RN Mastery Oncology Quiz QUESTIONS
AND ANSWERS 2024 UPDATED AND
GRADED
1. A client is diagnosed with colorectal cancer with metastasis to the
liver 5 years after treatment for bowel cancer. A family member asks if
this means the client now has liver cancer. How will the nurse
respond?
a. "No, this is not liver cancer but is referred to as metastatic cancer.
The original source cannot be known for sure."
b. "The cancerous cells from the bowel have caused tumors in the
liver, so this is still a type of colorectal cancer."
c. "Tumors that grow in the liver are liver cancer and will require
different treatment than the colorectal cancer."
d. "Yes, this is called hepatocellular carcinoma, or liver cancer, and is
linked to having colorectal cancer.": b. The cancerous cells from the
bowel have caused tumors in the liver, so this is still a type of colorectal
cancer. The proper term for this is "colorectal cancer with liver metastasis."
2. A nurse cares for a client with mesothelioma. Which statement by the
client shows a need for further education?
a. "This cancer came from smoking."
b. "I could have been exposed to this as a kid."
c. "I may not be alive in 5 years."
d. "This cancer started in the lining of my chest.": a. "This cancer came
from smoking." This is wrong because mesothelioma is directly related
to exposure to asbestos, not smoking.
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, 3. A nurse assists with an endometrial biopsy and reads over the client's
history. The nurse identifies which factor related to lowering the risk of
developing endometrial cancer? a. BMI of 25
b. Early menstruation
c. Nulligravida
d. Oral contraceptives: d. oral contraceptives
Taking oral contraceptives lowers the risk of endometrial cancer.
According to the American Cancer Society, the risk is even lower for
those women who have been on birth control a long time.
4. A nurse cares for a client with progressive multiple myeloma. Which
nursing interventions does the nurse implement? (select all that apply)
a. administer opioid and non-opioid analgesics
b. educate caregivers regarding handwashing
c. monitor fluids and electrolytes
d. plan on contact transmission precautions
e. reposition the client gently
f. Place on contact precautions: a, b, c, e
Rationale:
Multiple myeloma is a progressive cancer of the plasma cells that is
treated with chemotherapy and stem-cell transplantation.
Bone cancers cause severe deep bone pain, so they will need opioids.
Hand hygiene is one of the best interventions to prevent infections.
Hypercalcemia and anemia are very common with multiple myeloma
because of renal dysfunction.
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