Sure! Below are 20 sample questions relevant to medical-surgical nursing in oncology, focusing on the nursing process. These questions cover various aspects such as assessment, diagnosis, planning, implementation, and evaluation.
Sample Exam Questions:
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Assessment: A patient with lung cancer presents with a new cough and shortness of breath. What is the priority nursing assessment for this patient?
- A. Auscultate lung sounds
- B. Obtain a health history
- C. Check vital signs
- D. Review laboratory results
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Nursing Diagnosis: Which nursing diagnosis is most appropriate for a patient undergoing chemotherapy who reports fatigue and weakness?
- A. Acute Pain
- B. Activity Intolerance
- C. Risk for Infection
- D. Impaired Skin Integrity
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Planning: A nurse is planning care for a patient receiving radiation therapy for breast cancer. What is a key goal for this patient?
- A. Remain free from pain
- B. Maintain skin integrity
- C. Experience no side effects
- D. Demonstrate understanding of the disease process
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Implementation: What is the best nursing intervention for a patient experiencing nausea and vomiting due to chemotherapy?
- A. Encourage fatty foods
- B. Administer antiemetics as prescribed
- C. Increase fluid intake above normal
- D. Limit patient’s activity levels
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Evaluation: After administering pain medication to a patient with metastatic cancer, the nurse should evaluate the effectiveness of the intervention by:
- A. Monitoring vital signs
- B. Asking the patient to rate their pain level
- C. Assessing for side effects
- D. Checking the patient’s lab results
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Education: What information should the nurse provide to a patient receiving immunotherapy?
- A. You will not need to worry about infections during treatment.
- B. You should monitor for signs of allergic reaction.
- C. Side effects are usually mild and temporary.
- D. There are no dietary restrictions.
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Palliative Care: A patient with advanced cancer is receiving palliative care. What is a primary focus of nursing care in this situation?
- A. Cure the cancer
- B. Manage symptoms and improve quality of life
- C. Provide extensive treatment options
- D. Promote strict adherence to treatment regimens
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Psychosocial Care: How should the nurse address the emotional needs of a patient recently diagnosed with cancer?
- A. Encourage them to stay positive
- B. Allow the patient to express their feelings
- C. Avoid discussing the diagnosis
- D. Focus only on physical care
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Complications: A patient with leukemia is at risk for bleeding. What is a critical nursing intervention to prevent complications?
- A. Encourage ambulation
- B. Monitor platelets and coagulation status
- C. Increase protein intake
- D. Administer vitamin K
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Infection Prevention: Which patient statement indicates a need for further teaching concerning infection prevention during chemotherapy?
- A. “I will wash my hands frequently.”
- B. “I can use a soft toothbrush to avoid gum bleeding.”
- C. “I can still go to crowded places since I feel fine.”
- D. “I will avoid cuts and injuries.”
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Nutritional Support: When providing dietary recommendations for a patient undergoing chemotherapy, what is an important consideration?
- A. High-fiber diet
- B. Low-protein diet
- C. Nutrient-dense, well-balanced diet
- D. Clear liquid diet only
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Pain Management: A patient with cancer reports severe pain despite taking prescribed medications. What should the nurse do first?
- A. Increase the dosage of the medication
- B. Contact the physician for an order change
- C. Assess the pain using a standardized scale
- D. Suggest alternative therapies
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Surgical Interventions: What is a crucial nursing intervention for a patient who has just undergone a mastectomy?
- A. Encourage the patient to move the affected arm immediately
- B. Monitor the surgical site for signs of infection
- C. Avoid discussing the patient's feelings about the surgery
- D. Limit oral intake for 24 hours
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Laboratory Values: Which laboratory value is critical for the nurse to monitor in a patient receiving chemotherapy?
- A. Serum electrolytes
- B. Complete blood count (CBC)
- C. Liver function tests
- D. Blood urea nitrogen (BUN)
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Discharge Planning: What is an essential component of discharge planning for a patient who has completed cancer treatment?
- A. Scheduling follow-up appointments
- B. Providing information on cancer recurrence
- C. Discussing healthy lifestyle changes
- D. All of the above
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End-of-Life Care: In end-of-life care, the nurse should focus on which of the following?
- A. Aggressive treatment options
- B. Comfort and dignity
- C. Terminally ill patients should not be informed of their prognosis
- D. Managing hospital admissions
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Chemotherapy Side Effects: Which side effect of chemotherapy should the nurse closely monitor for and educate the patient about?
- A. Increased pain
- B. Hair growth
- C. Risk of infection
- D. Improvement in overall health
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Stem Cell Transplant: What is a critical nursing action during the post-transplant phase of a patient receiving a stem cell transplant?
- A. Ensure strict isolation precautions
- B. Encourage the patient to resume normal activities
- C. Discontinue all medications
- D. Regularly administer blood products
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Coping Mechanisms: Which nursing intervention is best for helping a patient cope with cancer treatment?
- A. Minimizing conversations about the patient's condition
- B. Providing emotional support and listening
- C. Forcing the patient to express their emotions
- D. Focusing solely on physical care
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Family Education: When educating the family of a patient with advanced cancer about end-of-life symptoms to expect, what should the nurse include?
- A. Only physical symptoms should be discussed
- B. Changes in sleep patterns and appetite are normal
- C. Discuss all possible treatments and outcomes
- D. Avoid discussing any uncomfortable topics
Answers:
- A
- B
- B
- B
- B
- B
- B
- B
- B
- C
- C
- C
- B
- B
- D
- B
- C
- A
- B
- B
Feel free to use or modify these questions for your exam preparation or educational purposes!