Reference no: EM133321020
Assignment:
1) A patient with relapsed acute lymphoblastic leukemia presents with fever, headache, and hypotension after a CAR T- cell infusion within the last 24 hours. what is this patient most likely experiencing?
a) pseudoprogression of disease
b) hand and foot syndrome
C) cytokine release syndrome
D) Drugs-induced encephalopathy
2) An immunotherapy agent that targets angiogenesis is ordered for a patient with metastatic non-small cell lung cancer. The patient is most likely being treated with
a) Cetuximab
b) Vandetanib
c) pazopanib
D) Bevacizumab
3) What safety considered is related to the versatility of antimetabolites?
a) intended route must be clarified
b) Extravasation must be prevented
C) Frequency of mucositis must be minimized
D) reductions in dose must be verified
4) Uncontrolled cell growth and cell division occurs when
a) CDK6 is under- expressed.
b) oxygen is lacking
C) pRb regulated the restriction point
d) inhibitory proteins are altered
5) Which of the following strategies is a priority nursing action to reduce the risk of medication error?
a) review the medical record for evidence of informed consent
b) verify that the orders were signed by the prescriber.
c) assess the patient's knowledge of medication side effects.
d) required an independent verification by a second practitioner.
6) Which of the following interventions supports a patient receiving oral chemotherapy?
a) conduct individualized teaching sessions with the patient and caregivers.
b) limit Educational materials to written information only.
c) Ensure that the pharmacist conducts the patient education session.
d) make monthly phone calls to check the Patient's status.
7) A patient with lung cancer is being treated with erlotinib. which of the following symptoms is important for the patient to report immediately?
a) headache
b) hard stool
c) lymphedema
d) cough
8) A patient with of 1.7m2 received four doses of epirubicin hydrochloride at 60mg/m2. what is the patient cumulative dose to date?
a) 240mg
b) 110 mg
c) 102mg
d) 408m
9) To administer chemotherapy, which vein is the best location for a Peripheral IV?
a) Basilic
b) Median cubital
c) Antecubital
d) Great saphenous
10) Which of the following dose-limiting toxicities is attributed to cyclophosphamide?
a ) Nephrotoxicity
b) Hepatoxicity
c) peripheral neuropathy
d) hemorrhagic cystitis
11) Which of the following medication is likely to be administered prophylactically for a patient who will receive a hematopoietic stem cell transplant?
a)Furosemide
b) Alprazolam
c) Ciprofloxacin
d) Cyanocobalamin
12) Which of the following statements made by the Patient receiving bolus fluorouracil requires the nurse to provide additional teaching?
a) I should refrain from chewing ice or eating popsicles during my days of treatment
b) I will avoid exposure to direct sunlight while receiving treatment.
c) I expect to experience symptoms including, Nausea, Vomiting, And Diarrhoea.
d) I May notice darkening of my skin where the IV chemotherapy is administered.
13) Which of the following instruction are included in capecitabine patient education?
a) a) use a calendar to schedule doses.
b) premedicate with diphenhydramine
c) rotated injection sites
d) Take on an empty stomach
14) Which of the following statement best described where the extracellular targeted therapy receptor is located ?
a) The target is on the outside of the cell
b) The target is within the cell's DNA.
c) The target is inside the cell.
d) the target is within the cell membrane.
15) A patient is ordered IV vincristine and intrathecal Cytarabine. what is the best action to prevent medication errors?
a) Administer the intrathecal chemotherapy in a different area than the IV chemotherapy.
b) inform a second RN regarding the administration of an intrathecal medication.
c) complete the electronic chemotherapy orders prior to administering the agent.
d) performed the medication checks of both chemotherapy agents at the same time.
16) The initial management of a spill during ibritumomab tiuxetan administration is to.
a) restrict the area
b) remove the patient
c) call the provider
d) clean the area.
17) Immunotherapy agents requiring repeated administration for continued effectiveness are termed.
a) Active
b) passive
c) Acquired
d) Specific.
18) Calculate the estimated creatinine clearances for a 68 yrs old female patient with a serum creatinine 0.9mg/dl who is 5 feet 6 inches tall and weighs 154 pounds.
a) 66ml/min
b) 78ml/min
c) 171ml/min
d) 145ml/min
19) The nurse and an assistant are cleaning a patient who is incontinent and received chemotherapy today. the nurse instructs the assistant to.
a) apply a protective barrier cream.
b) sprinkle nystatin powder on cleansed area.
c) rinse the area with water.
d) leave skin open to air.
20) Which of the following is a long-term side effect of carmustine?
a) Adrenal dysfunction.
b) solid tumor development.
c) pulmonary fibrosis
d) hearing loss.
21) Which of the following medication uses albumin-bound particles as a mechanism of transport?
a) Nab-paclitaxel
b) Pegasparagase
c) Arsenic trioxide
d) Doxorubicin hydrochloride liposomal.
22) Personnel who handle unopened platinum medication vials must.
a) decontaminate the packing exterior.
b) store in a biologic safety cabinet
C) store vials on the designated shelves.
d) wear personal protective equipment.
23) Which of the following targeted therapies binds with CD52?
a) Alemtuzumab
b) Ramucirumab
c) Panitumumab
d) Rituximab
24) Skin toxicities from epidermal growth factor receptor inhibitor therapy can elicit which of the following responses that affect a patients well being?
a) Hyperactivity
b) insomnia
c) Exophthalmos
d) Dysarthria
25) What testing should the nurse expect the patient to have prior to beginning treatment with bleomycin?
a) Echocardiogram
b) Lumber puncture
c) Pulmonary function test.
d) Bone marrow biopsy.
26) Which of the following body systems should be evaluated before each dose of vincristine?
a) cardiac
b) Respiratory
c) Gastrointestinal
d) Neurologic
27) A patient receiving a biologic agent for the treatment of hairy cell leukemia is experiencing flu-like symptoms. which is the most likely cause of these symptoms?
a) Palifermin
b) Plerixafor
c) interferon alfa-2b
d) aldesleukin
28) Principle elements of vesicant extravasation documentation include the.
a) photograph of the IV bag.
c) date the venous access was inserted.
d) medication expiration date.
e) administration technique.
29) A patient receiving rituximab 200mg/hr, experiences cough, and dyspnea. After appropriate treatment, the pt reports that the symptoms resolved. the nurse resumes the infusion at.
a) 50 mg/hr
b) 200mg/hr
c) 150mg/hr
d) 100mg/hr
30) A premedication of dexamethasone 8 mg orally every 12 hours beginning the day before treatment and continuing for the day of treatment and the day after treatment is ordered for.
a) teniposide
b) vinorelbine.
c) carboplatin
d) docetaxel.