Exam Review Questions

Question 1

Chemotherapy treatment will target only the tumor and will not
harm other tissues.

Answer 1

False

Question 2

Which assessment finding is most concerning while conducting an
assessment with a client with a family history of cancer?
• A. client reports feeling sleepier during the day
• B. client reports consuming foods high in calcium daily
• C. client reports finding a lump during a breast self-examination
• D. client reports smoking a pack of cigarettes a day

Answer 2

C client reports finding a lump during a breast self-examination

Question 3

Which surgical procedure(s) are examples of surgical interventions
aimed at palliation?
• A. Debulking a brain tumor to relieve pressure
• B. Placement of Colostomy for relief of bowel obstruction
• C. Laminectomy for relief of spinal cord compression
• D. All of the above

Answer 3

• D. All of the above

Question 4

A client with head and neck cancer is experiencing low blood pressure,
high heart rate, and is vomiting bright red blood post laryngectomy. What
oncologic emergency is suspected? And what is the appropriate
treatment?
• A. fluid overload, administer a loop diuretic
• B. hypertensive crisis, administer vasopressin
• C. airway obstruction, administer oxygen
• D. carotid artery rupture, administer IVF and blood products

Answer 4

• D. carotid artery rupture, administer IVF and blood products

Question 5

• A cancer patient should avoid the following due to the risk for 
neutropenia?
• Fresh fruits and Vegetables
• Fresh Flowers
• Large crowds
• All the above

Answer 5

• Answer: All of the above

Question 6

• A daily CBC with differential is the appropriate lab test for
assessing a client’s neutropenia status.
True or False?

Answer 6

True

Question 7

• Which client would a CT scan to evaluate for cancer be contraindicated 
in?
• A. A client with an allergy to iodine.
• B. A client with a pacemaker.
• C. A client who last ate 5 hours ago.
• D. A client with a port- a-cath.

Answer 7

• Answer: A

Question 8

• How do monoclonal antibodies differ from chemotherapy?

Answer 8

• Monoclonal antibodies are a type of immunotherapy that targets cancer
cells and makes it difficult for cancer cells to grow.

Question 9

What medications should the nurse plan to teach for a patient with H.
pylori?

Answer 9

Meds should include a PPI, a cytoprotective drug, and a penicillin type
antibiotic.

Question 10

• What are the symptoms of a duodenal ulcer?

Answer 10

• Burning, cramping pain that occurs when stomach is empty and mucosa
exposed to acid.

Question 11

Why do elderly clients with PUD have a higher M&M than younger
clients?

Answer 11

Pain may not be the first symptom in older clients, the first symptom is
often frank bleeding.

Question 12

What should be the focus in teaching a client about Hepatitis A?

Answer 12

Proper food handling

Question 13

• Describe patient teaching related to fatigue and hepatitis A?

Answer 13

• It is normal and will improve as they recover.

Question 14

• Antibiotics are part of the treatment plan for viral hepatitis.
• True or False

Answer 14

• False

Question 15

• What is the purpose of the inflammatory response?

Answer 15

• Prevent injury

Question 16

• What is an example of the promotion stage of cancer?

Answer 16

• Smoking cessation

* Aimed at reversing the proliferation of the altered cells.

Question 17

• What should the nurse do if TPN bag is delayed?

Answer 17

• Infuse D10W until TPN available.

Question 18

• A stool culture is the diagnostic for UC.

* True or False

Answer 18

• False

Question 19

• What is a concerning complication related to UC?

Answer 19

• Toxic megacolon …symptoms

Question 20

• What is a priority intervention for a patient with pancreatitis?

Answer 20

• Pain relief

Question 21

• What are important teaching points for a patient with a

colostomy?

Answer 21

• Change ostomy pouch every 7-10 days
• Stoma assessment
• Normal ADLs