Chapter 15-Oncology: Nursing Management in Cancer Care
Questions With Verified Answers Solution Update
1. The public health nurse is presenting a
... [Show More] health-promotion class to a group at a local community center.
Which intervention most directly addresses the leading cause of cancer deaths in North America?
A) Monthly self-breast exams
B) Smoking cessation
C) Annual colonoscopies
D) Monthly testicular exams - ANS-Ans:B
2. A nurse who works in an oncology clinic is assessing a patient who has arrived for a 2- month followup appointment following chemotherapy. The nurse notes that the patient's skin appears yellow. Which
blood tests should be done to further explore this clinical sign?
A) Liver function tests (LFTs)
B) Complete blood count (CBC)
C) Platelet count
D) Blood urea nitrogen and creatinine - ANS-Ans:A
3. The school nurse is teaching a nutrition class in the local high school. One student states that he has
heard that certain foods can increase the incidence of cancer. The nurse responds, ìResearch has shown
that certain foods indeed appear to increase the risk of cancer.î Which of the following menu selections
would be the best choice for potentially reducing the risks of cancer?
A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli
D) Liver, onions, and steamed peas - ANS-Ans:C
4. Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing
emphasis is being placed on both primary and secondary prevention. What would be an example of
primary prevention?
A) Yearly Pap tests
B) Testicular self-examination
C) Teaching patients to wear sunscreen
D) Screening mammograms - ANS-Ans:C
5. The nurse is caring for a 39-year-old woman with a family history of breast cancer. She requested a
breast tumor marking test and the results have come back positive. As a result, the patient is requesting
a bilateral mastectomy. This surgery is an example of what type of oncologic surgery?
A) Salvage surgery
B) Palliative surgery
C) Prophylactic surgery
D) Reconstructive surgery - ANS-Ans:C
6. The nurse is caring for a patient who is to begin receiving external radiation for a malignant tumor of
the neck. While providing patient education, what potential adverse effects should the nurse discuss
with the patient?
A) Impaired nutritional status
B) Cognitive changes
C) Diarrhea
D) Alopecia - ANS-Ans:A
7. While a patient is receiving IV doxorubicin hydrochloride for the treatment of cancer, the nurse
observes swelling and pain at the IV site. The nurse should prioritize what action?
A) Stopping the administration of the drug immediately
B) Notifying the patient's physician
C) Continuing the infusion but decreasing the rate
D) Applying a warm compress to the infusion site - ANS-Ans:A
8. A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse
is providing anticipatory guidance about potential adverse effects. When addressing the most common
adverse effect, what should the nurse describe?
A) Pruritis (itching)
B) Nausea and vomiting
C) Altered glucose metabolism
D) Confusion - ANS-Ans:B
9. A patient on the oncology unit is receiving carmustine, a chemotherapy agent, and the nurse is aware
that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse
assess for in patients at risk for thrombocytopenia? [Show Less]