Cancer NCLEX Questions

Cancer NCLEX Questions ScienceMedicineNursing KPhillips02 Save RN Live Review Fundamentals 2019 42 terms GiselleG2022Preview Cancer nclex questions 26 terms Sarah_Crum3Preview Cancer NCLEX Questions 10 terms KatieObrien524 Preview TPN Nc

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cha A patient recently diagnosed with colon cancer tells the nurse, “I don’t understand why this is happening to me. I’ve always been healthy.” What is the nurse’s best response?

• “Sometimes cancer just happens, even if you’re healthy.”
• “Try to stay positive. Everything will work out.”
• “It sounds like you’re feeling overwhelmed right now.”
• “You should talk to the doctor about your concerns.”

C The nurse is teaching a cancer patient undergoing chemotherapy about infection prevention. Which statement by the patient indicates a need for further teaching?

• “I will wash my hands often and avoid sick people.”
• “I can go to the farmer’s market if I wear a mask.”
• “I’ll call my doctor if I get a fever or chills.”
• “I can keep fresh flowers by my bedside.”

D A breast cancer patient begins crying after learning she needs a mastectomy. What is the most therapeutic nursing action?

• Offer to distract her by changing the subject
• Sit quietly with her and offer tissues
• Tell her not to cry because the surgery could save her life
• Call her family to come sit with her

B

The nurse is providing discharge teaching for a patient starting chemotherapy. Which teaching points should be included? (Select all that apply.)

• Use a soft toothbrush to reduce gum injury
• Avoid crowds and sick contacts
• Eat large meals to prevent weight loss
• Report any fever over 100.4°FE. Expect hair loss to occur immediately after the first dose

A B D A nurse is teaching coping strategies to a patient undergoing radiation therapy for prostate cancer. Which statement by the patient indicates understanding?

• "I should avoid talking about my feelings so I don't upset my family."
• "I plan to write in a journal when I feel overwhelmed."
• "I'll try to rest when I feel tired, but I won't ask anyone for help."
• "I know I shouldn't cry — it won't change anything."

B The daughter of a patient with terminal pancreatic cancer tells the nurse, "I don't know how to talk to my dad. I don't want to make things worse." What is the most appropriate response?

• "Just talk to him like everything is normal."
• "It might help to ask him how he's feeling and let him guide the conversation."
• "You should avoid emotional topics — it's better for him."
• "You should probably let the nurse or doctor do the talking."

B The nurse is caring for a patient newly diagnosed with lung cancer. Which nursing actions address the patient's psychosocial needs? (Select all that apply.)

• Encourage the patient to express fears and concerns
• Provide information about support groups
• Refer the patient to financial counseling
• Avoid discussing prognosis to prevent distress
• Offer to sit with the patient during test results

A B C E

Which statement best describes the behavior of malignant cells?

• They stop dividing once a specific tissue density is reached
• They grow in an organized and regulated manner
• They respond to normal growth-regulating signals
• They divide uncontrollably and do not enter the resting phase (G0)

D

Which of the following are modifiable risk factors for cancer? (Select all that apply.)

• Smoking
• High-fat, low-fiber diet
• Age
• Sun exposure
• Genetics
• Alcohol use

A B D F

A nurse is teaching a 52-year-old female patient about cancer screenings. Which instructions are appropriate? (Select all that apply.)

• “You should have a mammogram every 1–2 years.”
• “You’ll need a Pap smear every 5 years until age 65.”
• “You should begin colonoscopy screening at age 60.”
• “You should perform monthly breast self-exams.”
• “Cervical screening can be stopped at age 35.”

A B D A patient is scheduled for palliative cancer surgery. What is the purpose of this procedure?

• To completely remove the tumor
• To prevent cancer from forming
• To improve comfort and relieve symptoms
• To remove surrounding lymph nodes

C Which nursing statement indicates appropriate care for a patient receiving external radiation?

• "You may apply scented lotions to the area."
• "Be sure to wash off the ink markings after treatment."
• "Avoid exposing the treated area to the sun."
• "You may use a heating pad over the radiation site."

C A nurse is monitoring a client receiving chemotherapy. Which of the following findings are expected? (Select all that apply.)

• Alopecia
• Fatigue
• Increased appetite
• Mucositis
• Thrombocytopenia

A B D E

What is the primary purpose of immunotherapy in cancer treatment?

• To directly kill cancer cells through radiation
• To suppress immune function and reduce inflammation
• To stimulate the immune system to recognize and destroy cancer cells
• To replace cancerous tissues with healthy cells

C

A patient undergoing chemotherapy has potassium 6.4, phosphate 5.2, uric acid 9.8. Which condition is suspected?

• Spinal cord compression
• Hypercalcemia of malignancy
• Tumor lysis syndrome
• Septic shock

C A patient undergoing chemotherapy reports a fever of 100.8°F and chills. What is the nurse’s priority action?

• Administer antipyretic and recheck temperature in 2 hours
• Document findings and monitor closely
• Notify the healthcare provider immediately
• Instruct the patient to rest and drink fluids

C Which statements accurately describe cancer metastasis? (Select all that apply.)

• Cancer cells travel via the bloodstream or lymph
• Metastatic tumors take on the characteristics of the new tissue
• Cancer cells can lodge in distant organs and begin dividing
• Metastasis only occurs in late-stage cancers
• Intravasation and extravasation are steps in the metastatic process

A C E A patient with prostate cancer reports sudden leg weakness and incontinence. What is the nurse's priority?

• Reposition the patient
• Prepare for immediate surgery
• Notify the provider and anticipate MRI
• Start physical therapy

C What precautions should the nurse implement for a patient receiving brachytherapy? (Select all that apply.)

• Wear a lead apron when providing care
• Limit time spent in the patient’s room
• Place patient in a shared room
• Encourage frequent ambulation
• Double-flush bodily waste

A B E A nurse is caring for a newly diagnosed cancer patient who appears anxious and withdrawn. Which are appropriate interventions? (Select all that apply.)

• Encourage expression of feelings
• Avoid discussing the diagnosis unless asked
• Refer to oncology support group
• Provide honest information
• Promote family involvement in care

A C D E