NRSG 357: CANCER TREATMENT EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS L LATEST VERSION 2025/2026.
When does acute toxicity occur? - ANS during or immediately after drug admin
What does acute toxicity cause? - ANS -anaphylactic and hypersensitivity reactions
-extravasation
-anticipatory nausea and vomiting
-cardiac dysrhythmias
What are the delayed effects of chemo? - ANS -nausea, vomiting, mucositis, altered bowel
function
-alopecia, skin rashes, bone marrow suppression
-a variety of cumulative neurotoxicities
When do chronic toxicities occur? - ANS -long term effects that develop during or
immediately after treatment
-persist or late effects that are absent during treatment and manifest later
Where do chronic toxicities occur? - ANS heart, lungs, kidney's, liver, anemia (onset is about
3-4 mos after treatment begins)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What are the long-term effects of cancer treatment? - ANS Cardiac toxicity, cataracts,
arthralgias, endocrine alterations, renal insufficiency, hepatitis, osteoporosis, neurocognitive
dysfunction
What is NADIR? - ANS -lowest blood cell counts between 7-10 days after initiation of therapy
-must protect pt more in this time frame!!
What should be monitored with bone marrow suppression? - ANS -Monitor CBC (specifically
neutrophil [below 1500 is not ideal], platelet, RBC)
-monitor for neutropenia (serious risk factor for life-threatening infection and sepsis)
-prevent infection at all costs
-hand hygiene!!
-monitor temperature routinely and report sings of infection promptly
-avoid invasive procedures and advice pt to avoid activities that place them at risk for injury or
bleeding
Which treatment does bone marrow suppression occur? - ANS more so with chemo, rarely
with radiation
What is the patient at risk for with bone marrow suppression? - ANS -risk for ineffective
tissue perfusion
-fatigue
*risk for infection
-ineffective protection
*risk for bleeding
What should be done if pt as low RBCs? - ANS bleeding precautions; monitor VS; blood
transfusion
What should be done if pt as low WBCs? - ANS avoid crowded places; bathe daily, change
linen daily; not eat raw fruits and veggies; monitor VS, esp fever; avoid invasion procedures
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS WITH 100% CORRECT
ANSWERS L LATEST VERSION 2025/2026.
When does acute toxicity occur? - ANS during or immediately after drug admin
What does acute toxicity cause? - ANS -anaphylactic and hypersensitivity reactions
-extravasation
-anticipatory nausea and vomiting
-cardiac dysrhythmias
What are the delayed effects of chemo? - ANS -nausea, vomiting, mucositis, altered bowel
function
-alopecia, skin rashes, bone marrow suppression
-a variety of cumulative neurotoxicities
When do chronic toxicities occur? - ANS -long term effects that develop during or
immediately after treatment
-persist or late effects that are absent during treatment and manifest later
Where do chronic toxicities occur? - ANS heart, lungs, kidney's, liver, anemia (onset is about
3-4 mos after treatment begins)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What are the long-term effects of cancer treatment? - ANS Cardiac toxicity, cataracts,
arthralgias, endocrine alterations, renal insufficiency, hepatitis, osteoporosis, neurocognitive
dysfunction
What is NADIR? - ANS -lowest blood cell counts between 7-10 days after initiation of therapy
-must protect pt more in this time frame!!
What should be monitored with bone marrow suppression? - ANS -Monitor CBC (specifically
neutrophil [below 1500 is not ideal], platelet, RBC)
-monitor for neutropenia (serious risk factor for life-threatening infection and sepsis)
-prevent infection at all costs
-hand hygiene!!
-monitor temperature routinely and report sings of infection promptly
-avoid invasive procedures and advice pt to avoid activities that place them at risk for injury or
bleeding
Which treatment does bone marrow suppression occur? - ANS more so with chemo, rarely
with radiation
What is the patient at risk for with bone marrow suppression? - ANS -risk for ineffective
tissue perfusion
-fatigue
*risk for infection
-ineffective protection
*risk for bleeding
What should be done if pt as low RBCs? - ANS bleeding precautions; monitor VS; blood
transfusion
What should be done if pt as low WBCs? - ANS avoid crowded places; bathe daily, change
linen daily; not eat raw fruits and veggies; monitor VS, esp fever; avoid invasion procedures
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
