Cancer Staging and Grading NCLEX Questions Quiz Oncology

Cancer staging and grading NCLEX questions quiz for oncology nursing.

In this quiz, you will be tested on the TNM classification staging system and how cancer is graded. Tumor grading and staging are both used to help provide details about a patient’s cancer, but these terms focus on different details. Therefore, they are not similar.

Don’t forget to review the lecture notes before taking the quiz below.

It’s important that as the nurse you are able to identify the meaning of each category of the TNM staging system and what low-grade vs. high-grade means for your patient. This quiz will test you on:

• Tumor Grading
• Tumor Staging

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Cancer Staging and Grading NCLEX Questions Quiz (Oncology Nursing)

1. Which statements best describe tumor grading? Select all that apply:

A. Tumor grading provides information on how tumor cells look under a microscope.

B. Cancer can be graded using the TNM classification system.

C. Tumor grading describes the location and size of the main tumor, and if the cancer has spread to other parts of the body like the lymph nodes or other organs.

D. A biopsy is used to help grade a tumor.

The answers are A and D. These options are correct regarding tumor grading. Options B and C describes cancer staging.

2. Your patient’s tumor grading report stated “well differentiated, Grade I”. You know that this means?

A. The patient’s tumor cells were different in appearance and arrangement compared to what normal cells possess.

B. This type of cancer is considered high grade.

C. This type of cancer is low grade because the tumor cells have an appearance and arrangement that is similar to normal cells.

D. This grade of cancer tends to spread and grow quickly.

The answer is C.

3. A tumor was shown to possess cells that were moderately differentiated. This is considered a?

A. Grade I

B. Grade II

C. Grade III

D. Grade IV

The answer is B: Grade II

4. True or False: All forms of cancer use the same grading system.

The answer is FALSE. Some forms of cancer have they own grading systems, like breast cancer which uses the Nottingham system.

5. Which statement below is an incorrect statement about can tumor staging?

A. Staging describes the main tumor’s location and size, and if the cancer has spread to other parts of the body like the lymph nodes or other organs.

B. It’s useful in developing a treatment plan and if the patient can participant in a clinical trial.

C. A cancer stage designated at the time of the cancer diagnosis can change overtime.

D. A CT scan, MRI, x-ray, and ultrasound can be used to help stage a cancer.

The answer is C. This statement is incorrect. All the other statements are true. It’s important to note that the cancer stage designated at the time of the cancer diagnosis does NOT change, and if the cancer spreads or metastases that information is added onto the original category designation.

6. The TNM staging system for cancer can be used to help stage what type of cancer?

A. Brain cancer

B. Spinal cord cancer

C. Leukemia

D. Colon cancer

The answer is D. The TNM staging system is not used for brain, spinal cord or blood cancers (includes leukemia). It is used for solid tumor cancers.

7. What is the meaning of cancer is in situ?

A. The tumor is found in its original place and has not spread from its original location.

B. The tumor is formed outside its original place and has spread within it localized site.

C. The tumor is cancerous and may spread.

D. The tumor is distant from its original place.

The answer is A.

8. The TNM staging system has been used to stage your patient’s cancer. The report says: T1N0M0 What is the meaning of N0?

A. Cancer in regional lymph node can’t be measured

B. No cancer present in regional lymph node

C. Cancer in distant lymph node can’t be measured

D. No cancer found in other body parts

The answer is B: No cancer present in regional lymph node

9. The category “T” in the TNM system stands for:

A. Time

B. Tumor (primary)

C. Tissue (primary)

D. Tumor (secondary)

The answer is B.

10. The category “N” in the TNM system stands for:

A. Number

B. Necrosis

C. Nodes

D. Normal

The answer is C.

11. The category “M” in the TNM system gives detail about:

A. if the cancer has spread to other parts of the body and if this is the case, how much and the location of it

B. the number and location of the lymph nodes that have cancer

C. the size of the tumor that is growing into other tissues

D. if the cancer cells appear abnormal

The answer is A.

12. What TNM classification below best describes this finding: very large tumor with 1 regional lymph node involvement, and spread to two regional organs?

A. T1N1M2

B. T4N1M1

C. T1N1M1

D. T4N1M2

The answer is B. T4N1M1

13. Which TNM classification has the poorest prognosis?

A. T0N0M0

B. T2N2M1

C. T4N1M0

D. T4N3M1

The answer is D: T4N3M1

14. On a patient’s TNM classification you see a lowercase “p” (pT1) in front of the T on the patient report. This means?

A. The cancer has been restaged.

B. The cancer was staged based on the findings after surgery.

C. The cancer was staged before the treatment began and was based on test results and assessment findings.

D. The cancer was staged after therapy was administered.

The answer is B. The “p” represents pathological staging and this classification is given based on the findings after surgery.

15. Which stage of cancer is called metastatic cancer and means the cancer has spread to other parts of the body beyond where the cancer started?

A. Stage II

B. Stage 0

C. Stage III

D. Stage I

E. Stage IV

The answer is E: Stage IV

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