Title COMPRE - POST TEST - ONCO (Mr. Dulay) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | 1 COMPREHENSIVE PHASE POST TEST ONCOLOGIC NURSING Prepared By: Mr. David Audrey H. Dulay, PHRN, USRN NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. When caring for a client with cervical cancer who has an internal radiation implant, you would observe which principles? Select all that apply. I. Limiting the time with the client to 1 hour per shift II. Keeping pregnant persons out of the client’s room. III. Placing the client in a private room with a private bath. IV. Wearing a lead shield when providing direct client care. V. Removing the dosimeter film badge when entering the client’s room. VI. Allowing individuals younger than 16 years old in the room as long as they are 6 feet away from the client. A. II, III, V B. I, V, VI C. II, III, IV D. I, II, VI 2. While giving care to a client with cervical cancer who has an internal cervical radiation implant, you found the implant in the bed. The nurse would take which actions? I. Call the primary health care provider (PHCP). II. Reinsert the implant into the vagina. III. Pick up the implant with gloved hands IV. Flush the implant down the toilet. V. Pick up the implant with long-handled forceps VI. Encourage client to lie still VII. Document VIII. Instruct client to stay away from the implant IX. Place it in a lead container. A. II, III, IV, VII, VIII, B. I, II, IV, V, XI C. IV, VI, VII, VIII, IX, D. I, V, VI, VII, IX, 3. As a confident nurse, arrange the actions from your answer on the previous number from initial to final step. A. III, IV, VIII, VII, II B. I, II, IV, V, XI C. VI, IV, IX, VII, VIII D. VI, V, IX, I, VII 4. You are caring for a client with cancer who is complaining of acute pain. The most appropriate determination of the client’s pain needs to include which assessment? A. The client’s pain rating B. Nonverbal cues from the client C. The nurse’s impression of the client’s pain D. Pain relief after appropriate nursing intervention 5. You are caring for a client who is postoperative following a pelvic exenteration, and the surgeon changes the client’s diet from NPO (nothing by mouth) status to clear liquids. You would check which priority data before administering the diet? A. Bowel sounds B. Ability to ambulate C. Incision appearance D. Urine specific gravity 6. You are instructing a client to perform a testicular self- examination (TSE). You would provide the client with which information about the procedure? A. To examine the testicles while lying down B. That the best time for the examination is after a shower C. To gently feel the testicle with one finger to feel for a growth D. That TSEs should be done at least every 6 months 7. A gastrectomy is performed on your client with gastric cancer. In the immediate postoperative period, you note bloody drainage from the nasogastric tube. You would take which most appropriate action? A. Measure abdominal girth. B. Irrigate the nasogastric tube. C. Continue to monitor the drainage. D. Notify the surgeon. 8. You are reviewing the history of your client with bladder cancer. You expect to note documentation of which most common sign or symptom of this type of cancer? A. Dysuria B. Hematuria C. Urgency on urination D. Frequency of urination 9. During the admission assessment of your client with advanced ovarian cancer, you recognize which manifestation is typical of the disease? A. Diarrhea B. Hypermenorrhea C. Abnormal bleeding D. Abdominal distention * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH
TOP RANK REVIEW ACADEMY, INC. Page 2 | 1 10. Your client is resuming a diet after a Billroth II procedure performed because of gastric carcinoma tumor. To minimize complications associated with eating, which actions would you teach the client? Select all that apply. I. Laying down after eating II. Eating a diet high in protein III. Drinking liquids with meals IV. Eating six small meals per day V. Eating concentrated sweets only between meals A. I, II, IV B. I, II, V C. I, III, V D. I, III, IV 11. Your client diagnosed with renal cancer is being treated preoperatively with radiation therapy. You evaluate that the client has an understanding of proper care of the skin over the treatment field when the client makes which statement? A. "I'll be able to wash the ink marks off my skin after the initial treatment." B. "Direct sunlight is something I'll have to really avoid exposing my skin to. C. "I'll have my family bring me some unscented lotion to keep my skin soft. D. "Wearing snug fitting clothing over the skin site will help provide good support." 12. You are caring for a client returning to the unit after a right radical mastectomy to treat breast cancer includes which intervention in the nursing plan of care for your client? A. Takes blood pressures in the right arm only B. Draws serum laboratory samples from the right arm only C. Positions the client supine and flat with the right arm elevated on a pillow D. Checks the right posterior axilla area when assessing the surgical dressing 13. A client, from room 100, had a colon resection made necessary by a cancer diagnosis. A nasogastric tube was in place when a regular diet was brought to the client's room. The client did not want to eat solid food and asked that the primary health care provider be called. The nurse insisted that the solid food was the correct diet. The client ate and subsequently required additional surgery as a result of complications. The determination of negligence is based on which premise in this situation? A. The nurse's persistence B. A duty existed and it was breached C. Not notifying the primary health care provider D. The dietary department sending the wrong food 14. To ensure that the client diagnosed with cancer has adequate and safe pain control, which plan would you implement? A. Rely primarily on prescription and over-the-counter medications to relieve pain. B. Keep a baseline level of pain so that the client does not become sedated or addicted. C. Try multiple medication modalities for pain relief to get the maximum pain relief effect. D. Start with low doses of medication and gradually increase to a safe dose that relieves pain. 15. A client receiving chemotherapy to treat lung cancer has an extremely low white blood cell count and is immediately placed on neutropenic precautions that include a low-bacteria diet. Which food items is the client now allowed to consume? Select all that apply. I. Raw celery II. Fresh apple III. Italian bread IV. Tossed salad V. Baked chicken VI. Well-cooked cheeseburger A. I, II, IV B. III, V, VI C. I, III, V D. II, IV, VI 16. The client, from room 101, with a diagnosis of bladder cancer is to undergo weekly intravesical chemotherapy for the next 8 weeks. Which statement by the client would indicate to the nurse that the client understands how to manage urine as a biohazard? A. Void into a bedpan and then empty the urine into the toilet. B. Purchase extra bottles of scented disinfectant for daily bathroom cleansing. C. Have one bathroom strictly set aside for the client's use for the next 8 weeks. D. Disinfect the toilet with household bleach after voiding for 6 hours after a treatment. 17. You are providing information to a client about performing a breast self-examination (BSE). You determine that the client needs further teaching if the client makes which statements? Select all that apply. I. "The BSE must be done monthly. II. "Lumps in my armpit area are normal. III. I can palpate my breasts with soapy water while showering. IV. I should perform the examination on the day that I start my period. V. "When I squeeze my nipples, I should expect to note some discharge. VI. "I should stand before a mirror and inspect each breast for anything unusual. A. II, IV, V B. I, III, VI C. III, IV, V D. IV, V, VI
TOP RANK REVIEW ACADEMY, INC. Page 3 | 1 18. The nurse is reviewing the preoperative teaching plan for a client scheduled for a radical neck dissection for laryngeal cancer. Which part of the nursing care plan would the nurse initially focus on? A. The financial status of the client B. Postoperative communication techniques C. Information given to the client by the surgeon D. The client's support systems and coping behaviors 19. A patient asked you for clarifications on how benign differs from malignant tumors. You are correct if you state? A. Benign tumors usually cause death B. Malignant tumors resemble their cells of origin C. Benign tumors usually spread to other organs D. Malignant tumors cause extensive tissue damage 20. Your uncle would like to clarify the information given to him by his doctor regarding his prostate cancer. If he is advised to undergo a screening test for liver metastasis, you are correct to tell him that this is an example of what levels of prevention? A. Primary prevention B. Secondary preventions C. Tertiary prevention D. Quaternary prevention 21. In performing cryosurgery for a patient with cervical cancer, which statement is correct if said by your patient? Select all that apply I. “I will consult my physician if I have a temperature of 102 degrees Fahrenheit” II. “I must refuse my husband’s invitation for coitus for several weeks” III. “I may experience cramping after my procedure” IV. “I will be put to sleep until the surgery is finished” A. I only B. I and II C. I, II, III D. All of the above 22. After a TURP, you will need clarification of concepts if you state that? A. A continuous bladder irrigation will be given so you prepare a two-way catheter B. 2400 to 3000 mL of fluid each day is advised C. Small clots and tissue debris may be seen for several days D. You will need to avoid spicy foods 23. After a pneumonectomy, you would position the client on A. High fowler’s position B. Laterally with resected side up C. Laterally with resected side down D. Supine with legs elevated 24. For esophagogastroduodenoscopy to diagnose gastric cancer, what responsibilities do you have? Select all that apply I. Administer anesthetic gargle immediately after client wakes up after the surgery II. Reinforce that client must be accompanied home after procedure III. Administer glucagon to reduce secretions and atropine to relax gastric muscles IV. Position client in left lateral for the surgery A. I and III B. I and II C. II and IV D. III and IV 25. After gastric resection, what finding would you expect? Select all that apply I. Switch of diet from NPO to soft foods like mashed potato II. Bloody drainage will be observed in nasogastric suction III. NPO will be expected until flatus is assessed IV. Client will be advised to lie down for 20-30 minutes postprandial A. I, II, III B. II, III IV C. I, III, IV D. I, II, IV 26. As an advocate of bladder cancer prevention, you would primarily advise your family to, except? A. Urinate every 2 hours B. Avoid smoking C. Drink at least 8 glasses of water a day D. Avoid soft drinks and caffeine 27. When a skin cancer originates from birthmarks or moles, it is termed as? A. Basal cell carcinoma B. Melanoma C. Squamous cell carcinoma D. None of the above 28. To prevent skin cancers probabilities this summer, you would advise your patients to do which of the following, except? Select all that apply I. Reapply sunscreen every 2 hours II. Schedule your outdoor activities from 1 pm to 4 pm III. Be confident and wear sleeveless crop tops on the street IV. Wear sunscreen with SPF 15 or higher V. Reapply sunscreen 15 minutes after swimming A. I, III, IV B. II, III, IV C. III, IV, V D. II, III, V 29. Post surgical excision of skin cancer in the perioral area, you would instruct the patient to? Select all that apply I. Perform face exercises at least once a day II. Drink directly from a glass III. Utilize a straw IV. Limit talking V. Schedule a dental workout immediately A. I, III, V B. III, IV