R: Continue monitoring as the client underwent to surgery, this is a normal phenomenon
A is patient diagnosed of having a bowel tumor.
He underwent different kinds of diagnostic
procedures. As a nurse, you know that the
confirmatory test for malignancy is:
a. MRI
b. CT-scan
c. Biopsy
d. Abdominal ultrasound
c. Biopsy
The nurse is caring for a client with cancer
experiencing acute pain. The appropriate
nursing assessment of the client’s pain would
include:
a. Client’s pain rating
b. Non-verbal cues from the client
c. The nurse’s impression of the client’s
pain
d. Pain relief after nursing intervention
a. Client’s pain rating
The client with leukemia is receiving busulfan
(myleran), and allopurinol (zyloprim) is
prescribed to him. The nurse tells the client that
the purpose of allopurinol is to:
a. Prevent nausea
b. Prevent alopecia
c. Prevent vomiting
d. Prevent hyperuricemia
d. Prevent hyperuricemia
The nurse is teaching a client about the risk
factors associated with colorectal cancer. The
nurse determines that further teaching is
necessary if the client associates which of the
following as a risk factor?
a. Age younger than 50 years
b. History of colorectal polyps
c. Family history of colorectal cancer
d. Chronic inflammatory bowel disease
a. Age younger than 50 years
R: It should be “Age older than 50 years”
The nurse is reviewing the history of a client
with bladder cancer. The nurse expects to note
documentation of which most common symptom
of this type of cancer?
a. Dysuria
b. Hematuria
c. Urgency of urination
d. Frequency of urination
b. Hematuria
R: because of tumor who is bleeding.
