Chemotherapy Competency Quiz 2
Most of these questions came directly from a OCN practice quiz from the ONCC site. The beauty of it was I had to acturally take the quiz to get the answers. Great learning experience for me and I hope for you too. Open book, open discussion with your co-workers. Turn in your answers by noon on Friday to be eligible for drawing.
- 1.The pre-medication volume in the labeled syringe does not appear be contain the volume of drug expected. What is the correct action.
- A.
Say nothing and use the drug. Its close enough.
- B.
Ask the dispensing nurse to re-verify and re-dispense as indicated. If it is a recurring problem notify your supervisor.
- C.
Get a vial of the drug from the mixing room and adjust the dose yourself.
- D.
Refuse to use the drug at all. Tell the dispensing nurse you dont trust her/him.
- 2.A patient with small cell lung cancer has a four-pound weight gain, headache, and excessive thirst. These symptoms indicate:
- A.
Tumor lysis syndrome
- B.
Hemolytic uremic syndrome
- C.
Neoplastic cardiac tamponade
- D.
Syndrome of inappropriate antidiuretic hormong
- 3.A patient newly diagnosed with cancer tells the nurse, "The doctor ordered all of these tests for clinical staging. What does that mean?" The nurse's best response is based on the knowledge that staging:
- A.
Predicts response treatment
- B.
Compares treatment results across populations.
- C.
Assesses the usual patterns of spread of specific cancers.
- D.
Evaluates the extent of local and potential metastatic disease.
- 4.A patient receiving hospice care is refusing to take prescribed opiates and tells the nurse "pain is a part of life". The initial ste
- A.
Explore the meaning of pain with the patient
- B.
Refer the patient to the chaplain
- C.
Schedule a visit with a CanSurmount volunteer
- D.
Request an evaluation from the pain service.
- 5.A patient receiving doxorubicin through a peripheral IV catheter reports burning at the site, but there is no notable swelling. The nurse's first action is to:
- A.
Stop the administration of the drug
- B.
Flush with 10 ml of 0.9% normal saline
- C.
Reposition the patient's arm
- D.
Continue the administration while observing the site.
- 6.A patient is ordered opiates around the clock for pain control. Prior to initiating opioid therapy, the nurse anticipates an order for:
- A.
Bulk laxatives.
- B.
Suppositories
- C.
Stimulant laxatives.
- D.
Oral mineral oil
- 7.Which of the following medications can cause increased sedation when administered with opiods?
- A.
Chlorpromazine
- B.
Ibuprofen
- C.
Naloxone
- D.
Prednisone
- 8.In addition to decreasing inflammation, corticosteroids:
- A.
Improve muscle tone
- B.
Stimulate weight loss
- C.
Stimulate the appetite.
- D.
Reduce anxiety.
- 9.A 62 year old patient with CD33 positive acute myeloid leukemia in first relapse presents with a left ejection fraction of 40%. The nurse anticipates any order for
- A.
Gemtuzumab ozogamicin.
- B.
All-trans retinaic acid.
- C.
Cytarabine
- D.
Rituximab
- 10.A patient in remission complains of dysthymic behaviors for the past several weeks. The nurse knows to assess for
- A.
Recurrence of disease
- B.
Cognitive learning
- C.
Bowel habits
- D.
Depression
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