NCLEX Practice Exam for Oncology 1

Practice Mode

Welcome to your NCLEX Practice Exam for Oncology 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider which screening method is most recommended for women in their late 40s for early detection of breast cancer.

1 / 30

1. Nurse Emily is educating a group of women, with an average age of 48, on the importance of early breast cancer detection. Based on the American Cancer Society guidelines, Nurse Emily should recommend that the women:

💡 Hint

Prioritize safety while handling radioactive materials, using tools designed to minimize exposure.

2 / 30

2. Nurse Sarah is caring for a male patient who is in isolation after receiving an internal radioactive implant for cancer treatment. Two hours into her shift, she discovers that the implant has fallen into the bed linens. What is the first action Nurse Sarah should take?

💡 Hint

Think about which organ is frequently affected by the spread of various types of cancer due to its role in filtering blood.

3 / 30

3. Nurse Paula is caring for a female patient with cancer who is currently undergoing evaluation for possible metastasis. She considers the most common sites where cancer cells may spread. Which of the following is a common site for cancer metastasis?

💡 Hint

Think about what would directly measure the success of an intervention aimed at reducing anxiety in the short term.

4 / 30

4. Nurse Jenna is developing a care plan for Mrs. Harris, who has just received a cancer diagnosis and is understandably anxious about her prognosis. To address the nursing diagnosis of Anxiety related to the threat of death secondary to the cancer diagnosis, which expected outcome would be most appropriate for Mrs. Harris?

💡 Hint

Think about which procedure directly samples tissue to confirm a cancer diagnosis.

5 / 30

5. Nurse Clara is educating Mrs. Andrews, who has found a lump in her breast and is concerned about the possibility of breast cancer. To ensure accurate information, Nurse Clara explains that breast cancer can only be definitively diagnosed through which of the following methods?

💡 Hint

Think about which medication is commonly used as a "rescue" agent to prevent toxicity in normal cells when high-dose methotrexate is given.

6 / 30

6. Nurse Amanda is administering methotrexate (Mexate) to Ms. Collins, a patient undergoing treatment for osteogenic carcinoma. To protect Ms. Collins' normal cells during this chemotherapy, Nurse Amanda anticipates administering which additional medication?

💡 Hint

Look for the option that describes a common symptom of inflammation affecting the mucous membranes in the mouth.

7 / 30

7. Nurse Kelly is monitoring a 36-year-old patient who is undergoing chemotherapy for cancer. During an oral assessment, she is vigilant for signs that may indicate the development of stomatitis. Which of the following findings should raise concern?

💡 Hint

Think about the primary function of the cerebellum and how a tumor in this area might most directly impact the patient's physical safety.

8 / 30

8. Nurse Adam is caring for Mr. Lewis, a patient recently admitted with a cerebellar brain tumor. Concerned about Mr. Lewis's safety, Nurse Adam formulates a nursing diagnosis of Risk for injury. Which "related-to" phrase should Nurse Adam include to accurately complete this nursing diagnosis?

💡 Hint

Consider which finding is a hallmark diagnostic marker for multiple myeloma.

9 / 30

9. Nurse Angela is assisting a 55-year-old woman who is being evaluated for possible multiple myeloma. As part of the diagnostic process, Nurse Angela reviews the findings that are typically associated with this condition. Which of the following would be expected in a patient with multiple myeloma?

💡 Hint

Focus on which option describes an atypical, yet non-cancerous, change in cells that is often associated with abnormal Pap smear results.

10 / 30

10. Nurse Kelly returns to her patient's room to find that Ms. Thompson, a 34-year-old woman, has been reading her chart and is concerned about the term "dysplasia" noted in her abnormal Pap test results. Ms. Thompson asks Nurse Kelly to explain what "dysplasia" means. How should Nurse Kelly respond?

💡 Hint

MRI safety focuses on the presence of metal objects that can be hazardous in the magnetic field.

11 / 30

11. Nurse Jenny is preparing a female patient for an MRI to assess a possible spinal cord lesion. She explains the procedure and ensures the patient is aware of any potential risks during the scan. Which of the following would pose a safety risk to the patient during the MRI?

💡 Hint

Focus on which symptom suggests dehydration, a common side effect of chemotherapy that can lead to fluid and electrolyte imbalances.

12 / 30

12. Nurse Karen is monitoring Mrs. Davis, who is undergoing chemotherapy for breast cancer. During her assessment, Nurse Karen is vigilant for signs of fluid and electrolyte imbalance caused by the treatment. Which finding would indicate that such an imbalance might be present?

💡 Hint

Think about the primary objective of routine self-examinations, which is to notice any new or different findings over time.

13 / 30

13. Nurse Ellen is teaching a group of women the proper technique for performing breast self-examinations. She emphasizes that the main goal of the examination is to detect:

💡 Hint

Focus on the recommended screening methods specifically aimed at detecting prostate cancer.

14 / 30

14. Nurse Jamie is advising a 52-year-old male patient on the best practices for early detection of prostate cancer. To aid in the early identification of prostate cancer, what should Nurse Jamie recommend?

💡 Hint

Consider which condition is directly associated with an increased risk of developing colorectal cancer.

15 / 30

15. Nurse James is conducting an interview with Mr. Thompson, reviewing his past medical history. During the assessment, Nurse James is alert for any preexisting conditions that might suggest a higher risk for colorectal cancer. Which of the following conditions would raise this concern?

💡 Hint

Consider an intervention that can help soothe the mucous membranes and prevent further irritation, particularly before and after meals.

16 / 30

16. Nurse Tom is caring for a patient undergoing chemotherapy, who has developed stomatitis due to decreased nutrition and immunosuppression. The patient's care plan includes interventions to manage the pain associated with stomatitis. Which nursing intervention is most effective for reducing this pain?

💡 Hint

Consider which option is directly linked to a known cause of cervical cancer.

17 / 30

17. Nurse Lisa is reviewing the medical history of Ms. Reynolds, a 41-year-old client whose gynecologist suspects cervical cancer. As Nurse Lisa evaluates the history, she looks for risk factors associated with the disease. Which of the following history findings is considered a significant risk factor for cervical cancer?

💡 Hint

Consider which side effect is most frequently associated with radiation therapy, regardless of the targeted area.

18 / 30

18. Nurse Sarah is preparing Ms. Lopez, a patient with cancer, for her upcoming radiation therapy. Knowing that radiation can cause a common adverse effect regardless of the treatment site, Nurse Sarah advises Ms. Lopez to be prepared for which of the following?

💡 Hint

Focus on an adverse reaction that could indicate a serious and potentially vision-threatening side effect of tamoxifen.

19 / 30

19. Nurse Linda is educating a patient with advanced breast cancer who has been prescribed tamoxifen (Nolvadex). During the session, she stresses the importance of promptly reporting any specific adverse reactions to the medication. Which adverse effect should the patient be instructed to report immediately?

💡 Hint

Focus on the phase of the cell cycle where DNA replication occurs, as this is where antimetabolites typically exert their effects.

20 / 30

20. Nurse Carla is administering hydroxyurea (Hydrea) to Ms. Anderson, a 35-year-old patient diagnosed with ovarian cancer. Understanding the drug’s mechanism of action is crucial for providing patient education and care. Antimetabolites like hydroxyurea interfere with:

💡 Hint

Think about common warning signs related to digestive issues that may indicate a more serious condition, such as cancer.

21 / 30

21. Nurse Rachel is assessing Mr. Davis, who is concerned about his nagging cough, a symptom he learned could be a warning sign of cancer. As she continues the assessment, Nurse Rachel considers other potential warning signs. Which of the following is also recognized as a warning sign of cancer?

💡 Hint

Consider the standard age at which routine mammogram screenings are recommended to begin for early detection of breast cancer.

22 / 30

22. Nurse Laura is leading a breast cancer awareness session at a local community center. During the session, she shares the American Cancer Society's recommendations regarding mammograms. According to these guidelines, women should have mammograms:

💡 Hint

Consider what is crucial to prevent complications related to water and the open stoma, which directly connects to the airway.

23 / 30

23. Nurse Olivia is providing post-operative care instructions to Mr. James, who has recently undergone a laryngectomy for laryngeal cancer. As part of the teaching, Nurse Olivia explains how to properly care for his neck stoma. Which of the following instructions should she emphasize?

💡 Hint

Consider lifestyle modifications that can help reduce the risk of breast cancer, even for those not at high risk.

24 / 30

24. Nurse Emily is providing guidance to a 35-year-old woman who is seeking information about mammograms and breast cancer prevention. The client isn't considered at high risk for breast cancer. What should Nurse Emily advise?

💡 Hint

Focus on interventions that monitor for signs of bleeding, a common risk associated with thrombocytopenia.

25 / 30

25. Nurse Lisa is creating a care plan for Mrs. Parker, a patient newly diagnosed with radiation-induced thrombocytopenia. To manage this condition effectively, which intervention should Nurse Lisa include in the plan?

💡 Hint

Consider the typical timeframe for when bone marrow suppression, characterized by a drop in blood cell counts, becomes clinically apparent after chemotherapy.

26 / 30

26. Nurse Michelle is creating a care plan for a patient receiving floxuridine (FUDR) and is particularly concerned about managing bone marrow suppression, which is a significant dose-limiting adverse effect of the drug. How soon after administering floxuridine does bone marrow suppression typically become evident?

💡 Hint

Think about what characteristic of a mole or skin lesion is often irregular and can indicate a risk of skin cancer.

27 / 30

27. Nurse Julia is teaching a group of patients how to assess their skin for possible signs of skin cancer using the ABCD method. In this method, what does the "A" stand for?

💡 Hint

Consider the importance of monitoring the client's condition before starting potent opioid therapy to ensure safe administration.

28 / 30

28. Nurse John is caring for Mr. Stevens, who is in severe pain and receiving a continuous I.V. infusion of morphine. To ensure safe and effective pain management, which intervention should Nurse John implement?

💡 Hint

Think about the emotional impact of receiving a serious diagnosis like cancer.

29 / 30

29. Nurse Alex is caring for a male patient who presents with intermittent epigastric pain, jaundice, nausea, vomiting, weight loss, and fatigue. After a diagnostic workup, the patient is diagnosed with gallbladder cancer. Considering the patient's diagnosis, which nursing diagnosis would be most appropriate?

💡 Hint

Consider the function of the parietal lobe, which is primarily involved in processing sensory information like touch and spatial awareness.

30 / 30

30. Nurse Alex is assessing Mr. Ford, a patient diagnosed with a brain tumor located in the parietal lobe. Based on the location of the tumor, Nurse Alex expects to find which of the following symptoms?

Exam Mode

Welcome to your NCLEX Practice Exam for Oncology 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Adam is caring for Mr. Lewis, a patient recently admitted with a cerebellar brain tumor. Concerned about Mr. Lewis's safety, Nurse Adam formulates a nursing diagnosis of Risk for injury. Which "related-to" phrase should Nurse Adam include to accurately complete this nursing diagnosis?

2 / 30

2. Nurse Ellen is teaching a group of women the proper technique for performing breast self-examinations. She emphasizes that the main goal of the examination is to detect:

3 / 30

3. Nurse Sarah is caring for a male patient who is in isolation after receiving an internal radioactive implant for cancer treatment. Two hours into her shift, she discovers that the implant has fallen into the bed linens. What is the first action Nurse Sarah should take?

4 / 30

4. Nurse Sarah is preparing Ms. Lopez, a patient with cancer, for her upcoming radiation therapy. Knowing that radiation can cause a common adverse effect regardless of the treatment site, Nurse Sarah advises Ms. Lopez to be prepared for which of the following?

5 / 30

5. Nurse Linda is educating a patient with advanced breast cancer who has been prescribed tamoxifen (Nolvadex). During the session, she stresses the importance of promptly reporting any specific adverse reactions to the medication. Which adverse effect should the patient be instructed to report immediately?

6 / 30

6. Nurse Jamie is advising a 52-year-old male patient on the best practices for early detection of prostate cancer. To aid in the early identification of prostate cancer, what should Nurse Jamie recommend?

7 / 30

7. Nurse Amanda is administering methotrexate (Mexate) to Ms. Collins, a patient undergoing treatment for osteogenic carcinoma. To protect Ms. Collins' normal cells during this chemotherapy, Nurse Amanda anticipates administering which additional medication?

8 / 30

8. Nurse Olivia is providing post-operative care instructions to Mr. James, who has recently undergone a laryngectomy for laryngeal cancer. As part of the teaching, Nurse Olivia explains how to properly care for his neck stoma. Which of the following instructions should she emphasize?

9 / 30

9. Nurse Lisa is reviewing the medical history of Ms. Reynolds, a 41-year-old client whose gynecologist suspects cervical cancer. As Nurse Lisa evaluates the history, she looks for risk factors associated with the disease. Which of the following history findings is considered a significant risk factor for cervical cancer?

10 / 30

10. Nurse Lisa is creating a care plan for Mrs. Parker, a patient newly diagnosed with radiation-induced thrombocytopenia. To manage this condition effectively, which intervention should Nurse Lisa include in the plan?

11 / 30

11. Nurse Clara is educating Mrs. Andrews, who has found a lump in her breast and is concerned about the possibility of breast cancer. To ensure accurate information, Nurse Clara explains that breast cancer can only be definitively diagnosed through which of the following methods?

12 / 30

12. Nurse Alex is assessing Mr. Ford, a patient diagnosed with a brain tumor located in the parietal lobe. Based on the location of the tumor, Nurse Alex expects to find which of the following symptoms?

13 / 30

13. Nurse Tom is caring for a patient undergoing chemotherapy, who has developed stomatitis due to decreased nutrition and immunosuppression. The patient's care plan includes interventions to manage the pain associated with stomatitis. Which nursing intervention is most effective for reducing this pain?

14 / 30

14. Nurse Alex is caring for a male patient who presents with intermittent epigastric pain, jaundice, nausea, vomiting, weight loss, and fatigue. After a diagnostic workup, the patient is diagnosed with gallbladder cancer. Considering the patient's diagnosis, which nursing diagnosis would be most appropriate?

15 / 30

15. Nurse Kelly returns to her patient's room to find that Ms. Thompson, a 34-year-old woman, has been reading her chart and is concerned about the term "dysplasia" noted in her abnormal Pap test results. Ms. Thompson asks Nurse Kelly to explain what "dysplasia" means. How should Nurse Kelly respond?

16 / 30

16. Nurse Julia is teaching a group of patients how to assess their skin for possible signs of skin cancer using the ABCD method. In this method, what does the "A" stand for?

17 / 30

17. Nurse Carla is administering hydroxyurea (Hydrea) to Ms. Anderson, a 35-year-old patient diagnosed with ovarian cancer. Understanding the drug’s mechanism of action is crucial for providing patient education and care. Antimetabolites like hydroxyurea interfere with:

18 / 30

18. Nurse Emily is educating a group of women, with an average age of 48, on the importance of early breast cancer detection. Based on the American Cancer Society guidelines, Nurse Emily should recommend that the women:

19 / 30

19. Nurse Emily is providing guidance to a 35-year-old woman who is seeking information about mammograms and breast cancer prevention. The client isn't considered at high risk for breast cancer. What should Nurse Emily advise?

20 / 30

20. Nurse Kelly is monitoring a 36-year-old patient who is undergoing chemotherapy for cancer. During an oral assessment, she is vigilant for signs that may indicate the development of stomatitis. Which of the following findings should raise concern?

21 / 30

21. Nurse Rachel is assessing Mr. Davis, who is concerned about his nagging cough, a symptom he learned could be a warning sign of cancer. As she continues the assessment, Nurse Rachel considers other potential warning signs. Which of the following is also recognized as a warning sign of cancer?

22 / 30

22. Nurse Michelle is creating a care plan for a patient receiving floxuridine (FUDR) and is particularly concerned about managing bone marrow suppression, which is a significant dose-limiting adverse effect of the drug. How soon after administering floxuridine does bone marrow suppression typically become evident?

23 / 30

23. Nurse James is conducting an interview with Mr. Thompson, reviewing his past medical history. During the assessment, Nurse James is alert for any preexisting conditions that might suggest a higher risk for colorectal cancer. Which of the following conditions would raise this concern?

24 / 30

24. Nurse John is caring for Mr. Stevens, who is in severe pain and receiving a continuous I.V. infusion of morphine. To ensure safe and effective pain management, which intervention should Nurse John implement?

25 / 30

25. Nurse Jenny is preparing a female patient for an MRI to assess a possible spinal cord lesion. She explains the procedure and ensures the patient is aware of any potential risks during the scan. Which of the following would pose a safety risk to the patient during the MRI?

26 / 30

26. Nurse Karen is monitoring Mrs. Davis, who is undergoing chemotherapy for breast cancer. During her assessment, Nurse Karen is vigilant for signs of fluid and electrolyte imbalance caused by the treatment. Which finding would indicate that such an imbalance might be present?

27 / 30

27. Nurse Jenna is developing a care plan for Mrs. Harris, who has just received a cancer diagnosis and is understandably anxious about her prognosis. To address the nursing diagnosis of Anxiety related to the threat of death secondary to the cancer diagnosis, which expected outcome would be most appropriate for Mrs. Harris?

28 / 30

28. Nurse Angela is assisting a 55-year-old woman who is being evaluated for possible multiple myeloma. As part of the diagnostic process, Nurse Angela reviews the findings that are typically associated with this condition. Which of the following would be expected in a patient with multiple myeloma?

29 / 30

29. Nurse Laura is leading a breast cancer awareness session at a local community center. During the session, she shares the American Cancer Society's recommendations regarding mammograms. According to these guidelines, women should have mammograms:

30 / 30

30. Nurse Paula is caring for a female patient with cancer who is currently undergoing evaluation for possible metastasis. She considers the most common sites where cancer cells may spread. Which of the following is a common site for cancer metastasis?