9. A nursing assistant is taking care of a patient who had undergone liver biopsy.

When should the

registered nurse intervene?

a) when the nursing assistant monitors the patient's vital signs every 15 minutes for the 1st two hours
after the procedure
b) when the nursing assistant tells the patient to remain in bed for several hours
c) when the nursing assistant positions the patient on the left side
d) when the nursing assistant checks the biopsy site for bleeding

23. Which of the following are characteristics of a client most susceptible to develop malignant
melanoma?

a) dark skin, black hair
b) coarse skin, black hair
c) fair skin, blond hair
d) oily skin, brown hair
40. A nurse is caring for a child after removal of a brain tumor. The nurse assesses the child for which of
the following signs that would indicate that brainstem involvement occurred during the surgical
procedure?

a) inability to swallow
b) elevated temperature
c) altered hearing ability
d) orthostatic hypotension
41. The health education nurse provides instructions to a group of clients regarding measures that will
assist in preventing skin cancer. Which statement by a client indicates a need for further instructions?

a) I will avoid sun exposure after 3 pm
b) I will use sunscreen when participating in outdoor activities
c) I will wear a hat, opaque clothing, and sunglasses when in the sun
d) I will examine my body monthly for any lesions that may be suspicious
62. The nurse is caring for a client who is a pelvic exenteration and the physician changes the client's diet
from NPO status to clear liquids. The nurse makes which priority assessment before administering the
diet?

a) bowel sounds
b) ability to ambulate
c) incision appearance
d) urine specific gravity
66.When assessing the laboratory results of the client with bladder cancer and bone metastasis, the
nurse notes a calcium level of 12 mg/dl. The nurse recognizes that this is consistent with which
oncological emergency?

a) hyperkalemia
b) hypercalemia
c) spinal cord compression
d) superior vena cava syndrome
71. The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it
feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:

a) rupture of the bladder
b) the development of a vesicovaginal fistula
c) extreme stress caused by the diagnosis of cancer
d) altered personal sensation as the side effect of radiation therapy
74. The community nurse is conducting a health promotion program and the topic of the discussion
relates to the risk factors for gastric cancer. Which risk factor, if identified by a client, indicates a need for
further discussion?

a) smoking
b) a high-fat diet
c) foods containing nitrates
d) a diet of smoked, highly salted, and spiced food

75. A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the
nurse notes bloody drainage from the nasogastric tube. Which of the following is the appropriate nursing
intervention?

a) notify the physician
b) measure abdominal girth
c) irrigate the nasogastric tube
d) continue to monitor the drainage
85. The oncology nurse is providing a teaching session to group of nursing students regarding the risks
and causes of bladder cancer. Which statement by a student indicates a need for further teaching?

a) bladder cancer most often occurs in women
b) using cigarettes and coffee drinking can increase the risk
c) bladder cancer generally is seen in client older than 40
d) environmental health hazards have been attributed as a cause
86. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to
note documentation of which most common symptom of this type of cancer?

a) dysuria
b) hematuria
c) urgency on urination
d) frequency of urination

87. The nurse is caring for a client following intravesical instillation of an alkylating chemotherapeutic
agent into the bladder for the treatment of bladder cancer. Following the instillation, the nurse should
instruct the client to:

a) urinate immediately
b) maintain strict bed rest
c) change position every 15 minutes
d) retain the instillation fluid for 30 minutes



88. The nurse is assessing the stoma of a client following a ureterostomy. Which of the following should
the nurse expect to note?

a) a dry stoma
b) a pale stoma
c) a dark-colored stoma
d) a red and moist stoma
107. A client suspected of having an abdominal tumor is scheduled for a computed tomography (CT)
scan with dye injection. The nurse tells the client that:

a) the test may be painful
b) the dye injected may cause a warm, flushing sensation
c) fluids will be restricted following the test
d) the test takes approximately 2 hours



108. A client with liver cancer receiving chemotherapy tells the nurse that some foods on the meal tray
taste bitter. The nurse would try to limit which food that is most likely to cause this taste for the client?

a) beef
b) potatoes
c) custard
d) cantaloupe
12. A client is to undergo weekly intravesical chemotherapy for bladder cancer for the next 8 weeks. The
nurse interprets that the client understands how to manage the urine as a biohazard if the client states to:

a) void into a bedpan and then empty the urine into the toilet
b) disinfect the urine and toilet with bleach for 6 hours following a treatment
c) purchase extra bottles of scented disinfectant for daily bathroom cleansing
d) have one bathroom strictly set aside for the client's use for the 8 weeks
3. A male client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a
nursing diagnosis of Risk for injury. Which related-to phrase should the nurse add to complete the
nursing diagnosis statement?
A. Related to visual field deficits
B. Related to difficulty swallowing
C. Related to impaired balance
D. Related to psychomotor seizures

10. A female client is receiving methotrexate (Mexate), 12 g/m2 I.V., to treat osteogenic carcinoma.
During methotrexate therapy, the nurse expects the client to receive which other drug to protect normal
cells?
A. probenecid (Benemid)
B. cytarabine (ara-C, cytosine arabinoside [Cytosar-U])
C. thioguanine (6-thioguanine, 6-TG)
D. leucovorin (citrovorum factor or folinic acid [Wellcovorin])

18. The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A
stand for?
A. Actinic
B. Asymmetry
C. Arcus
D. Assessment

19. When caring for a male client diagnosed with a brain tumor of the parietal lobe, the nurse expects to
assess:
A. short-term memory impairment.
B. tactile agnosia.
C. seizures.
D. contralateral homonymous hemianopia.

24. A male 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?
A. Anticipatory grieving
B. Impaired swallowing
C. Disturbed body image
D. Chronic low self-esteem

30. The nurse is preparing for a female client for magnetic resonance imaging (MRI) to confirm or
rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the
client?
A. The client lies still.
B. The client asks questions.
C. The client hears thumping sounds.
D. The client wears a watch and wedding band.

55. Mr. Miller has been diagnosed with bone cancer. You know this type of cancer is classified as:
A. sarcoma.
B. lymphoma.
C. carcinoma.
D. melanoma.

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.

A client is admitted to an acute care facility with esophageal cancer. The incidence of esophageal cancer
is highest in:
Black males.

A client recently diagnosed with metastatic liver cancer is admitted for hospice care. An acquaintance of
the client calls the nurse to ask how the client is doing. Which response by the nurse is most appropriate?
I'm not permitted to give you any information about his condition for confidentiality reasons; I'll tell him you
were asking about him.

A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with
esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority
to:
Maintaining a patent airway.

A client with metastatic brain cancer is admitted to the oncology floor. According to the Patient Self-
Determination Act of 1991 (PSDA), what is the hospital required to do concerning the execution of
advance directives?
Inform the client or legal guardian of his right to execute an advance directive.

A home care nurse assesses for disease complications in a client with bone cancer. The nurse knows
that bone cancer may cause which electrolyte disturbance?
Hypercalcemia