Question 1
A 45-year-old woman with acute leukemia is going to begin chemotherapy with
vincristine. The nurse is aware that vincristine must always be administered
A. at a rapid
infusion rate.
B. at a slow
infusion rate.
C. through a
central line.
D. through an
IV line primed with
vincristine.
1 points
Question 2
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain
along with a local disease flare. The nurse interprets this as an indication of which
of the following?
A.
pg. 1
,A hypersensitivity reaction
B.
Cardiomyopathy
C.
Nephrotoxic effects of tamoxifen
D.
The tumor responding to treatment
1 points
Question 3
A middle-aged patient has received a diagnosis of GI stromal tumor following an
extensive diagnostic workup. Imatinib has been recommended as a component of
the patient's drug regimen. What patient education should the nurse provide to
this patient?
A.
“If you experience significant nausea after taking a dose, stop taking the drug
and schedule an appointment at the clinic.” B.
“Try to keep your PICC line dressing as dry as possible at all times.”
C.
“It's important that you let us know if you develop any significant swelling or
puffiness.”
D.
“You'll likely experience a lot of dry mouth while you're taking this drug, so it's
helpful to chew ice chips.”
1 points
Question 4
A nurse has completed a medication reconciliation of a patient who has been
admitted following a motor vehicle accident. Among the many drugs that the
patient has received in the previous year is rituximab. The nurse would be
justified in suspecting the patient may have received treatment for which of the
following diseases?
A.
Malignant melanoma
,B.
Non-Hodgkin's lymphoma
C.
Nonsmall cell lung cancer
D.
Renal cell carcinoma
1 points
Question 5
A nurse has been assigned to a 55-year-old woman who has a malignant brain
tumor. The patient is receiving her first dose of carmustine. It will be critical for
the nurse to observe for which of the following?
A.
Inability to drink fluids for 6 hours
B.
Nausea and vomiting
C.
Reddish urine
D.
Respiratory difficulty
1 points
Question 6
A nurse is caring for a 64-year-old female patient who is receiving IV heparin and
reports bleeding from her gums. The nurse checks the patient's laboratory test
results and finds that she has a very high aPTT. The nurse anticipates that which
of the following drugs may be ordered?
A. Alte
plase
B. Cou
madin
C. Ticl
opidine
D.
pg. 3
, Protamine sulfate
1 points
Question 7
An older adult woman has been diagnosed with acute lymphoblastic leukemia
(ALL) and her care team has identified potential benefits of imatinib. Which of the
following characteristics of this patient's current health status may preclude the
use of imatinib?
A.
The patient has type 2 diabetes mellitus that is controlled using diet and oral
antihyperglycemics.
B.
The patient had a total knee arthroplasty several months earlier.
C.
The patient has chronic heart failure resulting in significant peripheral
edema.
D.
The patient experienced a mild ischemic stroke several years ago and had
transient ischemic attacks last year.
1 points
Question 8
An oncology nurse is reviewing the pathophysiology of cancer and is discussing
with a colleague the factors that contribute to the success or failure of a patient's
chemotherapy. Which of the following cancerous cells is most susceptible to the
effects of chemotherapeutic drugs?
A.
Cells that lack a blood supply
B.
Cells that lack contact inhibition
C.
Cells with a long generation time
D.
Cells that have a rapid mitotic rate
1 points
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