PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH BY LINDA E.
MCCUISTION CHAPTERS 1–58 EXAM PREP
2026 PRACTICE SOLUTION STUDY GUIDE
◉ A patient with COPD is taking the leukotriene antagonist
montelukast. The nurse is aware that this medication is given for
which purpose?
A. Maintenance treatment of asthma
B. Treatment of acute asthmatic attack
C. Reversing bronchospasm associated with chronic obstructive
pulmonary disease
D. Treatment of inflammation in chronic bronchitis. Answer: A.
Maintenance treatment of asthma
◉ A patient is to receive a chemotherapy protocol that includes an
alkylating agent, an antimetabolite, and an antitumor antibiotic. The
patient asks the nurse why so much chemotherapy is needed. What
is the nurse's best response?
A. A protocol that uses a combination of chemotherapeutic agents
works in the S phase to kill cells.
B. Combinations chemotherapy increases the extent of tumor cell
killing.
,C. Combination chemotherapy uses drugs that work the same way.
D. An outcome of the use of combination chemotherapy is that it has
no dose-limiting toxicities.. Answer: B. Combinations chemotherapy
increases the extent of tumor cell killing.
◉ A patient is scheduled to receive chemotherapy drugs that will
cause myelosuppression. Which action by the nurse will be most
important?
A. Monitor for a change in temperature.
B. Evaluate gastrointestinal function
C. Assess for evidence of cardiac compromise
D. Question the patient about changes in sense of taste.. Answer: A.
Monitor for a change in temperature.
◉ The nurse is caring for a patient with colorectal cancer who is to
receive fluorouracil. Which symptom will be most important for the
nurse to report to the health care provider.
A. Nausea
B. Decreased appetite
C. Bleeding gums
D. Constipation. Answer: C. Bleeding gums
, ◉ A patient in the outpatient oncology clinic complains of fatigue
after receiving chemotherapy. Which initial nursing intervention will
be most appropriate?
A. Assess for other factors contributing to her fatigue, such as
trouble sleeping
B. Encourage a high-protein, high-calorie diet, and design it with the
patient
C. Refer the patient to a physical therapist to develop a strenuous
exercise program
D. Encourage the patient to sleep as much as possible during the day
to ease fatigue. Answer: A. Assess for other factors contributing to
her fatigue, such as trouble sleeping
◉ A patient in the outpatient oncology clinic has developed
mucosistis after receiving fluorouracil. Which statement made by
the patient indicates the need for additional teaching about
mucositis?
A. I will frequently rinse out my mouth with normal saline.
B. To relieve my mouth pain, I will use ice pops or ice chips.
C. I will use mouthwash with alcohol to clean my mouth.
D. Using a soft toothbrush will clean and freshen my breath..
Answer: C. I will use mouthwash with alcohol to clean my mouth.
◉ A patient is scheduled to receive high-dose cyclophosphamide via
an intravenous infusion as treatment for cancer. Which will be the
NURSING PROCESS APPROACH BY LINDA E.
MCCUISTION CHAPTERS 1–58 EXAM PREP
2026 PRACTICE SOLUTION STUDY GUIDE
◉ A patient with COPD is taking the leukotriene antagonist
montelukast. The nurse is aware that this medication is given for
which purpose?
A. Maintenance treatment of asthma
B. Treatment of acute asthmatic attack
C. Reversing bronchospasm associated with chronic obstructive
pulmonary disease
D. Treatment of inflammation in chronic bronchitis. Answer: A.
Maintenance treatment of asthma
◉ A patient is to receive a chemotherapy protocol that includes an
alkylating agent, an antimetabolite, and an antitumor antibiotic. The
patient asks the nurse why so much chemotherapy is needed. What
is the nurse's best response?
A. A protocol that uses a combination of chemotherapeutic agents
works in the S phase to kill cells.
B. Combinations chemotherapy increases the extent of tumor cell
killing.
,C. Combination chemotherapy uses drugs that work the same way.
D. An outcome of the use of combination chemotherapy is that it has
no dose-limiting toxicities.. Answer: B. Combinations chemotherapy
increases the extent of tumor cell killing.
◉ A patient is scheduled to receive chemotherapy drugs that will
cause myelosuppression. Which action by the nurse will be most
important?
A. Monitor for a change in temperature.
B. Evaluate gastrointestinal function
C. Assess for evidence of cardiac compromise
D. Question the patient about changes in sense of taste.. Answer: A.
Monitor for a change in temperature.
◉ The nurse is caring for a patient with colorectal cancer who is to
receive fluorouracil. Which symptom will be most important for the
nurse to report to the health care provider.
A. Nausea
B. Decreased appetite
C. Bleeding gums
D. Constipation. Answer: C. Bleeding gums
, ◉ A patient in the outpatient oncology clinic complains of fatigue
after receiving chemotherapy. Which initial nursing intervention will
be most appropriate?
A. Assess for other factors contributing to her fatigue, such as
trouble sleeping
B. Encourage a high-protein, high-calorie diet, and design it with the
patient
C. Refer the patient to a physical therapist to develop a strenuous
exercise program
D. Encourage the patient to sleep as much as possible during the day
to ease fatigue. Answer: A. Assess for other factors contributing to
her fatigue, such as trouble sleeping
◉ A patient in the outpatient oncology clinic has developed
mucosistis after receiving fluorouracil. Which statement made by
the patient indicates the need for additional teaching about
mucositis?
A. I will frequently rinse out my mouth with normal saline.
B. To relieve my mouth pain, I will use ice pops or ice chips.
C. I will use mouthwash with alcohol to clean my mouth.
D. Using a soft toothbrush will clean and freshen my breath..
Answer: C. I will use mouthwash with alcohol to clean my mouth.
◉ A patient is scheduled to receive high-dose cyclophosphamide via
an intravenous infusion as treatment for cancer. Which will be the
