Home/Staff Nurse Mock Test/Psychosocial Aspects of Cancer | Rehabilitation | Palliative Care | Drugs used in Cancer | Mock Test | Staff Nurse | Guides Academy
Psychosocial Aspects of Cancer | Rehabilitation | Palliative Care | Drugs used in Cancer | Mock Test | Staff Nurse | Guides Academy
Psychosocial aspects of cancer, rehabilitation, palliative care, drugs used in cancer
Time: 15:00
A patient newly diagnosed with cancer expresses feelings of anger, asking "Why me?". What is the most therapeutic response by the nurse?
[a] "It's important to have a more positive attitude to fight the cancer."
[b] "Many people feel this way. You will get over it in time."
[c] "It is understandable to feel angry. I am here to listen if you would like to talk."
[d] "I can ask the doctor to prescribe something to help you calm down."
Which class of chemotherapeutic agents, including drugs like Vincristine, is particularly known for causing dose-limiting peripheral neuropathy?
[a] Antimetabolites.
[b] Alkylating agents.
[c] Vinca alkaloids.
[d] Anthracyclines.
The primary goal of palliative care for a patient with advanced cancer is to:
[a] Provide care only when curative treatment is no longer an option.
[b] Focus solely on extending the patient's life.
[c] Improve the quality of life by managing pain and other distressing symptoms.
[d] Cure the patient's cancer with less aggressive treatments.
A nurse is administering the chemotherapeutic agent Doxorubicin (Adriamycin). Due to its vesicant properties, what is the most critical nursing action during infusion?
[a] Administering a bolus dose rapidly.
[b] Monitoring the patient's heart rate.
[c] Frequently assessing the IV site for signs of extravasation.
[d] Keeping the patient in a supine position.
A patient who underwent a radical mastectomy is experiencing body image disturbance. Which nursing intervention is most appropriate to support the patient?
[a] Advising the patient to avoid looking at the incision.
[b] Telling the patient that scars will fade and they will look fine.
[c] Encouraging the patient to express feelings about the change in their body.
[d] Limiting family visits to allow the patient to adjust privately.
Tamoxifen is a hormonal therapy drug commonly used for estrogen receptor-positive breast cancer. It works by:
[a] Destroying estrogen in the bloodstream.
[b] Preventing the production of estrogen by the ovaries.
[c] Increasing the level of progesterone in the body.
[d] Blocking estrogen receptors on cancer cells.
Cancer-related fatigue is one of the most common and distressing symptoms reported by patients. The most effective evidence-based intervention to manage this is:
[a] Complete bed rest to conserve energy.
[b] A high-carbohydrate, low-protein diet.
[c] A regular routine of mild to moderate physical activity.
[d] Frequent high-caffeine beverages throughout the day.
A patient receiving chemotherapy develops a low white blood cell count (neutropenia). The nurse anticipates an order for which medication to stimulate WBC production?
[a] Epoetin alfa (Epogen).
[b] Oprelvekin (Neumega).
[c] Filgrastim (Neupogen).
[d] Romiplostim (Nplate).
Which statement best distinguishes hospice care from palliative care?
[a] Palliative care is only for cancer patients, while hospice is for any terminal illness.
[b] Hospice care focuses on pain management, while palliative care does not.
[c] Palliative care and hospice care are identical.
[d] Hospice care is typically for patients with a prognosis of 6 months or less, while palliative care can be given at any stage of a serious illness.
Cisplatin is a chemotherapy drug well-known for causing which severe side effects, requiring close nursing monitoring?
[a] Constipation and hair loss.
[b] Nephrotoxicity and severe nausea/vomiting.
[c] Cardiotoxicity and mucositis.
[d] Pulmonary fibrosis and skin rash.
The primary role of an occupational therapist in cancer rehabilitation is to:
[a] Improve the patient's walking and lower body strength.
[b] Provide counseling for anxiety and depression.
[c] Help patients regain skills for daily living and adapt to their new abilities.
[d] Assist patients with swallowing difficulties.
A patient receiving the chemotherapy drug Ifosfamide is also prescribed Mesna. The nurse understands that Mesna is given to:
[a] Enhance the cancer-killing effect of Ifosfamide.
[b] Prevent chemotherapy-induced nausea and vomiting.
Which approach is a key component of providing psychosocial support to the family of a cancer patient?
[a] Shielding the family from bad news about the patient's prognosis.
[b] Including the family in care planning and providing clear, honest communication.
[c] Discouraging the family from expressing their own fears and anxieties.
[d] Limiting the information provided to only one designated family member.
A patient undergoing cancer treatment develops painful sores in the mouth (mucositis/stomatitis). Which nursing intervention is most appropriate?
[a] Encourage the use of commercial, alcohol-based mouthwashes.
[b] Provide a diet of hot, spicy, and acidic foods.
[c] Recommend frequent oral rinses with saline solution and use of a soft toothbrush.
[d] Advise the patient to avoid oral hygiene until the sores heal.
According to the WHO three-step analgesic ladder for cancer pain management, what is the first-line treatment for mild pain?
[a] A weak opioid like codeine.
[b] A strong opioid like morphine.
[c] A non-opioid analgesic like paracetamol or an NSAID.
[d] An adjuvant drug like an antidepressant.
Leucovorin "rescue" is administered following high-dose therapy with which antimetabolite drug to protect normal cells?
[a] 5-Fluorouracil.
[b] Cytarabine.
[c] Methotrexate.
[d] Gemcitabine.
A key rehabilitation nursing intervention for a patient at risk for lymphedema after axillary lymph node dissection is:
[a] Keeping the affected arm in a dependent position.
[b] Using the affected arm for all blood pressure readings.
[c] Applying hot packs to the affected arm daily.
[d] Teaching the patient to avoid constrictive clothing and injury to the affected arm.
Ondansetron (Zofran) is a commonly used antiemetic in oncology. It works by blocking which type of receptor?
[a] Dopamine receptors.
[b] Histamine receptors.
[c] Serotonin (5-HT3) receptors.
[d] Muscarinic receptors.
A patient receiving palliative care for dyspnea may be prescribed a low-dose opioid, such as morphine. The primary reason for this is its ability to:
[a] Act as a bronchodilator.
[b] Increase respiratory rate.
[c] Dry up pulmonary secretions.
[d] Reduce the perception of air hunger and decrease anxiety.
Which medication class is associated with a risk of "-itis" side effects (e.g., colitis, pneumonitis, hepatitis) due to its mechanism of stimulating the immune system?
[a] Traditional chemotherapy.
[b] Hormonal therapy.
[c] Immune checkpoint inhibitors (Immunotherapy).
[d] Antimetabolites.
A cancer survivor reports difficulty concentrating and short-term memory problems months after finishing treatment. The nurse recognizes this common psychosocial and cognitive issue as:
[a] Early-onset dementia.
[b] A sign of brain metastasis.
[c] "Chemo brain" or cancer-related cognitive impairment.
[d] A symptom of clinical depression.
The chemotherapy agent Bleomycin has a high risk of causing which potentially irreversible, dose-limiting toxicity?
[a] Cardiotoxicity.
[b] Nephrotoxicity.
[c] Hepatotoxicity.
[d] Pulmonary fibrosis.
Dexamethasone, a corticosteroid, is frequently used in cancer treatment regimens. What is one of its primary roles?
[a] To stimulate bone marrow production.
[b] To directly kill cancer cells via DNA damage.
[c] To prevent hypersensitivity reactions and manage nausea.
[d] To prevent hair loss.
When a cancer patient is exploring Advance Directives, such as a living will, the nurse's role is to:
[a] Advise the patient on which treatments to accept or refuse.
[b] Complete the legal forms for the patient.
[c] Discourage the conversation to avoid causing distress.
[d] Provide information, support the patient's choices, and ensure documents are placed in the medical record.
Trastuzumab (Herceptin) is a targeted therapy used for HER2-positive breast cancer. Before and during treatment, the nurse must carefully monitor the patient for signs of:
No comments: