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WorksheetsCell Regulation - Cancer
Total questions: 40
Worksheet time: 30mins
Which of the following are risk factors for cancer? Select all that apply.
Tobacco
Hormonal Imbalances
HPV
Obesity
Moderate Exercise
A patient learns that the results of a growth removed during a recent procedure have come back showing that the growth was benign. Which response by the patient would suggest the patient understands the results?
"I'm so afraid of dying. How do I tell my family?"
"I understand that this growth was benign, so I will meet with an oncologist as soon as possible to begin treatment."
"I am so happy to hear this news. I will continue to monitor any future growths, but I am thankful to not have cancer."
"I read in a magazine that radiation therapy will cure me since my growth was benign. Is that right?"
Having one type of cancer may lead you to be at risk for different types of cancer. (True/False)
True
False
Primary prevention and risk reduction strategies to help prevent cancer include: (Select all that apply)
Mammograms
Maintaining a Healthy Weight
Choosing a Healthy Diet
Colorectal Exams
Community action to change policies
Secondary prevention of cancer includes: (Select all that apply)
Mammograms
Colonoscopy
Dietary Consultation
Prostate Screening
Weight Loss Strategies
If a family member had a certain type of cancer, you should be screened for it how many years before they were diagnosed?
10 years
5 years
2 years
12 years
Which of the following are diagnostic tests that may be used in detecting and identifying cancer in the body? (Select all that apply)
Tumor Markers
Mammogram
MRI
Endoscopy
Strep Test
Tumor markers are ALWAYS a confirmation of cancer. (True/False)
True
False
Which of the following is the ONLY diagnostic test/procedure to accurately diagnose cancer?
Biopsy
X-Ray
Physical Exam
PET Scan
This type of diagnostic testing uses contrast dyes to identify parts of the body with different densities in tissue:
Fluoroscopy
Mammogram
CT Scan
Ultrasound
A surgery performed with the goal of removing as much of the cancer as possible is known as:
Debulking
Prophylactic Surgery
Reconstructive Surgery
Debridement
This medication stimulates red blood cell production:
Epoetin (Epogen)
Filgrastim (Neuopogen)
dihydroergotamine (Ergomar)
Ondansetron (Zofran)
Side effects of chemotherapy toxicity may include: (Select all that apply)
Nausea/Vomiting
Stomatitis
Mucositis
Fatigue
Cognitive Impairment
Chemotherapy may result in loss of fertility. (True/False)
True
False
Neuropathy may be caused by chemotherapy, but will always resolve within six months of completing treatment. (True/False)
True
False
A 54-year-old esophageal cancer patient is experiencing unexplained weight loss and loss of muscle mass. He is also experiencing malnutrition and impaired taste. His oncologist identifies that he is suffering from Cancer-Related Anorexia-Cachexia Syndrome (CACS). What is/are the cause(s) of this disorder? Select all that apply.
The patient had their entire esophagus removed.
The body is expending more energy because the metabolic rate has increased.
The body is now unsure of what to do with the nutrients from foods.
Feeding tube
Decreased intake
The "wasting syndrome" associated with cancer that leads to malnutrition, unexplained weight loss, and decreased muscle mass is known as:
Cancer-Related Anorexia-Cachexia Syndrome
Emphysema
Cancer-Associated Clostridioides difficile
Anorexia Nervosa
A cancer patient who is experiencing Cancer-Related Anorexia-Cachexia Syndrome (CACS) should select which of the following when their appetite allows for a meal:
Grilled chicken breast, steamed green beans, boiled potatoes
Salad with fresh greens, tomatoes, and cucumbers
Chocolate, Ice cream, and other sweets for maximum sugar intake
A patient with this disorder cannot have solid foods.
The long-term effects of chemotherapy and radiation in children and adolescents can cause many issues in both physical development and emotional well-being. Which of the following are potential long-term effects of chemotherapy and radiation in a child with cancer? Select all that apply.
Obesity
Infertility
Learning Disabilities
Depression
Secondary Cancers
Which of the following is usually the safest treatment for cancer in pregnant women?
Surgery
Cancer treatment should not begin until the baby is born.
Internal Radiation
Chemotherapy
An 82-year-old male has been diagnosed with colon cancer that has spread to his liver and lymph nodes. The oncologist has discussed palliative surgery options with the patient. The nurse follows up to begin educating the patient on the expectations after surgery. Which statement by the patient identifies that the education was successful?
"Thank God! I will be healed!"
"Once I have this surgery, I will live at least ten more years."
"This surgery will hopefully allow me to feel more comfortable, but will not cure my cancer."
"The surgery will eradicate the cancer in my lymph nodes."
This vaccine is used as a prophylactic cancer vaccine by preventing a virus that is a known cause of a specific cancer. Which disease/illness is targeted by this vaccine?
Human Papillomavirus
Pneumonia
Influenza
Tetanus
A patient receiving chemotherapy is experiencing extravasation. What should be the first action by the nurse?
Offer pain medication
Stop the medication immediately
Apply a cool compress to the IV site
Bandage the site to prevent further leakage of medication
This syndrome may occur when the SVC has been invaded or being pressed on by a tumor. It is often associated with lung cancer. The patient may present with facial edema and plethora, as well as difficulty breathing.
Superior Vena Cava Syndrome
Superior Venous Cardiopulmonary Syndrome
Super Ventricular Cardiac Syndrome
Shortened Vein Coronary Syndrome
This oncologic emergency occurs when a tumor rapidly releases its contents into the body. It may occur spontaneously or after chemotherapy/radiation treatment. It will typically lead to rapid electrolyte imbalances.
Tumor Lysis Syndrome
Anaphylaxis
Extravasation
Dehiscence
If the benefits of a necessary cancer medication outweigh the risk of anaphylaxis in a patient, the patient may be treated prophylactically with a steroid to be able to take the medication. (True/False)
True
False
The treatment approach of cancer in pregnant women is complex. Which of the following are accurate statements regarding cancer & treatment in pregnant patients?
Cancer will always spread to the fetus.
Surgery is the safest option.
Certain chemotherapy may be used during the second and third trimetesters.
Chemotherapy is only safe in the first trimester.
Radiation is avoided due to potential harm to the fetus.
Which of the following are signs/symptoms of Cancer-Related Anorexia Cachexia Syndrome? Select all that apply.
Unexplained Weight Loss
Decrease in Muscle Mass
Decreased Appetite
Decreased Metabolic Rate
Malnutrition
It is important to promote home and community-based or transitional care over inpatient care for cancer patients. (True/False)
True
False
Which of the following are considered parts of nursing management for cancer patients? Select all that apply.
Maintaining Nutritional Status
Relieving Pain
Promoting Inpatient Care
Preventing Infection
Minimizing Nausea/Vomiting
In the 3-step approach to cancer pain, which step suggests an opioid for mild-to-moderate pain?
Step 1
Step 2
Step 3
Opioids are not given in the 3-step approach to cancer pain.
It is not a good idea to involve a 9-year-old cancer patient in the plan of care and treatment. (True/False)
True
False
Which of the following are chemical agents that may be risk factors for cancer? Select all that apply.
Tobacco
Tar
Arsenic
Bleach
Asbestos
Myelosuppression may result in: (Select all that apply)
Leukopenia
Neutropenia
Anemia
Thrombocytopenia
Leukocytosis
Cancer treatment options and prognosis are based on the stage of the cancer. (True/False)
True
False
Staging of cancer is determined by the size, existence of local invasion, lymph node involvement, and distant metastasis. (True/False)
True
False
This type of radiation penetrates the body using a beam, which targets the tumor with pinpoint accuracy. Doses of this radiation are given over several weeks in daily doses known as fractions.
External
Internal
Systemic
Targeted
With this type of radiation, it may be temporary or permanent. The radioactive sources are placed in or directly next to the cancer site. What type of radiation is this?
Internal Radiation
External Beam Radiation
Systemic Radiation
Bioradiation
Monoclonal antibodies have a role in providing targeted therapy for cancer patients. They are capable of targeting specific cancer cells. (True/False)
True
False
Following a diagnosis of cancer, a 52-year-old patient is trying to understand what tumor staging and grading involves and what the stage/grade mean. Which statements are accurate regarding tumor staging and grading?
Staging determines the size of the tumor, the existence of local invasion, lymph node involvement, and distant metastasis.
Grading is the pathologic classification of tumor cells.
Staging will ensure that the patient knows how long they have left.
The higher the stage & grade, the more responsive the tumor is to treatment.
Cancer is staged by the amount of fluid draining from a patient's wound.
