2024 NCLEX CANCER AND
ONCOLOGY NURSING EXAM WITH
CORRECT ANSWERS
A male client is admitted to the hospital with a suspected diagnosis of
Hodgkin's disease. Which assessment findings would the nurse expect to
note specifically in the client? - CORRECT-ANSWERSFatigue
Enlarged lymph nodes
Weight gain
Weakness
The nurse is admitting a male client with laryngeal cancer to the nursing
unit. The nurse assesses for which most common risk factor for this type of
cancer? - CORRECT-ANSWERSExposure to air pollutants
Cigarette smoking
Alcohol abuse
Use of chewing tobacco
Northbay is reviewing the laboratory results for a client diagnosed with
multiple myeloma. Which of the following with the nurse expect to note
specifically in this disorder? - CORRECT-ANSWERSIncreased calcium
Decrease number of plasma cells in the bone marrow
Decreased blood urea nitrogen level
Increased white blood cells
For a female client newly diagnosed with a radiation induced
thrombocytopenia, the nurse should include which intervention in the plan of
care? - CORRECT-ANSWERSInspecting the skin for petechiae once every shift
Administering aspirin if the temperature exceeds 102 F (38.8 C)
Placing the client in strict isolation
Providing for frequent rest periods
Mr. Miller has been diagnosed with bone cancer. You know this type of
cancer is classified as: - CORRECT-ANSWERSSarcoma
Carcinoma
Melanoma
Lymphoma
, Which intervention is appropriate for the nurse caring for a male client in
severe pain receiving a continuous IV infusion of morphine? - CORRECT-
ANSWERSdiscontinuing the drug immediately if signs of dependence appear
Obtaining baseline vital signs before administering the first dose
Changing the administration route to PO if the client can tolerate fluids
Assisting with in a Naloxone challenge test befor therapy begins
The female client who has been receiving radiation therapy for bladder
cancer tells a nurse that feels as if she is avoiding through the vagina. The
nurse interprets that the client may be experiencing: - CORRECT-
ANSWERSAltered perineal sensation as a side effect of radiation therapy
Extreme stress caused by the diagnosis of cancer
Rupture of the bladder
The development of a vesicovaginal fistula
A male client undergoes a laryngectomy To treat laryngeal cancer. When
teaching the client how to care for the next stoma, the nurse should include
which instructions? - CORRECT-ANSWERSHave a family member perform
stomach air initially until you get used to the procedure
Keep the stoma uncovered
Keep the stoma moist
Keep the stoma dry
Nurse April is teaching a client who suspects that she has a lump in her
breast. The nurse instructs the client that the diagnosis of breast cancer is
confirmed by: - CORRECT-ANSWERSBreast self examination
Find needle aspiration
Mammography
Chest x-ray
What should a mail client over age 50 to do to help ensure early
identification of prostate cancer? - CORRECT-ANSWERSHave a transrectal
ultrasound every five years
Have a digital rectal examination and prostate specific antigen (PSA) test
done yearly
Perform monthly testicular self examination's, especially after age 50
Have a complete blood count (CBC) and a blood urea nitrogen (BUN) and
creatinine levels checked yearly
During chemotherapy, an oncology client has a nursing diagnosis of impaired
oral mucus membrane related to decreased nutrition and
immunosuppression secondary to the cytotoxic effects of chemotherapy.
Which nursing intervention is most likely to decrease the pain of Stomatitis? -
CORRECT-ANSWERSRecommending that the client discontinue
chemotherapy
Monitoring the clients platelet and leukocyte counts
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