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Assignment Questions

nursing

Questions 1-60 of 60 | Page 1 of 1

 

Question 1

A patient receiving a seventh cycle of paclitaxel and carboplatin is assessed for:

aanorexia.
bflank pain.
cweakness.
dshortness of breath.

Question 2

To prevent hemorrhagic cystitis in a patient receiving ifosfamide, the nurse:

aadministers mesna at 60%–100% of the ifosfamide dose.
badministers amifostine at 60%–100% of the ifosfamide dose.
chas the patient drink 8 ounces of fluids every hour.
dchecks the creatinine level prior to each dose.

Question 3

A patient with CD20 positive, non-Hodgkin lymphoma is scheduled to begin rituximab. The nurse knows:

athe risk of infusion reactions is decreased since the patient is chemotherapy-naive.
binfusion-related side effects are reduced with subsequent infusions.
canother therapy is ordered if the patient has an infusion reaction.
dmost infusion-related reactions occur 24-48 hours after the infusion.

Question 4

A patient scheduled for a fifth cycle of oxaliplatin reports difficulty buttoning his shirts. What is the nurse’s next action?

aInstruct the patient to wear gloves.
bAdminister the agent as ordered.
cNotify the physician
dApply ice to the fingertips.

Question 5

A patient scheduled to receive a fourth cycle of paclitaxel and cisplatin reports burning and numbness in his feet. The nurse’s priority is to assess for:

acerebellar neurotoxicity.
bchemical arachnoiditis.
cmotor neuropathy.
dautonomic neuropathy.

Question 6

A patient receiving cycle four of doxorubicin, bleomycin, vincristine, and dacarbazine reports dyspnea, tachypnea, and exercise intolerance. The patient is prepared for a:

acomputed tomography scan
bmagnetic resonance imaging.
cchest tube insertion.
dpositron-emission tomography.

Question 7

Specialized white blood cells called lymphocytes mature from:

amyeloid precursors.
blymphoid precursors.
cagranulocytes.
dgranulocytes.

Question 8

High-dose cytarabine administration places a patient at risk for:

acerebellar toxicity.
bhand-foot syndrome.
cpulmonary fibrosis.
danaphylaxis reaction.

Question 9

Which of the following increases a patient’s risk for acute nausea and vomiting?

aAge greater than 60
bHistory of alcohol abuse
cHistory of tonsillectomy
dFemale gender

Question 10

Which of the following is a dose-limiting toxicity for vinorelbine?

aMyelosuppression
bNeurotoxicity
cHepatotoxicity
dNausea

Question 11

When spiking an IV bag containing a hazardous drug, the nurse should wear:

aa surgical mask.
ban isolation gown.
ca respirator.
da face shield.

Question 12

The nurse administering cetuximab to a patient who is receiving concurrent radiation therapy is vigilant in monitoring for:

athyroid storm.
benterocolitis.
ccardiopulmonary arrest.
dhemorrhage.

Question 13

Which of the following stages of the cell life cycle gives cells some protection from exposure to cell cycle-specific chemotherapy agents?

aGap 1
bSynthesis
cGap 0
dPremitotic

Question 14

How do malignant transformed cells differ from normal cells?

aThey are different in structure from others of the same type.
bThey are fully differentiated and encapsulated.
cThey are unable to sustain an adequate blood supply.
dThey are unable to move away from their usual location.

Question 15

Which of the following best describes the effect of biologic therapy in the treatment of cancer? Biologic therapy:

ainhibits hematopoietic cell growth.
binduces the apoptosis of cancer cells.
cenhances the host’s immune system.
dpotentiates the effects of chemotherapy.

Question 16

How are vesicants administered peripherally?

aIV push
bSyringe pump
cContinuous infusion
dIV pump

Question 17

A patient reports that there is leaking at the chemotherapy infusion site. After assessing and warning others, the nurse:

aconsults the pharmacist for instructions.
bcontacts the physician for additional orders.
cretrieves the hazardous drug spill kit.
drelocates the patient to another room.

Question 18

The risk of developing palmar-plantar erythrodysesthesia increases with combination therapy with:

acapecitabine and radiation therapy.
bfluorouracil and leucovorin.
cdocetaxel and capecitabine.
dfluorouracil and pegfilgrastim.

Question 19

A patient receiving decitabine must have treatment delayed for which of the following?

aANC 1,200 neutrophils/mcL
bAspartate aminotransferase 6 U/L
cSerum creatinine 2.5 mg/dL
dDirect bilirubin 0.3 mg/dL

Question 20

Immune-related diarrhea for a patient being treated with pembrolizumab typically presents how many weeks after initiating therapy?

a6-18 weeks
b4-5 weeks
cMore than 19 weeks
dLess than 3 weeks

Question 21

Using the Calvert formula, calculate the carboplatin dose for a 65-year-old male patient who weighs 80.2 kg. The patient’s serum creatinine is 0.8 mg/dL with a target AUC of 4.

a517.6 mg
b519 mg
c455.1 mg
d397 mg

Question 22

Which of the following is primarily involved in acute nausea and vomiting?

aInhibition of the vagus nerve
bInhibition of the vestibular system
cSerotonin released from enterochromaffin cells
dSubstance P binding to neurokinin-1 receptors

Question 23

Which of the following agents is an irritant?

aEpirubicin
bDaunorubicin
cBleomycin
dDactinomycin

Question 24

A patient receiving nivolumab has a follow-up CT scan 12 weeks into therapy which shows a very slight increase in the size of his lung tumors. In the absence of any other significant changes in his condition, what is the expected treatment for the patient?

aContinue the current therapy with nivolumab.
bDiscontinue the drug.
cChange the treatment drug.
dIncrease the dosage of nivolumab.

Question 25

An example of an immune checkpoint inhibitor is:

acarfilzomib
bpembrolizumab.
crituximab.
dbortezomib.

Question 26

When assessing a patient who received treatment with high-dose busulfan one year ago, the nurse is most concerned about which of the following signs and symptoms?

aCough, dyspnea, and low-grade fever
bPapulopustular rash and urticaria
cWeakness, numbness, and tingling
dHeadache and decreased vision

Question 27

Which of the following personal protection equipment is worn for handling hazardous drugs?

aTwo pairs of sterile powder-free gloves
bDisposable gown made of a high permeability fabric
cStandard surgical face mask with a face shield
dTwo pairs of chemotherapy-tested gloves

Question 28

The nurse notes a loss of blood return while administering IV vinblastine. After stopping the infusion and aspirating any remaining drug from the catheter, the nurse’s priority is to:

ainfuse dexrazoxane as soon as possible.
binject sodium thiosulfate into the site.
capply a warm pack for 15-20 minutes.
dapply ice for 6-12 hours.

Question 29

The possible etiologies of venous irritation from chemotherapy administration include:

adiluted drugs.
ban agent pH equal to 9.1.
ca small-bore peripheral IV.
dhypotonic solutions.

Question 30

Which type of immune response includes skin and mucous membranes?

aAdaptive
bCell-mediated
cHumoral
dInnate

Question 31

A patient who is two months pregnant and diagnosed with an aggressive type of breast cancer refuses treatment. The nurse requests a consult with the:

amedication safety committee.
bethics committee.
ctumor board.
doncology department.

Question 32

The final step in developing a biosimilar is to:

atransfer the gene into a virus or an Escherichia coli vector
bremove the growth medium once the quantity is sufficient.
cpurify and stabilize the protein and place in the drug format.
didentify and clone the protein at the core of the biologic.

Question 33

A short-term outcome of patient education is:

adecreasing healthcare costs.
bimproving health-related quality of life.
cempowering active participation in health care.
dincreasing customer satisfaction.

Question 34

A hypersensitivity reaction to bleomycin is most likely to develop in a patient receiving treatment for which of the following diagnoses?

aTesticular cancer
bMalignant melanoma
cFollicular lymphoma
dCervical cancer

Question 35

A patient reports worsening of an extravasation site. The nurse will find which initial document most helpful?

aOsmolarity of the solution infused
bPhotographs of the site with date and time
cInitial dose of the chemotherapyation
dQuality of blood return before the infusion

Question 36

Which of the following small molecule inhibitors is indicated for the treatment of pancreatic cancer?

aErlotinib
bCarfilzomib
cBortezomib
dCabozantinib

Question 37

Which of the following drugs has the highest predicted risk of a hypersensitivity reaction?

aFluorouracil
bDactinomycin
cDacarbazine
dOxaliplatin

Question 38

Which of the following drugs is a nonanthracycline antitumor antibiotic?

aBleomycin
bIdarubicin
cEpirubicin
dDoxorubicin

Question 39

What is the mechanism of action of monoclonal antibodies?

aRemove immune cells from the body, and retrain them to identify and kill specific antigens
bTarget tumor-specific antigens on the surface of some cancer cells
cAccelerate and fully engage immune cells to create a robust immune response
dIntroduce the immune system to fragments of weakened or dead bacteria

Question 40

Hazardous drugs can be released into the environment when:

apriming tubing with a neutral solution.
bcompounding parenteral Schedule 1 agents.
cdiscarding syringes used to administer chemotherapy.
dadministering premedications in the infusion suite.

Question 41

Which of the following dose-limiting toxicities is attributed to cyclophosphamide?

aHemorrhagic cystitis
bHepatotoxicity
cPeripheral neuropathy
dNephrotoxicity

Question 42

Using a medication cup to administer an oral tablet form of chemotherapy:

aprevents aerosolization.
bassures an accurate dose is administered.
cavoids a hazardous drug spill.
dprotects the surfaces from contamination.

Question 43

A patient receiving a checkpoint inhibitor experiences a dose-limiting toxicity. What does the nurse anticipate the physician will order?

aDecrease the next dose.
bSlow the rate of infusion.
cAdminister the next dose.
dHold the next dose.

Question 44

Which is a nursing action for a patient with chronic lymphocytic leukemia who is scheduled to receive bendamustine?

aAdminister seizure prophylaxis.
bEncourage frequent voiding.
cInfuse the agent over 240 minutes.
dEvaluate serum calcium and potassium.

Question 45

The goal of adjuvant therapy is to:

adecrease the immune response prior to transplantation.
bshrink the primary tumor to improve the effectiveness of surgery.
ctarget minimal disease for a patient at high risk of recurrence.
deliminate residual disease prior to receiving a stem cell transplant.

Question 46

Which of the following drugs when given in its pegylated liposomal form reduces the risk of cardiotoxicity and allows for a significantly higher cumulative dose?

aDaunorubicin
bEpirubicin
cIdarubicin
dDoxorubicin

Question 47

The nurse is exposed to a hazardous drug through ingestion by:

apushing chemotherapy through an implanted port.
bsplashing chemotherapy into the eyes.
cdrinking in an area that chemotherapy is administered.
dbreathing in aerosolized particles from a chemotherapy spill.

Question 48

A patient with a VAD which has a good blood return reports pain and burning close to the access site shortly after idarubicin is started. The nurse expects to:

aelevate the affected extremity until the pain subsides.
badminister hyaluronidase in multiple SQ injections.
capply warm packs for 15 minutes four times daily.
dadminister the dexrazoxane infusion through an alternate site.

Question 49

During an initial infusion of trastuzumab, a patient begins to shake and reports chills, nausea, and a headache. The nurse should:

astop the infusion, manage the reaction, and then restart the infusion.
bpermanently discontinue the infusion after managing the reaction.
cstop the infusion, administer epinephrine, and then restart the infusion.
dslow the infusion and administer diphenhydramine and methylprednisolone.

Question 50

Which of the following is the final level of protection in the hierarchy of hazard controls?

aPersonal protective equipment
bHazard elimination
cAdministrative controls
dEngineering controls

Question 51

Which of the following interventions is an example of utilizing evidence-based practice?

aUsing honey as an oral rinse for mucositis
bApplying emollients to manage skin toxicities
cUsing reverse isolation routinely for patients with neutropenia
dEncouraging individual aerobic exercise activities for fatigue

Question 52

Biotherapeutic agents work by:

adestroying rapidly dividing cells.
benhancing the immune response.
ckilling slowly dividing cells.
dweakening cell transformation.

Question 53

Which of the following toxicities is associated with rituximab?

aRenal
bOphthalmologic
cPulmonary
dGonadal

Question 54

The nurse caring for a patient with colon cancer that has metastasized to the liver is concerned that stricture can be caused by:

acisplatin.
bcarboplatin.
cfluorouracil
dfloxuridine.

Question 55

Calculate the ANC for a patient with the following laboratory values: WBC 1.7 x 109/L, neutrophils 14%, bands 20%, and hemoglobin 10 g/dL.

a3400 neutrophils/mcL
b238 neutrophils/mcL
c578 neutrophils/mcL
d5780 neutrophils/mcL

Question 56

The signs and symptoms of a peripheral extravasation include:

apain and swelling along the IV site
bulceration and blistering along the IV site.
cblotches and streaking at the IV site.
dtightness and aching at the IV site.

Question 57

A patient with relapsed non-Hodgkin lymphoma is receiving ibritumomab tiuxetan. The nurse understands that:

athe patient will be placed on isolation and radiation precautions for three days after the drug is given.
bthe drug is bound to a diphtheria toxin which targets the lymphoma cells and kills them.
cthe patient’s platelet count should be greater than 100,000/mm3 before starting the therapy.
dthe medication should be given in combination with an antiplatelet therapy.

Question 58

A patient receiving chemotherapy is unable to retain liquids and has vomited nine times over the past day. What is the grade of these adverse events according to the NCI’s Common Terminology Criteria for Adverse Events?

a1
b2
c4
d3

Question 59

The physician calls to give the nurse verbal chemotherapy orders. Which of the following nursing actions is appropriate?

aRequest that the physician provide the order to the pharmacist.
bHave a second nurse listen to the physician’s order to verify the dosage.
cNotify the physician that telephone orders are unacceptable.
dObtain the chemotherapy name and dosage and read the order back to the physician.

Question 60

Infusion-related hypotension is associated with which of the following drugs?

aVinblastine
bEtoposide
cVinorelbine
dPaclitaxel

 

 

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