Chemotherapy Competency 2010

6 Questions | Attempts: 335
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Chemotherapy competency quiz for Chemo Competent RNs 2010


Questions and Answers
  • 1. 

    A patient who is to receive a radioactive implant asks why her room is at the far end of the hall. The nurse's best response would be which of the following?

    • A.

      "Patients requiring the least amount of physical care are in rooms farthest from the nurses' station."

    • B.

      "An end room provides the most sunlight and least distraction during your stay in the hospital."

    • C.

      "This location provides the least radiation exposure to hospital staff and other patients."

    • D.

      "This location protects those nurses who may be pregnant and working in this unit."

    Correct Answer
    C. "This location provides the least radiation exposure to hospital staff and other patients."
  • 2. 

    The nurse is caring for a client with a diagnosis of cancer who has the following lab values:  WBC count: 6,000 cells/mm3 of blood                    Segs: 30% of the WBCs                    Bands: 3% of the WBCs                    Neutrophils (segs + bands): 33% of the WBCsWhat  is the patients ANC?

    • A.

      2300

    • B.

      1750

    • C.

      1980

    • D.

      2000

    Correct Answer
    C. 1980
    Explanation
    segs + bands x wbc divided by 100 = ANC
    .30 .03 6,000 1980

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  • 3. 

    Would this pt (from above question) be placed in neutropenic precautions?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
    Explanation
    ANC less than or equal to 1000 = neutropenic precautions

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  • 4. 

    Taxol (paclitaxel) is approved for treatment of ovarian cancer, breast cancer, and non-small cell lung carcinomas. A recommended regimen for ovarian cancer is administrating Taxol as an intravenous nfusion over three hours, at a dose of 175 mg/m2, once every three weeks.  How many mg of Taxol should a woman with a body surface area of 1.6 m2 receive in a single infusion?

    • A.

      280 mg

    • B.

      2800 mg

    • C.

      291 mg

    • D.

      109.38 mg

    Correct Answer
    A. 280 mg
    Explanation
    175 x 1.6 = 280

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  • 5. 

    Calculate the GFR for this pt using the Cockcroft-Gault formula:62 y.o Female who weighs 72 kg and is 5 ft. 3 in. tall. Her serum creatinine is .6

    • A.

      130

    • B.

      110.5

    • C.

      365.9

    • D.

      143.2

    Correct Answer
    B. 110.5
    Explanation
    1) Subtract the patient's age from 140 = 78

    2) Multiply by the mass of the patient in kg - 78 x72= 5616

    3) Multiply the patient's serum creatinine (in mg/dL) by 72- .6x72 = 43.2

    4) Divide the total from 2) by the total from 3)
    5616 divided by 432 = 130
    5) If the patient is female, take the total from 4) and multiply by 0.85 130 x .85 = 110.5

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  • 6. 

    A serum creatine level of  2.5 in a 65 y.o. female could indicate which of the following?

    • A.

      Kidney damage

    • B.

      A reason to hold her chemotherapy

    • C.

      She is diabetic

    • D.

      Both A & B

    Correct Answer
    D. Both A & B

Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jan 16, 2013
    Quiz Edited by
    ProProfs Editorial Team
  • Jul 01, 2010
    Quiz Created by
    Kayemom
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