NCLEX CRUSADE ACADEMY TEST - 8 ONCOLOGICAL DISORDERS

1. Which level of prevention focuses on reducing risk factors before disease occurs?. Secondary prevention. Tertiary prevention. Primary prevention. Palliative prevention.

2. Which activity is considered secondary prevention for cancer?. Vaccination. Screening tests such as Pap smears. Rehabilitation therapy. Chemotherapy.

3. What is the main goal of tertiary prevention?. Prevent disease occurrence. Detect disease early. Manage complications and improve quality of life. Eliminate environmental exposures.

4. Which lifestyle factor is a universal cancer risk factor?. High fiber intake. Obesity. Daily exercise. Adequate sleep.

5. Which mnemonic helps identify early warning signs of cancer?. FAST. CAUTION. ABCD. SAMPLE.

6. A sore that does not heal is included in which cancer warning sign mnemonic?. CAUTION. SAMPLE. FAST. SOAP.

7. At what age should routine cervical cancer screening begin for most women?. 18. 21. 30. 40.

8. Which screening method is recommended annually for high-risk lung cancer patients aged 5574?. Chest X-ray. MRI. Low-dose CT scan. PET scan.

9. Which emergency occurs when a tumor obstructs venous drainage from the upper body?. SIADH. DIC. Tumor lysis syndrome. Superior vena cava syndrome.

10. A patient with SVCS should be placed in which position?. Trendelenburg. Semi-Fowlers. Supine. Prone.

11. Which symptom is most characteristic of spinal cord compression?. Severe back pain. Nausea. Diarrhea. Blurred vision.

12. Which medication is often administered for spinal cord compression to reduce inflammation?. Corticosteroids. Antibiotics. Antivirals. Insulin.

13. Hypercalcemia of malignancy occurs when tumors release substances that cause what?. Increased calcium absorption. Demineralization of bone. Increased insulin. Increased potassium.

14. Which ECG finding may be seen with hypercalcemia?. Peaked T waves. Wide biphasic T waves. ST depression only. Prolonged QT.

15. What is the priority treatment for hypercalcemia of malignancy?. Fluid restriction. Aggressive IV hydration. High calcium diet. Bed rest.

16. Tumor lysis syndrome is most associated with which electrolyte abnormality?. Hyperkalemia. Hypokalemia. Hypernatremia. Hypocalcemia only.

17. What medication helps prevent uric acid formation in tumor lysis syndrome?. Allopurinol. Metformin. Warfarin. Heparin.

18. Disseminated intravascular coagulation involves what paradoxical process?. Infection and fever. Clotting and bleeding. Hypoglycemia. Kidney stones.

19. Which finding is typical in DIC?. Petechiae. Hypertension. Bradycardia. Hyperglycemia.

20. SIADH results in what electrolyte imbalance?. Hypernatremia. Hyponatremia. Hyperkalemia. Hypocalcemia.

21. Which intervention is essential in SIADH management?. Increase fluids. Strict fluid restriction. Increase potassium. Give diuretics immediately.

22. Which symptom may occur with severe hyponatremia in SIADH?. Confusion. Hyperactivity. Dry skin. Increased appetite.

23. Therapeutic communication includes which nursing behavior?. Giving personal opinions. Providing false reassurance. Active empathy. Ignoring patient fears.

24. Which statement demonstrates therapeutic communication?. 'Everything will be fine.'. 'Tell me how you are feeling about this diagnosis.'. 'My relative had the same cancer.'. 'Dont worry about it.'.

25. Which cell type confirms Hodgkin lymphoma?. Reed-Sternberg cells. T lymphocytes. Plasma cells. Neutrophils.

26. Which symptom is considered a 'B symptom' in Hodgkin lymphoma?. Weight loss. Constipation. Rash. Hair loss.

27. A patient with Hodgkin lymphoma develops stridor and JVD. Which emergency is suspected?. DIC. SVCS. TLS. SIADH.

28. What is the priority action for suspected SVCS?. Elevate the head of the bed. Lower the head of the bed. Encourage coughing. Restrict oxygen.

29. Which cancer risk factor involves viruses like EBV?. Infectious agents. Environmental toxins. Obesity. Exercise.

30. Which symptom from the CAUTION mnemonic involves bowel patterns?. Persistent cough. Change in bowel or bladder habits. Thickened skin. Swollen ankles.

31. Which complication involves compression of the spinal cord by tumor growth?. SIADH. SVCS. Spinal cord compression. Hypercalcemia.

32. What is the main neurological risk of untreated spinal cord compression?. Paralysis. Hypertension. Hyperglycemia. Kidney failure.

33. Which electrolyte abnormality occurs in tumor lysis syndrome due to cell destruction?. Hyperphosphatemia. Hypoglycemia. Hyponatremia. Hypokalemia.

34. Which complication may occur if TLS causes crystal formation in kidneys?. Liver failure. Acute kidney injury. Stroke. Pulmonary embolism.

35. Which medication lowers potassium during TLS?. Kayexalate. Insulin only. Morphine. Aspirin.

36. Which symptom is commonly seen with hypercalcemia?. Muscle weakness. Tremors. Hypotension. Excess salivation.

37. Which nursing action is most important when bleeding occurs in DIC?. Encourage ambulation. Administer clotting factors. Increase fluids. Restrict sodium.

38. Which patient population is at higher risk for SVCS?. Lung cancer patients. Asthma patients. Diabetes patients. Kidney stone patients.

39. Which therapy may be used to shrink tumors causing SVCS?. Radiation therapy. Antibiotics. Antihistamines. Antacids.

40. Which communication technique validates a patients feelings?. Ignoring concerns. Paraphrasing the patients emotions. Changing the topic. Giving orders.