relias onc rn a
*****NSAIDs taken with warfarin can cause liver toxicity.
NSAIDS decrease the effects of warfarin.
NSAIDS increase renal clearance of warfarin.
YES......NSAIDs increase the effects of warfarin. - ANS-What is the danger of taking
NSAIDs with warfarin?
\****8 to 12 weeks
8 to 12 months
YES....3 to 5 months
*****3 to 5 weeks - ANS-How long after initiation of tumor treating fields (TTFields) is a
response typically observed on a radiographic evaluation?
\15 minutes
30 minutes
YES.....4 hours
***2 hours - ANS-Your patient has been ordered a blood transfusion. What is the
recommended transfusion time for a unit of blood?
\15 year old non-Hispanic white male - ANS-Which of the following patients is most likely to
have Ewing sarcoma?
\2,000 - ANS-A patient weighting 220 lbs is ordered to receive IV heparin 20 units/kg/hour.
How many units should he receive each hour?
\6 months - ANS-To qualify for general hospice care, a patient's terminal prognosis must be
NO LONGER than what timespan?
\A clinician will make a thorough assessment before pronouncing death - ANS-Your patient's
family wants to know how you will make certain that their loved one is really dead. What is
the BEST way to respond?
\A hospital-wide in-service training on strategies to improve the patient experience
YES.....Obtaining payment for provided healthcare services
****When requested by a family member with proof of identity
A research project conducted by nursing students to study medication regimens - ANS-In
which of the following instances is disclosure of patient health information permitted without
patient authorization?
\Acknowledge that hair loss is visible to others and can attract unwanted attention, which can
be difficult to cope with - ANS-You are speaking with a patient experiencing hair loss after
chemotherapy. She tells you she does not go out of the house unless it is absolutely
necessary because she feels like people stare at her. Which of the following is the BEST
response?
\Acknowledge the patient's faith and ask how you can be supportive - ANS-Your terminally-ill
patient says that they believe in the power of prayer and has faith that God will cure them.
How should the nurse respond?
\Adrenal crisis - ANS-What oncologic emergency is MOST likely to occur after abrupt
discontinuation of long-term glucocorticoids?
, \Aplastic anemia causes destruction of the hematopoietic system - ANS-Why is an
autologous hemopoietic stem cell transplant (HSCT) inappropriate for a 64-year-old patient
with aplastic anemia?
\Arrange for use of organization-approved interpreter services - ANS-Before collecting a
health history, you determine that the patient has limited English proficiency. What should
you do before proceeding?
\Ask the patient if he's considering harming himself - ANS-A patient who is hospitalized has
been crying and inconsolable. He tells you, "I see no reason to continue living". What is the
FIRST action to take?
\Autonomy - ANS-Respect for a patient's decision to refuse chemotherapy even though
doctors believe it will likely result in a cure follows what ethical principle?
\Beneficence vs justice
Non-maleficence vs justice
****Autonomy vs beneficence
YES....Autonomy vs non-maleficence - ANS-A patient who wishes to be discharged to his
home even though his physician and other members of his healthcare team believe and
have informed the patient that his decision poses a risk of harm is a conflict of what ethical
principles?
\Bone marrow suppression - ANS-What is the MOST common and potentially serious
complication of antineoplastic medications?
\Both genes are risk factors for getting ovarian cancer - ANS-A patient asks you if a family
history of the BRCA1 or BRCA2 genes can predict a woman's chances of getting ovarian
cancer. What is the BEST response?
\Breast cancer - ANS-Persons of Ashkenazi Jewish background are at increased risk for
what type of cancer?
\Chvostek's sign - ANS-What sign, when positive, is associated with hypocalcemia?
\Colon - ANS-FOLFOX chemotherapy is recommended for what type of cancer?
\Contact the prescriber to clarify the order - ANS-You notice an order for Morphine
(Duramorph®, Infumorph®) IV 60 mg every 2 to 4 hours PRN for pain.
What immediate action is MOST appropriate?
\Coude' tip catheter - ANS-You are caring for a patient with an enlarged prostate and urine
retention. What type of catheter should you select?
\Dark brown with red and blue areas, flat, and irregular in shape - ANS-What features are
most characteristic of a typical melanoma lesion?
\Diaphoresis
***Bradycardia
YES.......Mottled extremities
Flank pain - ANS-What is a classic symptom of disseminated intravascular coagulation
(DIC)?
\Digital mammography - ANS-What primary screening method is recommended for detecting
breast cancer in women with heterogeneously dense breasts?
\Drug diversion - ANS-A patient with chronic pain has been prescribed long-term opioids. His
urine drug screen is negative for opioids, and although his last 30-day prescription was filled
7 days ago, your pill count reveals that he only has a 3-day supply remaining. What primary
concern should you discuss with the patient's physician?
\Dyspnea and swelling of the neck, arms, and/or hands
YES....Excessive thirst and frequent urination
*****NSAIDs taken with warfarin can cause liver toxicity.
NSAIDS decrease the effects of warfarin.
NSAIDS increase renal clearance of warfarin.
YES......NSAIDs increase the effects of warfarin. - ANS-What is the danger of taking
NSAIDs with warfarin?
\****8 to 12 weeks
8 to 12 months
YES....3 to 5 months
*****3 to 5 weeks - ANS-How long after initiation of tumor treating fields (TTFields) is a
response typically observed on a radiographic evaluation?
\15 minutes
30 minutes
YES.....4 hours
***2 hours - ANS-Your patient has been ordered a blood transfusion. What is the
recommended transfusion time for a unit of blood?
\15 year old non-Hispanic white male - ANS-Which of the following patients is most likely to
have Ewing sarcoma?
\2,000 - ANS-A patient weighting 220 lbs is ordered to receive IV heparin 20 units/kg/hour.
How many units should he receive each hour?
\6 months - ANS-To qualify for general hospice care, a patient's terminal prognosis must be
NO LONGER than what timespan?
\A clinician will make a thorough assessment before pronouncing death - ANS-Your patient's
family wants to know how you will make certain that their loved one is really dead. What is
the BEST way to respond?
\A hospital-wide in-service training on strategies to improve the patient experience
YES.....Obtaining payment for provided healthcare services
****When requested by a family member with proof of identity
A research project conducted by nursing students to study medication regimens - ANS-In
which of the following instances is disclosure of patient health information permitted without
patient authorization?
\Acknowledge that hair loss is visible to others and can attract unwanted attention, which can
be difficult to cope with - ANS-You are speaking with a patient experiencing hair loss after
chemotherapy. She tells you she does not go out of the house unless it is absolutely
necessary because she feels like people stare at her. Which of the following is the BEST
response?
\Acknowledge the patient's faith and ask how you can be supportive - ANS-Your terminally-ill
patient says that they believe in the power of prayer and has faith that God will cure them.
How should the nurse respond?
\Adrenal crisis - ANS-What oncologic emergency is MOST likely to occur after abrupt
discontinuation of long-term glucocorticoids?
, \Aplastic anemia causes destruction of the hematopoietic system - ANS-Why is an
autologous hemopoietic stem cell transplant (HSCT) inappropriate for a 64-year-old patient
with aplastic anemia?
\Arrange for use of organization-approved interpreter services - ANS-Before collecting a
health history, you determine that the patient has limited English proficiency. What should
you do before proceeding?
\Ask the patient if he's considering harming himself - ANS-A patient who is hospitalized has
been crying and inconsolable. He tells you, "I see no reason to continue living". What is the
FIRST action to take?
\Autonomy - ANS-Respect for a patient's decision to refuse chemotherapy even though
doctors believe it will likely result in a cure follows what ethical principle?
\Beneficence vs justice
Non-maleficence vs justice
****Autonomy vs beneficence
YES....Autonomy vs non-maleficence - ANS-A patient who wishes to be discharged to his
home even though his physician and other members of his healthcare team believe and
have informed the patient that his decision poses a risk of harm is a conflict of what ethical
principles?
\Bone marrow suppression - ANS-What is the MOST common and potentially serious
complication of antineoplastic medications?
\Both genes are risk factors for getting ovarian cancer - ANS-A patient asks you if a family
history of the BRCA1 or BRCA2 genes can predict a woman's chances of getting ovarian
cancer. What is the BEST response?
\Breast cancer - ANS-Persons of Ashkenazi Jewish background are at increased risk for
what type of cancer?
\Chvostek's sign - ANS-What sign, when positive, is associated with hypocalcemia?
\Colon - ANS-FOLFOX chemotherapy is recommended for what type of cancer?
\Contact the prescriber to clarify the order - ANS-You notice an order for Morphine
(Duramorph®, Infumorph®) IV 60 mg every 2 to 4 hours PRN for pain.
What immediate action is MOST appropriate?
\Coude' tip catheter - ANS-You are caring for a patient with an enlarged prostate and urine
retention. What type of catheter should you select?
\Dark brown with red and blue areas, flat, and irregular in shape - ANS-What features are
most characteristic of a typical melanoma lesion?
\Diaphoresis
***Bradycardia
YES.......Mottled extremities
Flank pain - ANS-What is a classic symptom of disseminated intravascular coagulation
(DIC)?
\Digital mammography - ANS-What primary screening method is recommended for detecting
breast cancer in women with heterogeneously dense breasts?
\Drug diversion - ANS-A patient with chronic pain has been prescribed long-term opioids. His
urine drug screen is negative for opioids, and although his last 30-day prescription was filled
7 days ago, your pill count reveals that he only has a 3-day supply remaining. What primary
concern should you discuss with the patient's physician?
\Dyspnea and swelling of the neck, arms, and/or hands
YES....Excessive thirst and frequent urination
