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Cell Regulation - Cancer

Total questions: 40

Worksheet time: 30mins

Name
Class
Date
1.

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

a)

Tobacco

b)

Hormonal Imbalances

c)

HPV

d)

Obesity

e)

Moderate Exercise

2.

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?

a)

"I'm so afraid of dying. How do I tell my family?"

b)

"I understand that this growth was benign, so I will meet with an oncologist as soon as possible to begin treatment."

c)

"I am so happy to hear this news. I will continue to monitor any future growths, but I am thankful to not have cancer."

d)

"I read in a magazine that radiation therapy will cure me since my growth was benign. Is that right?"

3.

Having one type of cancer may lead you to be at risk for different types of cancer. (True/False)

a)

True

b)

False

4.

Primary prevention and risk reduction strategies to help prevent cancer include: (Select all that apply)

a)

Mammograms

b)

Maintaining a Healthy Weight

c)

Choosing a Healthy Diet

d)

Colorectal Exams

e)

Community action to change policies

5.

Secondary prevention of cancer includes: (Select all that apply)

a)

Mammograms

b)

Colonoscopy

c)

Dietary Consultation

d)

Prostate Screening

e)

Weight Loss Strategies

6.

If a family member had a certain type of cancer, you should be screened for it how many years before they were diagnosed?

a)

10 years

b)

5 years

c)

2 years

d)

12 years

7.

Which of the following are diagnostic tests that may be used in detecting and identifying cancer in the body? (Select all that apply)

a)

Tumor Markers

b)

Mammogram

c)

MRI

d)

Endoscopy

e)

Strep Test

8.

Tumor markers are ALWAYS a confirmation of cancer. (True/False)

a)

True

b)

False

9.

Which of the following is the ONLY diagnostic test/procedure to accurately diagnose cancer?

a)

Biopsy

b)

X-Ray

c)

Physical Exam

d)

PET Scan

10.

This type of diagnostic testing uses contrast dyes to identify parts of the body with different densities in tissue:

a)

Fluoroscopy

b)

Mammogram

c)

CT Scan

d)

Ultrasound

11.

A surgery performed with the goal of removing as much of the cancer as possible is known as:

a)

Debulking

b)

Prophylactic Surgery

c)

Reconstructive Surgery

d)

Debridement

12.

This medication stimulates red blood cell production:

a)

Epoetin (Epogen)

b)

Filgrastim (Neuopogen)

c)

dihydroergotamine (Ergomar)

d)

Ondansetron (Zofran)

13.

Side effects of chemotherapy toxicity may include: (Select all that apply)

a)

Nausea/Vomiting

b)

Stomatitis

c)

Mucositis

d)

Fatigue

e)

Cognitive Impairment

14.

Chemotherapy may result in loss of fertility. (True/False)

a)

True

b)

False

15.

Neuropathy may be caused by chemotherapy, but will always resolve within six months of completing treatment. (True/False)

a)

True

b)

False

16.

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.

a)

The patient had their entire esophagus removed.

b)

The body is expending more energy because the metabolic rate has increased.

c)

The body is now unsure of what to do with the nutrients from foods.

d)

Feeding tube

e)

Decreased intake

17.

The "wasting syndrome" associated with cancer that leads to malnutrition, unexplained weight loss, and decreased muscle mass is known as:

a)

Cancer-Related Anorexia-Cachexia Syndrome

b)

Emphysema

c)

Cancer-Associated Clostridioides difficile

d)

Anorexia Nervosa

18.

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:

a)

Grilled chicken breast, steamed green beans, boiled potatoes

b)

Salad with fresh greens, tomatoes, and cucumbers

c)

Chocolate, Ice cream, and other sweets for maximum sugar intake

d)

A patient with this disorder cannot have solid foods.

19.

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.

a)

Obesity

b)

Infertility

c)

Learning Disabilities

d)

Depression

e)

Secondary Cancers

20.

Which of the following is usually the safest treatment for cancer in pregnant women?

a)

Surgery

b)

Cancer treatment should not begin until the baby is born.

c)

Internal Radiation

d)

Chemotherapy

21.

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?

a)

"Thank God! I will be healed!"

b)

"Once I have this surgery, I will live at least ten more years."

c)

"This surgery will hopefully allow me to feel more comfortable, but will not cure my cancer."

d)

"The surgery will eradicate the cancer in my lymph nodes."

22.

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?

a)

Human Papillomavirus

b)

Pneumonia

c)

Influenza

d)

Tetanus

23.

A patient receiving chemotherapy is experiencing extravasation. What should be the first action by the nurse?

a)

Offer pain medication

b)

Stop the medication immediately

c)

Apply a cool compress to the IV site

d)

Bandage the site to prevent further leakage of medication

24.

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.

a)

Superior Vena Cava Syndrome

b)

Superior Venous Cardiopulmonary Syndrome

c)

Super Ventricular Cardiac Syndrome

d)

Shortened Vein Coronary Syndrome

25.

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.

a)

Tumor Lysis Syndrome

b)

Anaphylaxis

c)

Extravasation

d)

Dehiscence

26.

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)

a)

True

b)

False

27.

The treatment approach of cancer in pregnant women is complex. Which of the following are accurate statements regarding cancer & treatment in pregnant patients?

a)

Cancer will always spread to the fetus.

b)

Surgery is the safest option.

c)

Certain chemotherapy may be used during the second and third trimetesters.

d)

Chemotherapy is only safe in the first trimester.

e)

Radiation is avoided due to potential harm to the fetus.

28.

Which of the following are signs/symptoms of Cancer-Related Anorexia Cachexia Syndrome? Select all that apply.

a)

Unexplained Weight Loss

b)

Decrease in Muscle Mass

c)

Decreased Appetite

d)

Decreased Metabolic Rate

e)

Malnutrition

29.

It is important to promote home and community-based or transitional care over inpatient care for cancer patients. (True/False)

a)

True

b)

False

30.

Which of the following are considered parts of nursing management for cancer patients? Select all that apply.

a)

Maintaining Nutritional Status

b)

Relieving Pain

c)

Promoting Inpatient Care

d)

Preventing Infection

e)

Minimizing Nausea/Vomiting

31.

In the 3-step approach to cancer pain, which step suggests an opioid for mild-to-moderate pain?

a)

Step 1

b)

Step 2

c)

Step 3

d)

Opioids are not given in the 3-step approach to cancer pain.

32.

It is not a good idea to involve a 9-year-old cancer patient in the plan of care and treatment. (True/False)

a)

True

b)

False

33.

Which of the following are chemical agents that may be risk factors for cancer? Select all that apply.

a)

Tobacco

b)

Tar

c)

Arsenic

d)

Bleach

e)

Asbestos

34.

Myelosuppression may result in: (Select all that apply)

a)

Leukopenia

b)

Neutropenia

c)

Anemia

d)

Thrombocytopenia

e)

Leukocytosis

35.

Cancer treatment options and prognosis are based on the stage of the cancer. (True/False)

a)

True

b)

False

36.

Staging of cancer is determined by the size, existence of local invasion, lymph node involvement, and distant metastasis. (True/False)

a)

True

b)

False

37.

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.

a)

External

b)

Internal

c)

Systemic

d)

Targeted

38.

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?

a)

Internal Radiation

b)

External Beam Radiation

c)

Systemic Radiation

d)

Bioradiation

39.

Monoclonal antibodies have a role in providing targeted therapy for cancer patients. They are capable of targeting specific cancer cells. (True/False)

a)

True

b)

False

40.

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?

a)

Staging determines the size of the tumor, the existence of local invasion, lymph node involvement, and distant metastasis.

b)

Grading is the pathologic classification of tumor cells.

c)

Staging will ensure that the patient knows how long they have left.

d)

The higher the stage & grade, the more responsive the tumor is to treatment.

e)

Cancer is staged by the amount of fluid draining from a patient's wound.