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2024 SAUNDERS NCLEX ONCOLOGY EXAM WITH CORRECT ANSWERS
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2024 SAUNDERS NCLEX ONCOLOGY EXAM WITH CORRECT ANSWERS
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2024 SAUNDERS NCLEXONCOLOGY EXAM WITH CORRECT
ANSWERS
The community nurse is conducting a health promotion program, and the
topic of the discussion relates to the risk factors for gastric cancer. Which
item, if identified as a risk factor by a client, indicates a need for further
discussion? - CORRECT-ANSWERSA low-fat diet
The nurse is providing care to a client who has undergone modified right
mastectomy for the treatment of breast cancer. Which activity should the
nurse incorporate into the plan of care? - CORRECT-ANSWERSMaintain head
of the bed elevation at 30 degrees with the right arm elevated on a pillow.
The nurse is caring for a client with cancer of the prostate who has
undergone a prostatectomy. Which action should the nurse include in
discharge instructions? - CORRECT-ANSWERSAvoid lifting objects heavier
than 20 lb (9 kg) for at least 6 weeks.
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 condition? - CORRECT-
ANSWERSThe development of a vesicovaginal fistula
The nurse is monitoring the intravenous (IV) infusion of an antineoplastic
medication to treat breast cancer. During the infusion, the client complains
of pain at the insertion site. On inspection of the site, the nurse notes
redness and swelling and that the infusion of the medication has slowed in
rate. The nurse suspects extravasation and should take which actions? Select
all that apply.
1.Stop the infusion.
2.Prepare to apply ice or heat to the site.
3.Notify the primary health care provider (PHCP).
4.Restart the IV at a distal part of the same vein.
5.Prepare to administer a prescribed antidote into the site.
6.Increase the flow rate of the solution to flush the skin and subcutaneous
tissue. - CORRECT-ANSWERSStop the infusion.
Prepare to apply ice or heat to the site.
,Notify the primary health care provider (PHCP).
prepare to administer a prescribed antidote into the site.
The nurse is reviewing the laboratory test results for a client receiving
chemotherapy. The nurse notes that the white blood cell count is extremely
low and places the client on neutropenic precautions. Which interventions
are components of these types of precautions? Select all that apply.
Allowing only fresh fruits in the client's room
Removing fresh-cut flowers from the client's room
.Encouraging the client to eat any types of fresh vegetables Instructing
family members on the proper technique for hand washing
Instructing family members to wear a mask when entering the client's room -
CORRECT-ANSWERSInstructing family members on the proper technique for
hand washing
instructing family members to wear a mask when entering the client's room
Removing fresh-cut flowers from the client's room
The nurse is reviewing the medical record for a client who has been
diagnosed with Hodgkin's disease. The nurse should check which diagnostic
test noted in the client's record to determine the stage of the disease? -
CORRECT-ANSWERSPositron emission topography (PET) scan
A client receiving chemotherapy is experiencing mucositis. The nurse should
advise the client to use which item as the best substance to rinse the mouth?
- CORRECT-ANSWERSWeak salt and bicarbonate mouth rinse
The nurse is teaching a client who has had a laryngectomy for laryngeal
cancer how to use an artificial larynx. Which statement should the nurse
include in the teaching? - CORRECT-ANSWERS"Hold the device alongside the
neck."
A community health nurse is providing an educational session on cancer of
the cervix for women living in the community. The nurse informs the
community residents that which is an early sign of this type of cancer? -
CORRECT-ANSWERSIrregular vaginal bleeding or spotting
The nurse manager is teaching the nursing staff about signs and symptoms
related to hypercalcemia in a client with metastatic prostate cancer, and tells
the staff that which is a late sign or symptom of this oncological emergency?
- CORRECT-ANSWERSElectrocardiographic changes
The nurse has provided discharge instructions to a client who underwent a
right mastectomy with axillary lymph node dissection. Which statement
made by the client indicates a need for further instruction regarding home
care measures? - CORRECT-ANSWERS"It is all right to use a straight razor to
shave under my arms."
, The nurse has instructed the client in the correct technique for breast self-
examination (BSE). For a portion of the examination, the client will lie down.
The nurse should teach the client to put the pillow in which location for self-
examination of the right breast? - CORRECT-ANSWERSUnder the right
shoulder
The nurse is preparing a list of home care instructions regarding stoma and
laryngectomy care for a client with laryngeal cancer who had a
laryngectomy. Which instructions should be included in the list? Select all
that apply.
1.Restrict fluid intake.
2.Obtain a MedicAlert bracelet.
3.Keep the humidity in the home low.
4.Prevent debris from entering the stoma.
5.Avoid exposure to people with infections.
6.Avoid swimming and use care when showering. - CORRECT-
ANSWERSObtain a MedicAlert bracelet.
Prevent debris from entering the stoma.
avoid exposure to people with infections.
Avoid swimming and use care when showering.
The nurse is caring for a client after intravesical instillation of an alkylating
chemotherapeutic agent for the treatment of bladder cancer. What should
the nurse instruct the client to do after the instillation? - CORRECT-
ANSWERSChange position every 15 minutes.
The health education nurse provides instructions to a group of clients
regarding measures that will assist in preventing skin cancer. Which
instructions should the nurse provide? Select all that apply.
Sunscreen should be applied every 8 hours.
.Use sunscreen when participating in outdoor activities.
Wear a hat, opaque clothing, and sunglasses when in the sun. Avoid sun
exposure in the late afternoon and early evening hours. 5.Examine your body
monthly for any lesions that may be suspicious. - CORRECT-
ANSWERSExamine your body monthly for any lesions that may be
suspicious.
Use sunscreen when participating in outdoor activities.
\Wear a hat, opaque clothing, and sunglasses when in the sun.
A client is receiving intravesical chemotherapy for cancer of the bladder. The
nurse should plan to take which action after the completion of each
treatment? - CORRECT-ANSWERSEncourage increased intake of oral fluids.
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