NCLEX Oncology

The nurse is reinforcing instructions to a group of adults about the seven warning signs of cancer. The nurse determines that a member of the group needs further teaching if the member states which sign/symptom is a warning sign?

Absence or decreased frequency of menses

The nurse is assisting with conducting a health-promotion program to community members regarding testicular cancer. The nurse determines that further teaching is needed if a community member states that which is a sign/symptom of testicular cancer? Select all that apply.

Alopecia Elevation in prostate specific antigen (PSA) levels

The nurse is reinforcing instructions to a community group regarding the risks and causes of bladder cancer. The nurse determines that there is a need for further teaching if a member of the community group makes which statement regarding this type of cancer?

It most often occurs in women.

The nurse is orienting a new nurse to the care of a client who has an internal radiation implant. Which statement by the new nurse demonstrates the need for further teaching?

After visiting hours, the client may be put in a wheel chair and taken out of the room.

The nurse determines that a client with which history is most at risk for endometrial cancer?

Estrogen replacement therapy

The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding is indicative of the massive cell destruction that occurs with the chemotherapy?

Increased uric acid level

The nurse is reviewing the medical history of a client admitted to the hospital with a diagnosis of colorectal cancer. The nurse understands that which information documented in the medical history are risk factors of this type of cancer? Select all that apply.

1. Family history of colon cancer 3. A history of inflammatory bowel disease 4. Regular consumption of red or processed meats 5. Regular consumption of a diet high in fats and carbohydrates

The nurse is reinforcing instructions to a client receiving external radiation therapy. The nurse determines that the client needs further teaching if the client states an intention to take which action? Select all that apply.

Apply pressure on the radiated area to prevent bleeding. 5.Avoid standing within 6 feet of persons under the age of 18 years.

The nurse is caring for a client with metastatic lung cancer. The client was medicated 2 hours ago and now reports a new and sudden sharp pain in the back. The nurse appropriately interprets this finding as possibly spinal cord compression. Which should the nurse do next?

Ask the client about numbness and tingling in all the extremities.

A client receiving chemotherapy asks the nurse, "What will I do when my hair starts to fall out?" Which action by the nurse is therapeutic?

Assist her to express feelings.

The client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. Besides treatment of the lung cancer, the nurse anticipates that which interventions may be prescribed to treat the SIADH? Select all that apply.

Institute safety measures. 4. Frequently monitor sodium blood levels. 5. Gather data about the neurological status frequently. 6. Administer medication that is antagonistic to antidiuretic hormone (ADH).

The nurse is collecting data from a client suspected of having ovarian cancer. Which question should the nurse ask the client to elicit information specifically related to this disorder?

"Does your abdomen feel as though it is swollen?"

The nurse is preparing a client for an intravesical instillation of an alkylating chemotherapeutic agent into the bladder for the treatment of bladder cancer. The nurse provides instructions to the client regarding the procedure. Which client statement indicates an understanding of this procedure?

"After the instillation is done, I will need to change position every 15 minutes from side to side."

A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the nasogastric (NG) tube. Which action should the nurse take?

Continue to monitor the drainage.

The nurse provides skin care instructions to the client who is receiving external radiation therapy. Which statement by the client indicates the need for further teaching? Select all that apply.

"I will limit sun exposure to 1 hour daily." 5."I will apply moisturizer with a cotton tipped applicator for itching. "

When reinforcing teaching about signs and symptoms of ovarian cancer with a community group of women, the nurse emphasizes which sign/symptom as being a typical manifestation of the disease recognized by persons diagnosed with the condition?

Abdominal distention or fullness

The nurse is assisting in the care of a client diagnosed with multiple myeloma who has been prescribed an intravenous solution of 0.9% normal saline at 125 mL per hour. Which finding would indicate a positive response to this treatment?

Creatinine of 1 mg/dL

The nurse is reviewing the record of a client admitted to the hospital for treatment of bladder cancer. Which risk factor related to this type of cancer should the nurse likely note in the client's record?

Drinks coffee and smokes cigarettes

The nurse is assisting in caring for a client with an inoperable lung tumor and helps develop a plan of care by addressing complications related to the disorder. The nurse includes monitoring for the early signs of vena cava syndrome in the plan. Which early sign of this oncological emergency should the nurse include monitoring for in the plan of care?

Edema of the face and eyes

A client with endometrial cancer is receiving doxorubicin, an antineoplastic agent. The nurse should specifically collect data about which criteria? Select all that apply.

Electrocardiogram Hematological laboratory values

The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which nursing intervention should be included to prevent renal failure for this client? Select all that apply.

Encouraging fluids Monitoring serum calcium and uric acid levels

A client with which type of cancer is at greatest risk for experiencing the complication vena cava syndrome?

Lung cancer

A client who has been diagnosed with multiple myeloma asks the nurse about the diagnosis. The nurse bases the response on which characteristic of the disorder?

Malignant proliferation of plasma cells and tumors within the bone

The nurse is reinforcing instructions to a client scheduled for conization in 1 week for the treatment of microinvasive cervical cancer. The procedure has been explained by the primary health care provider, and the nurse is reviewing the complications associated with the procedure. The nurse determines that the client needs further teaching if the client states that which is a complication of this procedure?

Ovarian perforation

A client with cancer develops white, dough-like patches on the mucous membranes of the oral cavity. Which action should the nurse take when noting this?

Report these symptoms, which are consistent with candidiasis.

The nurse is caring for a client in the oncology unit who has developed stomatitis during chemotherapy. The nurse should plan which measure to treat this complication?

Rinse the mouth with dilute baking soda or saline solution.

A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which?

The development of a vesicovaginal fistula

The nurse should monitor for which laboratory result as indicating an adverse reaction in the client who is receiving chemotherapy?

Platelet count 20,000 mm3

The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle? Select all that apply.

Pregnant women are not allowed into the client's room. Wear a lead apron while delivering bedside care to the client.

The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which signs and symptoms of the client are associated with Hodgkin's disease? Select all that apply.

1, 2, 5 , 6

The licensed practical nurse (LPN) is assisting the registered nurse (RN) to create a teaching plan for the client receiving an antineoplastic medication. The LPN expects which information to be included? Select all that apply.

1,3,5

The nurse is assisting in planning care for a client with Hodgkin's disease who is neutropenic as a result of radiation and chemotherapy. Which actions should be included in the client's plan of care? Select all that apply.

3.Monitor white blood cell counts daily. 4.Ensure meticulous hand washing before caring for the client. 5.Ask visitors with respiratory infection symptoms to not visit the client.

A nursing student is assisting in caring for a client with a lung tumor; the client will be having a pneumonectomy. The nursing instructor reviews the postoperative plan of care developed by the student and suggests deleting which item from the plan?

Monitoring the closed chest tube drainage system

The nurse is preparing a client with a bowel tumor for surgery. The primary health care provider has informed the client that the surgery is palliative in the treatment of the tumor. Which rationale is the reason to perform this type of surgery?

To reduce pain

The nurse has reinforced discharge instructions regarding home care to a client following a prostatectomy for cancer of the prostate. He is being discharged with an indwelling urinary catheter. Which statement by the client indicates a need for further teaching?

"I should use the leg bag when I am in bed during the night."

The nurse is reinforcing client education regarding symptoms of testicular cancer. The nurse encourages the client to report which symptoms as being associated with testicular cancer? Select all that apply.

A grainy mass palpated in a testicle 5.An enlargement of one of the testes

The nurse is reviewing the record of a client with a diagnosis of cervical cancer. Which should the nurse expect to note in the client's record related to a risk factor associated with this type of cancer?

History of human papillomavirus infection

A client is receiving radiation therapy to the brain because of a diagnosis of a brain tumor. Which sign/symptom of the client is noted to be a positive outcome of the radiation therapy?

Less severe headache

The nurse reinforces the teaching plan for a client with a family history of breast cancer. Which teaching point should be included?

Measures to prevent and screen for cancer

The nurse reviews the care plan of a client with cancer and notes that the client has a problem with adequate food intake related to side effects of therapy. In order to enhance appetite and nutrition, the nurse should offer which advice to the client?

Avoid strong-smelling foods.

The nurse is reviewing the laboratory results of a client with bladder cancer and bone metastasis and notes that the calcium level is 15 mg/dL. The nurse should take which appropriate action?

Notify the primary health care provider.

The nurse is monitoring a client on chemotherapy for signs and symptoms related to tumor lysis syndrome. The nurse understands that which is an early sign of this oncological emergency?

Elevated potassium

A nursing instructor asks a nursing student about the characteristics of Hodgkin's disease. The instructor determines that the student needs additional study if the student states that which is an associated characteristic?

Occurs most often in older adults

A client with cancer has undergone a total abdominal hysterectomy and has an indwelling Foley catheter in place. The nurse should expect to note which types of urinary drainage immediately following this surgery? Select all that apply.

Pale light amber

The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action?

Pick up the implant with long-handled forceps and place into a lead container.

The nurse is assisting in developing a postoperative plan of care for a client following a right mastectomy. Which interventions will be included in the plan of care? Select all that apply.

Place the right arm on a pillow. 2. Monitor the right arm for edema. 3. Check the incision for approximation. 5. Monitor and measure drainage in the Jackson-Pratt drain. 6. Place a notation: "No intravenous (IVs), blood draws, or blood pressure readings in right arm."

The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client knowing that which are side/adverse effects of the external radiation? Select all that apply.

Sore throat Red and dry skin over neck

The nurse working in an obstetrical-gynecological primary health care provider's office is instructing a small group of premenopausal female clients about breast self-examination (BSE). Which instruction should the nurse reinforce as the first step to begin the BSE?

BSE begins with inspection of the breast standing before a mirror.

The nurse is assisting in providing a session to community members about the risks associated with laryngeal cancer. A client indicates an understanding of the risks by listing which factors? Select all that apply.

Smoking cigarettes or cigars 3. Drinking alcohol, especially daily 4. Working in a dusty environment 5. Persistent exposure to chemicals in the air 6. Following a diet low in protein and vitamins

The nurse is teaching a local women's church group about the risks of cervical cancer. The nurse determines that there is a need for further teaching if a group member states that which is a risk factor?

Intercourse with a circumcised male