In this nursing test bank, review cancer and oncology nursing concepts with these NCLEX practice questions. Test your competence in the assessment, diagnosis, and nursing management of patients with cancer. This quiz aims to help student nurses grasp and master the concepts of oncology nursing.
Cancer & Oncology Nursing NCLEX Practice Quizzez
Included topics in this NCLEX practice questions (with rationales) for cancer and oncology nursing are oncology nursing, Hodgkin’s disease, lung cancer, nursing care of patients undergoing chemotherapy, brachytherapy, laryngeal cancer, colon cancer, and more! This nursing test bank includes 170 practice questions divided into four parts.
Quizzes included in this guide are:
- Cancer and Oncology Nursing NCLEX Practice | Quiz #1: 50 Questions
- Cancer and Oncology Nursing NCLEX Practice | Quiz #2: 50 Questions
- Cancer and Oncology Nursing NCLEX Practice | Quiz #3: 50 Questions
- Cancer and Oncology Nursing NCLEX Practice | Quiz #4: 50 Questions
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Quiz guidelines:
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3. Cancer and Oncology Nursing NCLEX Practice | Quiz #3: 50 Questions
Cancer and Oncology Nursing NCLEX Practice | Quiz #3: 50 Questions
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Question 1 of 50
1. Question
The home health care nurse is caring for a male client with cancer and the client is complaining of acute pain. The appropriate nursing assessment of the client’s pain would include which of the following?
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Question 2 of 50
2. Question
Nurse Melinda is caring for a client who is postoperative following a pelvic exenteration and the physician changes the client’s diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet?
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Question 3 of 50
3. Question
A male client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment findings would the nurse expect to note specifically in the client?
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Question 4 of 50
4. Question
During the admission assessment of a 35 year old client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
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Question 5 of 50
5. Question
Nurse Kate is reviewing the complications of colonization with a client who has microinvasive cervical cancer. Which complication, if identified by the client, indicates a need for further teaching?
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Question 6 of 50
6. Question
Mr. Miller has been diagnosed with bone cancer. You know this type of cancer is classified as:
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Question 7 of 50
7. Question
Sarah, a hospice nurse visits a client dying of ovarian cancer. During the visit, the client expresses that “If I can just live long enough to attend my daughter’s graduation, I’ll be ready to die.” Which phrase of coping is this client experiencing?
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Question 8 of 50
8. Question
The nurse is admitting a male client with laryngeal cancer to the nursing unit. The nurse assesses for which most common risk factor for this type of cancer?
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Question 9 of 50
9. Question
The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
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Question 10 of 50
10. Question
The client with leukemia is receiving Myleran (busulfan) and Zyloprim (allopurinol). The nurse tells the client that the purpose if the allopurinol is to prevent:
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Question 11 of 50
11. Question
A 25-year-old patient is inquiring about the methods or ways to detect cancer earlier. The nurse least likely identifies this method by stating:
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Question 12 of 50
12. Question
The removal of entire breast, pectoralis major and minor muscles and neck lymph nodes which is followed by skin grafting is a procedure called:
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Question 13 of 50
13. Question
Chemotherapy is one of the therapeutic modalities for cancer. This treatment is contraindicated to which of the following conditions?
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Question 14 of 50
14. Question
The nurse is preparing Cytoxan (cyclophosphamide). Safe handling of the drug should be implemented to protect the nurse from injury. Which of the following actions by the nurse should be corrected?
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Question 15 of 50
15. Question
Neoplasm can be classified as either benign or malignant. The following are characteristics of malignant tumor apart from:
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Question 16 of 50
16. Question
On a clinic visit a client who has a relative with cancer, is asking about the warning signs that may relate to cancer. The nurse correctly identifies the warning signs of cancer by responding:
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Question 17 of 50
17. Question
In staging and grading neoplasm TNM systems is used. TNM stands for:
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Question 18 of 50
18. Question
Breast self examination (BSE) is one of the ways to detect breast cancer earlier. The nurse is conducting health teaching to female clients in a clinic. During evaluation the clients are asked to state what they learned. Which of the following statements made by a client needs further teaching about BSE?
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Question 19 of 50
19. Question
A client had undergone radiation therapy (external). The expected side effects include the following apart from:
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Question 20 of 50
20. Question
Nurse Janet is assigned in the oncology section of the hospital. Which of the following orders should the nurse question if a client is on radiation therapy?
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Question 21 of 50
21. Question
Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin integrity should be promoted apart from:
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Question 22 of 50
22. Question
Nausea and vomiting is an expected side effect of chemotherapeutic drug use. Which of the following drugs should be administered to a client on chemotherapy to prevent nausea and vomiting?
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Question 23 of 50
23. Question
Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures what distance should be maintained from the client?
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Question 24 of 50
24. Question
The following are teaching guidelines regarding radiation therapy except:
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Question 25 of 50
25. Question
Contact of client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?
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Question 26 of 50
26. Question
A client is taking Cyclophosphamide (Cytoxan) for the treatment of lymphoma. The nurse is very cautious in administering the medication because this drug poses the fatal side effect of:
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Question 27 of 50
27. Question
Cytarabine (Ara-C) is an antimetabolite that can cause a common cytarabine syndrome which includes the following, except:
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Question 28 of 50
28. Question
To provide relief from the cytarabine syndrome, which drug is given?
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Question 29 of 50
29. Question
Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except:
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Question 30 of 50
30. Question
Specific classification of the chemotherapeutic agent, Vincristine (Oncovin) is:
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Question 31 of 50
31. Question
A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given?
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Question 32 of 50
32. Question
A client taking a chemotherapeutic agent understands the effects of therapy by stating:
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Question 33 of 50
33. Question
A client is diagnosed with breast cancer. The tumor size is up to 5 cm with axillary and neck lymph node involvement. The client is in what stage of breast cancer?
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Question 34 of 50
34. Question
The classic symptoms that define breast cancer includes the following except:
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Question 35 of 50
35. Question
Surgical procedure to treat breast cancer involves the removal of the entire breast, pectoralis major muscle and the axillary lymph nodes is:
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Question 36 of 50
36. Question
While being prepared for a biopsy of a lump in the right breast, the patient asks the nurse what the difference is between a benign tumor and a malignant tumor. The nurse explains that a benign tumor differs from a malignant tumor in that benign tumors
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Question 37 of 50
37. Question
A patient who has been told by the health care provider that the cells in a bowel tumor are poorly differentiated asks the nurse what is meant by “poorly differentiated.” Which response should the nurse make?
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Question 38 of 50
38. Question
A patient who smokes tells the nurse, “I want to have a yearly chest x-ray so that if I get cancer, it will be detected early.” Which response by the nurse is most appropriate?
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Question 39 of 50
39. Question
In teaching about cancer prevention to a community group, the nurse stresses the promotion of exercise, normal body weight, and a low-fat diet because
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Question 40 of 50
40. Question
During a routine health examination, a 30-year-old patient tells the nurse about a family history of colon cancer. The nurse will plan to
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Question 41 of 50
41. Question
When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. The nurse will teach the patient that
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Question 42 of 50
42. Question
Which statement by a patient who is scheduled for a needle biopsy of the prostate indicates that the patient understands the purpose of a biopsy?
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Question 43 of 50
43. Question
The nurse is teaching a postmenopausal patient with breast cancer about the expected outcomes of her cancer treatment. The nurse evaluates that the teaching has been effective when the patient says
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Question 44 of 50
44. Question
A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. The nurse explains that the expected outcome of this surgery is
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Question 45 of 50
45. Question
External-beam radiation is planned for a patient with endometrial cancer. The nurse teaches the patient that an important measure to prevent complications from the effects of the radiation is to
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Question 46 of 50
46. Question
Which action by a nursing assistant (NA) caring for a patient with a temporary radioactive cervical implant indicates that the RN should intervene?
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Question 47 of 50
47. Question
A patient with Hodgkin’s lymphoma is undergoing external radiation therapy on an outpatient basis. After 2 weeks of treatment, the patient tells the nurse, “I am so tired I can hardly get out of bed in the morning.” An appropriate intervention for the nurse to plan with the patient is to
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Question 48 of 50
48. Question
Which information obtained by the nurse about a patient with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for patient teaching?
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Question 49 of 50
49. Question
A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse knows that teaching about management of the skin reaction has been effective when the patient says
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Question 50 of 50
50. Question
A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. An important nursing intervention for the patient is to
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3. Cancer and Oncology Nursing NCLEX Practice | Quiz #3: 50 Questions
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Question 6 states “Which statement by the patient warrants further teaching by the nurse” and all of the options appear to be statements from the nurse – to the patient. Very confusing. Question 5 also states the wrong answer is “Faster growing cells are more susceptible to chemo” and further explains the correct answer is “Faster growing cells are more susceptible to chemo”.
Hello Kandis!
The necessary corrections have been made. Thank you for bringing that to our attention.
Dear Paul, thanks a lot for providing these quizzes which are helping me a lot.
In question 5, I keep thinking the answer is A i.e. Faster growing cells are more susceptible to chemotherapy. You indicate though that the option is B i.e. Faster growing cells are less susceptible to chemotherapy but the explanation given for option B seems to support option A. Please help clarify.
Thank you
Hello Judith,
The necessary corrections have been made. Thank you for pointing this out!
This has been awesome. Thanks, Paul. Really been missing out on lots!
Very comprehensive
Thanks alot it has been awesome
Quite informative and brain sharpening quiz.
Hi Paul. As a nationally certified oncology nurse with over 35 years of experience, I thought some of the questions were strange or at least lacking context. In Q1, the question says during hospitalization – but the potential answers include side effects that occur months to years after treatment is complete. In Q11, breast self-exam is not included in any national screening guidelines and is rarely encouraged even for persons at high-risk. In Q14, pleural effusion is a late sign, not a warning sign. In Q22 you have assumed all terminal lung cancer pts have pain but emotional care and dyspnea palliation are more prevalent. In Q29, a CBC prior to administering chemotherapy is a national standard of care. In Q37 all of those require further instructions. Maybe adding some details or more context would be helpful.