Sample Questions and Answers
Which of the following is a common long-term side effect of cancer treatment?
A) Decreased bone density
B) Increased lung capacity
C) Enhanced immune function
D) Reduced risk of secondary cancers
Answer: A) Decreased bone density
A cancer survivor is experiencing persistent fatigue after treatment. Which intervention should the nurse prioritize?
A) Encourage increased physical activity
B) Ensure a high-protein diet
C) Advise the patient to rest frequently
D) Monitor vital signs for signs of infection
Answer: A) Encourage increased physical activity
What is an essential component of follow-up care for cancer survivors?
A) Routine imaging to detect recurrences
B) Maintenance chemotherapy for life
C) Referral for genetic counseling
D) Annual physical exams and screenings for late effects
Answer: D) Annual physical exams and screenings for late effects
A patient with a history of breast cancer is reporting pain in their upper arm. Which condition is the nurse most concerned about?
A) Post-mastectomy lymphedema
B) Musculoskeletal strain
C) Metastatic bone pain
D) Cardiac-related pain
Answer: A) Post-mastectomy lymphedema
Which of the following should be included in the care plan for a cancer survivor experiencing anxiety?
A) Encourage avoidance of social interactions
B) Promote relaxation techniques and stress management
C) Suggest the patient discontinue follow-up care
D) Recommend immediate pharmacological intervention
Answer: B) Promote relaxation techniques and stress management
The nurse is educating a cancer survivor about managing late effects. Which statement by the patient indicates a need for further teaching?
A) “I will monitor for changes in my skin and nails.”
B) “I need to follow up with my oncologist regularly.”
C) “I should avoid exercise to prevent fatigue.”
D) “I will continue regular screenings for other types of cancer.”
Answer: C) “I should avoid exercise to prevent fatigue.”
Which of the following is a risk factor for secondary cancers in cancer survivors?
A) Aging
B) History of smoking
C) Exposure to chemotherapy or radiation
D) Family history of cancer
Answer: C) Exposure to chemotherapy or radiation
A cancer survivor who had chemotherapy six months ago reports numbness and tingling in their fingers. What is the nurse’s most appropriate action?
A) Reassure the patient that it is a normal side effect of aging
B) Suggest the patient avoid using their hands for a few days
C) Assess the patient’s neurologic status and report the symptoms to the oncologist
D) Recommend the patient increase fluid intake
Answer: C) Assess the patient’s neurologic status and report the symptoms to the oncologist
Which of the following should be a priority goal when caring for a cancer survivor?
A) Prevent recurrence of cancer
B) Maximize functional recovery and quality of life
C) Ensure that no further treatment is required
D) Maintain a strict diet and exercise regimen
Answer: B) Maximize functional recovery and quality of life
A cancer survivor who received radiation therapy for head and neck cancer reports dry mouth. Which intervention should the nurse recommend?
A) Increase fluid intake and use saliva substitutes
B) Limit oral hygiene to once daily
C) Encourage sucking on hard candy to increase saliva production
D) Recommend use of alcohol-based mouthwash
Answer: A) Increase fluid intake and use saliva substitutes
A cancer survivor with a history of colon cancer asks if they should undergo genetic testing. The nurse should:
A) Advise the patient against genetic testing, as it is not recommended for cancer survivors
B) Provide information about the benefits and limitations of genetic testing and refer to a genetic counselor
C) Reassure the patient that genetic testing is not necessary for their situation
D) Suggest genetic testing only if the cancer recurs
Answer: B) Provide information about the benefits and limitations of genetic testing and refer to a genetic counselor
The nurse is caring for a cancer survivor who is experiencing depression. Which of the following is the most important intervention?
A) Encourage the patient to remain active in their community
B) Refer the patient for counseling or support groups
C) Increase the patient’s exercise program
D) Recommend medication as the primary treatment
Answer: B) Refer the patient for counseling or support groups
Which of the following is the most appropriate action for a nurse caring for a cancer survivor at risk for osteoporosis due to treatment?
A) Encourage weight-bearing exercises
B) Suggest high-fat, low-calcium foods
C) Recommend avoiding any form of physical activity
D) Limit the intake of vitamin D
Answer: A) Encourage weight-bearing exercises
Which lifestyle change should a cancer survivor make to reduce the risk of secondary cancers?
A) Quit smoking and limit alcohol consumption
B) Increase dietary intake of red meat
C) Reduce fluid intake to prevent kidney damage
D) Avoid all forms of physical activity
Answer: A) Quit smoking and limit alcohol consumption
A patient recovering from cancer treatment is concerned about weight gain. The nurse should suggest which intervention to help manage weight?
A) A low-fat, high-calorie diet
B) An exercise regimen tailored to their ability
C) Restricting fluid intake to prevent bloating
D) Strict bed rest to conserve energy
Answer: B) An exercise regimen tailored to their ability
A cancer survivor is experiencing early signs of lymphedema. What action should the nurse recommend?
A) Begin wearing compression garments immediately
B) Engage in regular physical exercise to promote lymph drainage
C) Avoid any type of physical activity or movement
D) Take diuretics to reduce fluid retention
Answer: B) Engage in regular physical exercise to promote lymph drainage
The nurse is assessing a cancer survivor’s nutrition. What should the nurse prioritize?
A) Ensuring the patient follows a high-protein, high-calorie diet
B) Recommending a strict low-fat diet
C) Monitoring for weight loss and muscle wasting
D) Advising the patient to avoid all carbohydrates
Answer: C) Monitoring for weight loss and muscle wasting
A cancer survivor is concerned about fertility following treatment. Which of the following is the best recommendation?
A) Fertility may be permanently impaired; no interventions are possible
B) Consider sperm or egg banking before starting treatment if fertility preservation is a concern
C) Fertility will return to normal after the conclusion of chemotherapy
D) Fertility issues are rare after cancer treatment
Answer: B) Consider sperm or egg banking before starting treatment if fertility preservation is a concern
Which of the following is a common psychological challenge for cancer survivors?
A) Reliving traumatic memories from treatment
B) Complete resolution of all stressors
C) Increased social isolation
D) Excessive optimism about their health
Answer: C) Increased social isolation
A cancer survivor asks the nurse how to manage skin changes related to radiation therapy. The nurse should suggest:
A) Avoiding all skin care products
B) Applying heavy lotions and ointments to the affected areas
C) Gently moisturizing the skin and avoiding tight clothing
D) Using only medicated creams prescribed by the physician
Answer: C) Gently moisturizing the skin and avoiding tight clothing
A cancer survivor is experiencing difficulty swallowing after treatment for throat cancer. What should the nurse recommend?
A) Avoid solid foods and only consume liquids
B) Consult a speech therapist for swallowing exercises
C) Drink large quantities of fluids with each meal
D) Continue eating regular foods without modifications
Answer: B) Consult a speech therapist for swallowing exercises
Which type of cancer screening is recommended for a lung cancer survivor who has quit smoking?
A) Annual colonoscopy
B) Low-dose CT scans for lung cancer recurrence
C) Pap smears every year
D) Mammograms every two years
Answer: B) Low-dose CT scans for lung cancer recurrence
A cancer survivor expresses concern about pain management. Which approach should the nurse recommend for chronic pain following treatment?
A) Use over-the-counter pain relievers exclusively
B) Focus solely on non-pharmacological interventions
C) Collaborate with a pain management specialist to develop a comprehensive plan
D) Ignore the pain as it will resolve on its own
Answer: C) Collaborate with a pain management specialist to develop a comprehensive plan
What is the role of the nurse in educating cancer survivors about late effects of treatment?
A) To provide all medical answers regarding cancer recurrence
B) To ensure the patient follows strict guidelines for treatment
C) To inform the patient about potential late effects and empower them to take preventive action
D) To avoid discussing potential side effects to prevent anxiety
Answer: C) To inform the patient about potential late effects and empower them to take preventive action
Which of the following is a common emotional response for cancer survivors?
A) Complete lack of anxiety
B) Fear of recurrence and uncertainty
C) Excessive optimism without concern
D) Complete relief from all stress
Answer: B) Fear of recurrence and uncertainty
Which of the following should be included in the care plan for a cancer survivor at risk for depression?
A) Encourage isolation and avoidance of social events
B) Suggest psychotherapy or support groups
C) Limit discussions about cancer or related feelings
D) Encourage the use of alcohol for stress relief
Answer: B) Suggest psychotherapy or support groups
What is the nurse’s role in helping cancer survivors prevent or manage lymphedema?
A) Recommend strict bed rest
B) Encourage regular movement and compression therapy
C) Advise against physical activity to prevent strain
D) Recommend drastic weight loss measures
Answer: B) Encourage regular movement and compression therapy
A cancer survivor has a family history of cancer. What should the nurse recommend?
A) Avoid any cancer screenings
B) Ensure the family history is discussed with the oncologist for tailored follow-up care
C) Ignore family history as it is irrelevant after treatment
D) Recommend frequent genetic testing for all family members
Answer: B) Ensure the family history is discussed with the oncologist for tailored follow-up care
Which of the following is a primary concern for a cancer survivor with a history of radiation therapy?
A) Risk of infertility
B) Development of secondary cancers
C) High risk of viral infections
D) Increased likelihood of osteoporosis
Answer: B) Development of secondary cancers
A cancer survivor expresses fear of recurrence. The nurse should:
A) Minimize the patient’s concerns to avoid anxiety
B) Educate the patient about the signs of recurrence and the importance of regular follow-up
C) Suggest the patient avoid thinking about cancer altogether
D) Advise the patient to discontinue follow-up care
Answer: B) Educate the patient about the signs of recurrence and the importance of regular follow-up
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