Antineoplastic Meds - Practice Test

1.      The client undergoing whole-body radiation for Hodgkin's disease may have destruction of bone marrow, making it unable to function normally. As a result of this, the nurse would expect the client to develop:

A.     Increased blood viscosity

B.     Increased tendency for fractures

C.    Decreased number of erythrocytes

D.    Decreased susceptibility to infections

 

2.     The nurse is developing a teaching plan for a client who has just been diagnosed with breast cancer. The nurse should include information about which medication?

A.     acetaminophen (Tylenol)

B.     dopamine (Intropin)

C.    tamoxifen (Nolvadex)

D.    progesterone (Gesterol 50)

 

3.     When collaborating with the physician in the development of a drug regimen for a client with cancer, the nurse would expect which of the following medications to be avoided in the treatment of cancer pain?

A.     Meperidine (Demerol).

B.     Morphine.

C.    Acetaminophen (Tylenol).

D.    Hydromorphone (Dilaudid).

 

4.     A client who is to receive radiation therapy for cancer says to the nurse, "My family said I will get a radiation burn." The best response by the nurse would be:

A.     "It will be no worse than a sunburn."

B.     "A localized skin reaction usually occurs."

C.    "Have they had experience with this type of radiation?"

D.    "Daily application of an emollient will prevent the burn."

 

5.     When assessing the status of a child with leukemia who is receiving vincristine (Oncovin), the nurse would know that the fluid intake should be increased when the child's:

A.     Temperature is 99.8 degrees F

B.     Uric acid level is elevated

C.    Urine's specific gravity is 1.026

D.    Output for the last 24 hours totaled 1700 ml

6.     After surgery for cancer, a client is to receive adjuvant chemotherapy. When teaching the client about the side effects of chemotherapy, the nurse should emphasize that the occurrence of alopecia is:

A.     Usually rare

B.     Never permanent

C.    Frequently prolonged

D.    Sometimes preventable

 

7.     When assessing a child with leukemia for the possible side effects of vincristine (Oncovin), the nurse should be aware that a sign of toxicity is:

A.     Diarrhea

B.     Alopecia

C.    Hemorrhagic cystitis

D.    Peripheral neuropathy

 

8.     A client with cancer is receiving a multiple chemotherapy protocol. Included in the protocol is leucovorin calcium (Wellcovorin). The nurse recognizes that this drug is administered to:

A.     Potentiate the effect of alkylating agents

B.     Diminish the toxicity of folic acid antagonists

C.    Limit the occurrence of nausea and vomiting associated with chemotherapy

D.    Interfere with cell division at a different stage of cell division than the other drugs

 

9.     An 8-year-old child, admitted to the hospital for intrathecal methotrexate chemotherapy, is prescribed allopurinol (Zyloprim) and asks the nurse why this medication has to be taken. The nurse's best response would be:

A.     "Because this pill helps the other medicines get rid of the things making you sick."

B.     "To protect your body from developing other problems after your treatment has been stopped."

C.    "To stop your sick white cells from going to other parts of your body where they can cause problems."

D.    "Because your doctor ordered it. Your doctor would not order anything for you unless it was very important."

 

10.   A client with Hodgkin's disease enters a remission period and remains symptom-free for 6 months, when a relapse occurs. The client is diagnosed at stage IV. The therapy option the nurse should expect to be implemented at this time is:

A.     Radiation therapy

B.     Combination chemotherapy

C.    Radiation with chemotherapy

D.    Surgical removal of the affected nodes

 

11.   The alkylating agent cyclophosphamide (Cytoxan) is ordered for a child with cancer. When the child is receiving this drug the nurse should assess for:

A.     Extent of hydration

B.     Increased irritability

C.    Unexpected nausea

D.    Hyperplasia of gums

12.   A child with leukemia is to be sent home on a protocol that includes several antineoplastics after an intrathecal administration of methotrexate. Before discharge the nurse instructs the child's parents to:

A.     Limit contact with peers because they tend to have communicable diseases

B.     Return weekly for bone marrow aspiration to monitor effectiveness of therapy

C.    Schedule routine laboratory screening to evaluate response to the medication

D.    Withhold medications when nausea occurs to prevent additional episodes of vomiting

For answers and rationale click the link below:
http://ilovenurselouie.blogspot.com/2014/11/antineoplastic-meds-answers-and.html