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PN ONCOLOGY QUESTIONS WITH PRECISE ANSWERS, Exams of Oncology

The University of Texas M.D. Anderson Cancer CenterOncology

PN ONCOLOGY QUESTIONS WITH PRECISE ANSWERS

Typology: Exams

2024/2025

Available from 07/11/2025

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PN |! ONCOLOGY |! QUESTIONS |! WITH |!
PRECISE |! ANSWERS
A |! pt |! has |! received |! a |! radiation |! implant. |! Which |! teaching |! point |! should |! the |!
nurse |! emphasize |! with |! this |! pt? |! (Select |! all |! that |! apply)1. |! "You |! will |! be |! placed |!
in |! a |! private |! room"
2. |! "Do |! not |! wash |! off |! the |! skin |! markings |! made |! by |! the |! radiation |! therapist"
3. |! "Visitors |! and |! staff |! are |! restricted |! in |! the |! amount |! of |! time |! they |! can |! spend |!
in |! your |! room"
4. |! "Your |! skin |! over |! the |! irradiated |! area |! may |! become |! irritated"
5. |! "Staff |! and |! visitors |! will |! maintain |! some |! distance |! from |! you |! while |! they |! are |!
in |! your |! room" |! - |! Correct |! answer |! ✔1. |! "You |! will |! be |! placed |! in |! a |! private |! room"
3. |! "Visitors |! and |! staff |! are |! restricted |! in |! the |! amount |! of |! time |! they |! can |! spend |!
in |! your |! room"
5. |! "Staff |! and |! visitors |! will |! maintain |! some |! distance |! from |! you |! while |! they |! are |!
in |! your |! room"
A |! pt |! receiving |! chemo |! has |! a |! WBC |! count |! og |! 2000/mm3. |! The |! nurse |!
anticipates |! that |! the |! pt |! will |! be |! placed |! on:
1. |! Airborne |! precautions
2. |! Contact |! precautions
3. |! Neutropenic |! precautions
4. |! Droplet |! precautions |! - |! Correct |! answer |! ✔Neutropenic |! precautions
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PN |! ONCOLOGY |! QUESTIONS |! WITH |!

PRECISE |! ANSWERS

A |! pt |! has |! received |! a |! radiation |! implant. |! Which |! teaching |! point |! should |! the |! nurse |! emphasize |! with |! this |! pt? |! (Select |! all |! that |! apply)1. |! "You |! will |! be |! placed |! in |! a |! private |! room"

  1. |! "Do |! not |! wash |! off |! the |! skin |! markings |! made |! by |! the |! radiation |! therapist"
  2. |! "Visitors |! and |! staff |! are |! restricted |! in |! the |! amount |! of |! time |! they |! can |! spend |! in |! your |! room"
  3. |! "Your |! skin |! over |! the |! irradiated |! area |! may |! become |! irritated"
  4. |! "Staff |! and |! visitors |! will |! maintain |! some |! distance |! from |! you |! while |! they |! are |! in |! your |! room" |! - |! Correct |! answer |! ✔1. |! "You |! will |! be |! placed |! in |! a |! private |! room"
  5. |! "Visitors |! and |! staff |! are |! restricted |! in |! the |! amount |! of |! time |! they |! can |! spend |! in |! your |! room"
  6. |! "Staff |! and |! visitors |! will |! maintain |! some |! distance |! from |! you |! while |! they |! are |! in |! your |! room" A |! pt |! receiving |! chemo |! has |! a |! WBC |! count |! og |! 2000/mm3. |! The |! nurse |! anticipates |! that |! the |! pt |! will |! be |! placed |! on:
  7. |! Airborne |! precautions
  8. |! Contact |! precautions
  9. |! Neutropenic |! precautions
  10. |! Droplet |! precautions |! - |! Correct |! answer |! ✔Neutropenic |! precautions

The |! nurse |! is |! assisting |! with |! a |! staff |! education |! program |! on |! common |! oncologic |! emergencies. |! Which |! are |! common |! oncologic |! emergencies? |! (Select |! all |! that |! apply)

  1. |! Superior |! vena |! cava |! syndrome
  2. |! Pulmonary |! edema
  3. |! Hypertension
  4. |! Hypercalcemia
  5. |! Syndrome |! of |! inappropriate |! antidiuretic |! hormone |! (SIADH)
  6. |! Spinal |! cord |! compression
  7. |! Disseminated |! intravascular |! coagulation |! - |! Correct |! answer |! ✔- |! Superior |! vena |! cava |! syndrome
  • |! Hypercalcemia .- |! Syndrome |! of |! inappropriate |! antidiuretic |! hormone |! (SIADH) . |! -Spinal |! cord |! compression . |! -Disseminated |! intravascular |! coagulation Which |! are |! characteristics |! of |! malignant |! tumors? |! (Select |! all |! that |! apply)
  1. |! Usually |! slow |! growth |! rate
  2. |! Invade |! surrounding |! tissue
  3. |! Cells |! closely |! resemble |! those |! of |! tissue |! of |! origin
  4. |! Recurrence |! is |! common |! after |! removal
  5. |! Frequent |! metastasis6. |! Little |! tissue |! destruction |! - |! Correct |! answer |! ✔- Invade |! surrounding |! tissue -. |! Recurrence |! is |! common |! after |! removal
  • |! Frequent |! metastasis
  1. |! Denial |! - |! Correct |! answer |! ✔-Anemia The |! outcome |! criterion |! for |! a |! patient |! with |! anemia |! is |! thepatient's |! completion |! of |! essential |! activities |! withoutdyspnea |! or |! tachycardia. |! The |! remaining |! three |! answers |! are |! not |! related |! to |! the |! patient's |! ability |! to |! complete |! essential |! activities |! without |! dyspnea |! or |! tachycardia. A |! pt |! experiences |! erythema |! and |! peeling |! of |! the |! skin |! while |! receiving |! radiation |! therapy. |! Which |! are |! appropriate |! nursing |! interventions |! for |! this |! pt? |! (Select |! all |! that |! apply)
  2. |! Increase |! fluid |! intake
  3. |! Use |! lotions
  4. |! Watch |! for |! excessive |! bruising |! and |! bleeding
  5. |! Report |! fever
  6. |! Keep |! skin |! moist
  7. |! Wear |! cotton |! clothing |! - |! Correct |! answer |! ✔- |! Increase |! fluid |! intake
  • |! Watch |! for |! excessive |! bruising |! and |! bleeding
  • |! Report |! fever -Wear |! cotton |! clothing Which |! pt |! should |! be |! placed |! in |! a |! private |! room?
  1. |! Pt |! with |! internal |! radiation
  2. |! Pt |! with |! external |! radiation
  3. |! Pt |! with |! chemotherapy
  4. |! Pt |! requiring |! standard |! precautions |! - |! Correct |! answer |! ✔- |! Pt |! with |! internal |! radiation

cancer |! pt |! has |! the |! lower |! abd |! irradiated. |! Which |! is |! a |! priority |! nursing |! activity |! for |! the |! pt?

  1. |! Monitor |! pt |! for |! edema
  2. |! Increase |! fluid |! intake |! and |! have |! pt |! empty |! bladder |! often
  3. |! Encourage |! pt |! to |! eat |! food |! high |! in |! iron
  4. |! Observe |! pt |! for |! palpitations, |! pallor, |! and |! excessive |! fatigue |! - |! Correct |! answer |! ✔-Increase |! fluid |! intake |! and |! have |! pt |! empty |! bladder |! often A |! pt |! is |! receiving |! radiation |! tx |! to |! her |! head |! and |! neck. |! Which |! is |! a |! special |! problem |! for |! this |! pt, |! putting |! her |! at |! risk |! for |! infections |! of |! the |! gums |! and |! teeth?
  5. |! Dry |! mouth |! (xerostomia)
  6. |! N&V
  7. |! Bone |! marrow |! suppression
  8. |! Anorexia |! - |! Correct |! answer |! ✔Dry |! mouth |! (xerostomia) The |! nurse |! observes |! that |! a |! female |! pt |! with |! breast |! cancer |! is |! experiencing |! alopecia, |! as |! a |! side |! effect |! of |! her |! chemo. |! Which |! is |! a |! correct |! response |! the |! nurse |! should |! say |! to |! the |! pt?
  9. |! Increase |! protein |! in |! your |! diet |! to |! encourage |! new |! hair |! growth
  10. |! increase |! fluid |! intake |! so |! new |! hair |! growth |! will |! not |! be |! dry
  11. |! examine |! your |! scalp |! for |! bleeding, |! which |! may |! be |! a |! temporary |! response |! to |! chemo
  12. |! Your |! new |! hair |! may |! be |! different |! color |! and |! texture |! - |! Correct |! answer |! ✔- Your |! new |! hair |! may |! be |! different |! color |! and |! texture
  1. |! Anemia
  2. |! Weight |! loss |! - |! Correct |! answer |! ✔Leukopenia Invasive |! procedures |! are |! minimized |! in |! pts |! with:
  3. |! Leukopenia
  4. |! Thrombocytopenia
  5. |! Anemia
  6. |! Agranulocytosis |! - |! Correct |! answer |! ✔-Thrombocytopenia What |! is |! the |! most |! dangerous |! side |! effect |! of |! antineoplastic |! drugs?
  7. |! Alopecia
  8. |! N&V |! (nausea |! and |! vomiting)
  9. |! Electrolyte |! imbalance
  10. |! Bone |! marrow |! suppression |! - |! Correct |! answer |! ✔-Bone |! marrow |! suppression The |! highest |! rate |! of |! death |! from |! prostate, |! colon, |! and |! breast |! cancer |! occurs |! among:
  11. |! Caucasians
  12. |! Latinos
  13. |! Native |! Americans
  14. |! African |! Americans |! - |! Correct |! answer |! ✔-African |! Americans Which |! side |! effect |! occurs |! in |! pts |! undergoing |! radiotherapy |! and |! also |! in |! pts |! taking |! antineoplastic |! drugs?
  1. |! Phlebitis |! at |! infusion |! site
  2. |! Erythema |! and |! peeling |! of |! skin
  3. |! Alopecia4. |! Cardiomyopathy |! - |! Correct |! answer |! ✔-Alopecia Radiation |! has |! immediate |! and |! delayed |! effects |! on |! cells; |! the |! immediate |! effect |! is:
  4. |! cell |! death
  5. |! alteration |! of |! DNA, |! which |! impairs |! cell's |! ability |! to |! reprodude
  6. |! interruption |! of |! clotting |! cascade
  7. |! cell |! starvation |! - |! Correct |! answer |! ✔-Cell |! death A |! tx |! likely |! to |! be |! curative |! when |! tumors |! are |! confined |! to |! one |! area |! is;
  8. |! radiotherapy
  9. |! chemotherapy
  10. |! immunotherapy
  11. |! surgery |! - |! Correct |! answer |! ✔-Surgery A |! pt |! has |! cancer |! that |! has |! been |! stages |! T1N0M0. |! The |! nurse |! would |! interpret |! this |! info |! as:
  12. |! Minimal |! size |! and |! extension |! of |! tumor
  13. |! No |! sign |! of |! tumor
  14. |! Malignancy |! in |! epithelial |! tissue |! nut |! not |! in |! basement |! membrane
  15. |! Progressively |! increasing |! size |! and |! extension |! - |! Correct |! answer |! ✔-Minimal |! size |! and |! extension |! of |! tumor

Which |! stage |! has |! the |! cancer |! metastasized |! to |! distant |! parts |! of |! the |! body |! - |! Correct |! answer |! ✔-Stage |! 4 Which |! stage |! has |! the |! malignant |! cells |! are |! confined |! to |! tissue |! of |! origin; |! there |! is |! no |! invasion |! of |! other |! tissues. |! - |! Correct |! answer |! ✔-Stage |! 1 There |! is |! a |! limited |! spread |! of |! cancer |! in |! the |! local |! areas, |! usually |! to |! nearby |! lymph |! nodes |! - |! Correct |! answer |! ✔Stage |! 2 Which |! of |! the |! following |! are |! warning |! signs |! of |! cancer? |! (Select |! all |! that |! apply)

  1. |! Nausea |! and |! vomiting
  2. |! nagging |! cough |! and |! hoarseness
  3. |! Change |! in |! bowel |! and |! bladder |! habits
  4. |! Heart |! palpitations |! and |! tachycardia
  5. |! Sores |! that |! do |! not |! heal
  6. |! Dyspnea |! and |! trouble |! breathing
  7. |! Change |! in |! warts |! of |! moles |! - |! Correct |! answer |! ✔-Nagging |! cough |! and |! hoarseness -Change |! in |! bowel |! and |! bladder |! habits -Sores |! that |! do |! not |! heal -Change |! in |! warts |! of |! moles Regardless |! of |! the |! site |! treated |! with |! radiation |! therapy, |! which |! 2 |! common |! side |! effects |! occur?
  1. |! Dry |! mouth
  2. |! Skin |! changes
  3. |! Diarrhea
  4. |! Fatigue
  5. |! Esophagitis |! - |! Correct |! answer |! ✔-Skin |! changes |! -Fatigue Due |! to |! damage |! to |! the |! most |! sensitive |! cells |! during |! radiation |! therapy, |! which |! are |! the |! related |! side |! effects |! of |! therapy? |! (Select |! all |! that |! apply)
  6. |! Bone |! marrow |! suppression
  7. |! Alopecia
  8. |! Anorexia
  9. |! Heart |! failure
  10. |! Liver |! failure
  11. |! Nausea |! and |! vomiting |! - |! Correct |! answer |! ✔-Bone |! marrow |! suppression
  • |! Alopecia
  • |! Anorexia -Nausea |! and |! vomiting Which |! of |! the |! following |! normal |! cells |! are |! most |! sensitive |! to |! radiation? |! (Select |! all |! that |! apply)
  1. |! Nail |! beds
  2. |! GI/GU |! tract |! lining
  3. |! Respiratory |! tract |! lining

To |! monitor |! pts |! who |! are |! taking |! antineoplastic |! drugs, |! the |! nurse |! must |! be |! aware |! that |! the |! most |! dangerous |! adverse |! effect |! is:

  1. |! GI |! bleeding
  2. |! Increased |! intracranial |! pressure
  3. |! Bone |! marrow |! suppression
  4. |! Nausea |! and |! vomiting |! - |! Correct |! answer |! ✔-Bone |! marrow |! suppression Adverse |! effects |! of |! radiation |! therapy |! commonly |! affect |! the |! bone |! marrow, |! hair |! follicles, |! and |! GI |! tract. |! What |! makes |! these |! tissues |! especially |! sensitive |! to |! the |! effects |! of |! radiation?
  5. |! They |! have |! inadequate |! defenses |! against |! harmful |! substances
  6. |! These |! tissues |! attract |! radioactive |! substances
  7. |! These |! tissues |! have |! very |! poor |! circulation
  8. |! These |! tissues |! regenerate |! rapidly |! - |! Correct |! answer |! ✔These |! tissues |! regenerate |! rapidly When |! working |! with |! a |! pt |! who |! has |! an |! internal |! radiation |! source, |! safety |! precautions |! include |! which |! of |! the |! following? |! (Select |! all |! that |! apply)
  9. |! Always |! wear |! a |! lead |! apron |! when |! providing |! direct |! care |! to |! the |! pt |! with |! internal |! radiation
  10. |! If |! the |! radiation |! source |! comes |! out |! of |! the |! pt's |! body, |! gloves |! should |! be |! worn |! to |! pick |! it |! up
  11. |! When |! not |! providing |! direct |! care, |! stay |! at |! least |! 3 |! feet |! from |! source
  12. |! No |! pregnant |! visitors |! or |! staff |! should |! enter |! the |! pt's |! room
  1. |! Pt |! must |! be |! in |! private |! room |! - |! Correct |! answer |! ✔-Always |! wear |! a |! lead |! apron |! when |! providing |! direct |! care |! to |! the |! pt |! with |! internal |! radiation -No |! pregnant |! visitors |! or |! staff |! should |! enter |! the |! pt's |! room |! -Pt |! must |! be |! in |! private |! room When |! working |! with |! a |! pt |! who |! has |! an |! internal |! radiation |! source, |! safety |! precautions |! include |! which |! of |! the |! following? |! (Select |! all |! that |! apply)
  2. |! Always |! wear |! a |! lead |! apron |! when |! providing |! direct |! care |! to |! the |! pt |! with |! internal |! radiation
  3. |! If |! the |! radiation |! source |! comes |! out |! of |! the |! pt's |! body, |! gloves |! should |! be |! worn |! to |! pick |! it |! up
  4. |! When |! not |! providing |! direct |! care, |! stay |! at |! least |! 3 |! feet |! from |! source
  5. |! No |! pregnant |! visitors |! or |! staff |! should |! enter |! the |! pt's |! room
  6. |! Pt |! must |! be |! in |! private |! room |! - |! Correct |! answer |! ✔-Always |! wear |! a |! lead |! apron |! when |! providing |! direct |! care |! to |! the |! pt |! with |! internal |! radiation -No |! pregnant |! visitors |! or |! staff |! should |! enter |! the |! pt's |! room -Pt |! must |! be |! in |! private |! room Benign |! and |! malignant |! tumors |! are |! alike |! in |! that |! both:
  7. |! Press |! on |! normal |! tissues |! an |! compete |! with |! normal |! cells |! for |! nutrients
  8. |! Usually |! grow |! very |! rapidly3. |! Invade |! nearby |! tissue |! or |! disperse |! cells |! to |! colonize |! distant |! parts |! of |! the |! body4. |! Contain |! cell |! that |! closely |! resemble |! the |! tissue |! of |! origin |! - |! Correct |! answer |! ✔-Press |! on |! normal |! tissues |! an |! compete |! with |! normal |! cells |! for |! nutrients.

|! =A |! digital |! rectal |! examination