1 . 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)
Undergone an abnormal increase in the number of cells
B)
Entered the resting, non-dividing state
C)
Lost the specialized function and life span of the normal cells
D)
Reached maturity and are no longer capable of reproduction
2 . 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?
3 . 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)
The genetic change is not passed on by the affected parent.
B)
The genetic change is passed on to every cell in the affected parent's offspring.
C)
This type of genetic change is responsible for most cases of cancer.
7 . 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?
10 . 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)
Oncotype DX
B)
Hormone-receptor assay
C)
Prostate-specific antigen (PSA) levels
D)
Human epidermal growth factor receptor 2 (HER2) overexpression
11 . 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)
A CT scan uses x-rays to generate cross-sectional "slices" of the body.
B)
A CT scan is contraindicated for someone with a cardiac pacemaker.
C)
The CT scanner uses magnetic waves to create images of the body.
D)
The CT scanner uses the same amount of radiation as does an x-ray.
12 . 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?
14 . 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?
15 . 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?
17 . 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
A)
a smaller total dose of radiation in a shorter period of time."
B)
the same total radiation dose divided into larger doses given once a day or less often."
C)
a higher total dose of radiation over the same time period."
D)
two radiation treatments a day over a shorter time period but the total dose will be the same."
24 . 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:
A)
A smaller total dose of radiation in a shorter period of time
B)
The same total radiation dose divided into larger doses given once a day or less often
C)
A higher total dose of radiation over the same time period
D)
Two radiation treatments a day over a shorter time period but the total dose will be the same.
26 . You received an order to infuse doxorubicin using a peripheral intravenous catheter. Based on your knowledge about doxorubicin, you should remember to
A)
maintain a good blood return.
B)
use a smaller-gauge, steel needle.
C)
access a vein below the vein used for venipuncture.
D)
administer the vesicant as quickly as possible to decrease the risk of extravasation.
30 . 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?
A)
Skin rash is the earliest and most common clinical feature of acute graft versus host disease.
B)
The skin rash is consistent with contact dermatitis and should resolve after using hypoallergenic laundry detergent.
C)
The integumentary system is least affected by GVHD.
34 . 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?
37 . 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?
38 . Cis Platinum is considered highly emetogenic. Evidence-based guidelines suggest which antiemetic regimen for highly emetogenic chemotherapy regimens?
41 . 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?
42 . 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?
A)
"I'll review his chart and get back to you shortly. Give me your phone number."
B)
"I can't give out that information because it would violate the GINA act."
C)
"I'll see if the patient has designated you as someone who can receive their health information."
D)
"I'll check the meeting notes of the Data and Safety Monitoring Board."
43 . Patients with tumor lysis syndrome require IVFs to increase renal perfusion and reduce renal toxicity of the uric acid crystals. What IVFs are contraindicated?
44 . 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?
45 . 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?
A)
Antibodies to platelets
B)
Disseminated intravascular coagulation
C)
Thrombotic thrombocytopenia purpura
D)
This is very normal in patients with leukemia and nothing to worry about.
49 . 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?
A)
Listen to their discussion of the decision.
B)
Accept their right to stop treatment and begin education on palliative care and end-of-life options.
C)
Encourage them to seek a second opinion on better treatment options available. Tell them about the treatment regimen he will take and schedule the first treatment. They just need time to think it through.
D)
Ask the physician to come back in and discuss treatment options. It is not like Mr. J to give up.
71 . 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?
76 . 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?
78 . 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?
79 . 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?
A)
Americans with Disabilities Act (ADA)
B)
Family and Medical Leave Act (FMLA)
C)
Social Security
D)
Medicare
SPECIAL CONCERNS IN THE CARE OF THE CANCER PATIENT
88 . 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)
Nonmaleficence
B)
Beneficence
C)
Veracity
D)
Autonomy
COMMUNICATION TECHNOLOGY AND PROFESSIONAL ISSUES IN ONCOLOGY
89 . A professional registered nurse who provides individualized assistance to patients and families during their cancer journeys is often known as what?
A)
Patient advocate
B)
Nurse navigator
C)
Care manager
D)
Oncology clinic nurse
COMMUNICATION TECHNOLOGY AND PROFESSIONAL ISSUES IN ONCOLOGY
90 . 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?
A)
Patient Self Determination Act of 1990
B)
21st Century Cures Act
C)
Patient Navigator Outreach and Chronic Disease Act of 2005
D)
National Defense Authorization Act of 1996
COMMUNICATION TECHNOLOGY AND PROFESSIONAL ISSUES IN ONCOLOGY
