NUR 138 EXAM SCRIPT UPDATED QUESTIONS AND
SOLUTIONS RATED A+
✔✔Earwax Emulsifier: Contraindication for use. - ✔✔-Ear drainage, tympanic
membrane rupture, or significant pain or irritation is present
✔✔Eardrop Administration: what are the steps? How is administration different between
adult and pediatric? SELECT ALL THAT APPLY - ✔✔-Adults- hold pinna up & back
-Children younger than 3 years: Hold pinna down and back
-Allow time for eardrops to flow down the ear canal
-Have pts lie on the side opposite to the side of the affected ear for about 5 minutes
after instilling eardrops
-Gently massage the tragus of the ear to encourage flow of medication
✔✔Why do we want eardrops to be body temperature before installation? - ✔✔prevent
nausea and dizziness
✔✔Azathioprine (Imuran) Black Box Warning: who would we not want to give this to or
what would we need to know prior to giving this? - ✔✔pregnant/ breastfeeding moms,
rheumatoid arthritis pts,
✔✔Azathioprine (Imuran) Black Box Warning: - ✔✔Bone marrow suppression,
development of lymphoma & other malignancies
✔✔Mycophenolate (CellCept or Myfortic) Black Box Warning: Who do we not give this
to? - ✔✔-Increased risk of congenital malformations & spontaneous abortions when
used during pregnancy
✔✔Adalimumab: what is this drug given for? - ✔✔to treat autoimmune conditions like
rheumatoid arthritis, Crohn's disease, ulcerative colitis, and psoriasis.
✔✔Abatacept: use with caution in patients with what other medical history? What is the
other name of this medication? - ✔✔-Cautions if the patient has a history of recurrent
infections of COPD
-Orencia
✔✔Abatacept--What signs and symptoms need to be reported immediately for patients
taking these types of drugs. - ✔✔-Sore throat, diarrhea, vomiting, & fever of 100.5 or
higher
✔✔Methotrexate: Administration of this drug. - ✔✔-Weekly dosing, oral or by injection
-Takes 3-6 weeks for onset of action
✔✔Adverse effects of Methotrexate - ✔✔-Bone marrow suppression
, ✔✔What supplement would someone need to receive while taking this drug?
Methotrexate - ✔✔-Advise to take folic acid supplement to lessen likelihood of adverse
effects
✔✔Doxorubicin: possible adverse effects from this drug. - ✔✔-Acute left ventricular
failure CARDIACTOXICITY ON TEST
✔✔Which drug causes pulmonary toxicity? - ✔✔-Bleomycin is the antineoplastic drug
known for causing pulmonary toxicity.
✔✔Daunorubicin: what do we need to watch for with this drug? - ✔✔-Heart failure
✔✔Cisplatin: adverse effect of this drug. - ✔✔ANSWER ON TEST IS
NEPHROTOXICITY
✔✔VIPoma (Vasoactive intestinal peptide-secreting tumor): which drug is given for this
and why? KNOW THIS - ✔✔-Octreotide (Sandostatin) treatment of the diarrhea caused
by vasoactive intestinal peptide- secreting tumors (VIPomas)
✔✔Alkylating drugs: adverse effects to monitor for. - ✔✔-Nephrotoxicity, peripheral,
neuropathy, & ototoxicity
✔✔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
SOLUTIONS RATED A+
✔✔Earwax Emulsifier: Contraindication for use. - ✔✔-Ear drainage, tympanic
membrane rupture, or significant pain or irritation is present
✔✔Eardrop Administration: what are the steps? How is administration different between
adult and pediatric? SELECT ALL THAT APPLY - ✔✔-Adults- hold pinna up & back
-Children younger than 3 years: Hold pinna down and back
-Allow time for eardrops to flow down the ear canal
-Have pts lie on the side opposite to the side of the affected ear for about 5 minutes
after instilling eardrops
-Gently massage the tragus of the ear to encourage flow of medication
✔✔Why do we want eardrops to be body temperature before installation? - ✔✔prevent
nausea and dizziness
✔✔Azathioprine (Imuran) Black Box Warning: who would we not want to give this to or
what would we need to know prior to giving this? - ✔✔pregnant/ breastfeeding moms,
rheumatoid arthritis pts,
✔✔Azathioprine (Imuran) Black Box Warning: - ✔✔Bone marrow suppression,
development of lymphoma & other malignancies
✔✔Mycophenolate (CellCept or Myfortic) Black Box Warning: Who do we not give this
to? - ✔✔-Increased risk of congenital malformations & spontaneous abortions when
used during pregnancy
✔✔Adalimumab: what is this drug given for? - ✔✔to treat autoimmune conditions like
rheumatoid arthritis, Crohn's disease, ulcerative colitis, and psoriasis.
✔✔Abatacept: use with caution in patients with what other medical history? What is the
other name of this medication? - ✔✔-Cautions if the patient has a history of recurrent
infections of COPD
-Orencia
✔✔Abatacept--What signs and symptoms need to be reported immediately for patients
taking these types of drugs. - ✔✔-Sore throat, diarrhea, vomiting, & fever of 100.5 or
higher
✔✔Methotrexate: Administration of this drug. - ✔✔-Weekly dosing, oral or by injection
-Takes 3-6 weeks for onset of action
✔✔Adverse effects of Methotrexate - ✔✔-Bone marrow suppression
, ✔✔What supplement would someone need to receive while taking this drug?
Methotrexate - ✔✔-Advise to take folic acid supplement to lessen likelihood of adverse
effects
✔✔Doxorubicin: possible adverse effects from this drug. - ✔✔-Acute left ventricular
failure CARDIACTOXICITY ON TEST
✔✔Which drug causes pulmonary toxicity? - ✔✔-Bleomycin is the antineoplastic drug
known for causing pulmonary toxicity.
✔✔Daunorubicin: what do we need to watch for with this drug? - ✔✔-Heart failure
✔✔Cisplatin: adverse effect of this drug. - ✔✔ANSWER ON TEST IS
NEPHROTOXICITY
✔✔VIPoma (Vasoactive intestinal peptide-secreting tumor): which drug is given for this
and why? KNOW THIS - ✔✔-Octreotide (Sandostatin) treatment of the diarrhea caused
by vasoactive intestinal peptide- secreting tumors (VIPomas)
✔✔Alkylating drugs: adverse effects to monitor for. - ✔✔-Nephrotoxicity, peripheral,
neuropathy, & ototoxicity
✔✔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
