1. Teresa came to the clinic for cancer screening.

Which of the following

reported signs/symptoms would indicate further assessment?
*
0/1
a. Bowel movement twice a day for the past 5 years
b. Mobile rounded breast mass occurring before menstruation
c. Mole that has become larger in the past four weeks
d.Lingering cough one week after a cold

Correct answer
c. Mole that has become larger in the past four weeks

2. You are currently preparing medications for Joanna, a patient with cancer.
An alkylating agent was prescribed. Which of the following should you expect
to be written in the medication order?
*
1/1
a. Doxorubicin (Adriamycin)
b. Methotrexate (Folex)
c. Cyclophosphamide (Cytoxan)

d. Tamoxifen (Nolvadex)

3. Regina shall undergo her chemotherapy session today. She is concerned

about the nausea and vomiting after chemotherapy. When should the nurse
administer anti-emetics?
*
1/1
a. With the administration of chemotherapy
b. 30 minutes before chemotherapy

c. Immediately after nausea begins

d. When therapy is completed

4. Greg shall receive chemotherapy tomorrow. As a part of the health

teaching for post-chemo care, which of the following should not be included?
*
1/1
a. Use of normal saline in buccal mucosa
b. Minimizing intrusive procedures
c. Using manual razor

d. Avoiding crowds and contact sports

5. Carcinogenesis is irreversible in which stage?

*
0/1
a. Progression
b. Promotion
c. Initiation

d. Regression

Correct answer
a. Progression

6. The breast biopsy result of Karen, a 56 year old with a suspicious breast
mass reveals dysplasia. Dysplasia is a pattern of cell growth that can best be
defined as:
*
1/1
a. Normal cell that occurs during skin regeneration
b. Bizarre cell growth that results in different cell sizes and shapes

c. Increased number of cells of a tissue, which then become enlarged

d. Malignant and lacking in normal cellular characteristics

7. A testicular cancer screening program was launched. Which of these

groups should be the target for the program?
*
0/1
a. Day care providers
b. Senior citizens
c. Middle - aged men
d. High - school students

Correct answer
d. High - school students

8. Mariam had a breast biopsy performed due to a suspicious mass on the

upper outer quadrant of her left breast. The biopsy classifies the lesion
according to the TNM staging system as follows: TIS, N0, M0. What does this
classification mean?
*
1/1
a. No evidence of primary tumor, no abnormal regional lymph nodes, and no
evidence of distant metastasis
b. Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant
metastasis

c. Can’t assess tumor or regional lymph nodes and no evidence of metastasis

d. Carcinoma in situ, no demonstrable metastasis of the regional lymph nodes, and
ascending degrees of distant metastasis

9. Helena is being treated with teletherapy. Immediately following the

radiation therapy, Helena is:
*
1/1
a. Given a complete bath
b. Placed on isolation for 6 hours
c. Considered radioactive for 24 hours
d. Free from radiation

10. Helena complains of fatigue and body malaise. Which of the following
nursing interventions would be most helpful for Helena?
*
1/1
a. Refer her immediately.
b. Reassure that these feelings are just normal and nothing to worry about
c. Tell her that these feelings are brought about by her thoughts about her illness
d. Help her plan her daily activities
11. After the radiation therapy, Helena developed thrombocytopenia. As a
nurse you should observe the following symptoms:
*
1/1
a. Petechiae, ecchymosis, epistaxis

b. Weakness, easy fatigability, pallor

c. Headache, dizziness, blurred vision
d. Severe sore throat, bacteremia, hepatomegaly

12. The nurse evaluates Helena’s understanding of the precaution she must
take to avoid potential complications of having thrombocytopenia. Helena is
correct when she states:
*
1/1
a. “I will take rest periods to conserve my energy.”
b. “I will brush my teeth frequently to prevent infection.”
c. “I will avoid taking aspirin.”¬

d. “I will report to the nurse if I feel like I am having fever.”

13. You are currently supervising a student nurse in the cancer unit. You
warned them about adverse events during chemo drug administration. One
adverse event is when chemotherapeutic agents are deposited into the
subcutaneous tissue and caused tissue necrosis and damage to underlying
tendons, nerves, and blood vessels. This is termed as:
*
1/1
a. Extravasation

b. Infiltration
c. Infection
d. Tissue Ulceration
14. Morris just finished her chemotherapy session today. Which of the
following side effects would you expect the most?
*
1/1
a. Myelosuppression
b. Stomatitis
c. Nausea and vomiting

d. Alopecia

15. Nurse Paula is currently preparing for a 5-fluorouracil (5-FU) infusion. You
know that this is under which of the following chemotherapeutic agent
classification?
*
1/1
a. Alkylating agents
b. Antitumor antibiotics
c. Plant Alkaloids
d. Antimetabolites

16. Earliest sign of skin reaction to radiation therapy is:

*
1/1
a. Erythema

b. Melanoma
c. Atrophy
d. Vitiligo

17. You are an oncology nurse. During your rounds, a patient asked you why
you are wearing a film badge. You answer that it is used to:
*
1/1
a. Identify the nurse who is assigned to care for such a patient
b. Prevent radiation-induced sterility
c. Protect the nurse from radiation effects
d. Measure the amount of exposure to radiation
18. Glenda is already in the maintenance phase of her chemotherapy. She is
experiencing alopecia. Which of the following actions would best indicate
that the client is meeting the goal of improved body image and self-esteem?
*
1/1
a. The client requests that her family bring her makeup and wig

b. The client begins to discuss the future with her family

c. The client reports less disruption from pain and discomfort
d. The client cries openly when discussing her disease

19. The procedure that involves the removal of the entire breast tissue
including the nipple-areola complex and a portion of the axillary lymph nodes
is termed as:
*
1/1
a. Simple mastectomy
b. Radical mastectomy
c. Modified radical mastectomy

d. Total mastectomy

20. Veronica came to an oncologist due to a suspicious breast mass. Which of

the following signs indicate an advanced malignancy of the breast?
*
1/1
a. Absence of nipple discharge
b. Enlargement of the areola
c. Engorgement of the breast
d. Dimpling in the breast

21. Belinda asked you when should she perform a breast self examination.
You reply that:
*
0/1
a. BSE is performed same date each month

b. BSE is performed monthly every morning after a warm bath or shower

c. BSE is performed 7 days after menstruation
d. BSE is performed when there is an urge

Correct answer
c. BSE is performed 7 days after menstruation

22. Which of the following is the recommended exercise after mastectomy?

*
1/1
a. Bungee jumping
b. Badminton
c. Arm exercises

d. Bowling

23. Tunying was diagnosed with laryngeal cancer. Which of the following
factors most likely predisposed Tunying to this disease?
*
0/1
a. Smoking and alcoholism
b. Age
c. Gender
d. Familial predisposition

Correct answer
a. Smoking and alcoholism

24. Tunying underwent laryngectomy, which of the following position should

the nurse place the post-op patient?
*
0/1
a. Semi-Fowler
b. Supine with head flat on bed
c. Supine with pillow
d. Side lying

Correct answer
a. Semi-Fowler

25. In order to communicate with Tunying, you would allow him to use:
*
0/1
a. Magic Slate
b. Picture board
c. Call bell
d. Hand gestures

Correct answer
a. Magic Slate

26. Diana H sustained a broken right hip after slipping in the bathroom. She
shall undergo an X-ray of broken right hip. To maintain patient’s position
during radiation exposure which of the following is NOT recommended?
*
0/1
a. Application of traction device

b. Holding the patient in place during the exposure.

c. Use of sling.
d. Use of sandbag.

Correct answer
b. Holding the patient in place during the exposure.

27. During personnel orientation, a new nurse asked you about radiation
exposure. Which of the following parts of the body is at greatest risk of
radiation exposure for personnel within with 6 feet range of radiation?
*
0/1
a. neck, face and hands
b. head, neck and hands
c. hand, chest and abdomen
d. head, neck and feet

Correct answer
b. head, neck and hands

28. You are currently orienting a new nurse. You remind her about the
guidelines for radiation safety. These guidelines were based on:
*
1/1
a. shielding, distance and time

b. distance, time and sex

c. clothing, distance and time
d. Time, clothing and age.

29. Wellinson was admitted in the unit with a working diagnosis of Hodgkin’s
Disease. Which of the following would you expect to occur first in the patient
history?
*
0/1
a. Cervical lymphadenopathy
b. Inguinal lymphadenopathy
c. Axillary lymphadenopathy

d. Mediastinal lymphadenopathy

Correct answer
a. Cervical lymphadenopathy

30. You would expect that Wellinson is in this age range because the highest
incidence of the disease is in:
*
1/1
a. Young adults

b. Middle-aged adults
c. Elderly
d. Children

31. You are currently teaching a group of student nurses about Hodgkin's
disease. The nurse determines that further education is needed if a nursing
staff member states that which of the following is a characteristic of the
disease?
*
1/1
a. Presence of Reed Sternberg cells
b. Involvement of lymph node, spleen and liver
c. Occurs most often in older clients

d. Prognosis depends on the stage of the disease

32. Upon reviewing Wellinson’s chart, you would expect which of the
following?
*
1/1
a. Night sweats

b. Severe lymph node pain

c. Weight gain of 2 kg
d. Headache with minor visual changes

33. Marino S came to the clinic for colon cancer screening. Which of the
following signs and symptoms would lead you to further assess the patient?
*
1/1
a. constipation, ascites and mucus in the stool
b. diarrhea, Heartburn and eructation
c. blood in the stools, anemia, and "pencil-shaped" stools

d. anorexia, hematemesis, and increased peristalsis

34. Xander D has an abdominoperineal resection and returns to the unit with
a single-barreled sigmoid colostomy. Which of the following would the nurse
expect following this surgical procedure?
*
0/1
a. Continuous liquid stool until the client is discharged from the hospital
b. Regulation of the colostomy

c. Sanguinous drainage from the stoma mixed with feces.

d. Reconnection of the bowel after a short time.

Correct answer
c. Sanguinous drainage from the stoma mixed with feces.

35. You inspect the colostomy stoma and finds the tissue is moist with a
slight bluish color. This would best be interpreted as which of the following?
*
0/1
a. Early sign of necrosis.
b. Normal tissue (postoperative trauma).
c. Infection.

d. Internal hemorrhage.

Correct answer
a. Early sign of necrosis.

36. Yuri was diagnosed to have bladder cancer. Which of the following parts
of the patient history most likely contributed to its development?
*
1/1
a. family history
b. cigarette smoking

c. low-bulk diet
d. stress

37. Which of the following clinical findings would you expect the MOST from
Yuri?
*
0/1
a. Dysuria with hematuria

b. Gross painless hematuria

c. Palpable tumor
d. Melena

Correct answer
b. Gross painless hematuria

38. Mayang G develops myelosuppression after the intensive phase of her

chemotherapy. Which instructions should the nurse not include in the client’s
discharge teaching plan?

I. Avoid people who have recently received MMR.

II. Avoid activities that may cause bleeding

III. Increase intake of fresh fruits and

vegetables

IV. Avoid crowded places

*
0/1
a. 1 and 3

b. 3 only
c. 1, 2 and 4
d. 2 and 4 only

Correct answer
b. 3 only

39. Vico B who is receiving 5 - Fluorouracil develops stomatitis. Which of the

following nursing interventions for the client should be excluded?
*
1/1
a. Normal saline gargle every 2 hours
b. Taking hot liquids
c. Soft, bland diet
d. Topical anesthetics before meals

40. Rogelio A underwent cystectomy with ileal conduit. The nurse is correct
that the normal urine from the stoma of the patient contains:
*
1/1
a. pus
b. oil
c. Mucus

d. Gas

41. You are currently conducting a cancer awareness program in a barangay.

You include the following key messages for early detection of cancer except:
*
0/1
a. Monthly BSE for women as early as adolescence
b. Guaiac stool examination on yearly basis for adults over 50 years
c. Pap smear only among sexually - active women

d. Mammogram taken for women over 40 years of age

Correct answer
d. Mammogram taken for women over 40 years of age

42. Leonardo A came in due to difficulty urinating. A prostate exam is

warranted. What equipment will be necessary for the exam?
*
1/1
a. Tongue depressor and specimen cup
b. Lubricant and gloves

c. Penlight and stethoscope

d. Tuning fork and reflex hammer
43. Charla F underwent sealed radiation therapy for cancer of the cervix.
Which statement by the client indicates to the nurse that the patient
understands the precautions necessary?
*
1/1
a. “I should be ambulating every 2h.”
b. “My 4 year old child should not come to visit me while I’m receiving treatment.”

c. “I will try not to sneeze, because the force might make me expel the application.”
d. “I know that my primary nurse has to wear dosimeter badge but they are not
necessary for anyone else who comes in here.”

44. Cass just received an internal radioactive implant. 2 hours later, the
nurse discovers the implant in the bed linens. What should the nurse do first?
*
1/1
a. Stand as far away as possible and call for help
b. Pick up the implant with long handled forceps and place it in a lead-lined
container

c. Leave the room and notify the radiation therapy department immediately
d. Put the implant back in place using forceps and shield for protection and call for
help

45. Pia will undergo teletherapy. She verbalized her many concerns to the
nurse. Which of the following is a correct response to her concerns?
*
1/1
a. “You will be placed on low protein diet.”
b. “You will not be radioactive because of the treatment.”

c. “An implant will be inserted in your body cavity”

d. “Only your body fluids are radioactive.”

46. Benedict was prescribed with hydroxyurea. Hydroxyurea is a known

antimetabolite. The mechanism of action of anti-metabolites interferes with:
*
0/1
a. Cell division or mitosis during the M phase of the cell cycle
b. Cellular processes during the S phase of the cell cycle
c. Non-specific phase of the cell cycle
d. One or more stages of RNA synthesis, DNA synthesis or both

Correct answer
b. Cellular processes during the S phase of the cell cycle

47. Queenie C was prescribed with doxorubicin. What is important to tell the
client?
*
1/1
a. Report symptoms of hematuria
b. Increase oral fluids
c. Observe patient for staggering balance
d. Report symptoms of dyspnea

48. A client with cancer is receiving Methotrexate. The rationale for

administering Leucovorin to a client receiving Methotrexate is to:

I. Treat anemia

II. Create a synergistic effect

III. Increase the number of white blood cells

IV. Reduces fatigue and weakness

*
1/1
a. Except 4
b. 1 and 2 only
c. 1 and 4 only

d. 1 only

49. Loyda was worried about her upcoming chemotherapy session. She asks
the nurse if chemotherapy affects all cells equally. Which of the following
statements is correct?
*
1/1
a. Faster growing cells are less susceptible to chemotherapy
b. Non-dividing cells are more susceptible to chemotherapy
c. Faster growing cells are more susceptible to chemotherapy

d. Slower growing cells are more susceptible to chemotherapy

50. Maya X complains of extreme fatigue and weakness after her 1st week of
Vinblastine therapy. Which of the following responses by the nurse would
best reassure him?
*
1/1
a. "These symptoms usually result from the therapy; however, we will continue to
monitor your laboratory and clinical status."

b. "These symptoms are part of your disease and can't be helped."

c. "Don't be concerned about these symptoms. Everybody feels this way after
having chemotherapy."
d. "Are you complaining now? You need this treatment, right?