Table of Contents
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
Oncology NCLEX Questions And Answer Part 2
Oncology NCLEX Questions and Answers Part 2
Total Quiz Questions=25
Mark/Question= 5
Total Marks=125
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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.
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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
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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.
Image Based Questions For AIIMS Exams
Oncology Questions Part 3
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