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COMPREHENSIVE PHASE WORKBOOK ONCOLOGY NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. Teresa came to the clinic for cancer screening. Which of the following reported signs/symptoms would indicate further assessment? 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 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? 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? 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? 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? A. Progression B. Promotion C. Initiation D. Regression 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: 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? A. Day care providers B. Senior citizens C. Middle - aged men 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? 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: 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? 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: 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: 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: 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? A. Myelosuppression B. Stomatitis C. Nausea and vomiting D. Alopecia TOP RANK REVIEW ACADEMY, INC. Page 1 | 4


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