EVALUATION TEST PAPER 2026 COMPLETE
STUDY QUESTIONS WITH CORRECT ANSWERS
◉ Care of the Patient with Myelosuppression and Neutropenia.
Answer: • Place the patient in a private room whenever possible.
• Use good handwashing technique or use alcohol-based hand rubs
before touching the patient or any of the patient's belongings.
• Ensure that the patient's room and bathroom are cleaned at least
once each day.
• Do not use supplies from common areas for patients with
myelosuppression and neutropenia. For example, keep a dedicated
box of disposable gloves in his or her room and do not share this box
with any other patient. Provide single-use food products,
individually wrapped gauze, and other individually wrapped items.
• Limit the number of health care personnel entering the patient's
room.
• Monitor vital signs every 4 hours, including temperature.
• Inspect the patient's mouth at least every 8 hours.
• Inspect the patient's skin and mucous membranes (especially the
anal area) for the presence of fissures and abscesses at least every 8
hours.
• Inspect open areas, such as IV sites, every 4 hours for
manifestations of infection.
,• Change wound dressings daily.
• Obtain specimens of all suspicious areas for culture (as specified
by the agency), and promptly notify the physician.
• Assist the patient in coughing and deep-breathing exercises.
• Encourage activity at a level appropriate for the patient's current
health status.
• Change IV tubing daily, or according to unit protocol.
• Keep frequently used equipment in the room for use with this
patient only (e.g., blood pressure cuff, stethoscope, thermometer).
• Limit visitors to healthy adults.
• Use strict aseptic technique for all invasive procedures.
• Monitor the white blood cell count, especially the absolute
neutrophil count (ANC), daily.
• Avoid the use of indwelling urinary catheters.
• Keep fresh flowers and potted plants out of the patient's room -
hospital policy based.
• Teach the patient to avoid eati
◉ Skin Protection During Radiation Therapy. Answer: • Wash the
irradiated area gently each day with either water or a mild soap and
water as prescribed by your radiologist.
• Use your hand rather than a washcloth to be gentler.
• Rinse soap thoroughly from your skin.
,• If ink or dye markings are present to identify exactly where the
beam of radiation is to be focused, take care not to remove them.
• Dry the irradiated area with patting motions rather than rubbing
motions; use a clean, soft towel or cloth.
• Use only powders, ointments, lotions, or creams on your skin at the
radiation site that are prescribed by the radiation oncology
department.
• Wear soft clothing over the skin at the radiation site.
• Avoid wearing belts, buckles, straps, or any type of clothing that
binds or rubs the skin at the radiation site.
• Avoid exposure of the irradiated area to the sun.
•Protect this area by wearing clothing over it.
•Try to go outdoors in the early morning or evening to avoid the
more intense sun rays.
•When outdoors, stay under awnings, umbrellas, and other forms of
shade during the times when the sun's rays are most intense (10 am
to 7 pm).
• Avoid heat exposure.
◉ Prevention of Infection. Answer: •Avoid crowds and other large
gatherings of people who might be ill.
•Do not share personal toilet articles, such as toothbrushes,
toothpaste, washcloths, or deodorant sticks, with others.
, •If possible, bathe daily, using an antimicrobial soap. If total bathing
is not possible, wash the armpits, groin, genitals, and anal area twice
a day with an antimicrobial soap.
•Clean your toothbrush at least weekly by either running it through
the dishwasher or rinsing it in liquid laundry bleach (and then
rinsing the bleach out with hot running water).
•Wash your hands thoroughly with an antimicrobial soap before you
eat and drink, after touching a pet, after shaking hands with anyone,
as soon as you come home from any outing, and after using the
toilet.
•Avoid eating salads; raw fruits and vegetables; undercooked meat,
fish, and eggs; and pepper and paprika.
•Wash dishes between use with hot, sudsy water, or use a
dishwasher.
•Do not drink water, milk, juice, or other cold liquids that have been
standing at room temperature for longer than an hour.
•Do not reuse cups and glasses without washing.
•Do not change pet litter boxes.
•Take your temperature at least once a day and whenever you do not
feel well.
•Report any of these signs or symptoms of infection to your
physician immediately:•Temperature greater than 100° F.
•Persistent cough (with or without sputum)
•Pus or foul-smelling drainage from any open skin area or normal
body opening