WorksheetsNCLEX - ONCOLOGY Day1
Total questions: 24
Worksheet time: 12mins
Name
Class
Date
1.
The nurse is caring for a client with a critically low platelet count who is suspected of having thrombotic thrombocytopenia purpura. Which of the following findings would be a priority to follow up?
a)
current oozing epistaxis
b)
ecchymosis on leg since yesterday
c)
new-onset confusion
d)
reported history of hematuria
e)
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2.
A client with throat cancer receives radiation therapy to the head and neck. Which of the following strategies are appropriate to decrease the adverse effects associated with radiation therapy?
a)
Avoid irritants such as acidic, spicy foods
b)
Discourage the use of topical analgesics
c)
Encourage liquid nutritional supplements
d)
Perform oral hygiene once per day
e)
Use artificial saliva to control dryness
3.
The nurse provides care for a client diagnosed with polycythemia vera. Which statement by the client would require immediate follow-up?
a)
I am trying to find makeup to cover my unattractive, ruddy facial complexion.
b)
I must have injured my leg in some way because it is sore, swollen, and red.
c)
I take low-dose aspirin to relieve my occasional headaches.
d)
My skin itches so severely, and no lotion or cream seems to help.
e)
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4.
The nurse is screening clients for those at risk for developing cervical cancer. The nurse should recognize the client at highest risk for developing cervical cancer is the client who
a)
gave birth to her first child at age 16 and has multiple sexual partners
b)
has had 1 spontaneous abortion and has been treated for chlamydia
c)
takes immunosuppressants and uses a diaphragm for birth control
d)
took oral contraceptives for 7 years and has never been pregnant
e)
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5.
A nurse is screening clients at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer?
a)
For the past few years, I get a productive cough in the winter that goes away in spring.
b)
I occasionally have heartburn an hour after I eat fried foods and sausage.
c)
Last month when I was doing my breast self-examination, I noticed a marble-sized lump.
d)
My mole is itchy, and the borders have become uneven with a blackish to bluish color.
e)
Recently I have noticed that my bowel movements appear black.
6.
The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing pulmonary embolism is the client who
a)
has pneumonia
b)
has a subdural hematoma
c)
had a cesarean birth 6 hours ago
d)
is receiving hormone replacement therapy
e)
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7.
A client has potential radiation contamination from a disaster. The nurse should monitor for which of the following related to this contamination?
a)
Bitter almond smell on breath
b)
Fever and raised skin pustules
c)
Low blood cell counts
d)
Oral mucosal ulcerations
e)
Vomiting and diarrhea
8.
The nurse is reviewing medical histories with several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer?
a)
I have had four sexual partners during my lifetime.
b)
I have smoked cigarettes for many years.
c)
I never used birth control pills because my partners wore condoms.
d)
I received treatment for chlamydia when I was younger.
e)
I tested positive for human papillomavirus a few years ago.
9.
The nurse is assessing a client with acute myeloid leukemia. Which of the following findings would the nurse expect to obtain?
a)
jaundice and abdominal pain
b)
night sweats and swollen lymph nodes
c)
petechiae and a decreased RBC count
d)
pathological fractures and an elevated serum calcium level
e)
-
10.
A nurse is caring for a client 1 day after a left-sided mastectomy with lymph node dissection. Which nursing intervention is the priority in caring for this client?
a)
Apply an ice pack to the left shoulder
b)
Elevate the affected arm on a pillow
c)
Help the client ambulate frequently
d)
Obtain a pneumatic compression sleeve
e)
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11.
The home health nurse is teaching a client who underwent a right mastectomy with lymph node removal. The client is experiencing lymphedema in the affected arm. Which of the following information should the nurse include?
a)
Apply a heating pad to your right arm for 15 minutes several times a day
b)
Avoid receiving injections in your right arm
c)
Keep your right arm elevated at the level of your heart as much as possible
d)
Perform isometric exercises with your right arm daily
e)
Wear a compression sleeve on your right arm during the day
12.
The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take?
a)
Encourage the client to increase the intake of fluids
b)
Administer low-dose aspirin to the client as prescribed
c)
Request a prescription for an iron supplement for the client
d)
Teach the client to elevate the legs while sitting
e)
Prepare the client for phlebotomy
13.
The nurse teaches a client diagnosed with iron deficiency anemia about iron-rich foods. Which meal selection by the client indicates the teaching has been effective?
a)
Chicken salad with lettuce on French bread, chocolate pudding, and milk
b)
Fat-free yogurt, carrot sticks, apple slices, and diet soda
c)
Ham, steamed carrots, green beans, gelatin dessert, and iced tea
d)
Kale salad with boiled eggs and dried fruit, a brownie, and orange juice
e)
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14.
The nurse has attended a staff education program about various types of diets. The nurse recognizes that which diet would place a client at the highest risk for megaloblastic anemia?
a)
lactoovovegetarian
b)
lactovegetarian
c)
ovovegetarian
d)
vegan
e)
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15.
The nurse is caring for a 50-year-old client in the clinic. The client's annual physical examination revealed a hemoglobin value of 10 g/dL compared to 13 g/dL a year ago. What should be the nurse's initial action?
a)
Encourage intake of over-the-counter iron pills
b)
Encourage intake of red meat and egg yolks
c)
Facilitate a screening colonoscopy
d)
Facilitate another blood test in 6 months
e)
-
16.
The nurse is assessing a client who has a hemoglobin level of 5 g/dL. Which of the following findings would the nurse expect to obtain?
a)
Coarse crackles
b)
Dyspnea
c)
Pallor
d)
Respiratory depression
e)
Tachycardia
17.
The nurse is screening clients for those at risk for developing endometrial cancer. Which of the following clients is at highest risk for developing endometrial cancer?
a)
42-year-old client taking a progestin oral contraceptive for 10 years
b)
45-year-old client with ectopic pregnancy and two births
c)
51-year-old client with PCOS and is obese
d)
54-year-old client with hysterectomy for uterine fibroids
e)
-
18.
The nurse is screening clients for those at risk for developing oral cancer. Which of the following factors would increase a client's risk for developing oral cancer?
a)
tobacco use
b)
chronic gingivitis
c)
impetigo infection
d)
persistent mucosal irritation
e)
consumption of high-fat foods
19.
The nurse is screening clients for those at risk for developing cancer. Which client is exhibiting warning signs?
a)
Client with benign prostatic hyperplasia
b)
Client reporting blood in urine without pain
c)
Client with breast skin resembling orange peel
d)
Client with silver plaques on elbows
e)
Client with nagging cough and hoarseness
20.
The nurse is teaching about colorectal cancer prevention. Which statements indicate correct understanding?
a)
“I plan to join a support group to decrease my alcohol intake.”
b)
“I will eat less red meat and start including fruits and vegetables.”
c)
“Because my sibling had colorectal cancer, I will begin preventive screening earlier.”
d)
“Maintaining a healthy weight won’t change my cancer risk.”
e)
“Lifestyle changes won’t help if I’m already high-risk.”
21.
Nurse teaches cervical cancer risks during health conference. Which factors are risks?
a)
Human immunodeficiency virus
b)
Human papillomavirus
c)
Multiple sexual partners
d)
Nulliparity
e)
Sexual activity before age 18
22.
Client begins blood transfusion and develops symptoms. Nurse stops transfusion and disconnects tubing. What should nurse do next?
a)
Check vital signs
b)
Maintain IV access with normal saline
c)
Notify the health care provider
d)
Recheck identification labels and numbers
e)
-
23.
Nurse is assessing assigned clients. Who should be assessed first?
a)
Client with glomerulonephritis and cola-colored urine
b)
Client with liver edge at costal margin
c)
Client with purplish patches not lightening when pressed
d)
Client with lupus and butterfly rash
e)
-
24.
Client receiving external radiation therapy needs skin care teaching. Which statements indicate understanding?
a)
“I will apply an ice pack if it burns.”
b)
“I’ll rub baby oil after each session.”
c)
“I will protect my skin from sun exposure.”
d)
“I’ll wash with lukewarm water and mild soap.”
e)
“I’ll wear soft, loose clothing.”
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