CANCER AND ONCOLOGY NURSING NCLEX EXAM 2 50 CORRECT
QUESTIONS AND ANSWERS WITH RATIONALES GUARANTEED
PASS | RATED A+
1. A 32-year-old woman meets with the nurse on her first office visit since undergoing a left
maste
...
CANCER AND ONCOLOGY NURSING NCLEX EXAM 2 50 CORRECT
QUESTIONS AND ANSWERS WITH RATIONALES GUARANTEED
PASS | RATED A+
1. A 32-year-old woman meets with the nurse on her first office visit since undergoing a left
mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is
not getting much sleep because she doesn’t go to bed until her husband is asleep, and she is
really anxious to get back to work. Which of the following nursing interventions should the nurse
explore to support the client’s current needs?
o A. Ask open-ended questions about sexuality issues related to her
mastectomy
o B. Suggest that the client learn relaxation techniques to help with her
insomnia
o C. Call the physician to discuss allowing the client to return to work earlier
o D. Perform a nutritional assessment to assess for anorexia
Correct Answer: A. Ask open-ended questions about sexuality issues related to her
mastectomy
Option A: The content of the client’s comments suggests that she is avoiding
intimacy with her husband by waiting until he is asleep before going to bed.
Addressing sexuality issues is appropriate for a client who has undergone a
mastectomy.
Option B: Suggesting that she learn relaxation techniques to help her with her
insomnia is appropriate; however, the nurse must first address the psychosocial
and sexual issues that are contributing to her sleeping difficulties.
Option C: Rushing her return to work may debilitate her and add to her
exhaustion.
Option D: A nutritional assessment may be useful, but there is no indication that
she has anorexia.
2. One of the most serious blood coagulation complications for individuals with cancer and for
those undergoing cancer treatments is disseminated intravascular coagulation (DIC). The most
common cause of this bleeding disorder is:
A. Brain metastasis
B. Sepsis
C. Intravenous heparin therapy
D. Underlying liver disease
Correct
Correct Answer: B. Sepsis
Option B: Bacterial endotoxins released from gram-negative bacteria activate the
Hageman factor or coagulation factor XII. This factor inhibits coagulation via the
intrinsic pathway of homeostasis, as well as stimulating fibrinolysis.
Option D: Liver disease can cause multiple bleeding abnormalities resulting in
chronic, subclinical DIC; however, sepsis is the most common cause.
3. A pneumonectomy is a surgical procedure sometimes indicated for treatment of non-small-cell
lung cancer. A pneumonectomy involves removal of:
A. One lobe of a lung
B. An entire lung field
C. One or more segments of a lung lobe
D. A small, wedge-shaped lung surface
Correct
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