CAEX 2.

ONCOLOGY

1. In the Phases of Cell Cycle, what process occurs in the S Phase?

2. You are assigned at a nearby senior citizen center. The facilitators of the program requested you
to teach the participants regarding the warning manifestations of cancer. Which of the following
should you include in your discussion outline?
A. Limit dietary fat
B. Smoking cessation
C. Breast-self exam performed every month
D. Avoid sun exposure

3. One of the known Cancer Screening is Breast Self Examination. The Community Health Nurse is
conducting health education in Barangay Batang Batang. Mrs. Lorna 26 years old post
hysterectomy client ask Nurse Don about the ideal time to palpate her breast. Nurse Don will
instruct Mrs. Lorna to palpate her breast during:
A. 7-10 days after the last day of menstruation
B. 7-10 days after the onset of menstruation
C. 1 week before the menstruation
D. Select specific day each month
4. A 16-year-old, sexually active female client is seen in the family planning and requests oral
contraceptives. Before the examination, the nurse should explain the importance of regular Pap
smears. This recommendation is based on the current screening guidelines of the American
Cancer Society (ACS) for Pap smears, which state that:
A. Pap smears are recommended every other year
B. If four consecutive annual Pap smears are negative, the client should schedule repeat
Pap smears every 3 years
C. The initial Pap smear should be done at age 18 or earlier if the woman is sexually
active
D. If four consecutive smears are negative, the client should request a colposcopy

5. Which of the following parameters in oncology that specifically describe the cellular aspect and
the abnormal characteristic of the cell?
A. TNM staging
B. Staging
C. Grading
D. Metastasis
6. While the oncology nurse is reviewing the patient chart she noted that the client cells differ
slightly from normal cells and well differentiated. The nurse understand that this is under:
A. Normal
B. Grade I
C. Stage I
D. Grade II

7. The TNM staging system for all solid tumors was devised by Pierre Denoix between 1943 and
1952, using the size and extension of the primary tumor, its lymphatic involvement, and the
presence of metastases to classify the progression of cancer it is a classification of the
anatomical extent of disease. Who among the following nurse gives the correct characteristic of
this parameter: T3,N3,M1 ?
A. Vanessa:5 cm tumor, distant of nodal involvement with distant metastasis
B. Don: 3cm tumor, distant of nodal involvement with distant metastasis
C. Iah: Carcinoma In situ, local nodal involvement with distant metastasis
D. Algie: Carcinoma in situ, regional nodal involvement with distant metastasis

8. Radiation therapy treats cancer by using high-energy waves to kill tumor cells. How the radiation
specifically kills the cancer cell?
A. Damaging the DNA of cancerous cells
B. Destroying the RNA of cancerous cells
C. Inhibiting cell division
D. Promoting healthy cell division

9. The goal of radiation therapy is to kill cancer cells using the least amount of radiation. Before
radiation treatment begins, the radiation oncologist orders a simulation to map out exactly
where the radiation needs to be delivered .Nurse Don is taking care a client with external
radiation therapy, he knows that the priority nursing care to this client is:
A. Maintain 6ft space between the client and nurse
B. Limit the nurse and patient intervention in 60 minutes per shift
C. Prevent the implant to dislodge
D. Keep healthy and intact skin

10. Internal radiation therapy also called brachytherapy or seed implantation is a type of cancer
treatment. It delivers a high dose of radiation directly to the tumor and helps spare nearby
tissue. Nurse Malia is giving care to a client with internal radiation implant, the nurse finds the
implant in the bed. The inappropriate nursing action done by the nurse is:
A. Instruct the client to lie still
B. Place the implant to the orange container
C. Pick up the implant with long handled forceps
D. Do not reinsert the implant and notify the oncologist
11. All of the following are appropriate in taking care client with implant radiation except
A. Visitors are wearing lead apron before entering the patient room.
B. Nurse and visitors maintain 6 feet space between the client inside the room
C. The client is under full bed rest without bathroom privileges
D. Instruct the client to consume high fiber diet during the treatment.

12. Which statement is correct about the rate of cell growth in relation to chemotherapy?
A. Faster growing cells are less susceptible to chemotherapy.
B. Nondividing cells are more susceptible to chemotherapy
C. Faster growing cells are more susceptible to chemotherapy
D. Slower growing cells are more susceptible to chemotherapy.

13. There are specific chemotherapy drugs that may cause alopecia like fluorouracil. Alopecia is
expected in chemotherapy after?
2 to 4 weeks after treatment
3 to 6 months after treatment
6 months to 1 year after treatment
Right after first treatment

14. The nurse is monitoring the intravenous infusion of an antineoplastic medication. During the
infusion, the client complains of pain at the insertion site. On inspection of the site, the
nurse notes redness and swelling and has slowed in rate. The nurse suspect extravasation
and should take the following action except?
a. Immediately stop the infusion
b. Notify the physician
c. Restart the IV at a distal part of the same vein
d. Aspirate the residual if possible

15. Interleukin-2 (IL-2) has demonstrated long term disease control in metastatic renal cell
carcinoma and malignant melanoma. The client with renal cancer will start to have
Interleukin-2 theraphy (Aldesleukin) The nurse understand that IL-2 woks in the body by:
a. Activating WBC and improving immune system
b. Damaging the RNA and DNA of the cancer cell
c. It alter Mitotic Phase
d. It inhibit Telophase
16. Testicular cancer occurs in the testicles (testes), which are located inside the scrotum, a
loose bag of skin underneath the penis. The testicles produce male sex hormones and sperm
 for reproduction. Who among the following newborn has the higher chance to develop
testicular cancer according to its risk factor?
a. Charlie with Cryptorchidism
b. Daniel with Urinary tract infection
c. James with hypospadias
d. Kevin with epispadias

17. Cervical cancer occurs when abnormal cells on the cervix grow out of control. The cervix is
the lower part of the uterus that opens into the vagina. Cervical cancer can often be
successfully treated when it's found early through a Pap test. The following are classic sign
of cervical cancer except.
a. Foul smelling vaginal discharge
b. Post coital bleeding
c. Post menstrual Bleeding
d. Rectal Bleeding

18. The client with cervical cancer is scheduled to have cryosurgery. The nurse provides correct
information when she mention that cryosurgery is:
a. It requires small incision using a cautery to lower abdomen to remove cervical
tumor
b. Involves the use of extreme cold produced by liquid nitrogen or a probe
c. Surgery requires anesthesia thus monitoring for respiration is vital
d. After the procedure watery vaginal discharge is considered normal within one week
only

19. Studies have shown that risk for breast cancer is due to a combination of factors. Which of
the following is not included.
a. Frequent episode of Mastitis
b. Birth control shot: Depo-Provera
c. Early menstruation
d. High-dose radiation exposure to chest
20. The client scheduled to undergo Mastectomy that involves removal of breast, including the
nipple, but does not remove underarm lymph nodes or muscle tissue. The nurse
understands that this type of mastectomy is?
a. Radical Mastectomy
b. Total Mastectomy
c. Modified Radical Mastectomy
d. Lumpectomy

21 . Nurse Kristjan is caring for a client following a radical mastectomy. To prevent lymph edema of the
affected arm, Nurse Kristjan can perform which of the following interventions?
A. Apply cold compress on the affected arm
B. Avoiding arm exercises in the immediate postoperative period
C. Elevate the affected arm on a pillow higher than the level of the heart
D. Maintaining an IV site below the antecubital area of the affected side
22. Research has shown that certain risk factors may increase a person’s chances of developing cancer.
During health history taking the nurse notes the client has polycystic ovarian syndrome, this syndrome is
associated to which cancer?
A. Endometrial Cancer
B. Breast Cancer
C. Bladder cancer
D. Colon Cancer

23 . Laryngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the larynx. Use
of tobacco products and drinking too much alcohol can affect the risk of laryngeal cancer. The nurse is
caring client with laryngeal cancer who had total laryngectomy, all of the following is appropriate
intervention except:
a. Use non-humidified oxygen via tracheostomy
b. Instruct the client to avoid all water sports
c. Provide alternative communication technique
d. Strict aspiration precaution is strictly observed.

24. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note
documentation of which most common symptom of this type of cancer?
a. Dysuria
b. Hematuria
c. Urgency on urination
d. Frequency of urination

25. After the Oncologist instilled alkylating agent to the bladder of the client the nurse should assume to
perform which of the following intervention.
a. Reposition the client every 15 minutes from side to side and ask the client to urinate after 2 hours
b. Instruct the client not to urinate for more than 2 hours for maximum absorption
c. Instruct the client to avoid fluid intake
d. There is no nursing action, the body will eliminate the agent on its own

26. What cancer has the highest number of death today?

27. Colorectal cancer cells sometimes make substances called tumor markers that can be found in
the blood. The most common tumor markers for colorectal cancer are CA 19-9 and? CA 19-9
antigens are foreign substances released by pancreatic tumor c
A. carcinoembryonic antigen (CEA)
 B. Prostate-Specific Antigen (PSA) PROSTATE
C. Alpha-fetoprotein (AFP) LIVER CANCER, TESTICLES OVARY
D. Cancer antigen 125 (CA-125)

28. . The client with colon cancer undergone colostomy in the sigmoid area, the nurse will inform
the client that the expected stool is?
a. Formed
b. Liquid
c. Mushy
d. Semi formed

29. The nurse should plan to implement which intervention in the care of a client experiencing
neutropenia as a result of chemotheraphy?
a. Restrict all visitors
b. Restrict fluid intake
c. Teach the client and family about the need for hand hygiene
d. Encourage the client to consume fresh fruits and half cooked vegetables.

30. Prostate cancer is the development of cancer in the prostate, a gland in the male reproductive
system. Most prostate cancers are slow growing; however, some grow relatively quickly. The
following are signs and symptoms of prostate cancer except.
a. Painless hematuria
b. No symptoms in early stage
c. Decreased force in the stream of urine
d. Absent PSA level.