Question 1

For which reason must a patient keep his or her chemotherapy medications in a locked cabinet?

Accepted Answer

A)  These medications are very costly. 
B)  These medications are very toxic. 
C)  These medications have narcotic effects. 
D)  These medications are hard to replace monthly. 
A)  These medications are very costly. 
B)  These medications are very toxic. 
C)  These medications have narcotic effects. 
D)  These medications are hard to replace monthly. B

Question 2

Dactinomycin (Cosmegen)is an antibiotic used in the treatment of which types of cancer? (Select all that apply.)

Accepted Answer

A)  Pancreatic carcinoma 
B)  Testicular carcinoma 
C)  Uterine carcinoma 
D)  Wilms tumor 
E)  Multiple myeloma 
A)  Pancreatic carcinoma 
B)  Testicular carcinoma 
C)  Uterine carcinoma 
D)  Wilms tumor 
E)  Multiple myeloma B,C,D

Question 3

Antioxidants are viewed as helpful in the prevention and treatment of cancer because they have which effects?

Accepted Answer

A)  They stimulate platelet production. 
B)  They minimize the toxic effects of other antineoplastics. 
C)  They eliminate free radicals. 
D)  They alleviate nausea. 
A)  They stimulate platelet production. 
B)  They minimize the toxic effects of other antineoplastics. 
C)  They eliminate free radicals. 
D)  They alleviate nausea. C

Question 4

Which healthy cells in the body are commonly affected by antineoplastic agents?

Accepted Answer

A)  Myocardial 
B)  Gastrointestinal 
C)  Vascular 
D)  Cerebral 
A)  Myocardial 
B)  Gastrointestinal 
C)  Vascular 
D)  Cerebral

Question 5

The nurse may include which diagnosis for a patient taking an antineoplastic medication?

Accepted Answer

A)  Decreased cardiac output 
B)  Deficient fluid volume 
C)  Social isolation 
D)  Imbalanced nutrition: more than body requirements 
A)  Decreased cardiac output 
B)  Deficient fluid volume 
C)  Social isolation 
D)  Imbalanced nutrition: more than body requirements

Question 6

Which term refers to a medication that interferes with metabolic functions in cells?

Accepted Answer

A)  Antibiotic 
B)  Alkylating agent 
C)  Antimetabolite 
D)  Mitotic inhibitor 
A)  Antibiotic 
B)  Alkylating agent 
C)  Antimetabolite 
D)  Mitotic inhibitor

Question 7

For which condition should the nurse take special care in an older patient who is receiving chemotherapy?

Accepted Answer

A)  Anorexia and diarrhea 
B)  Dry eyes 
C)  Edema in the joints 
D)  Pain at injection site 
A)  Anorexia and diarrhea 
B)  Dry eyes 
C)  Edema in the joints 
D)  Pain at injection site

Question 8

In observing a chemotherapy patient,an LPN/LVN must be aware of adverse effects from other products.The patient tells the nurse that he has found an herbal preparation to help control his nausea.Which represents the nurse's best response?

Accepted Answer

A)  "That sounds wonderful, and it's inexpensive." 
B)  "Stop taking this product; it is toxic." 
C)  "Tell me the name of the herbal preparation you are taking." 
D)  "Follow the instructions on how to take that preparation." 
A)  "That sounds wonderful, and it's inexpensive." 
B)  "Stop taking this product; it is toxic." 
C)  "Tell me the name of the herbal preparation you are taking." 
D)  "Follow the instructions on how to take that preparation."

Question 9

For which organ may a patient with cancer be prescribed hormones?

Accepted Answer

A)  Bone 
B)  Prostate 
C)  Brain 
D)  Liver 
A)  Bone 
B)  Prostate 
C)  Brain 
D)  Liver

Question 10

The nurse is caring for a patient receiving an antineoplastic medication IV.While the medication is infusing,the IV needle becomes dislodged and goes in to the tissue.What is the highest priority for this patient at this time?

Accepted Answer

A)  Call the physician on call to report the occurrence. 
B)  Inject medication immediately into the skin to counter the effect of the medication. 
C)  Elevate the affected IV site and apply ice. 
D)  Place the affected site into a dependent position. 
A)  Call the physician on call to report the occurrence. 
B)  Inject medication immediately into the skin to counter the effect of the medication. 
C)  Elevate the affected IV site and apply ice. 
D)  Place the affected site into a dependent position.

Question 11

Which person is qualified to prepare and administer antineoplastic drugs?

Accepted Answer

A)  Any trained drug representative 
B)  Any medical assistant 
C)  An advanced practice nurse 
D)  An oncology nurse 
A)  Any trained drug representative 
B)  Any medical assistant 
C)  An advanced practice nurse 
D)  An oncology nurse

Question 12

The nurse is completing education for a patient receiving Novantrone (mitoxantrone)for treatment of leukemia.The nurse teaches the patient that he or she may experience which signs or symptoms?

Accepted Answer

A)  Low blood pressure 
B)  Stomatitis 
C)  Numbness 
D)  Increased appetite 
A)  Low blood pressure 
B)  Stomatitis 
C)  Numbness 
D)  Increased appetite

Question 13

Which precautions should nurses administering antineoplastic preparations use?

Accepted Answer

A)  Standard precautions as always 
B)  Proper hand hygiene after use 
C)  Preparation of medication in special areas 
D)  Preparation in direct light under a hood 
A)  Standard precautions as always 
B)  Proper hand hygiene after use 
C)  Preparation of medication in special areas 
D)  Preparation in direct light under a hood

Question 14

A patient in treatment for multiple myeloma is on Mesnex (ifosfamide).She reports to the nurse that she is having bouts of nausea and has been unable to eat.Which would be the best advice to give her?

Accepted Answer

A)  Take nothing by mouth until this passes. 
B)  Replace fluid losses right away. 
C)  Only eat nonsalty foods. 
D)  Hold ice chips in your mouth. 
A)  Take nothing by mouth until this passes. 
B)  Replace fluid losses right away. 
C)  Only eat nonsalty foods. 
D)  Hold ice chips in your mouth.

Question 15

The effectiveness of antineoplastic agents can be best evaluated by which means?

Accepted Answer

A)  Physical exam 
B)  Laboratory studies 
C)  Return of appetite 
D)  Subjective report of increased strength 
A)  Physical exam 
B)  Laboratory studies 
C)  Return of appetite 
D)  Subjective report of increased strength

Question 16

A patient taking Mustargen is suffering from alopecia.The nurse should include which intervention in the care plan?

Accepted Answer

A)  Provide ice chips. 
B)  Maintain IV hydration. 
C)  Use emollients on the affected area. 
D)  Offer the use of a scarf. 
A)  Provide ice chips. 
B)  Maintain IV hydration. 
C)  Use emollients on the affected area. 
D)  Offer the use of a scarf.

Question 17

A chemotherapy patient should be instructed to report which signs or symptoms to his or her health care provider? (Select all that apply.)

Accepted Answer

A)  Sleeping 10 hours at night 
B)  Uncontrollable nausea 
C)  Constipation 
D)  Oral temperature of 98° F 
E)  Blood pressure 120/80 
A)  Sleeping 10 hours at night 
B)  Uncontrollable nausea 
C)  Constipation 
D)  Oral temperature of 98° F 
E)  Blood pressure 120/80

Question 18

Which common adverse reaction is associated with antineoplastic drugs?

Accepted Answer

A)  Alopecia and bone marrow depression 
B)  Bone marrow stimulation and nausea 
C)  Diarrhea and blurred vision 
D)  Anorexia and rhinorrhea 
A)  Alopecia and bone marrow depression 
B)  Bone marrow stimulation and nausea 
C)  Diarrhea and blurred vision 
D)  Anorexia and rhinorrhea

Question 19

Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which preparation?

Accepted Answer

A)  Mitotic agent 
B)  Chemotherapy agent 
C)  Hormone 
D)  Neoplasm 
A)  Mitotic agent 
B)  Chemotherapy agent 
C)  Hormone 
D)  Neoplasm

Question 20

A patient is being treated for ovarian carcinoma with carboplatin,an alkylating agent.Which are actions of this medication? (Select all that apply.)

Accepted Answer

A)  It interferes with normal cell division. 
B)  Malignant cells convert to normal cells. 
C)  Its effects occur in both normal and malignant cells. 
D)  Cell division is totally controlled with this medication. 
E)  It attaches to DNA. 
A)  It interferes with normal cell division. 
B)  Malignant cells convert to normal cells. 
C)  Its effects occur in both normal and malignant cells. 
D)  Cell division is totally controlled with this medication. 
E)  It attaches to DNA.

Exam 11: Antineoplastic Medications

For which reason must a patient keep his or her chemotherapy medications in a locked cabinet?

Dactinomycin (Cosmegen)is an antibiotic used in the treatment of which types of cancer? (Select all that apply.)

Antioxidants are viewed as helpful in the prevention and treatment of cancer because they have which effects?

Which healthy cells in the body are commonly affected by antineoplastic agents?

The nurse may include which diagnosis for a patient taking an antineoplastic medication?

Which term refers to a medication that interferes with metabolic functions in cells?

For which condition should the nurse take special care in an older patient who is receiving chemotherapy?

In observing a chemotherapy patient,an LPN/LVN must be aware of adverse effects from other products.The patient tells the nurse that he has found an herbal preparation to help control his nausea.Which represents the nurse's best response?

For which organ may a patient with cancer be prescribed hormones?

The nurse is caring for a patient receiving an antineoplastic medication IV.While the medication is infusing,the IV needle becomes dislodged and goes in to the tissue.What is the highest priority for this patient at this time?

Which person is qualified to prepare and administer antineoplastic drugs?

The nurse is completing education for a patient receiving Novantrone (mitoxantrone)for treatment of leukemia.The nurse teaches the patient that he or she may experience which signs or symptoms?

Which precautions should nurses administering antineoplastic preparations use?

A patient in treatment for multiple myeloma is on Mesnex (ifosfamide).She reports to the nurse that she is having bouts of nausea and has been unable to eat.Which would be the best advice to give her?

The effectiveness of antineoplastic agents can be best evaluated by which means?

A patient taking Mustargen is suffering from alopecia.The nurse should include which intervention in the care plan?

A chemotherapy patient should be instructed to report which signs or symptoms to his or her health care provider? (Select all that apply.)

Which common adverse reaction is associated with antineoplastic drugs?

Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which preparation?

A patient is being treated for ovarian carcinoma with carboplatin,an alkylating agent.Which are actions of this medication? (Select all that apply.)

Pharmacology and the Nursing Process in LPN Practice

Patient Teaching and Health Literacy

Legal Aspects Affecting the Administration of Medications

Foundations and Principles of Pharmacology

Lifespan and Cultural Modifications

Self-Care: Over-the-Counter Products,Herbal Therapies,and Drugs for Health Promotion

Preparing and Administering Medications

Allergy and Respiratory Medications

Antiinfective Medications

Antivirals,Antiretrovirals,and Antifungal Medications

Cardiovascular and Renal Medications

Central and Peripheral Nervous System Medications

Medications for Pain Management and Anesthesia

Antiinflammatory,Musculoskeletal,and Antiarthritis Medications

Gastrointestinal Medications

Hematologic Products

Hormones and Steroids

Immunologic Medications

Topical Medications

Vitamins and Minerals

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