1. What percentage of lung cancer cases is linked to smoking?
A. 50%
B. 60%
C. 75%
D. 90%
2. What is the most common classification of lung cancer?
A. Small-cell
B. Non-small cell
C. Adenosquamous
D. Bronchoalveolar
3. Which cells become less effective due to chronic irritation in lung tissue?
A. Basal cells
B. Cilia
C. Macrophages
D. Red blood cells
4. What is a common site for secondary metastasis of lung cancer?
A. Pancreas
B. Brain
C. GU tract
D. Skin
5. What causes hyperplasia of bronchial epithelial cells in smokers?
A. Airborne allergens
B. Smoking
C. Viral infections
D. Autoimmune response
6. Why is smoking cessation emphasized in patient education?
A. It reduces the need for surgery
B. It lowers treatment cost
C. It decreases recurrence and improves survival
D. It prevents genetic predisposition
7. Which of the following best describes the pathophysiology of lung cancer?
A. Mucosal thickening leads to pleural effusion
B. Hyperplasia of goblet cells followed by basal cell proliferation and invasion
C. Bronchi dilation and fluid retention
D. Alveolar collapse and scar formation
8. A nurse is assessing a patient with suspected lung cancer. Which symptoms support this
diagnosis?
A. Hypotension
B. Chronic cough
C. Bradycardia
D. Constipation
9. A patient with lung cancer is receiving chemotherapy. What is the nurse’s priority?
A. Encouraging ambulation
B. Monitoring for signs of infection
C. Assessing for urinary retention
D. Recommending a low-calorie diet
10. A patient is recovering from a lobectomy. Which nursing intervention promotes lung
expansion?
A. Maintain NPO status for 24 hours
B. Apply abdominal binder
C. Encourage incentive spirometry and deep breathing
D. Withhold pain medications to enhance respiratory drive
11. A patient has fatigue, anorexia, weight loss, and hemoptysis. What should the nurse
suspect?
A. Liver cirrhosis
B. Tuberculosis
C. Lung cancer
D. CHF
12. A nurse is reviewing test results. Which diagnostic test confirms lung cancer via tissue
sampling?
A. Chest X-ray
B. CT scan
C. Bronchoscopy with biopsy
D. Pulmonary function test
13. What findings require further follow-up in a patient recently diagnosed with lung
cancer?
A. Productive cough with yellow sputum
B. Mild exertional dyspnea
C. Hemoptysis
D. Rhonchi
14. The nurse is evaluating a patient’s understanding of treatment options. Which statement
is correct?
A. “Immunotherapy won’t work for lung cancer.”
B. “Radiation is used only before surgery.”
C. “Chemotherapy may be used alone or with other treatments.”
D. “Surgery cures all stages of lung cancer.”
15. A nurse is monitoring for paraneoplastic syndrome in a lung cancer patient. What should
be reported?
A. Hypertension
B. Seizures
C. Muscle cramps
D. Nausea
16. Which of the following are clinical manifestations of lung cancer?
A. Hemoptysis
B. Wheezing
C. Increased appetite
D. Shortness of breath
E. Weight loss
17. Which diagnostic tools are used in lung cancer assessment?
A. Colonoscopy
B. Chest CT
C. Bronchoscopy
D. Sputum cytology
E. Pulmonary function tests
18. Which nursing interventions are appropriate for a patient with lung cancer?
A. Monitor ABG results
B. Provide smoking cessation education
C. Administer antibiotics prophylactically
D. Offer emotional support
E. Encourage high-calorie nutrition
19. Which treatment options may be used for non-small cell lung cancer?
A. Chemotherapy
B. Radiation
C. Transplant
D. Surgery
E. Immunotherapy
What assessments should the nurse prioritize in a post-pneumonectomy patient?
A. Monitor chest tube output- not needed
B. Assess breath sounds in remaining lung
C. Monitor oxygen saturation
D. Place patient on operative side
E. Observe for signs of respiratory distress
21. Which nursing diagnoses apply to a patient with advanced lung cancer?
A. Ineffective airway clearance
B. Imbalanced nutrition: more than body requirements- nooo
C. Activity intolerance
D. Risk for bleeding
E. Impaired gas exchange
22. A nurse is teaching about lung cancer prevention. What points should be included?
A. Avoid secondhand smoke
B. Annual flu vaccinations
C. Stop smoking
D. Eat high-fat diet
E. Avoid environmental toxins
23. A patient undergoing chemotherapy reports fatigue. What interventions are
appropriate?
A. Encourage naps during the day
B. Promote short frequent walks
C. Suggest energy drinks to increase alertness
D. Assess for anemia
E. Cluster care to allow rest
24.Which are complications of lung cancer treatment that nurses must monitor for?
A. Neutropenia
B. Radiation skin reactions
C. Bowel obstruction
D. Pulmonary fibrosis
E. Infection
25. A patient with lung cancer states “There’s no point in trying anymore.” What is the
appropriate nursing response?
A. “You’re right. This disease is difficult.”
B. “Let’s talk about how you're feeling.”
C. “You should stay positive!”
D. “Tell me more about what you mean.”
E. “I’ll notify your provider right away.”
1 D 90% of cases are smoking-related.
2 B Non-small cell is the most common type.
3 B Cilia lose function with chronic irritation.
4 C Lung cancer often metastasizes to GU, GI, and breast.
5 B Smoking causes bronchial cell hyperplasia.
6 C Smoking cessation improves survival and reduces recurrence.
7 B Pathophysiology includes goblet cell hyperplasia and invasion.
8 B Chronic cough is a common symptom of lung cancer.
9 B Chemo suppresses immunity; infection is a priority.
10 C IS and deep breathing promote lung re-expansion post-surgery.
11 C Classic signs of lung cancer include weight loss and hemoptysis.
12 C Bronchoscopy with biopsy confirms tissue diagnosis.
13 C Hemoptysis needs prompt evaluation in lung cancer patients.
14 C Chemo may be used alone or in combination.
15 B Paraneoplastic syndromes may include neurological changes like seizures.
16 A, B, D, E Classic symptoms: hemoptysis, SOB, wheezing, weight loss.
17 B, C, D, E All are valid diagnostic tools except colonoscopy.
18 A, B, D, E ABGs, education, support, and nutrition are key.
19 A, B, D, E Surgery, chemo, radiation, and immunotherapy are valid.
20 B, C, E Monitor remaining lung and signs of distress; no chest tube after pneumonectomy.
21 A, C, D, E All except “more than body requirements” apply.
22 A, C, E Avoid smoking, secondhand smoke, and toxins.
23 A, B, D, E Fatigue managed with rest, anemia checks, and pacing.
24 A, B, D, E Common complications include neutropenia and pulmonary fibrosis.
25 B, D, E Open-ended, empathetic responses are therapeutic.
