NUR 138 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS RATED A+
✔✔Oncologic emergency: What signs and symptoms of this emergency would you see
during an assessment? SELECT ALL THAT APPLY - ✔✔-Infections, pulmonary toxicity,
allergic reactions, stomatitis with severe ulcerations, bleeding, metabolic aberrations,
bowel irritability with diarrhea, renal, liver, & cardiac toxicity
✔✔What is Sarcoma? Where do you see this type of cancer? - ✔✔-Malignant tumors
that arise from connective tissue
-See it in tissues
✔✔What are the types of cancer definitions: primary, metastasis, etc. - ✔✔-Primary:
original site of growth
-Metastasis: Uncontrolled cell growth
-Neoplasm: Mass of new cells; tumor (benign or malignant)
✔✔Chemo is divided into two groups: what are they and what is the difference between
them? - ✔✔-Cell cycle-nonspecific: Drugs during any cycle stage
-Cell cycle-specific: Drugs that are cytotoxic during a specific cell cycle phase
✔✔Stomatitis: What is it? - ✔✔-Oral inflammation & ulcerations, implement measures to
reduce the effects if this occurs
✔✔What is some education to provide to your patient if they were to have this?
Stomatitis - ✔✔-Anticipate nausea & vomiting & implement measures to reduce these
effects
✔✔Antineoplastic therapy: adverse effects - ✔✔-Impaired pancreatic function, which
can lead to hyperglycemia & severe or fatal pancreatitis, dermatologic, hepatic, GU,
Neurological, musculoskeletal, GI, & cardiovascular effects
✔✔What education would you provide if they were experiencing a lot of nausea and
vomiting? - ✔✔-Manage the effects!!! Teach the patient to take anti-nausea meds as
prescribed, eat small bland meals, sip fluids often to stay hydrated, and call their
provider if they cannot keep anything down.
✔✔Chemotherapy: What labs would you monitor for someone receiving chemo? - ✔✔-
CBC (RBC, Hgb/Hct, WBC, platelets), kidney function (BUN/creatinine), and liver
enzymes.
✔✔Be able to identify signs and symptoms you would see if that lab level was low
(RBC, HGB, Plateletes, etc)? Common sense! - ✔✔tired, weak, easy bruising, infection,
fever
, NEED TO KNOW RED BLOOD CELLS
✔✔What are early signs of infection in someone receiving antineoplastic drug therapy?
- ✔✔- Fever, chills, sore throat, cough, or any new pain or redness.
✔✔Chemotherapy: what rapidly growing cells are harmed by these drugs? - ✔✔-
Harmful to ALL rapidly growing cells: harmful cancer cells, healthy normal human cells,
hair follicles, GI tract cells, & bone marrow cells
✔✔The nurse is caring for a patient who received chemotherapy 24 hours ago. The
patient's white blood cell count is 4,400 cells/mm3. Which symptom, if experienced by
the patient, should the nurse report to the prescriber immediately? - ✔✔fever
✔✔Which cytotoxic antineoplastic does the nurse identify as most likely to cause
pulmonary fibrosis? - ✔✔Bleomycin
✔✔A 40-year-old female patient is seen in the clinic. She has been newly diagnosed
with RA. Which medication does the nurse anticipate being ordered for the patient? -
✔✔Methotrexate
✔✔Which potential problem is of most concern for a patient receiving
immunosuppressant drugs? - ✔✔Increased susceptibility to infections
✔✔When teaching an adult patient about eardrops, which statement will the nurse
include? - ✔✔"Lie on the opposite side of that of your affected ear for about 5 minutes
after instilling the drug."
✔✔ Silver sulfadiazine: How do you apply it? - ✔✔applied topically to cleansed &
debrided burned areas with a sterile gloved hand
✔✔Minoxidil: - ✔✔-Usually taken twice a day & takes 4 months for results to be seen
✔✔Minoxidil--What adverse effect could be seen if it has systemic absorption? - ✔✔-
Tachycardia, fluid retention, & weight gain
✔✔MRSA nares: which medication is used for this treatment? - ✔✔-Mupirocin
(Bactroban)
✔✔Herbal supplement: Aloe What is it used for? - ✔✔-Used topically to aid in wound
healing
✔✔What drug interactions could you see with Aloe? - ✔✔-Digoxin, Antidysrhythmic, &
diuretics
SOLUTIONS RATED A+
✔✔Oncologic emergency: What signs and symptoms of this emergency would you see
during an assessment? SELECT ALL THAT APPLY - ✔✔-Infections, pulmonary toxicity,
allergic reactions, stomatitis with severe ulcerations, bleeding, metabolic aberrations,
bowel irritability with diarrhea, renal, liver, & cardiac toxicity
✔✔What is Sarcoma? Where do you see this type of cancer? - ✔✔-Malignant tumors
that arise from connective tissue
-See it in tissues
✔✔What are the types of cancer definitions: primary, metastasis, etc. - ✔✔-Primary:
original site of growth
-Metastasis: Uncontrolled cell growth
-Neoplasm: Mass of new cells; tumor (benign or malignant)
✔✔Chemo is divided into two groups: what are they and what is the difference between
them? - ✔✔-Cell cycle-nonspecific: Drugs during any cycle stage
-Cell cycle-specific: Drugs that are cytotoxic during a specific cell cycle phase
✔✔Stomatitis: What is it? - ✔✔-Oral inflammation & ulcerations, implement measures to
reduce the effects if this occurs
✔✔What is some education to provide to your patient if they were to have this?
Stomatitis - ✔✔-Anticipate nausea & vomiting & implement measures to reduce these
effects
✔✔Antineoplastic therapy: adverse effects - ✔✔-Impaired pancreatic function, which
can lead to hyperglycemia & severe or fatal pancreatitis, dermatologic, hepatic, GU,
Neurological, musculoskeletal, GI, & cardiovascular effects
✔✔What education would you provide if they were experiencing a lot of nausea and
vomiting? - ✔✔-Manage the effects!!! Teach the patient to take anti-nausea meds as
prescribed, eat small bland meals, sip fluids often to stay hydrated, and call their
provider if they cannot keep anything down.
✔✔Chemotherapy: What labs would you monitor for someone receiving chemo? - ✔✔-
CBC (RBC, Hgb/Hct, WBC, platelets), kidney function (BUN/creatinine), and liver
enzymes.
✔✔Be able to identify signs and symptoms you would see if that lab level was low
(RBC, HGB, Plateletes, etc)? Common sense! - ✔✔tired, weak, easy bruising, infection,
fever
, NEED TO KNOW RED BLOOD CELLS
✔✔What are early signs of infection in someone receiving antineoplastic drug therapy?
- ✔✔- Fever, chills, sore throat, cough, or any new pain or redness.
✔✔Chemotherapy: what rapidly growing cells are harmed by these drugs? - ✔✔-
Harmful to ALL rapidly growing cells: harmful cancer cells, healthy normal human cells,
hair follicles, GI tract cells, & bone marrow cells
✔✔The nurse is caring for a patient who received chemotherapy 24 hours ago. The
patient's white blood cell count is 4,400 cells/mm3. Which symptom, if experienced by
the patient, should the nurse report to the prescriber immediately? - ✔✔fever
✔✔Which cytotoxic antineoplastic does the nurse identify as most likely to cause
pulmonary fibrosis? - ✔✔Bleomycin
✔✔A 40-year-old female patient is seen in the clinic. She has been newly diagnosed
with RA. Which medication does the nurse anticipate being ordered for the patient? -
✔✔Methotrexate
✔✔Which potential problem is of most concern for a patient receiving
immunosuppressant drugs? - ✔✔Increased susceptibility to infections
✔✔When teaching an adult patient about eardrops, which statement will the nurse
include? - ✔✔"Lie on the opposite side of that of your affected ear for about 5 minutes
after instilling the drug."
✔✔ Silver sulfadiazine: How do you apply it? - ✔✔applied topically to cleansed &
debrided burned areas with a sterile gloved hand
✔✔Minoxidil: - ✔✔-Usually taken twice a day & takes 4 months for results to be seen
✔✔Minoxidil--What adverse effect could be seen if it has systemic absorption? - ✔✔-
Tachycardia, fluid retention, & weight gain
✔✔MRSA nares: which medication is used for this treatment? - ✔✔-Mupirocin
(Bactroban)
✔✔Herbal supplement: Aloe What is it used for? - ✔✔-Used topically to aid in wound
healing
✔✔What drug interactions could you see with Aloe? - ✔✔-Digoxin, Antidysrhythmic, &
diuretics
