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Republic of the Philippines


Cabanatuan City


NCM 106
Quiz # 1
Test 1: Multiple choice; encircle the best answer (no erasures)

1. The nurse instruct the client in Self- breast examination (BSE) . The nurse tells the client to lie
down and to examine the left breast. The nurse instructs the client that while examining the
breast to place a pillow:
a. Under the right shoulder c. under the left shoulder
b. Under the back d. under the right scapula
2. The nurse is instructing a group of female clients about breast-self examination (BSE) .the nurse
would instruct the client to perform the exam.
a. At the onset of menstruation
b. One week after menstruation
c. Every month during ovulation
d. Weekly at the same time of day
3. While being educated by the nurse about breast- self Examination, client ask what rationale is
for moving the arms in different position while standing infront of a mirror. The nurse explains
that these positions are used to :
a. Increase the examiners comfort during the procedure
b. More easily diagnose any masses
c. Determine whether there is any nipple discharges with movements
d. Emphasize any change in shape or contour of the breast
4. A community health nurse is providing cancer prevention class at a local church. The nurse
informs the class that digital rectal exam is used to screen for cancer of the prostate is
recommended for every ma:
a. Abstaining from sexual activity c. over age 18
b. Over age 35 d. over age 40
5. The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse
determines that further teaching is necessary if the client identifies which of the following as an
associated risk factors:
a. Ahistory of inflammatory bowel disease
b. Family history of colon cancer
c. A high fiber diet
d. A diet high in fats and carbohydrates
6. Which of the following statements, if made by a 43 – years old female, would indicate to the
nurse in a cancer health screening clinic that further follow up is needed:
a. “My mother and uncle died of colon cancer.”
b. “ My diet is low in fat and high in residue.”
c. “I have yearly rectal examination.”
d. “ I was born and raised in rural areas.”
7. A 54 year old client is admitted to the hospital for breast cancer. During the pre- op period, what
is the most important consideration in the client’s nursing care?
a. Reassure the client that surgery will cure the cancer.
b. Assess the understanding of the procedure and expectation of bodily appearance after
c. Maintain a cheerful and optimistic behaviour.
d. Keep visitors to a minimum so that she can have time to reflect on her condition.
8. Which of the following groups would benefit most from education regarding potential risk factor
for melanoma?
a. Senior citizen who have been repeatedly exposed to the effects of ultra violet rays.
b. Adults older than 35 years of age
c. Parents with children
d. Employees of a chemical factory
9. Most cancer drugs are most effective against cell that multiply rapidly, Except:
a. Bone marrow cells
b. Cells in the skin
c. Muscles
d. Sells in the GITract
10. A nurse who is teaching smoking cessation programs to healthy adult smokers is participating in
what type of prevention activity?
a. Primary c. tertiary
b. Secondary d. non specific
11. Mrs Reyes has a schedule for Pap smear ,she has a strong family history of cervical cancer. This
is an example of:
a. Primary c. tertiary
b. Secondary d. non specific
12. Guidelines for early detection of cancer include the following, Except:
a. Monthly BSE for woman 20 years of age and above
b. Guiac stool examination on yearly basis for adults over 50 years of age.
c. Pap smear only among sexually active women
d. Baseline mammogram taken for women over 40 years.
13. Responsibilities of the nurse in cancer care includes the following, Except:
a. Make use of current research findings and practices in the care of patient with cancer and
his / her family
b. Identify patients at high risk for cancer
c. Assessment of social support networks is not necessary
14. Screening test/ procedure for prevention and early detection of prostate cancer is:
a. Digital rectal Examination
b. Colonoscopy
c. Testicular self- Examination
d. Stool examination
15. The nurse educating the public to reduce alcohol intake because drinking large amount increase
the risk for:
a. Bladder cancer
b. Liver cancer
c. Lung cancer
d. Prostate cancer
16. Cancer affects every age group, but most cancer occur in people with age:
a. Older than 50 years of age.
b. Younger than 10 years of age
c. During the adolescents
d. At age 13 and below
17. Preventive measures to reduce cancer risk includes the following. Except:
a. High fiber food
b. Cruciferous and carotenoids vegetables
c. Food rich in vitamin E and C
d. High in fat and low in fiber
18. Which client is the nurse priority when providing instruction on self – breast examination?
a. Mae, 35 years old, who breastfed all her children
b. Yden, 37 years old, who never had a child and whose aunt died of breast cancer.
c. Mariane, 42 years old, with history of fibrocystic disease
d. Lovely, 25 years old, with large breast
19. A client has a routine Papaicolau Test during a yearly gynecologic exam. The results reveals a
class V finding. What should the nurse tell the client about this finding?
a. It’s normal and it requires no action
b. It calls for a repeat Pap test in 3 months
c. It calls for a repeat Pp test in 6 weeks
d. It calls for a biopsy as soon as possible
20. The community health nurse who is conducting a teaching session about the risk of testicular
cancer has reviewed a list of instruction regarding testicular self – examinationwith those
attending the session. Which statement by a client indicates a need for further instructions?
a. “ Testicular self- examination is performed once a month.”
b. “Testicular self- examination should be performed on the same day of each month.”
c. The scrotum is held in one hand and the testicle is rolled between the thumb and forefinger
of the other hand.”
d. “It is best to do testicular self- examination first thing in the morning before a bath or

TEST II: Enumeration ( No erasures)

1- 9 Warning signal for cancer
10- 14 Etiologic factors
15-16 Types of Cancer and its characteristics