NUR 507 EXAM 3 EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
Chemotherapy Side Effects - CORRECT-ANSWERSNausea
Emesis
Malnutrition/anorexia
Mucositis
Hair loss
Infection
Constipation
IV infiltration of caustic medication
Anaphylaxis
Urticaria
Neutropenia
Anemia/Thrombocytopenia
Management of Chemotherapy Side Effects - CORRECT-ANSWERSMagic Mouth
Wash
Good oral care
Pain medication
Calories, Calories, Calories
Enteral feeds/TPN
Osteogenic Sarcoma - CORRECT-ANSWERSDefinition: Malignant tumor of the bone
composed of anaplastic cells of the mesenchyme
Most Common Site(s):
Long bones: distal femur and proximal tibia
Complications:
,When diagnosis is made it usually has already metastasized
S/S: Pain, limp, decreased ROM, dull bone changes
Dx: CT/MRI, bone scan
Tx: Surgical removal: limb salvage or amputation
Nursing Care: Preop teaching, decrease anxiety, prosthetic fitting, emotional support,
prepare for and support during phantom limb pain
Radiation Therapy - CORRECT-ANSWERSGoal: Change DNA to halt further cell replication
Immediate Side Effects:
Fatigue, anorexia, nausea, emesis
Long term effects:
Bones
Hormones
Nervous System
Chest/Abdomen
Nursing Interventions:
Skin assessment
Skin cleansing
No deodorant or perfumes on site
Loose non-restrictive clothing over site
Photosensitivity
Liberal sunscreen
, Site care
Management of patient with Wilm's Tumor or Abdominal Mass - CORRECT-
ANSWERSDefinition: Malignant neoplasm of the kidney
S/S: Abdominal mass, pain, constipation, n/v, anorexia, weight loss, HTN, adventitious lung
sounds, lymphadenopathy, hematuria, anemia
Complications: Liver and renal damage, female sterility, bowel obstruction, pneumonia, scoliosis
Dx: US, CT/MRI, Urinalysis, 24 hour urine
Tx: Nephrectomy, radiation, chemotherapy
Management of patient with brain tumor (Medullablastoma) - CORRECT-
ANSWERSLocation: Infratentorial and supratentorial
S/S: HA, n/v, unsteady gait, blurred vision, sz, hemiparesis, atrophy, difficulty swallowing, FTT,
behavioral and neurological changes
Complications: Hydrocephalus, IICP, brain stem herniation, endocrine sequelae, neurological
side effects, & intellectual decline
Tx: VP shunt, radiation, chemo
Dx: CT/MRI/PET, LP
Signs and Symptoms of Acute Lymphocytic Leukemia (ALL)- - CORRECT-
ANSWERSBone marrow dysfunction: resulting in anemia, infection and bleeding
Fever, pallor, fatigue, anorexia, hemorrhage, bone and joint pain
Spleen, liver and lymph: infiltration, enlargement, and fibrosis; hepatosplenomegaly
CNS: IICP, HA, emesis, irritability, painful/stiff neck
A: anemia - decreased Hgb
CORRECT QUESTIONS AND ANSWERS
2025
Chemotherapy Side Effects - CORRECT-ANSWERSNausea
Emesis
Malnutrition/anorexia
Mucositis
Hair loss
Infection
Constipation
IV infiltration of caustic medication
Anaphylaxis
Urticaria
Neutropenia
Anemia/Thrombocytopenia
Management of Chemotherapy Side Effects - CORRECT-ANSWERSMagic Mouth
Wash
Good oral care
Pain medication
Calories, Calories, Calories
Enteral feeds/TPN
Osteogenic Sarcoma - CORRECT-ANSWERSDefinition: Malignant tumor of the bone
composed of anaplastic cells of the mesenchyme
Most Common Site(s):
Long bones: distal femur and proximal tibia
Complications:
,When diagnosis is made it usually has already metastasized
S/S: Pain, limp, decreased ROM, dull bone changes
Dx: CT/MRI, bone scan
Tx: Surgical removal: limb salvage or amputation
Nursing Care: Preop teaching, decrease anxiety, prosthetic fitting, emotional support,
prepare for and support during phantom limb pain
Radiation Therapy - CORRECT-ANSWERSGoal: Change DNA to halt further cell replication
Immediate Side Effects:
Fatigue, anorexia, nausea, emesis
Long term effects:
Bones
Hormones
Nervous System
Chest/Abdomen
Nursing Interventions:
Skin assessment
Skin cleansing
No deodorant or perfumes on site
Loose non-restrictive clothing over site
Photosensitivity
Liberal sunscreen
, Site care
Management of patient with Wilm's Tumor or Abdominal Mass - CORRECT-
ANSWERSDefinition: Malignant neoplasm of the kidney
S/S: Abdominal mass, pain, constipation, n/v, anorexia, weight loss, HTN, adventitious lung
sounds, lymphadenopathy, hematuria, anemia
Complications: Liver and renal damage, female sterility, bowel obstruction, pneumonia, scoliosis
Dx: US, CT/MRI, Urinalysis, 24 hour urine
Tx: Nephrectomy, radiation, chemotherapy
Management of patient with brain tumor (Medullablastoma) - CORRECT-
ANSWERSLocation: Infratentorial and supratentorial
S/S: HA, n/v, unsteady gait, blurred vision, sz, hemiparesis, atrophy, difficulty swallowing, FTT,
behavioral and neurological changes
Complications: Hydrocephalus, IICP, brain stem herniation, endocrine sequelae, neurological
side effects, & intellectual decline
Tx: VP shunt, radiation, chemo
Dx: CT/MRI/PET, LP
Signs and Symptoms of Acute Lymphocytic Leukemia (ALL)- - CORRECT-
ANSWERSBone marrow dysfunction: resulting in anemia, infection and bleeding
Fever, pallor, fatigue, anorexia, hemorrhage, bone and joint pain
Spleen, liver and lymph: infiltration, enlargement, and fibrosis; hepatosplenomegaly
CNS: IICP, HA, emesis, irritability, painful/stiff neck
A: anemia - decreased Hgb
