Nurse Test Questions about Cancer
(NLE 6-10)

Nurse Test Questions about Cancer

6. A client in the final stages of terminal cancer tells his nurse: "I wish I could just be allowed to die. I'm tired of fighting this illness. I have lived a good life. I only continue my chemotherapy and radiation treatments because my family wants me to." What is the nurse's best response?

a. "Would you like to talk to a psychologist about your thoughts and feelings?"
b. "Would you like to talk to your minister about the significance of death?"
c. "Would you like to meet with your family and your physician about this matter?"
d. "I know you are tired of fighting this illness, but death will come in due time."

7. Which client has the highest risk of ovarian cancer?

a. 30-year-old woman taking oral contraceptives
b. 45-year-old woman who has never been pregnant
c. 40-year-old woman with three children
d. 36-year-old woman who had her first child at age 22

8. An oncology nurse educator is speaking to a women's group about breast cancer. Nurse test questions and comments from the audience reveal a misunderstanding of some aspects of the disease. Various members of the audience have made all of the following statements. Which one is accurate?

a. Mammography is the most reliable method for detecting breast cancer.
b. Breast cancer is the leading killer of women of childbearing age.
c. Breast cancer requires a mastectomy.
d. Men can develop breast cancer.

9. During a breast examination, which finding most strongly suggests that the client has breast cancer?

a. Slight asymmetry of the breasts
b. A fixed nodular mass with dimpling of the overlying skin
c. Bloody discharge from the nipple
d. Multiple firm, round, freely movable masses that change with the menstrual cycle

10. The nurse is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:

a. breast self-examination.
b. mammography.
c. fine needle aspiration.
d. chest X-ray.

Nurse Test Questions:
Answers and Rationale

6) C
- The nurse has a moral and professional responsibility to advocate for clients who experience decreased independence, loss of freedom of action, and interference with their ability to make autonomous choices. Coordinating a meeting between the physician and family members may give the client an opportunity to express his wishes and promote awareness of his feelings as well as influence future care decisions. All other options are inappropriate.

7) B
- The incidence of ovarian cancer increases in women who have never been pregnant, are over age 40, are infertile, or have menstrual irregularities. Other risk factors include a family history of breast, bowel, or endometrial cancer. The risk of ovarian cancer is reduced in women who have taken oral contraceptives, have had multiple births, or have had a first child at a young age.

8) D
- The correct nurse test questions answer is: Men can develop breast cancer, although they seldom do. The most reliable method for detecting breast cancer is monthly self-examination, not mammography. Lung cancer causes more deaths than breast cancer in women of all ages. A mastectomy may not be required if the tumor is small, confined, and in an early stage.

9) B
- A fixed nodular mass with dimpling of the overlying skin is common during late stages of breast cancer. Many women have slightly asymmetrical breasts. Bloody nipple discharge is a sign of intraductal papilloma, a benign condition. Multiple firm, round, freely movable masses that change with the menstrual cycle indicate fibrocystic breasts, a benign condition.

10) C
- Fine needle aspiration and biopsy provide cells for histologic examination to confirm a diagnosis of cancer. A breast self-examination, if done regularly, is the most reliable method for detecting breast lumps early. Mammography is used to detect tumors that are too small to palpate. Chest X-rays can be used to pinpoint rib metastasis.

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