Oncology Questions: Instructions: Choose the letter of the correct answer: 1.
Which of the following is untrue about unexplained anemia related to c ancer? a.
Cancer cells takes up iron faster than normal cells
b. Cancer cells tend to destroy normal red blood cells. c.
Bleeding in cancer contributes to the occurrence of anemia.
d. Lack of iron in the diet of a cancer patient contributes to anemia. 2.
Staging of neoplasia is necessary at the t ime of diagnosis for the following reasons except: a.
It determines the extent of disease
b. It aids in determining the patient’s prognosis c.
It serves as a guide to treatment
d. It determines of the tumor size and differentiation. e. None of the above 3.
Aling Dionisia went to CHO for papanicolaou test and Class II w as indicated in the test result. The nurse would? a.
Advise her to return every 1-3 years as recommended by the physician.
b. Inform the patient that the result of the exam requires her to have a biopsy. c.
Inform her that she requires repeat pap smear exam in 3 to 6 mo. as prescribed.
d. Inform her to refrain from sexual activities and repeat pap smear in 2-4 weeks. 4.
All are untrue about cancer pain except: a.
Tumors produce enzymes, hormones and other substances that causes pain.
b.
Cancer pain occurs due to lack of oxygen to tissues and organs.
c.
Cancer pain is caused by pressure of tumors on the nerve endings.
d. Only B and C. 5.
A male client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing nursing diagnosis of Risk for injury. Which “related“related-to” phrase should the nurse add to complete the nursing diagnosis statement?
6.
a.
Related to visual field deficits
b.
Related to difficulty swallowing
c.
Related to impaired balance
Dazzling girl, with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
7.
a.
Vision changes
b.
Hearing loss
c.
Headache
d.
Anorexia
Nurse Mana Nanggal is developing a plan of care for marrow suppression, the major dose-limiting
adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable? a.
24 hours
b.
2 to 4 days
c.
7 to 14 days
d.
21 to 28 days
8. A male client is receiving the cell cycle –nonspecific –nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its t herapeutic effects? a.
It interferes with with deoxyribonucleic deoxyribonucleic acid (DNA) replication only.
b.
It interferes with ribonucleic acid (RNA) transcription only.
c.
It interferes with DNA replication and RNA transcription.
d.
It destroys the cell membrane, causing lysis.
9. Nurse Kate is reviewing the complications of colonization with a client client who has microinvasive cervical cancer. Which complication, if identified by the client, indicates a need for further teaching? a.
Infection
b.
Hemorrhage
c.
Cervical stenosis
d.
Ovarian perforation
10. During Chemotherapy, the patient complains of pain. Upon assessment you noted erythema, swelling and lack of blood return. Based on t hese findings what should be done the least? a. Stop drug administration b. Notify the physician immidiately immidiately c. Leave the needle in place and aspirate any residual drug d. apply warm or cold compress as indicated
Rationale: 1. Answer D. Lack of iron in the diet is not a contributory factor in the unexplained anemia of a patient with cancer but the other options are main reasons for its occurrence in a cancer patient. In normal patient diet can contribute to anemia but there are no evidence of its association to cancer patients. 2. Answer C. Staging is done for the reasons mentioned except option C. Staging includes determining tumor size but also lymph node involvement and metastasis. It does not determine tumor differentiation. 3. Answer C. Class II means inflammation. The recommendation for Class II and Class III is for the patient to have repeat pap smear in 3-6 mos. 4. Answer D. Options C and D are correct. Tumor size size create pressure in the nerve endings causes pain to the patient and obstruction by the tumor on blood vessels and hollow organs blocks oxygen supply in the area. 5. Answer C. A client with a cerebellar brain tumor may suffer injury from impaired balance as well as disturbed gait and incoordination. Visual field deficits, difficulty swallowing, and psychomotor seizures may result from dysfunction of the pituitary gland, pons, occipital lobe, parietal lobe, or temporal lobe — not from a cerebellar brain tumor. Difficulty swallowing suggests medullary dysfunction. Psychomotor seizures suggest temporal lobe dysfunction. 6. Answer A. The client must report changes in visual acuity immediately because this adverse effect may be irreversible. irreversible. Tamoxifen isn’t associated with hearing loss. Although the drug may cause anorexia, headache, and hot flashes, the client need not report these adverse effects immediately because they don’t warrant a change in therapy. 7. Answer C. Bone marrow suppression becomes noticeable 7 to 14 days after floxuridine administration. Bone marrow recovery occurs in 21 to 28 days. 8. Answer C. Thiotepa interferes with DNA replication and RNA transcription. It doesn’t destroy the cell membrane. 9. Answer D. Colonization procedure involves removal of a cone-shaped area of the cervix. Complications of the procedure include hemorrhage, infection, and cervical stenosis. Ovarian perforation is not a complication. 10. Answer B. The symptoms symptoms indicate indicate extravasation. Notifying the physician physician is is not a priority priority at this point of time.
