Study Points
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Study Points
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- Describe cancer trends in the United States and worldwide.
- Describe risk factors for cancer development and prevention and screening methods.
- Analyze methods used to diagnose the presence of malignancy, including imaging and biopsies, and to stage tumors based on the extent of disease in the body.
- Review cancer treatment modalities, including surgery, radiation, chemotherapy including the safe handling of drugs, vascular access, and selected targeted and immunologic therapies.
- Evaluate complementary, alternative, and integrative therapies and their role in the support of cancer patients.
- Describe ethical considerations important to conducting clinical research with human subjects, the phases of clinical trial studies, and the role of the nurse.
- Recognize the most common side effects associated with cancer treatment, signs and symptoms of oncologic emergencies, and appropriate clinical interventions.
- Describe epidemiologic trends, risk factors, symptoms, detection, and treatment methods and nursing care of solid tumors involving, the lungs, colorectal cancer, breast and prostate, ovarian and endometrial cancers, the kidney and/or bladder, the central nervous system and pancreas, and the skin.
- Describe epidemiologic trends relating to lymphoma, multiple myeloma, and leukemia; diagnosis and treatment methods; and nursing care for each of these hematologic malignancies.
- Identify psychosocial, financial, and structural stressors and coping and support strategies for patients and their families including older patients, multicultural populations, and those of other sexual orientations.
- Discuss the important aspects of survivorship care, palliative care, the hospice model, pain management, and quality-of-life and end-of-life issues.
- Identify select professional issues, including the importance of promoting quality care, patient safety, and performance improvement strategies and the use of technology and innovations.
Cells that are considered to be undifferentiated compared to normal cells in their tissue of origin are those that have done which of the following?
A woman receives the pathology report describing the tissue specimen removed from the lump in her breast. Which of these findings indicate that the tumor is benign?
Damage to DNA can cause genetic changes in all types of body cells. If the genetic change occurs in a sex cell (egg or sperm), which of these effects can occur?
A patient is scheduled for a colonoscopy because she just turned 45 years old. This is an example of which type of prevention?
The nurse conducts a risk assessment of a 41-year-old woman. The purpose of the risk assessment is to select the appropriate
The average risk of developing cancer at a certain age is known as which of the following?
For persons at average risk for developing colorectal cancer, the American Cancer Society recommends a colonoscopy, beginning at 45 years of age, every how many years?
Risk factors for colorectal cancer include which of the following?
Prostate cancer is most common in which group?
Following a lumpectomy for breast cancer, a specimen of tumor tissue is sent to a laboratory for further testing. All of these tests may be performed, EXCEPT:
A computed tomography (CT) scan is ordered to image the lungs of a patient with a nagging cough. The nurse understands the following about a CT scan:
A patient whose cancer was assigned a cancer stage when she was first diagnosed with breast cancer has been treated with a lumpectomy and lymph node dissection. She may be assigned a new cancer stage based on examination of her tumor specimens. What is this type of staging called?
Which of the following is a term used when cancer treatments are scheduled to occur during the same treatment period?
Which type of surgery is often used for cancers of the colon, prostate, and uterus due to its associated reduced blood loss and pain as well as a shortened hospital stay and recovery?
What type of surgery involves the removal of one very thin layer of skin at time and examining it under a microscope to determine the need for further excision?
Prophylactic radiation therapy is used to do which of the following?
Treatment with accelerated fractionation radiation therapy is planned for a patient diagnosed with breast cancer. Which explanation should the nurse provide to the patient about this type of treatment? "Compared to a standard radiation treatment schedule, you will receive
The nurse caring for a patient with an intravaginal radioactive implant should take all of these measures, EXCEPT:
Following tumor debulking, tumors
Doxorubicin has a dose limit to prevent what condition?
All of the following are correct regarding combination chemotherapy, EXCEPT:
BRAF mutations occur most commonly in what type of cancer?
What is the most common acute adverse event associated with CAR-T cell therapy?
In a patient on BRAF/MEK inhibitor therapy experiencing a fever of 38.6 degrees Celsius after initiation of treatment, all of the following should be considered, EXCEPT:
You suspect that your patient developed a catheter-related thrombosis. What diagnostic test should you educate the patient about?
You received an order to infuse doxorubicin using a peripheral intravenous catheter. Based on your knowledge about doxorubicin, you should remember to
All of the following are central venous catheters, EXCEPT:
Stem cells used in syngeneic transplantation are derived from what individual?
What is the commonly used marker for stem cells during collection?
An allogeneic stem cell transplant patient reports erythematous maculopapular skin rash on her neck and shoulders on Day +14. Which of the following statements is TRUE?
Which of the following is not a commonly used scale for patient self-report of pain?
Which of the following is not a risk factor for respiratory depression with opioid medication?
Which situation is a referral to palliative medicine NOT suitable for?
What type of therapy is the combination of conventional medicine with complementary and alternative medicine (CAM) therapies that have been scientifically proven to be safe and effective?
According to the National Health Survey of 2012, what was the most common complementary health approach utilized by adults in the United States?
The Society for Integrative Oncology has published guidelines regarding the use of complementary medicine for patients with what types of cancer?
Your patient has prostate cancer with metastasis to the axial skeleton. He is experiencing significant pain despite narcotics. What is a possible approach to this pain?
Cis Platinum is considered highly emetogenic. Evidence-based guidelines suggest which antiemetic regimen for highly emetogenic chemotherapy regimens?
Your patient with AML is noted to have anemia. What do you expect to be done for this anemia?
Which of these factors is true of Phase 1 cancer clinical trials?
The research nurse in the cancer center is instructing the staff nurses about a new clinical trial that has become available to patients on the unit. The research nurse should tell the staff nurses that the specific details about administering and monitoring the trial interventions can be found in which of these documents?
A person calls the nurse on the bone marrow transplant unit to ask for information about whether his neighbor has received a stem cell transplant. What is the most appropriate response the nurse can make?
Patients with tumor lysis syndrome require IVFs to increase renal perfusion and reduce renal toxicity of the uric acid crystals. What IVFs are contraindicated?
Your patient with lung cancer is complaining of worsening shortness of breath when laying on his back and feeling of chest pressure and pain. What could be going on?
Your patient with acute promyelocytic leukemia has a platelet count of 25,000 and was given 1 unit of platelets for bleeding despite the platelet count. After the platelet infusion, you continue to notice oozing around the bone marrow biopsy site and around the central venous catheter. What could be going on?
How can squamous cell lung cancer present?
Where does lung cancer typically start?
What is a tumor marker?
Mr. J is a 70-year-old patient who has been diagnosed with colorectal cancer. After undergoing first- and second-line treatment for his disease, he has maintained a stable disease for five years. Recently he started complaining of dyspnea on exertion, pain in his hips, and his skin has a yellowish coloration. Test results show he has disease progression with metastatic disease. Mr. and Mrs. J have discussed it and do not want to continue any more treatment. What should your intervention be?
Which stool test may be used to assist in screening for colorectal cancer?
What part of the digestive system is considered colorectal?
Which symptom is important to consider when considering the development of sepsis?
Which lab test could be helpful with prostate cancer screening and management?
Which of the following racial groups has the highest incidence of prostate cancer?
What is not a possible side effect associated with first-line chemotherapies used to treat endometrial cancer?
What is the most common presenting symptom for endometrial cancer?
What is not part of the initial work-up for ovarian cancer in a symptomatic woman?
What is the goal of immunotherapy?
What element exposure can increase your risk of kidney cancer?
All of the following are functions of the kidney, EXCEPT:
Targeted therapy used to treat bladder cancer targets which specific molecules found in these cells?
The inner lining of the bladder is made up of what cell type?
Which procedure can be used in the diagnosis phase to examine the bladder lining and biopsy any abnormalities seen?
Which part of the brain is responsible for balance and coordination of movement?
The Whipple procedure removes which of the following?
Malabsorption is a common problem in persons with pancreatic cancer because of which of the following?
The nurse is teaching the patient about sunscreen application. Which of the following should be included?
Which of the following has been determined to be most helpful in predicting the prognosis of malignant melanoma?
Which one of the following people would have the highest risk of developing skin cancer?
All of the following are the classic triad of symptoms of multiple myeloma, EXCEPT:
Your patient's work-up biopsy shows diffuse large B cell lymphoma (DLBCL) CD20 positive. He is started on RCHOP every 21 days with rituximab (Rituxan). Why was rituximab added to his treatment?
What is the goal of induction chemotherapy for acute leukemias?
Oncology nurses should do which of the following to promote dialogue with patients?
Resolution of the process of grief may be encouraged by which of the following nursing interventions?
What is the most concerning outcome of depression in patients with cancer?
A 77-year-old patient's medication list states lisinopril, baby aspirin, vitamin D, and PRN ondansetron, and oxycodone. When the nurse reviews the medications with the patient, the critical component would be assessment of which of the following?
Which nursing statement demonstrates accurate use of patient education using plain language?
A 72-year-old male patient with esophageal cancer is complaining of generalized severe pain. Which of the following would be appropriate for the nurse to consider when intervening?
A patient expresses to you that she continues to work 40 hours a week while undergoing treatment and meets all of her deadlines, but she feels her manager is trying to push her out. What law could her employer be violating?
What is not a characteristic of the Affordable Care Act?
What should a patient not do if they are transitioning to a new health insurance plan?
Five-year survival rates are highest for which cancer diagnosis for men and women, respectively?
What are the most common side effects of cancer and its treatment?
An advance directive should be completed by what type of individual?
Which of the following serves as a guide to providers for appropriate methods of treatment and care by using the best available evidence?
What is the final step in the DESC communication process?
The nurse refuses to do a time out prior to start of procedure. In a just culture the response to this error would be based on
Mr. S is an 80-year-old male with newly diagnosed pancreatic adenocarcinoma. He presents to the medical oncology team for initial treatment recommendations. Despite having an adequate performance status and organ function for treatment, Mr. S declines treatment and decides to pursue supportive care only. As the clinic nurse involved in his care, you know the care team must respect which ethical principle regarding the patient's care?
A professional registered nurse who provides individualized assistance to patients and families during their cancer journeys is often known as what?
Mrs. W is a 32-year-old woman with newly diagnosed diffuse large B cell lymphoma. She is being admitted to the oncology floor for chemotherapy. As part of the admissions process, you ask her if she has an advance directive in place and document her answer in the medical record. This process is required by which federal law?
- Back to Course Home
- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.