Oncology NCLEX SATA Questions and
Correct Answers, With Complete Solution
2024.
(SELECT ALL THAT APPLY) What diagnostic studies are recommended to be performed annually on all
women older than age 40?
(1) Mammography (4) Clinical breast examination
(SELECT ALL THAT APPLY) A client in the terminal stage of cancer is being transferred to hospice care.
Which information should the nurse include in the teaching plan regarding hospice care?
(1) Care focuses on controlling symptoms and relieving pain. (2) A multidisciplinary team provides care.
(5) Bereavement care is provided to the family.
(SELECT ALL THAT APPLY) A client with bladder cancer undergoes surgical removal of the bladder and
construction of an ileal conduit. Which data collection findings indicate that the client is developing
complications?
(2) The stoma appears dusky. (3) The stoma protrudes from the skin. (6) The client experiences sharp
abdominal pain and rigidity.
(SELECT ALL THAT APPLY) A client with laryngeal cancer has undergone laryngectomy and is receiving
radiation therapy to the head and neck. The nurse should monitor the client for which adverse effects
of external radiation?
(1) Xerostomia (2) Stomatitis (5) Dysgeusia
(SELECT ALL THAT APPLY) After undergoing chemotherapy to treat breast cancer, a client has a white
blood cell (WBC) count of 1,300/microliter. Which nursing interventions should be used with this
client?
(1) Monitor the client's temperature and vital signs; report temperature higher than 101.3° F (38.5° C).
(2) Make sure no one with a viral or bacterial infection enters the client's room. (3) Administer
hematopoietic growth factors as prescribed. (4) Reinforce good hand-washing techniques to anyone
entering the client's room.
(SELECT ALL THAT APPLY) A client receiving chemotherapy for breast cancer develops
myelosuppression. Which instructions should the nurse include in the discharge teaching plan?
(1) Avoid people who have recently received attenuated vaccines. (2) Avoid activities that may cause
bleeding. (3) Wash hands frequently. (5) Avoid crowded places, such as shopping malls.
(SELECT ALL THAT APPLY) After having a lobectomy for lung cancer, a client receives a chest tube
connected to a three-chamber chest drainage system. The nurse observes that the drainage system is
functioning correctly when she notes which of the following?
, (1) Fluctuations in the water-seal chamber occur when the client breathes. (3) Intermittent bubbling
occurs in the water-seal chamber. (4) Gentle bubbling occurs in the suction control chamber. (5) Drainage
is collecting in the drainage chamber
"A 30-year-old client whose mother died of breast cancer at age 44 and whose sister has ovarian
cancer is concerned about developing cancer. A nurse who is a member of the oncology
multidisciplinary team should suggest that the client ask the physician about which of the following
actions?
Obtaining genetic counseling
A 35-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?
She should eat a low-fat diet to further decrease her risk of breast cancer.
"A 43-year-old black client without a family history of prostate cancer asks the nurse when he should
have a prostate-specific antigen (PSA) test and a digital rectal examination (DRE) performed. Which
response by the nurse is appropriate?
You should start undergoing prostate cancer screening at age 45.
"A 45-year-old client receiving radiation therapy for thyroid cancer complains of mouth and throat
pain. While inspecting the mouth and throat, the nurse notices white patches and ulcerations in the
oral mucosa. What do these findings suggest?
Candidiasis
A 65-year-old client is scheduled for a right lower lobectomy for lung cancer. During the admission
assessment, the client asks for information about a living will and advance directive. The nurse knows
that the client understands her teaching about the living will when he says:
The advance directive allows me to state my health care wishes while I'm still able to do so.
A client becomes neutropenic 11 days after his last chemotherapy cycle. It's obvious that the client
understands his condition when he states:
I'll monitor my temperature frequently and go to the nearest emergency department if my temperature
rises above 100.4° F."
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue.
Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder
cancer. Which nursing diagnosis may be appropriate for this client?
Anticipatory grieving
A client diagnosed with acute myelocytic leukemia (AML) has been receiving chemotherapy. During
the last two cycles of chemotherapy, the client developed severe thrombocytopenia requiring multiple
platelet transfusions. The client is now scheduled to receive a third cycle. How can the nurse best
detect early signs and symptoms of thrombocytopenia?
Correct Answers, With Complete Solution
2024.
(SELECT ALL THAT APPLY) What diagnostic studies are recommended to be performed annually on all
women older than age 40?
(1) Mammography (4) Clinical breast examination
(SELECT ALL THAT APPLY) A client in the terminal stage of cancer is being transferred to hospice care.
Which information should the nurse include in the teaching plan regarding hospice care?
(1) Care focuses on controlling symptoms and relieving pain. (2) A multidisciplinary team provides care.
(5) Bereavement care is provided to the family.
(SELECT ALL THAT APPLY) A client with bladder cancer undergoes surgical removal of the bladder and
construction of an ileal conduit. Which data collection findings indicate that the client is developing
complications?
(2) The stoma appears dusky. (3) The stoma protrudes from the skin. (6) The client experiences sharp
abdominal pain and rigidity.
(SELECT ALL THAT APPLY) A client with laryngeal cancer has undergone laryngectomy and is receiving
radiation therapy to the head and neck. The nurse should monitor the client for which adverse effects
of external radiation?
(1) Xerostomia (2) Stomatitis (5) Dysgeusia
(SELECT ALL THAT APPLY) After undergoing chemotherapy to treat breast cancer, a client has a white
blood cell (WBC) count of 1,300/microliter. Which nursing interventions should be used with this
client?
(1) Monitor the client's temperature and vital signs; report temperature higher than 101.3° F (38.5° C).
(2) Make sure no one with a viral or bacterial infection enters the client's room. (3) Administer
hematopoietic growth factors as prescribed. (4) Reinforce good hand-washing techniques to anyone
entering the client's room.
(SELECT ALL THAT APPLY) A client receiving chemotherapy for breast cancer develops
myelosuppression. Which instructions should the nurse include in the discharge teaching plan?
(1) Avoid people who have recently received attenuated vaccines. (2) Avoid activities that may cause
bleeding. (3) Wash hands frequently. (5) Avoid crowded places, such as shopping malls.
(SELECT ALL THAT APPLY) After having a lobectomy for lung cancer, a client receives a chest tube
connected to a three-chamber chest drainage system. The nurse observes that the drainage system is
functioning correctly when she notes which of the following?
, (1) Fluctuations in the water-seal chamber occur when the client breathes. (3) Intermittent bubbling
occurs in the water-seal chamber. (4) Gentle bubbling occurs in the suction control chamber. (5) Drainage
is collecting in the drainage chamber
"A 30-year-old client whose mother died of breast cancer at age 44 and whose sister has ovarian
cancer is concerned about developing cancer. A nurse who is a member of the oncology
multidisciplinary team should suggest that the client ask the physician about which of the following
actions?
Obtaining genetic counseling
A 35-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?
She should eat a low-fat diet to further decrease her risk of breast cancer.
"A 43-year-old black client without a family history of prostate cancer asks the nurse when he should
have a prostate-specific antigen (PSA) test and a digital rectal examination (DRE) performed. Which
response by the nurse is appropriate?
You should start undergoing prostate cancer screening at age 45.
"A 45-year-old client receiving radiation therapy for thyroid cancer complains of mouth and throat
pain. While inspecting the mouth and throat, the nurse notices white patches and ulcerations in the
oral mucosa. What do these findings suggest?
Candidiasis
A 65-year-old client is scheduled for a right lower lobectomy for lung cancer. During the admission
assessment, the client asks for information about a living will and advance directive. The nurse knows
that the client understands her teaching about the living will when he says:
The advance directive allows me to state my health care wishes while I'm still able to do so.
A client becomes neutropenic 11 days after his last chemotherapy cycle. It's obvious that the client
understands his condition when he states:
I'll monitor my temperature frequently and go to the nearest emergency department if my temperature
rises above 100.4° F."
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue.
Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder
cancer. Which nursing diagnosis may be appropriate for this client?
Anticipatory grieving
A client diagnosed with acute myelocytic leukemia (AML) has been receiving chemotherapy. During
the last two cycles of chemotherapy, the client developed severe thrombocytopenia requiring multiple
platelet transfusions. The client is now scheduled to receive a third cycle. How can the nurse best
detect early signs and symptoms of thrombocytopenia?
