Oncology Nursing Quiz Questions

Oncology is the wide subject dealing with carcinoma or cancers, its treatment, surgeries and the nurses have important role in caring these patients. The patients chemotherapy, problems related to chemotherapy and radiotherapy, psychological support, infection prevention, etc are the main role of nurses. Try this oncology nursing quiz

Oncology Nursing Quiz Questions Start quiz Which is the best time of month to perform a breast self examination? During the menstrual period. After the menstrual period. Before the menstrual period. On the first day of month. Most common site of cancer in Pancreas? Tail Head Body None of these Which of the following is a risk factor of developing breast cancer? Early menopause. Late menarche Early first pregnancy No pregnancy Commonest spinal tumor? Meningioma Neuroblastoma Ependymoma Neurofibroma The diagnosis of cancer in which a sample of tissue is taken and examined under microscope is known as? Biopsy Histology Morphology Cytology Which of the following is the early symptom of cancer of vocal cord? Hoarseness of sound Coughing Sore throat Swallowing difficulty Test used to detect cervical cancer? Complete blood count Hurler's test B.S.E. Pap smear Commonest symptom of cancer of urinary bladder? Pain in perineal region Lower abdominal pain with vomiting Increase in frequency. Haematuria Breast cancer is commonly is detected at home by? B.S.E. Mammography Ultrasound Blood test Which of the following is a Malignant tumor of the connective tissue? Glaucoma. Sarcoma Osteoma. Carcinoma. Common cancer of oral cavity? Sarcoma Adenocarcinoma Squamous cell carcinoma Melanoma Common malignant bone forming tumor? Osteoblastoma. Osteoclastoma. Ewing’s sarcoma. Osteosarcoma. Which of the following statement is correct about malignant tumor? Malignant tumors have defective cell communication. Malignant tumor invades surrounding cells and tissues. Malignant tumor remains localized. Malignant tumor stops dividing prematurely. Goals of chemotherapy? Cure Control All of these Palliation Which of the following is suggested surgical intervention for Ca Prostate? Transurethral Resection of Bladder Tumor or T.U.R.B.T. Bilateral Orchiectomy Radical prostatectomy Transurethral Resection of Prostate or T.U.R.P. Which of the following is a malignant cartilage tumor? Chondroma. Chondrosarcoma. Osteochondroma. Osteosarcoma. Commonest carcinoma deaths of the world is due to cancer of ? Cervix Liver Lungs. Esophagus Which of the following is a high risk factor of bladder cancer? Drugs. Flavoxate Cigarette Smoking. Spicy foods What is the most common type of cancer among woman in the world? Lungs Ovary Breast Cervix Use of drugs to kill tumor cells by interfering with cellular function and reproduction is known as? Cryosurgery Chemotherapy Radiation Interferon Oncology Nursing Quiz Questions You got {{userScore}} out of {{maxScore}} correct {{title}} {{image}} {{content}} Share your result via Facebook Twitter

Oncology NCLEX Questions And Answer Part 2

Oncology NCLEX Questions and Answers Part 2

Total Quiz Questions=25

Mark/Question= 5

Total Marks=125





1. Which of the following interventions is the key to increasing the survival rates of clients with lung cancer?

Early bronchoscopy

Early detection

High dose chemotherapy

Smoking cessation

Correct answer! 2. Warning signs of lung cancer include persistent cough, bloody sputom, dyspnea, and which of the other following symptoms?

Dizziness

Generalized weakness

Hypotension

Recurrent pleural effusion

Correct answer! 3. Which of the following assessment findings in a client with leukemia would indicate that the cancer has invaded the brain?

headache and vomiting

restlessness and tachycardia

hypervigilant and anxious behaviour

increased heart rate and decreased blood pressure

Correct answer! 4. The client with which of the following types of lung cancer has the best prognosis?

Adenocarcinoma

Oat cells

Squamous cells

Small cells

Correct answer! 5. At the time of diagnosis of Hodkin’s lymphoma, which of the following area is often involved?

Back

Neck

Chest

Groin

Correct answer! 6. A 36 year old man with lymphoma presents with signs of impending septic shock 9 days after chemotherapy. The nurse could expect which of the following to be present?

flushing, decreased oxygen saturation, mild hypotension

Low grade fever, chills, tachycardia

Elevated temperature, oliguria, hypotension

High grade fever, normal blood pressure, increased respirations

Correct answer!

Positive and Negative Symptoms of Schizophrenia 7. In staging and grading neoplasm TNM system is used. TNM stands for?

Time, neoplasm, mode of growth

Tumor, node, metastasis

Tumor, neoplasm, mode of growth

Time, node, metastasis

Correct answer! 8. Neoplasm can be classified as either benign or malignant. The following are charecteristics of malignant tumor apart from?

Metastasis

Infiltrates surrounding tissues

Encapsulated

Poorly diffrentiated cells

Correct answer! 9. A client had undergone radiation therapy(external). The expected side effects include the following apart from?

Hair loss

Ulceration of oral mucous membranes

Constipation

Headache

Correct answer! 10. Nurse Sunitha is assigned in the oncology section of the hospital. Which of the following orders should the nurse question if a client is on radiation therapy?

Analgesic before meals

Saline rinses every 2 hours

Aspirin every 4 hours

Bland diet

Correct answer! 11. Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin integrity should be promoted apart from?

Avoiding the use of ointments, powders and lotion to the area

Using soft cotton fabrics for clothing

Washing the area with a mild soap and water and patting it dry, not rubbing it

Avoiding direct sunlight or cold

Correct answer!

Burns Nursing Quiz Questions 12. Chemotherapy is one the therapeutic modalities for cancer. This treatment is contraindicated to which of the following conditions?

Recent surgery

Pregnancy

Bone marrow depression

All the above

Correct answer! 13. Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures what distance should be maintained from the client?

1 feet

2 feet

2.5 feet

3 feet

Correct answer! 14. The removal of entire breast, pectoralis major and minor muscles and neck lymph nodes which is followed by skin grafting is a procedure called?

Simple mastectomy

Modified radical mastectomy

Radiation therapy

Radical mastectomy

Correct answer! 15. Contact of the client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?

1 minute

3 minutes

5 minutes

10 minutes

Correct answer! 16. A client is taking Cyclophosphamide for the treatment of the lymphoma. The nurse is very cautious is administering the medication because this drug poses the fatal side effect of?

Alopecia

Myeloma

CNS toxicity

Hemorrhagic cystitis

Correct answer! 17. Cytarabine is an antimetabolite that can cause a common cytarabine syndrome which including the following apart from?

Fever

Myalgia

Chest pain

Diarrhea

Correct answer! 18. To provide relief from the cytarabine syndrome, which drug is given?

Analgesic

Aspirin

Steroids

Allupurinol

Correct answer! 19. Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except?

Doxorubicin

Fluorouracil

Mitoxantrone

Bleomycin

Correct answer! 20. Specific classification of the chemotherapeutic agent, Vincristine is?

Hormone modulator

Mitotic inhibitor

Antineoplastic antibiotic

Antimetabolite

Correct answer! 21. A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given?

Anstrazole

Estramustine

Pclitaxel

Irinotecan

Correct answer! 22. A 25 year old patient is inquiring about the methods or ways to detect cancer earlier. The nurse least likely identify this method by stating?

Annual chest x ray

Annual Pap smear for sexually active women only

Annual digital rectal examination for persons over age 40

Yearly physical and blood examination

Correct answer! 23. A client is diagnosed with breast cancer. The tumor size is up to 5 cm with axillary and neck lymph node involvement. The client is in what stage of breast cancer?

Stage I

Stage II

Stage III

Stage IV

Correct answer! 24. The classic symptoms that define breast cancer includes the following except?

Pink peal skin

Solitary, irregularly shaped mass

Firm, nontender, nonmobile mass

Abnormal discharge from the nipple

Correct answer! 25. Surgical procedure to treat breast cancer involves the removal of the entire breast, pectoralis major muscle and axillary lymph nodes is?

Simple mastectomy

Modified radical mastectomy

Halstead surgery

Radical mastectomy

Correct answer!

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Rationale

1. Early detection of cancer when the cells may be premalignant and potentially curable would be most beneficial.

However, a tumor must be 1 cm in diameter before it is detectable on a chest x-ray, so this is difficult.

2. Recurring episodes of pleural effusions can be caused by the tumor and should be investigated. Dizziness, generalized weakness, and hypotension are not typically considered warning signs but may occur in advanced stages of cancer.

3. The usual effect of leukemic infiltration of the brain is increased intracranial pressure. The proliferation of the cells interferes with the flow of CSF. The increased fluid pressure causes dilation of the ventricles, which creates symptoms of severe headache, vomiting, irritability, lethargy, increased blood pressure decreased heart rate and eventually coma.

4. Squamous cell carcinoma is a slow-growing, rarely metastasis type of cancer. Adenocarcinoma is the next best lung cancer to have in terms of prognosis.

Oat cell and small cell carcinoma are the same. Small cell carcinoma grows rapidly and is quick to metastasis.

5. At the time of diagnosis, a painless cervical lesion is often present. The back, chest, and groin areas are not involved.

6. The clinical signs of shock reflect changes in cardiac function, vascular resistance, cellular metabolism, and capillary permeability.

Low-grade fever, tachycardia, and flushing may be early signs of shock. Oliguria and hypotension are late signs of shock.

7.

8.

9. Diarrhea, not constipation is the side effect of radiation therapy.

10. Radiation therapy makes the platelet count decrease. Thus, nursing responsibilities should be directed at promoting safety by avoiding episodes of hemorrhage or bleeding such as physical trauma and aspirin administration.

11. No soap should be used on the skin of the client undergoing radiation. Soap and irritants and may cause dryness of the patient’s skin. Only water should be used in the washing area.

12. Chemotherapy is contraindicated in cases of infection(chemotherapeutic agents are immunosuppressive), recent surgery(chemotherapeutic agents may retard the healing process), impaired renal or hepatic functions(drugs are nephrotoxic and hepatotoxic), recent radiation therapy

(immunosuppressive treatment), pregnancy (drugs can cause congenital defects), and bone marrow depression(chemotherapeutic agents may aggravate the conditions)

13. The distance of at least 3 feet / 0.9 or 1 meter should be maintained when a nurse is not performing any nursing procedures.

14. Halstead surgery also called radical mastectomy involves the removal of the entire breast, pectoralis major and minor muscles and neck lymph nodes. It is followed by skin grafting.

15. Principles of radiation protection follow the DTS system. Distance(D), Time(T), and Shielding(S). Distance – at least 3 feet should be maintained when a nurse is not performing any nursing procedures.

Time – limit of contact to 5 minutes each time. Shielding – use the lead shield during contact with the client.

16. Hemorrhagic cystitis is the potentially fatal side effect of Cytoxan or Cyclophosphamide. Myeloma is an indication for giving this medication. Alopecia is a common side effect.

17. Cytarabine syndrome includes fever, myalgia, bone pain, chest pain, rash, conjunctivitis, and malaise. No diarrhea is included in this syndrome

18. Steroids may be prescribed to promote relief from cytarabine syndrome. Allopurinol is given for hyperuricemia that will result from taking some chemotherapeutic agents.

19. Fluorouracil is an antimetabolite

20.

21. Anstrazole – treatment of advanced breast cancer in post menopausal women following tamoxifen therapy.

Estramustine – palliative treatment of metastatic and progressive prostate cancer

Pclitaxel – Treatment of ovarian cancer, breast cancer and AIDS related to Kaposi’s sarcoma

Irinotecan – Treatment of metastatic colon or rectal cancer after treatment with 5-FU.

22. Early detection of cancer is promoted by annual oral examination, monthly BSE from age of 20, annual chest x-ray, yearly digital rectal examination for a person over age 40, annual pap smear from age 40 and annual physical and blood examination.

23. Stage I – tumor size up to 2 cm

Stage II – tumor size up to 5 cm with axillary and neck lymph node involvement

Stage III – Tumor size is more than 5 cm with axillary and neck lymph node involvement

Stage IV – Metastasis to distant organs like the liver, lungs, bone, and brain.

24. Classic symptoms that define breast cancer include firm, nontender, nonmobile mass. Solitary irregularly shaped mass. Adherence to muscle or skin causing dimpling effect.

Involvement of the upper outer quadrant or central nipple portion. Asymmetry of breasts. ‘orange peel’ skin. Retraction nipple. Abnormal discharge from the nipple

25. Removal of the entire breast, pectoralis major muscle, and axillary lymph nodes is a surgical procedure called modified radical mastectomy and simple mastectomy

is the removal of the entire breast but the pectoralis muscle and nipple remain intact.