B. Ask the client about intake and output.
Awesome, you’ve completed the quiz!
Where are the rationales? Please click the View Questions button below to C. Weigh and measure the height of the patient on the day of
review your answers and read through the rationales for each question. administration.
D. Ask the client for the height and weight.
View Questions
Correct
Correct Answer: C. Weigh and measure the height of the patient on the
day of administration.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 To assure that the client obtains optimal doses of chemotherapy, dosing is
usually based on the total body surface (BSA), which requires an accurate
16 17 18 19 20 current measurement of height and weight on the day of the administration.
Options A & B: These will not provide the information needed.
Correct Incorrect Option D: This will lead to an inaccurate value in determining the true
body total surface.
1. Question 2. Question
Chemotherapy dosing is usually based on the total body surface. What should the The nurse is caring for a client who is receiving a chemotherapy. Which of the
nurse do before administering chemotherapy? RN staffing following would be expected as a result of the massive cell destruction that
occurred from the chemotherapy?
A. Get the body mass index (BMI).
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A. Leukopenia B. Intravenous
B. Anemia C. Intravesical
C. Thrombocytopenia D. Intraarterial
D. Hyperuricemia
Correct
Correct Answer: A. Oral
Mitomycin (Mutamycin) is an antitumor antibiotic used in the treatment of
Correct anal, bladder, breast, cervical, colorectal, head and neck, and non-small cell
Correct Answer: D. Hyperuricemia. lung cancer.
Increased levels of uric acid (Hyperuricemia) in the body is common Option A: There is no pill form of this medication.
following the treatment for leukemias and lymphomas because Options B, C, & D: These are the routes of medication.
chemotherapy results in massive cell destruction.
Options A, B, & C: These are usually noted, but an increased uric
acid level is specifically related to massive cell destruction.
4. Question
The client with a testicular cancer is being treated with Etoposide (Etopophos).
Which of the following side effect is specifically associated with this medication?
3. Question
Mitomycin (Mutamycin) is prescribed to a client with colorectal cancer. All of which
are the routes of administration, except? A. Chest pain
A. Oral B. Edema
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C. Alopecia C. To take acetylsalicylic acid as needed for headache.
D. Orthostatic hypotension D. To drink beverages containing alcohol in moderate amount during the
evening.
Correct
Correct Answer: D. Orthostatic hypotension Correct
While on etoposide infusion, blood pressure is monitored throughout and it Correct Answer: A. To consult with health care providers before
should be administered slowly over 30-60 minutes to avoid hypotension. receiving immunization.
Options A & B: These are not related to this medication. Because antineoplastic medications lower the resistance of the body, clients
Option C: Alopecia happens nearly with all the neoplastic must be informed not to received immunizations without a health care
medications. provider’s approval.
Option B: Diarrhea as one of the common signs of antineoplastic
medication needs to avoid spicy and high-fiber foods which can
increase peristalsis.
5. Question Option C: Clients need to avoid aspirin to minimize the risk of
bleeding.
The clinic nurse provides instructions to a client receiving an antineoplastic Option D: Clients need to avoid alcohol to minimize the risk of
medication. When implementing the plan, the nurse tells the client to? toxicity.
A. To consult with health care providers before receiving
immunization.
6. Question
The client with non-Hodgkin’s lymphoma is being managed with vincristine
B. To avoid hot foods and high fiber-rich foods. (Vincasar). Which of the following indicates a side effect specific to this
medication?
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A. Alopecia B. Stress test
B. Numbness in the toes C. Cranial x-ray
C. Chest heaviness D. Electrocardiogram (ECG)
D. Weight gain
Correct
Correct Answer: A. Pulmonary function studies (PFT’s)
Bleomycin (Blenoxane) is an antitumor antibiotic that can cause interstitial
Correct pulmonary fibrosis. Pulmonary function tests and chest x-ray are done while
Correct Answer: B. Numbness in the toes on this treatment.
A side effect specific to this medication is peripheral neuropathy. It can be Options B, C, & D: These are not related to the specific use of this
manifested as numbness and tingling sensation in the finger and toes. medication.
Option A: Alopecia occurs nearly with all the neoplastic medications.
Options C & D: These are not related to this medication.
8. Question
A male client with breast cancer is receiving Tamoxifen (Nolvadex). The nurse
7. Question
specifically monitors which laboratory value?
A client with sarcoma is receiving Bleomycin (Blenoxane). The nurse in charge of
the client expects the physician to order which diagnostic procedure?
A. Activated partial thromboplastin time
A. Pulmonary function studies (PFT's)
B. Triglyceride level
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C. Fasting blood sugar C. Convulsions
D. Serum sodium and potassium D. Constipation
Correct Correct
Correct Answer: B. Triglyceride level Correct Answer: D. Constipation
Tamoxifen (Nolvadex) is an antineoplastic medication that may increase Tamoxifen (Nolvadex) is an antineoplastic medication that may increase
cholesterol, triglyceride, and calcium levels. Complete blood count, platelet calcium levels. Signs of hypercalcemia include constipation, abdominal pain,
count, serum calcium, cholesterol, and triglyceride level must be monitored hypotonicity of muscle, nausea, and vomiting.
periodically before the administration of this medication. Options A, B, & C: These are signs of hypocalcemia.
Options A, C, & D: These are not monitored during medication
therapy.
10. Question
The client with acute myelocytic leukemia is being treated with busulfan (Myleran).
9. Question
The nurse specifically monitors which laboratory value while the client is taking this
The client with ovarian cancer is receiving Tamoxifen (Nolvadex). Which of the medication?
following indicates a side effect specific to this medication?
A. Serum calcium
A. Weak and brittle nails
B. Uric acid level
B. Facial twitching
C. Prothrombin time
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D. Platelet count
Correct
Correct Answer: B. Pancreatitis
One of the major toxicities associated with asparaginase therapy is
Correct pancreatitis. Pancreatic function test should be performed before and
Correct Answer: B. Uric acid level during the administration of the medication.
Busulfan is an alkylating agent that causes an increase in the uric acid level. Options A, C, & D: These are not contraindicated with this
Hyperuricemia can eventually result in uric acid nephropathy, renal stones, medication.
and acute renal failure.
Options A, C, & D: These are not related with the medication.
12. Question
Megestrol acetate (Megace) is prescribed for a client with advanced breast cancer.
11. Question
The nurse reviews the client’s history and contacts the physician if which of the
The nurse is evaluating the medical history of a client who will be receiving following is documented in the client’s history?
Asparaginase (Elspar). The nurse contacts the health care provider if which of the
following is noted in the history?
A. Bronchial asthma
A. Diabetes Mellitus type II
B. Gouty arthritis
B. Pancreatitis
C. Pulmonary embolism
C. Asthma
D. Ischemic heart disease
D. Ischemic heart disease
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Correct Answer: A. Dysrhythmia
Correct
Idarubicin (Idamycin) and Daunorubicin (Daunoxome) may cause
Correct Answer: C. Pulmonary embolism
cardiotoxicity (such as dysrhythmia, fatigue, shortness of breath),
Megestrol acetate (Megace) is an antineoplastic agent that treats breast and
cardiomyopathy, and ECG changes.
endometrial cancer. This medication is contraindicated for patients with a
Option B: Weight gain, not weight loss is a side effect.
history of thrombophlebitis and pulmonary embolism.
Option C: This is a usual side effect that can last for 2-3 days.
Options A, B, & D: These are not contraindicated with this
Option D: This is not a side effect related to this medication.
medication.
13. Question 14. Question
The client is receiving cisplatin (Platinol-AQ). Which of the following side effect is
The client with non-Hodgkin’s lymphoma is receiving Idarubicin (Idamycin). Which
related to the medication?
of the following would indicate to the nurse that the client is experiencing an
adverse effect related to the medication?
A. Depressed tendon reflexes
A. Dysrhythmia
B. Photosensitivity
B. Weight loss
C. Tinnitus
C. Nausea and vomiting
D. Ptosis
D. Peripheral neuropathy
Correct
Correct Answer: C. Tinnitus
Correct
Cisplatin (Platinol-AQ), an alkylating medication, may cause ototoxicity,
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tinnitus, hypokalemia, hypomagnesemia, hypocalcemia, and nephrotoxicity. Option A: Normal white blood cell count is 4,000 to 11,000/mm3.
Option A: This is a sign of hypermagnesemia. Option C: Normal clotting time is 8-15 minutes.
Options B & D: These are side effects not related to this medication. Option D: Normal hgb is 13.5-17.5 g/dl.
15. Question 16. Question
The nurse is monitoring the laboratory results of a male client receiving A client is receiving methotrexate (Rheumatrex) for a series of chemotherapy.
antineoplastic medications. The nurse plans to initiate bleeding precautions if which Which of the following medication should be readily available to avoid toxicity?
laboratory is value is noted?
A. mesna (Mesnex)
A. White blood cell count of 6,000/mm3.
B. vigabatrin (Sabril)
B. Platelet count of 45,000 cells/mm3.
C. leucovorin (Folinic acid)
C. Clotting time of 8 minutes.
D. oseltamivir (Tamiflu)
D. Hemoglobin count of 15g/dl.
Correct
Correct Correct Answer: C. leucovorin (Folinic acid)
Correct Answer: B. Platelet count of 45,000 cells/mm3. Large doses of Methotrexate (Rheumatrex) may lead to harmful effects in
The normal value for platelets is 150,000 to 450,000 cells/mm3. When the the body. Leucovorin is administered to prevent its toxicity.
platelet count is less than 50,000 cells/mm3, minor trauma can lead to Option A: Mesna is given with ifosfamide to decrease the potential of
episodes of prolonged bleeding; when less than 20,000 cells/mm3, ifosfamide induced cystitis.
spontaneous and uncontrolled bleeding can occur.
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Option B: Vigabatrin is an anticonvulsant. and lowers the uric acid level.
Option D: Oseltamivir is an influenza antiviral medication.
18. Question
17. Question
The nurse is monitoring a patient receiving an Iv infusion of an antineoplastic
The nurse is providing teachings to a client receiving cyclophosphamide (Cytoxan). medication. During the infusion, the patient complains of pain and redness at the
The nurse tells the client to which of the following? insertion site. The nurse should take which actions? Select all that apply.
A. Eat foods rich in potassium. A. Reinsert the IV at a distal part of the same vein.
B. Increase fluid intake to 2-3 liters per day. B. Increase the flow rate of the medication.
C. Take the medication with food. C. Notify the physician.
D. Eat foods rich in purine. D. Apply a heat or ice compress to the site.
E. Administer an antidote as prescribed.
Correct
Correct Answer: B. Increase fluid intake to 2-3 liters per day.
Cyclophosphamide can cause hemorrhagic cystitis. Encourage the client to
increase their fluid intake to 2- 3 liters per day, unless contraindicated. Correct
Option A: This medication can cause hyperkalemia. Correct Answer: C, D, & E
Option C: The medication is taken without food. Extravasation may occur during the infusion of chemotherapy. Signs of
Option D: Client must follow a low purine diet to alkalinize the urine which are pain, redness, and swelling on the insertion site. The infusion must
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stop and the physician is notified. The physician may order the Correct Answer: A, C, & D
administration of an antidote and heat or cold compress is done. During an anaphylactic reaction, the medication is immediately stopped. The
Options A & B: Reinsertion on the same vein and increasing the flow nurse assesses the respiratory status and monitors the client’s vital signs.
rate may cause further damage to the site. The physician is contacted immediately. and an emergency medication is
given such as epinephrine.
Option B: The IV line is not removed because IV access is required to
administer emergency IV medications.
19. Question Option E: The client’s head is not lowered but elevated to improve
ventilation.
The nurse is caring for a client receiving chemotherapy when an anaphylactic
reaction occurs from the medication. The nurse should take which actions? Select
all that apply.
20. Question
A. Stop the medication. The nurse is caring for a client who is receiving fluorouracil (Adrucil). Which of the
following symptoms would necessitate the nurse to immediate discontinuation of
the medication?
B. Remove the IV line.
A. Palmar-plantar erythrodysesthesia
C. Administer Oxygen.
B. Ataxia
D. Administer epinephrine.
C. Constipation
E. Positioned the client in a reverse Trendelenburg position.
D. Insomnia
Correct
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Correct
Correct Answer: B. Ataxia.
During the administration of Fluorouracil. Monitor for symptoms of dizziness,
weakness, and ataxia which are signs of cerebral dysfunction that would
immediately lead to the discontinuation of the medication.
Option A: This is characterized by skin rash, swelling, redness, pain,
and/or peeling of the skin on the palms of hands and soles of feet. Is
usually a mild symptom that would only require a reduction of the
dosage.
Option C: Diarrhea is a related sign, not constipation.
Option D: Insomnia is not a related symptom of this medication.
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