Oncology Nursing Quiz Questions

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

Which of the following is a Malignant tumor of the connective tissue?
Goals of chemotherapy?
Breast cancer is commonly is detected at home by?
Most common site of cancer in Pancreas?
What is the most common type of cancer among woman in the world?
Commonest spinal tumor?
Common malignant bone forming tumor?
Commonest symptom of cancer of urinary bladder?
The diagnosis of cancer in which a sample of tissue is taken and examined under microscope is known as?
Which of the following is a risk factor of developing breast cancer?
Which of the following is a high risk factor of bladder cancer?
Which of the following is a malignant cartilage tumor?
Which of the following statement is correct about malignant tumor?
Test used to detect cervical cancer?
Use of drugs to kill tumor cells by interfering with cellular function and reproduction is known as?
Which of the following is the early symptom of cancer of vocal cord?
Common cancer of oral cavity?
Which of the following is suggested surgical intervention for Ca Prostate?
Commonest carcinoma deaths of the world is due to cancer of ?
Which is the best time of month to perform a breast self examination?
Oncology Nursing Quiz Questions
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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

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

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

4. The client with which of the following types of lung cancer has the best prognosis?
Adenocarcinoma
Oat cells
Squamous cells
Small cells

5. At the time of diagnosis of Hodkin’s lymphoma, which of the following area is often involved?
Back
Neck
Chest
Groin

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


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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

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

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

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

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


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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

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

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

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

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

17. Cytarabine is an antimetabolite that can cause a common cytarabine syndrome which including the following apart from?
Fever
Myalgia
Chest pain
Diarrhea

18. To provide relief from the cytarabine syndrome, which drug is given?
Analgesic
Aspirin
Steroids
Allupurinol

19. Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except?
Doxorubicin
Fluorouracil
Mitoxantrone
Bleomycin

20. Specific classification of the chemotherapeutic agent, Vincristine is?
Hormone modulator
Mitotic inhibitor
Antineoplastic antibiotic
Antimetabolite

21. A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given?
Anstrazole
Estramustine
Pclitaxel
Irinotecan

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

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

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

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

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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.


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Oncology Questions Part 3


  1. In incisional biopsy?
  2. Aspiration of cells
    Removal of a wedge of suspected tissue from a large mass
    Complete removal of entire lesion
    None of these

  3. In TNM classification TxN0M0 denotes?
  4. Tumor can’t evaluate, lymph nodes cannot evaluate, no metastasis
    Tumor can’t evaluate, tumour cells absent from regional lymph nodes, no distant metastasis
    No sign of tumour, lymph nodes cannot be evaluate, no distant metastasis
    None

  5. Immature and undiffrentiated cells with extensive local and regional spread falls in?
  6. Grade 1 and Stage 4
    Grade 2 and Stage 2
    Grade 3 and Stage 4
    Grade 4 and Stage 3

  7. Pap test is related to?
  8. Ca testis
    Ca vagina
    Ca cervix
    Ca vulva

  9. Which of the following tumor marker is specific for Ca Ovary?
  10. CA 121
    CA 120
    CA 125
    CA 135


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