Saunders Oncology Adult Health Practice Exam

These questions are part of the practice quiz. Start practicing

• Which statement about risk factors for laryngeal cancer indicates teaching was effective?
• Which of the following describes common mechanisms of cancer-related anemia and appropriate non-transfusion strategies?
• What is chemotherapy-related cognitive impairment (chemo brain) and what strategies can help?
• How is breakthrough cancer pain differentiated from baseline pain and how is it typically treated?
• Which infection is associated with an increased risk for cervical cancer?
• What is the role and common side effects of androgen deprivation therapy in prostate cancer?
• What bleeding risk is associated with chemotherapy-induced thrombocytopenia and what precautions should nurses take?
• In brachytherapy safety, which principle is essential to protect staff and non-target tissues?
• During chemotherapy, which laboratory parameter is commonly monitored to assess neutropenia risk?
• Which laboratory test is most definitive for diagnosing leukemia?
• During a teaching session on bladder cancer, which statement would indicate a need for further teaching?
• What is the expected sequence of events after instillation regarding urination and fluids?
• In a client with chemotherapy-induced stomatitis, how often should oral cavity assessment for fungal infection be performed?
• Through which route is the intravesical chemotherapy delivered?
• After prostatectomy, is it expected to pass small pieces of tissue or blood clots in urine during the early recovery period?
• Hypercalcemia in cancer is described as which of the following?
• A client undergoing external radiation therapy is receiving teaching. Which statement indicates a need for further instruction?
• What does the TNM staging system describe and how are stages determined?
• In external radiation therapy, which statement about skin markings is correct?
• Which assessment finding would be most specific for Hodgkin's disease?
• During cesium implant, what is the visitor limit per day?
• A patient with ileal conduit; what is the appearance of a viable stoma?
• During application of a cesium implant, the nurse should minimize radiation exposure by which action?
• Which statement correctly describes the perioperative management regarding VEGF inhibitors?
• Which hepatic immune-related event may occur with checkpoint inhibitors?
• In stable cancer patients with anemia, what transfusion threshold is commonly used and what are key considerations?
• In the management of hypercalcemia due to multiple myeloma, the nurse should target a daily fluid intake of about how many liters?
• Which is an early sign of superior vena cava syndrome?
• Which statement indicates the need for further teaching regarding testicular self-examination (TSE)?
• What is the immediate management for chemotherapy extravasation and what safety principle protects staff?
• A client is receiving external radiation to the neck for cancer of the larynx. Which is the most likely expected effect?
• Which measure decreases the incidence and mortality of cervical cancer according to screening recommendations?
• In colorectal cancer, what is the role of CEA in clinical management?
• A bladder cancer patient has an ileal conduit. Which assessment finding indicates a complication?
• Which statement accurately describes how the drug is delivered in intravesical instillation?
• Which is a late sign of hypercalcemia in a client with metastatic prostate cancer?
• Which statement correctly describes stage II cervical cancer?
• What is the most common sign or symptom of bladder cancer?
• Intravesical instillation is used for which condition?
• Which endocrine immune-related event may occur with checkpoint inhibitors?
• What supportive approaches can help patients cope with treatment-induced alopecia?
• What is the greatest risk factor for bladder cancer?
• For acneiform rash from EGFR inhibitors, what is a typical management approach?
• What are common adverse effects of VEGF inhibitors and what monitoring is needed?
• Discharge instructions after mastectomy with axillary lymph node dissection reveal a need for further instruction if the client says which?
• A woman with breast cancer asks, 'Oh, no! Does this mean I’m going to die?' The nurse interprets the initial reaction as which response?
• Which biomarker is commonly used to monitor prostate cancer progression?
• What skin-protection recommendations are important for patients undergoing external beam radiation therapy?
• Which statement describes esophageal speech?
• Which antiemetic regimen is commonly used for chemotherapy-induced nausea and vomiting, involving a serotonin antagonist and a neurokinin-1 receptor antagonist?
• What is sentinel lymph node biopsy and its purpose in breast cancer surgery?
• In the management of cancer cachexia, which nutrition strategy supports maintaining body weight and function?
• A client performing a testicular self-exam reports a pea-size lump. Which statement is the most appropriate response?
• During retention, which body positions are recommended for the patient?
• In cancer-related anemia management, what is the recommended approach when iron deficiency is present?
• What is the significance of cumulative dose limits with anthracycline chemotherapy?
• Which laboratory finding would indicate renal impairment in a client with multiple myeloma?
• Which is an early sign of cancer of the cervix?
• When are drains typically removed after a modified mastectomy?
• Which symptom is more typical of uterine cancer than ovarian cancer?
• Which statement about peau d'orange skin appearance is true?
• Which statement shows understanding of preoperative bowel prep with neomycin before colon surgery?
• How often should the patient change position during the instillation retention period?
• Which monitoring parameters are important for patients receiving VEGF inhibitors?
• Which finding is most specific to multiple myeloma?
• Which action is an example of neutropenic precautions?
• Which statement by the client indicates the need for more education about urinary stoma care after a ureterostomy?
• Which post-instillation care instruction is appropriate after intravesical instillation of an alkylating chemotherapeutic agent for bladder cancer?
• What is recommended for managing cancer-related anorexia and weight loss in advanced disease?
• In multiple myeloma, which laboratory value is commonly elevated due to kidney involvement?
• Which of the following is a risk factor for colorectal cancer?
• Which description is typical of melanoma in terms of skin lesion characteristics?
• In a client with leukemia receiving busulfan, the nurse should tell the client that the purpose of allopurinol is to prevent which symptom?
• Which dietary pattern reduces the risk of colorectal cancer?
• Which dietary pattern is NOT a risk factor for gastric cancer?
• Which laboratory parameter is often reduced in cancer cachexia and helps guide nutrition?
• A client who has undergone a prostatectomy should avoid which activity for at least 6 weeks?
• What is the purpose of granulocyte colony-stimulating factor (G-CSF) in oncology treatment, and when is it used?
• What is the most common risk factor for laryngeal cancer?
• Which item, if identified as a risk factor by a client, indicates a need for further discussion about gastric cancer risk factors?
• What is the recommended approach to opioid dosing for cancer pain to ensure persistent relief while reducing adverse effects?
• What is done with the catheter after instillation?
• In the immediate postoperative period after radical prostatectomy for cancer, which issue would be of greatest concern to the client?
• Which action best summarizes the rationale for neutropenic precautions in cancer patients?
• Which statement best describes the earliest signs of bladder cancer?
• While counseling a woman about decreasing her risk for cervical cancer, which statement indicates a need for further counseling?
• An outpatient receiving external radiation has dry desquamation. Which statement suggests understanding of skin-care instructions?
• Which client has the lowest risk of developing cervical cancer?
• Which is a documented benefit of early palliative care involvement in oncology?
• Which adverse effect is commonly associated with G-CSF therapy?
• Tumor lysis syndrome presents with which of the following electrolyte abnormalities?
• Which follow-up guidance is appropriate after voiding post-instillation?
• A liver cancer patient receiving chemotherapy reports a bitter taste in foods. Which food is most likely to cause this taste change?
• Which oncology emergency presents with new back pain and possible neurologic deficits due to metastatic cord compression?
• After voiding post-instillation, what should the patient do to help flush the bladder?
• The client who has undergone modified right mastectomy for breast cancer. Which activity should the nurse incorporate into the plan of care?
• A patient receiving external radiation to the head and neck; which of the following is NOT a local effect of external radiation?
• Post abdominal perineal resection, within how many days should the colostomy begin to function?
• A client with chemotherapy-induced mucositis should rinse with which mouthwash?
• In multiple myeloma, which laboratory finding would the nurse expect to see as a characteristic feature of the disorder?
• What is the major cardiotoxic risk of anthracyclines like doxorubicin and how is it monitored?
• Which tumor marker is commonly elevated in pancreatic cancer and is often measured with CA 19-9?
• Which set of side effects is commonly associated with androgen deprivation therapy?
• After an abdominal perineal resection, which sign indicates the colostomy is beginning to function?
• What is the value of early palliative care involvement in oncology care?
• A client with bladder cancer with bone metastasis has a laboratory result of calcium level 15 mg/dL. What action should the nurse take?
• A 67-year-old man with carcinoma of the oropharynx undergoing radiation has developed dysphagia. The nurse's teaching plan should include which intervention?
• Which statement correctly describes the administration of the drug in intravesical instillation?
• A client with breast cancer undergoing chemotherapy reports fatigue and hair loss. Which nursing intervention should be implemented?
• Two weeks after mastectomy, patient reports numbness in the area of surgery and along inner arm. The nurse should provide which information about the complaint?
• During bathing the treatment area, which practice is contraindicated?
• In the management of SIADH associated with cancer, which intervention is appropriate?
• Which cancer therapy class is most associated with immune-related adverse events such as colitis and pneumonitis?
• Which statement about Hodgkin's lymphoma is incorrect?
• Post-axillary lymph node dissection, which home care measure is appropriate to reduce lymphedema risk?
• Which option best describes the purpose of intravesical instillation for bladder cancer?
• In a patient with leukemia and neutropenia, which nursing action is appropriate?
• How does tumor heterogeneity influence therapy choices?
• Which statement demonstrates appropriate screening education for colorectal cancer in an average-risk adult?
• Which post-instillation action reflects the expected catheter management?
• What are two common acute skin and mucosal effects of radiation therapy and a long-term consideration?
• What is a common oral care approach to reduce mucositis severity during cancer treatment?
• At what age is colorectal cancer screening with colonoscopy typically recommended to begin for average-risk adults?
• Which action is appropriate for a client with thrombocytopenia to reduce bleeding risk?
• After an intravesical instillation of chemotherapy into the bladder, which action should the patient take?
• Which finding is associated with Hodgkin's disease?
• To reduce infection risk in a patient with chemotherapy-induced myelosuppression, which dietary guidance is correct?
• During the nadir period after chemotherapy, what is the major risk?
• In a patient with metastatic breast cancer who reports sudden back pain, what is the priority nursing action?
• Which behavior reflects the best psychosocial adjustment after a mastectomy?
• After a right mastectomy, the operative arm should be positioned how?
• Which practice is contraindicated after mastectomy to minimize lymphedema?
• After ileal conduit creation, which symptom requires prompt evaluation?
• Which statement would indicate a need for further teaching because it is not an associated risk factor for colorectal cancer?
• Which skin care statement aligns with radiation therapy guidelines?
• After intravesical instillation of an alkylating chemotherapeutic agent for bladder cancer, what should the patient do?
• A patient with leukemia receiving chemotherapy has a platelet count of 20,000/mm3. Which precaution should the nurse implement?
• What is a key principle of managing cancer pain with opioids to maintain analgesia while minimizing adverse effects?
• What does PET-CT assess in oncology?
• A cervical radiation implant is placed in a client who is undergoing treatment of cervical cancer. The nurse should initiate which activity prescription as the most appropriate for this client?
• Which management approach is essential for febrile neutropenia to reduce morbidity and mortality?
• Which laboratory abnormalities define tumor lysis syndrome and what is the primary initial intervention?
• Which two symptoms are most commonly associated with early cervical cancer?
• Which finding is an early symptom of vena cava syndrome in an oncologic patient?
• Which chemotherapeutic classes are most associated with peripheral neuropathy and what monitoring is needed?
• When do the early signs of superior vena cava syndrome typically occur?
• A client is undergoing chemotherapy with myelosuppression. Which discharge instruction should be included?
• During a community education session on breast cancer, which information should be included?
• In the plan of care for a client with multiple myeloma, which intervention is a priority?
• Spinal cord compression in cancer patients is best described by which statement?
• During assessment of advanced ovarian cancer, which manifestation is typical?
• The nurse has performed a cancer prevention seminar; Which menu item demonstrates effective teaching?
• What electrolyte disturbance is characteristic of hypercalcemia of malignancy and what is an initial treatment?
• Which of the following is NOT a complication of bowel tumors?
• Which outcome reflects the effect of hormone therapy for prostate cancer?
• Which of the following is not a typical immediate side effect of radiation to the neck area?
• Which statement is NOT a recommended component of home stoma care after a laryngectomy?
• Which statement indicates melanoma is highly metastatic?
• How is immune-related colitis managed in patients on checkpoint inhibitors?
• Which history factor places someone at increased risk for colorectal cancer?
• When is G-CSF used in oncology patients?
• Which nursing instruction is essential when caring for a patient with a tracheostomy after neck dissection?
• Which statement is true about artificial larynges?
• What does the ECOG performance status help determine in oncology treatment decisions?
• For stomatitis resulting from chemotherapy, the care plan should include which intervention?
• Which mouth care measure is recommended for chemotherapy-induced mucositis?
• External radiation therapy; which skin-care instruction should be emphasized?
• Which of the following is a risk factor for breast cancer?
• Bleeding precautions are typically initiated when the platelet count falls below which value?
• What is the rationale for involving palliative care early in cancer treatment?
• Which statement indicates a need for further instruction for a client receiving external radiation therapy?
• Which screening test is least invasive for initial colorectal cancer screening?
• Which statement best describes a risk factor for testicular cancer?
• Actinic keratosis is a premalignant lesion that presents as which of the following?
• Which imaging modality is most appropriate for suspected spinal cord compression and why?
• What is a common management step for immune-related adverse events such as colitis caused by checkpoint inhibitors?
• Which two classes of chemotherapy carry a high risk of myelosuppression, and which CBC parameters should be monitored?
• What clinical features suggest superior vena cava syndrome in a cancer patient and what is an immediate management step?
• For a client with prostate cancer receiving hormone therapy, what should the nurse monitor to evaluate its effect?
• Which therapy is appropriate for uric acid lowering in tumor lysis syndrome?
• How should safety be maintained when delivering brachytherapy?
• Hoarseness lasting six weeks should prompt consideration of which possible medical diagnosis?
• If a patient has a normal initial colonoscopy, when should the next colonoscopy be performed?
• What is the role and common adverse effects of G-CSF therapy?
• How can VEGF inhibitors affect surgical planning and perioperative management?
• What is mucositis, which therapies commonly cause it, and a key nursing intervention?
• What dermatologic toxicity is associated with EGFR inhibitors like cetuximab and how is it managed?
• In cervical cancer risk screening, which client is at the lowest risk for developing cervical cancer?
• Which action is not part of immediate post-instillation nursing care?
• Which assessment finding is consistent with cachexia in a patient with cancer?
• During home health follow-up after mastectomy, which behavior indicates the greatest adjustment to loss of the breast?
• Which statement best describes cancer cachexia and its nutrition-focused interventions?
• What genetic testing is important for familial cancer risk and how does it impact management?
• How long should the instilled fluid be retained in the bladder after intravesical infusion?
• Which nutrition approach is used for cachexia when oral intake is insufficient?
• Which statement regarding stoma care should be avoided after neck dissection with tracheostomy?
• Which of the following is not a sign of testicular cancer?
• Which tumor marker is primarily used to monitor treatment response in ovarian cancer?
• Which statement correctly describes melanoma in terms of metastatic potential and prognosis?
• A home health nurse observes a client with a suction drain after mastectomy. Which behavior requires further teaching?
• Which description corresponds to squamous cell carcinoma of the skin?
• A client with orange-peel skin on the breast reports the finding during self-exam. What is the most appropriate nurse response?
• Which of the following is a risk factor for breast cancer that should be listed on a poster?
• In the TNM staging system, which component indicates whether distant metastasis is present?
• Which statement about stage I cervical cancer indicates education was effective?
• When evaluating transfusion in anemia, what should be monitored?
• What is hand-foot syndrome, which drugs commonly cause it, and how is it managed?
• What are neutropenic precautions and when should they be implemented for a cancer patient?
• Which data will be most helpful in determining the risk factors for testicular cancer?
• A client with ovarian cancer has received an unsealed radioactive isotope for treatment. Which instruction is essential?
• The nurse has instructed a client in the correct technique for breast self-examination. For a portion of the examination, the client will lie down. The nurse should place the pillow under which location for self-examination of the right breast?
• Which sign would indicate a possible superior vena cava syndrome in a client with cancer?
• Which discharge instruction is appropriate after prostatectomy?
• Which statement about testicular cancer prognosis is correct?
• During external radiation therapy, which client statement would indicate a need for further instruction regarding self-care?
• What are common endocrine and hepatic immune-related events from checkpoint inhibitors?
• During nadir after chemotherapy, which statement indicates a need for further patient education?
• A patient who has had a laryngectomy uses an artificial larynx. Which instruction is correct?
• Which two components comprise a multimodal approach to cancer-related fatigue?
• Hypercalcemia in multiple myeloma occurs primarily due to which mechanism?
• Which description best fits basal cell carcinoma of the skin?
• In a cancer patient who develops fever, how is febrile neutropenia defined and what is the first management priority?
• Which nursing action after mastectomy helps prevent lymphedema?
• Which monitoring is essential when using anthracyclines due to cardiotoxic risk?
• Cyanosis is a late sign in which oncologic emergency?