Practice Test 1


Question 1

When giving health education to a group of skin cancer patients, which of the following statements would the nurse exclude in the education?

  1. Encouraging the patients to apply sun-screen lotion during outdoor activities
  2. Encouraging the patients to look for any lesions in the body
  3. Encouraging the patients to wear sun-glasses during outdoor activities
  4. Encouraging the patients to avoid sun exposure after 3 pm
  5. Encouraging the patients to wear a hat

Correct Answer: D. Encouraging the patient to avoid sun exposure after 3 pm

Explanation:

The patients must be instructed to avoid sun between 11am till 3pm. It would be wrong for the nurse to instruct the patient to avoid sun after 3pm. All other above-mentioned statements must be included in the health education to avoid complications.

Question 2

When endo-tracheal tube is removed in a patient after radical neck dissection, which of the following signs in the patient should the nurse report to the physician?

  1. Respiratory rate of 24 breaths per minute
  2. Occasional pink sputum
  3. Occasional cough
  4. Occasional sputum
  5. Stridor

Correct Answer: E. Stridor

Explanation:

There will be a high-pitched coarse sound when the patient develops complication after endo-tracheal tube removal. It is known as stridor. There will be airway blockage due to it. It must be immediately reported to the physician. All other above-mentioned symptoms are common after endo-tracheal tube removal.

Question 3

Which one of the following factors is not a contributor to skin cancer?

  1. Multiple nevi
  2. Repeated exposure to x-rays
  3. Scars from diseases and burns
  4. Exposure to coal for prolonged years
  5. Residing in a decreased elevation

Correct Answer: E. Residing in a decreased elevation

Explanation:

Residing in a decreased elevation is not a factor contributing to skin cancer because, ultraviolet light is more when elevation increases and the thin atmosphere at high altitudes will not be able to filter UV rays as it happens at sea level. All other above-mentioned factors typically contribute to skin cancer.

Question 4

In which stage of liver cancer does metastasis occur?

  1. Stage 1
  2. Stage 2
  3. Stage 3
  4. Stage 4
  5. Stage 5

Correct Answer: D. Stage 4

Explanation:

In Stage 1, the tumor will be in the liver and in Stage 2 there will be many small tumors in the liver. Sometimes one tumor can reach the blood vessel. In Stage 3 there will be many large tumors. Sometimes one big tumor can reach the blood vessels or gallbladder. In Stage 4 metastasis occurs and cancer spreads to other parts of the body.

Question 5

Which one of the following cancers affects the lymphatic system?

  1. Acute leukemia
  2. Lymphoma
  3. Myeloma
  4. Chronic leukemia
  5. Chronic myeloma

Correct Answer: B. Lymphoma

Explanation:

In leukemia, cancer is found in blood and bone marrow. It is due to the rapid occurrence of abnormal white blood cells. In lymphoma, cancer affects the lymphatic system. It removes extra fluids from the body and forms immune cells. Myeloma is a cancer which targets plasma cells.

Question 6

Which of the following stages of stomach cancer is limited to the inner lining of stomach?

  1. Stage 0
  2. Stage I
  3. Stage II
  4. Stage III
  5. Stage IV

Correct Answer: A. Stage 0

Explanation:

In Stage 0, the oncological problem arises in the inner lining of the stomach. In Stage I, cancer invades the second layer of the stomach. This is known as stage 1A and if it invades the third layer it is known as stage 1B. In Stage II, cancer invades the second layer of the stomach and the lymph nodes. In Stage III, it invades the third layer of the stomach and lymph nodes; it can also go up to the fourth layer. In Stage IV, cancer will spread to the nearby tissues and more lymph nodes. It also metastasizes to other organs.

Question 7

Which of the following forms of liver cancer starts in the blood vessels of the liver?

  1. Sarcoma
  2. Cholangiocarcinoma
  3. Hemangiosarcoma
  4. Lymphoma
  5. Hepatoblastoma

Correct Answer: C. Hemangiosarcoma

Explanation:

Hemangiosarcoma begins in the blood vessels of the liver. It develops quickly. The time it is diagnosed, it becomes widespread to be surgically excised. Most clients with this condition do not live more than a year after being diagnosed. All other above-mentioned cancer forms do not start from blood vessels.

Question 8

Which of the following therapies of lung cancer uses the agent porphyrin?

  1. Photodynamic therapy
  2. Prophylactic brain radiation
  3. Brachytherapy
  4. Chemotherapy
  5. Radiofrequency ablation

Correct Answer: A. Photodynamic therapy

Explanation:

A new therapy for lung cancer is photodynamic therapy. Porphyrin is a photosynthesizing agent, which is administered into the bloodstream. It is administered a few hours before the oncology surgery. At this time, the agent contacts the fast growing cancer cells. Appropriate wavelength of light is passed to the site of the cancer and surrounding tissues, as treatment. All above-mentioned cancer therapy does not use porphyrin.

Question 9

Which of the following psychiatric conditions is associated with pancreatic cancer?

  1. Mania
  2. Depression
  3. Schizophrenia
  4. Obsession
  5. Schizoid personality

Correct Answer: B. Depression

Explanation:

Depression is reported in patients with pancreatic cancer; in some cases depression will be present even before the onset of cancer or the diagnosis of cancer. Depression and pancreatic cancer have an association but the actual mechanism of its occurrence is still not known. All other above-mentioned psychiatric conditionsare not associated with pancreatic cancer.

Question 10

Which of the following is not a cause for esophageal cancer?

  1. Alcohol addiction
  2. Corrosive injury
  3. Achalasia
  4. GERD
  5. Drinking cool drinks

Correct Answer: E. Drinking cool drinks

Explanation:

Thermal injury can cause esophageal cancer. Drinking hot beverages can cause esophageal cancer. Cool drinks are not associated with esophageal cancer. All other above-mentioned symptoms are typical causes of esophageal cancer.

Question 11

In which stage of Hodgkin’s lymphoma does spleen get affected?

  1. Stage I
  2. Stage II
  3. Stage III
  4. Stage IV
  5. Stage V

Correct Answer: C. Stage III

Explanation:

In Stage I, cancer will be present only in single lymph node region. In Stage II, cancer invades two or more lymph node regions. It can also occur in single lymph node region along with extra lymphatic organ. In Stage III, there is involvement of lymph node regions and spleen along with limited contiguous extralymphatic site. In Stage IV, cancer spreads to extralymphatic organs. There is no Stage V in Hodgkin’s lymphoma.

Question 12

Which one of the following signs or symptoms is absent in renal cell carcinoma?

  1. Hematuria
  2. Malaise
  3. Erythrocytosis
  4. Hypertension
  5. Occasional fever

Correct Answer: E. Occasional fever

Explanation:

Recurrent fever is present in renal cell carcinoma. Hematuria is a typical sign of renal cell carcinoma. There will be a feeling of illness which is known as malaise. Malaise is common in renal cell carcinoma. Excess erythropoietin secretion leads to erythrocytosis. Hypertension results from excess secretion of renin by the carcinoma.

Question 13

Which one of the following is not a risk factor for breast cancer?

  1. Lobular carcinoma in situ
  2. Typical hyperplasia
  3. Genetical pre-disposition
  4. Obesity
  5. Smoking tobacco

Correct Answer: B. Typical hyperplasia

Explanation:

Atypical hyperplasia is a risk factor for breast cancer. Medical condition like lobular carcinoma in situ increases the risk of breast cancer. Genetical link accounts as the first cause of breast cancer in 5–10% of cases. Tobacco smoking increases the risk of breast cancer. When greater amount of tobacco is smoked in a young age, there are greater chances of developing breast cancer. Absence of physical activity causes obesity. About 10% of people with absence of physical activity develop breast cancer.

Question 14

In which stage of ovarian cancer does liver get affected?

  1. Stage I
  2. Stage II
  3. Stage III
  4. Stage IV
  5. Stage V

Correct Answer: D. Stage IV

Explanation:

In Stage I, at the maximum, the cancer is limited to ovaries. In Stage II,at the maximum, cancer occurs in the pelvic extension with positive peritoneal regional spread. In Stage III, at the maximum, peritoneal metastases in pelvis occur. It is > 2 cm or lymph node metastases occur. In Stage IV, cancer spreads to the liver or outside the peritoneal cavity. There is no Stage V in ovarian cancer.

Question 15

Which one of the following cancers is due to the mutation of BRCA 1?

  1. Liver cancer
  2. Testicular cancer
  3. Gall bladder cancer
  4. Bile-duct cancer
  5. Melanoma

Correct Answer: B. Testicular cancer

Explanation:

Testicular cancer is due to the harmful mutation of BRCA 1. BRCA 1 also causes male breast cancer. It also increases the risk of male breast cancer. All other above-mentioned cancers are due to the harmful mutation of BRCA 2. Liver cancer is not associated with BRCA 1 and BRCA 2.