Nội dung text WORKBOOK - ONCO (KEY)
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. 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? A. Early sign of necrosis. B. Normal tissue (postoperative trauma). C. Infection. D. Internal hemorrhage. 36. Yuri was diagnosed to have bladder cancer. Which of the following parts of the patient history most likely contributed to its development? 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? A. Dysuria with hematuria B. Gross painless hematuria C. Palpable tumor D. Melena 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 A. 1 and 3 B. 3 only C. 1, 2 and 4 D. 2 and 4 only 39. Vico B who is receiving 5 - Fluorouracil develops stomatitis. Which of the following nursing interventions for the client should be excluded? 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: 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: 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 42. Leonardo A came in due to difficulty urinating. A prostate exam is warranted. What equipment will be necessary for the exam? 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? 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? 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? 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: 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 47. Queenie C was prescribed with doxorubicin. What is important to tell the client? 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 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? 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? 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." TOP RANK REVIEW ACADEMY, INC. Page 3 | 4