2024 ONCOLOGY NURSING EXAM
WITH CORRECT ANSWERS
Cancer - CORRECT-ANSWERSA group of complex diseases characterized by
1) uncontrolled growth and 2) spread of abnormal cells
Most Common Categories of Cancer (5) - CORRECT-ANSWERSCarcinoma:
begins in skin or in tissues that line or cover the internal organs
Sarcoma: begins in bone, cartilage, fat, muscle, blood vessels, or connective
tissue
Leukemia: begins in blood-forming tissue such as bone marrow
Lymphoma and Myeloma: begins in cells of immune system
CNS cancers: begins in tissues of brain and spinal cord
Most Common Chemotherapy Side Effects (8) - CORRECT-ANSWERS1.
Extravasation
2. Alopecia
3. N/V
4. Mucositis
5. Anemia
6. Immunosuppression
7. Thrombocytopenia
8. Sterility
Nurse's Role in Chemotherapy (3) - CORRECT-ANSWERS1. Monitor for side
effects
2. Patient teaching
3. Psychosocial support
Nurse's Role in Chemotherapy: Patient Teaching (8) - CORRECT-ANSWERS1.
Care of access device
2. Increase fluid intake to flush drug
3. Increase rest
4. Identify complications of their therapy
5. When to call doctor
6. Fertility preservation knowledge
7. Good nutrition
8. Mucositis (frequent oral care)
-Soft toothbrush/toothette
-Non-alcoholic mouthwash
-Medication as needed (Nystatin- fungal infection, thrush)
, Nurse's Role in Chemotherapy: Psychosocial Support (4) - CORRECT-
ANSWERS1. Anxiety
2. Disturbed body image
3. Grieving
4. HOPE****
Adjuvant Chemotherapy - CORRECT-ANSWERS-Chemo after tumor removal
or negative biopsy
WHY? --> to prevent microscopic spread even if "they got it all"
Chemotherapy Administration (4) - CORRECT-ANSWERS1. Must be certified
2. Wear gloves, mask, gown
3. Use large peripheral or central line (PICC, Hickman, Mediport)
4. Closely monitor for extravasation
Care of Extravasation - CORRECT-ANSWERSInfiltration
-Leakage of "vesicant"
-Emergency/stop infusion
-DO NOT DISCONTINUE IV
-Aspirate drug still in line
-Call pharmacy/MD for antidote
Types of Radiation (3) - CORRECT-ANSWERS1. Teletherapy: external
2. Brachytherapy: internal, seeds placed at tumor site
3. Gamma knife: helmet device to direct rays to brain cancer
Types of Radiation: Teletherapy (External) (6) - CORRECT-ANSWERS1.
Preserve markings
2. No deoderant, lotion, soaps
3. No hot, cold, tight contact
4. Don't scratch/rub
5. No sun x1 year
6. No social restrictions
Types of Radiation: Brachytherapy (Internal) (6) - CORRECT-ANSWERS1.
Private room
2. Special body fluid containers
3. No handling of dislodged implants except with forceps
4. Visitors must be 6 feet away, 30 minute visits
5. No intimacy
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