Oncology Nurse Education Questions
(NLE 1-5)

Oncology Nurse Education

1. A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:

a. testosterone therapy during childhood.
b. sexually transmitted disease.
c. early onset of puberty.
d. cryptorchidism.

2. A client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?

a. Liver
b. Colon
c. Reproductive tract
d. White blood cells (WBCs)

3. Oncology nurse education question about a client who seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question?

a. "Do you smoke cigarettes, cigars, or a pipe?"
b. "Have you strained your voice recently?"
c. "Do you eat a lot of red meat?"
d. "Do you eat spicy foods?"

4. A client is undergoing tests for multiple myeloma. Diagnostic study findings in multiple myeloma include:

a. a decreased serum creatinine level.
b. hypocalcemia.
c. Bence Jones protein in the urine.
d. a low serum protein level.

5. During a routine checkup, the nurse assesses a client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?

a. Squamous cell carcinoma
b. Multiple myeloma
c. Leukemia
d. Kaposi's sarcoma

Oncology Nurse Education
Answers and Rationale

1) D
- Cryptorchidism (failure of one or both testes to descend into the scrotum) appears to play a role in testicular cancer, even when corrected surgically. Other significant history findings for testicular cancer include mumps orchitis, inguinal hernia during childhood, and maternal use of diethylstilbestrol or other estrogen-progestin combinations during pregnancy. Testosterone therapy during childhood, sexually transmitted disease, and early onset of puberty aren't risk factors for testicular cancer.

2) A
- The liver is one of the five most common cancer metastasis sites. The others are the lymph nodes, lung, bone, and brain. The colon, reproductive tract, and WBCs are occasional metastasis sites.

3) A
- Persistent hoarseness may signal throat cancer, which commonly is associated with tobacco use. To assess the client's risk for throat cancer, the nurse should ask about smoking habits. Although straining the voice may cause hoarseness, it wouldn't cause hoarseness lasting for 1 month. Consumption of red meat or spicy foods isn't associated with persistent hoarseness.

4) C
- Presence of Bence Jones protein in the urine almost always confirms the disease, but absence doesn't rule it out. Serum calcium levels are elevated because calcium is lost from the bone and reabsorbed in the serum. Serum protein electrophoresis shows elevated globulin spike. The serum creatinine level may also be increased.

5) D
- Kaposi's sarcoma is the most common cancer associated with AIDS. Squamous cell carcinoma, multiple myeloma, and leukemia may occur in anyone and aren't associated specifically with AIDS.

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