NURSING 104 FINAL EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
◉Why would a cancer patient still need chemotherapy after having their
tumor completely surgically removed? Answer: Cells can/could break
off the tumor and spread through the blood
◉Carcinogenesis Answer: Process of Malignant cell formation. Can be
environmental or random error in replication DNA
◉Primary Prevention (cancer) Answer: focus on avoidance (lifestyle,
diet)
◉Secondary Prevention (cancer) Answer: Focus on early detection
◉Brachytherapy Answer: internal radiation treatment
◉You find an internal radiation implant on the ground, what should you
do?
A) Immediately pick them up with a gloved hand; this is dangerous to
the patients
B) Call hazmat team
,C) Pick up with forceps and dispose in lead container
D) Trick question, internal radiation devices are not real Answer: C)
pick up with forceps and dispose in lead container
◉What vessel in Chemo administered through? Answer: Superior Vena
Cava
◉Stage 1 cancer Answer: Cancer is localized. treated with chemo and
radiation
◉Stage 2 cancer Answer: cancer has grown but has not spread
◉stage 3 cancer Answer: cancer has grown larger and possibly spread
to lymph nodes or other tissues
◉Stage 4 cancer Answer: Cancer has spread to other organs or areas of
your body
◉What is the side effect of cancer treatment that causes patients to not
make enough blood cells? Also called myelosuppression. Answer: Bone
Marrow suppression
◉Why is myelosuppression a problem? Answer: Less blood cells-> less
red blood cells ->Less hemoglobin
, Less blood cells -> less white blood cells-> Neutropenia
Less blood cells -> less platelets-> thrombocytopenia
◉Stem cells collected from the patient and given to that same patient are
called? Answer: Autologous (think automobile- you're the driver)
◉Stem cells collected from a donor and transplanted to the patient are
called? Answer: Allogenic or Homologous (think All-> shared with all,
or homo meaning same->same species)
◉Stem cells collected from an identical twin and transplanted to the
patient are called? Answer: Syngeneic (think syn means together or
"sync" twins are synced)
◉What is stomatitis? Answer: inflammation and redness of the oral
mucosa that can lead to pain and difficulty talking, eating, and sleeping.
Stomatitis can affect the inner cheeks, gums, inner lips, and tongue. The
inflammation causes the formation of single or multiple painful mouth
ulcers as well as white lesions.
◉What might be some treatment options for stomatitis? Answer:
"magic mouth wash" or "swish and spit" basically numbing gargle to
help ease pain of sores. sometimes lidocaine. Most important note is
why do we do this... symptom management because you can't (shouldn't
want to) stop cancer treatment. Might also have a diet that restricts salts
COMPLETE QUESTIONS AND SOLUTIONS
◉Why would a cancer patient still need chemotherapy after having their
tumor completely surgically removed? Answer: Cells can/could break
off the tumor and spread through the blood
◉Carcinogenesis Answer: Process of Malignant cell formation. Can be
environmental or random error in replication DNA
◉Primary Prevention (cancer) Answer: focus on avoidance (lifestyle,
diet)
◉Secondary Prevention (cancer) Answer: Focus on early detection
◉Brachytherapy Answer: internal radiation treatment
◉You find an internal radiation implant on the ground, what should you
do?
A) Immediately pick them up with a gloved hand; this is dangerous to
the patients
B) Call hazmat team
,C) Pick up with forceps and dispose in lead container
D) Trick question, internal radiation devices are not real Answer: C)
pick up with forceps and dispose in lead container
◉What vessel in Chemo administered through? Answer: Superior Vena
Cava
◉Stage 1 cancer Answer: Cancer is localized. treated with chemo and
radiation
◉Stage 2 cancer Answer: cancer has grown but has not spread
◉stage 3 cancer Answer: cancer has grown larger and possibly spread
to lymph nodes or other tissues
◉Stage 4 cancer Answer: Cancer has spread to other organs or areas of
your body
◉What is the side effect of cancer treatment that causes patients to not
make enough blood cells? Also called myelosuppression. Answer: Bone
Marrow suppression
◉Why is myelosuppression a problem? Answer: Less blood cells-> less
red blood cells ->Less hemoglobin
, Less blood cells -> less white blood cells-> Neutropenia
Less blood cells -> less platelets-> thrombocytopenia
◉Stem cells collected from the patient and given to that same patient are
called? Answer: Autologous (think automobile- you're the driver)
◉Stem cells collected from a donor and transplanted to the patient are
called? Answer: Allogenic or Homologous (think All-> shared with all,
or homo meaning same->same species)
◉Stem cells collected from an identical twin and transplanted to the
patient are called? Answer: Syngeneic (think syn means together or
"sync" twins are synced)
◉What is stomatitis? Answer: inflammation and redness of the oral
mucosa that can lead to pain and difficulty talking, eating, and sleeping.
Stomatitis can affect the inner cheeks, gums, inner lips, and tongue. The
inflammation causes the formation of single or multiple painful mouth
ulcers as well as white lesions.
◉What might be some treatment options for stomatitis? Answer:
"magic mouth wash" or "swish and spit" basically numbing gargle to
help ease pain of sores. sometimes lidocaine. Most important note is
why do we do this... symptom management because you can't (shouldn't
want to) stop cancer treatment. Might also have a diet that restricts salts
