Oncology

1. A 47-year-old woman notices a lump on her left breast. Shortly afterwards, during her annual medical examination, her physician prescribes a mammogram and a few blood tests that she will need to have done her local hospital. Two days after her tests, the woman learns that she must undergo surgery as soon as possible. Since receiving the news, she sleeping very little and often cries. The pre-admission clinic calls the woman to finalize the preparations for her surgery. During the telephone interview, the LPN fills out a questionnaire about the woman’s medical history and informs her about the surgery procedures. While collecting information, the patient, who is very anxious, tells the LPN that she is afraid of dying because her mother died of breast cancer ten years ago, but she still tries to stay positive. Which of the following interventions would not be appropriate for the patient’s preoperative care? *
2. Mrs. Danielle Laforest, 54, is receiving her third cycle of chemotherapy for breast cancer. Today, she reports feeling unusually tired with mild chills. Her temperature is 37.6°C, but she looks pale and weak. Her CBC from this morning shows a very low neutrophil count. She tells the LPN, “It’s probably just the cold weather outside.” What is the MOST appropriate LPN action? *
3. Mr. Julien Carrière, 62, is undergoing radiation for throat cancer. He shows erythema and dryness over the treatment site. He says, “It looks like a sunburn and it stings.” What should the LPN teach? *
4. Mr. Jean-Paul Roussel, 68, diagnosed with prostate cancer with bone metastasis, reports deep, constant hip pain. He is grimacing and unable to rest. His pain is rated 8/10 despite non-pharmacological measures. What is the appropriate LPN response? *
5. Ms. Léa Morel, 33, undergoing chemotherapy for Hodgkin’s lymphoma, reports intense nausea before meals. She says the smell of food worsens her symptoms. Which teaching is helpful? *
6. Mr. Pierre Gauthier, 57, receiving chemotherapy, shows painful mouth sores that make eating difficult. He says even water burns. Which measure helps reduce irritation? *
7. Mrs. Ariane Bellerose, 60, admitted for anemia from chemotherapy, begins a blood transfusion. After 10 minutes, she reports back pain and chills. The LPN notices her face flushing. What should the LPN do FIRST? *
8. Ms. Émilie Fortin, 44, recovering from a left mastectomy with lymph node removal, asks if she can allow blood pressure checks on her left arm. What is the correct teaching? *
9. Mr. Laurent Gendron, 39, currently neutropenic, receives homemade cookies from a friend. He is excited to eat them and opens the container immediately. What should the LPN do? *
10. Mrs. Fatima Houde, 65, recently had a colostomy. She appears discouraged and says, “I don’t want to look at it. It’s disgusting.” Her pouch is half full and leaking slightly at the edge. What is the LPN’s best response? *
11. Mr. Philippe Davignon, 72, undergoing daily radiation for lung cancer, reports overwhelming fatigue despite sleeping well. He says, “I can barely walk to the bathroom.” Which teaching is appropriate? *
12. Mrs. Renée Caron, 59, receiving IV chemotherapy, suddenly feels burning and swelling at the IV site. The LPN notices redness around the catheter. What is the priority action? *
13. Mr. Isaac Robillard, 78, with advanced pancreatic cancer, tells the LPN, “I think my time is coming. I’m scared to die.” He begins to cry softly. What is the most therapeutic response? *
14. Mrs. Brigitte Chénier, 69, with metastatic breast cancer, reports new-onset leg weakness and difficulty walking. She says her back pain has intensified sharply today. What should the LPN do? *
15. Ms. Noémie Paquette, 32 on chemotherapy, is distressed about her hair falling out in clumps. She asks, “Should I shave it all off now?” What is the best response? *
16. Mr. Robert Bélanger, 58, treated for lung cancer, reports facial swelling and tightness around his neck. He becomes short of breath when lying flat. The LPN notes visible neck vein distention. What should the LPN do? *
17. Mrs. Odile Martel, 66, taking hormone therapy for estrogen-dependent breast cancer, reports new hot flashes and mood swings. Which explanation is correct? *
18. Mr. Jacob Simard, 43, undergoing chemotherapy, notices frequent nosebleeds and bleeding gums when brushing. Platelets are significantly reduced. Which teaching is MOST important? *
19. Mrs. Sophie Laramée, 55, had lymph node removal. Her right arm appears swollen, and she reports heaviness and tightness. Which intervention helps manage lymphedema? *
20. Mr. René Gosselin, 70, with advanced gastric cancer, has lost significant weight and says he feels full after only a few bites. His clothes hang loosely, and he appears frail. Which recommendation supports his nutrition? *