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NCLEX -Oncology Questions and Answers 100% Solved
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Exam of 12 pages for the course cancer at cancer (NCLEX -Oncology)
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NCLEX -Oncology(SELECT ALL THAT APPLY) What diagnostic studies are recommended to be
performed annually on all women older than age 40? - answer1(1) Mammography (4)
Clinical breast examination
(SELECT ALL THAT APPLY) A client in the terminal stage of cancer is being
transferred to hospice care. Which information should the nurse include in the teaching
plan regarding hospice care? - answer1(1) Care focuses on controlling symptoms and
relieving pain. (2) A multidisciplinary team provides care. (5) Bereavement care is
provided to the family.
(SELECT ALL THAT APPLY) A client with bladder cancer undergoes surgical removal
of the bladder and construction of an ileal conduit. Which data collection findings
indicate that the client is developing complications? - answer1(2) The stoma appears
dusky. (3) The stoma protrudes from the skin. (6) The client experiences sharp
abdominal pain and rigidity.
(SELECT ALL THAT APPLY) A client with laryngeal cancer has undergone
laryngectomy and is receiving radiation therapy to the head and neck. The nurse should
monitor the client for which adverse effects of external radiation? - answer1(1)
Xerostomia (2) Stomatitis (5) Dysgeusia
(SELECT ALL THAT APPLY) After undergoing chemotherapy to treat breast cancer, a
client has a white blood cell (WBC) count of 1,300/microliter. Which nursing
interventions should be used with this client? - answer1(1) Monitor the client's
temperature and vital signs; report temperature higher than 101.3° F (38.5° C). (2) Make
sure no one with a viral or bacterial infection enters the client's room. (3) Administer
hematopoietic growth factors as prescribed. (4) Reinforce good hand-washing
techniques to anyone entering the client's room.
(SELECT ALL THAT APPLY) A client receiving chemotherapy for breast cancer
develops myelosuppression. Which instructions should the nurse include in the
discharge teaching plan? - answer1(1) Avoid people who have recently received
attenuated vaccines. (2) Avoid activities that may cause bleeding. (3) Wash hands
frequently. (5) Avoid crowded places, such as shopping malls.
(SELECT ALL THAT APPLY) After having a lobectomy for lung cancer, a client receives
a chest tube connected to a three-chamber chest drainage system. The nurse observes
that the drainage system is functioning correctly when she notes which of the following?
- answer1(1) Fluctuations in the water-seal chamber occur when the client breathes. (3)
, Intermittent bubbling occurs in the water-seal chamber. (4) Gentle bubbling occurs in
the suction control chamber. (5) Drainage is collecting in the drainage chamber
"A 30-year-old client whose mother died of breast cancer at age 44 and whose sister
has ovarian cancer is concerned about developing cancer. A nurse who is a member of
the oncology multidisciplinary team should suggest that the client ask the physician
about which of the following actions? - answer1Obtaining genetic counseling
A 35-year-old female client is requesting information about mammograms and breast
cancer. She isn't considered at high risk for breast cancer. What should the nurse tell
this client? - answer1She should eat a low-fat diet to further decrease her risk of breast
cancer.
"A 43-year-old black client without a family history of prostate cancer asks the nurse
when he should have a prostate-specific antigen (PSA) test and a digital rectal
examination (DRE) performed. Which response by the nurse is appropriate? -
answer1You should start undergoing prostate cancer screening at age 45.
"A 45-year-old client receiving radiation therapy for thyroid cancer complains of mouth
and throat pain. While inspecting the mouth and throat, the nurse notices white patches
and ulcerations in the oral mucosa. What do these findings suggest? -
answer1Candidiasis
A 65-year-old client is scheduled for a right lower lobectomy for lung cancer. During the
admission assessment, the client asks for information about a living will and advance
directive. The nurse knows that the client understands her teaching about the living will
when he says: - answer1The advance directive allows me to state my health care
wishes while I'm still able to do so.
A client becomes neutropenic 11 days after his last chemotherapy cycle. It's obvious
that the client understands his condition when he states: - answer1I'll monitor my
temperature frequently and go to the nearest emergency department if my temperature
rises above 100.4° F."
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight
loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic
workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate
for this client? - answer1Anticipatory grieving
A client diagnosed with acute myelocytic leukemia (AML) has been receiving
chemotherapy. During the last two cycles of chemotherapy, the client developed severe
thrombocytopenia requiring multiple platelet transfusions. The client is now scheduled to
receive a third cycle. How can the nurse best detect early signs and symptoms of
thrombocytopenia? - answer1Closely observe the client's skin for petechiae and
bruising.
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