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2024 ONCOLOGY NCLEX PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 ONCOLOGY NCLEX PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 ONCOLOGY NCLEX PRACTICEEXAM QUESTIONS WITH CORRECT
ANSWERS
A male client is in isolation after receiving an internal radioactive implant to
treat cancer. Two hours later, the nurse discovers the implant in the bed
linens. What should the nurse do first?
a. Stand as far away from the implant as possible and call for help.
b. Pick up the implant with long-handled forceps and place it in a lead-lined
container.
c. Leave the room and notify the radiation therapy department immediately.
d. Put the implant back in place, using forceps and a shield for self-
protection, and call for help. - CORRECT-ANSWERS25.Answer B. If a
radioactive implant becomes dislodged, the nurse should pick it up with long-
handled forceps and place it in a lead-lined container, then notify the
radiation therapy department immediately. The highest priority is to
minimize radiation exposure for the client and the nurse; therefore, the
nurse must not take any action that delays implant removal. Standing as far
from the implant as possible, leaving the room with the implant still exposed,
or attempting to put it back in place can greatly increase the risk of harm to
the client and the nurse from excessive radiation exposure.
Jeovina, with advanced breast cancer is prescribed tamoxifen (Nolvadex).
When teaching the client about this drug, the nurse should emphasize the
importance of reporting which adverse reaction immediately?
a. Vision changes
b. Hearing loss
c. Headache
d. Anorexia - CORRECT-ANSWERS26.Answer A. The client must report
changes in visual acuity immediately because this adverse effect may be
irreversible. Tamoxifen isn't associated with hearing loss. Although the drug
may cause anorexia, headache, and hot flashes, the client need not report
these adverse effects immediately because they don't warrant a change in
therapy.
A female client with cancer is being evaluated for possible metastasis. Which
of the following is one of the most common metastasis sites for cancer cells?
, a. Liver
b. Colon
c. Reproductive tract
d. White blood cells (WBCs) - CORRECT-ANSWERS27.Answer A. The liver is
one of the five most common cancer metastasis sites. The others are the
lymph nodes, lung, bone, and brain. The colon, reproductive tract, and WBCs
are occasional metastasis sites.
A 34-year-old female client is requesting information about mammograms
and breast cancer. She isn't considered at high risk for breast cancer. What
should the nurse tell this client?
a. She should have had a baseline mammogram before age 30.
b. She should eat a low-fat diet to further decrease her risk of breast cancer.
c. She should perform breast self-examination during the first 5 days of each
menstrual cycle.
d. When she begins having yearly mammograms, breast self-examinations
will no longer be necessary. - CORRECT-ANSWERS28.Answer B. A low-fat diet
(one that maintains weight within 20% of recommended body weight) has
been found to decrease a woman's risk of breast cancer. A baseline
mammogram should be done between ages 30 and 40. Monthly breast self-
examinations should be done between days 7 and 10 of the menstrual cycle.
The client should continue to perform monthly breast self-examinations even
when receiving yearly mammograms.
Nurse Brian is developing a plan of care for marrow suppression, the major
dose-limiting adverse reaction to floxuridine (FUDR). How long after drug
administration does bone marrow suppression become noticeable?
a. 24 hours
b. 2 to 4 days
c. 7 to 14 days
d. 21 to 28 days - CORRECT-ANSWERS29.Answer C. Bone marrow
suppression becomes noticeable 7 to 14 days after floxuridine
administration. Bone marrow recovery occurs in 21 to 28 days.
The nurse is preparing for a female client for magnetic resonance imaging
(MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which
of the following would pose a threat to the client?
a. The client lies still.
b. The client asks questions.
c. The client hears thumping sounds.
d. The client wears a watch and wedding band. - CORRECT-
ANSWERS30.Answer D. During an MRI, the client should wear no metal
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