MDC 2 EXAM Study Questions with
Detailed Answers Already Graded
A+
1. SVCS Treatment - ANSWER Chemo
Metal stent
Radiation
2. SVCS Interventions - ANSWER Maintain airway
Administer oxygen
3. Tumor lysis syndrome - ANSWER large number of tumor cells are
destroyed quickly and contents of those cells (potassium and purines) are
released into the blood stream
4. Tumor lysis syndrome s/s - ANSWER Hyperkalemia
Hypocalcemia
Hyperuricemia
Acute Renal failure*
Acidosis
5. Tumor lysis syndrome treatment - ANSWER Inpatient monitoring
Fluid resuscitation
Correction of acidosis
Hemodialysis
,Allopurinol or uricase therapy
6. Tumor lysis syndrome intervention - ANSWER Maintain ABCs
Monitor vitals and cardiac rhythm
Manage electrolyte balance
Prepare patient for hemodialysis
7. Malignant pericardial effusion - ANSWER Develops due to fluid
accumulation around the pericardial sac
8. Malignant pericardial effusion s/s - ANSWER Dyspnea
Fatigue
Distended neck veins
Distant heart sound
Tachycardia
Orthopnea
9. Malignant pericardial effusion Treatment - ANSWER Radiation
Surgical Intervention
10.Malignant pericardial effusion nursing interventions - ANSWER Assess for
neurological deficits
Manage pain
Prevent skin breakdown
,11.Hospice care - ANSWER Model for quality, compassionate care for those
facing life-limiting illness or injury
Usually less than 6 months to live
12.Palliative Care - ANSWER Philosophy of care for those with life-
threatening disease
Provided by physician, nurse practitioner, or team
13.Assessment findings - ANSWER o Weakness
Sleeping more
Anorexia
Changes in organ system function
Cold, mottled, cyanotic extremities
Changes in breathing pattern
Decreased LOC
14.Interventions=responding - ANSWER o Needs and preferences met
Control of symptoms of distress
Meaningful interactions with family
Peaceful death
15.Managing Breathlessness/dyspnea - ANSWER Opioids, bronchodilators,
diuretics, antibiotics, anticholinergics, benzodiazepines
Oxygen (for comfort)
Electric fan for air circulation
Reposition
16.Managing Nausea/vomiting - ANSWER o Antiemetic
agents,Prochlorperazine (Compazine),Ondansetron (Zofran),Dexamethasone
(Decadron, Deronil, Dexasone) Metoclopramide (Reglan, Maxeran)
Remove any source of odors
, Comfortable room temperature
Aromatherapy
17.Managing Agitation/delirium - ANSWER Assess for pain, urinary retention,
constipation, other reversible cause
Pharmacologic agents
Music therapy; aromatherapy
18.Managing Refractory symptoms of distress - ANSWER o Proportionate
palliative sedation
19.Lab values for normal ranges - ANSWER o Sodium 136-145
Potassium 3.5-5
Calcium 9-10.5
Chloride 98-106
Magnesium 1.8-2.6
20.Metastasis - ANSWER Cells move from primary site to the rest of the body
21.Carcinogenesis/oncogenesis - ANSWER cancer development
22.Cancer classification - ANSWER o Grading
Ploidy
Staging
TNM
Doubling time and mitotic index
What are the glands of the endocrine system? (SATA Q?) - ANSWER *PT PAP
HOT*
Detailed Answers Already Graded
A+
1. SVCS Treatment - ANSWER Chemo
Metal stent
Radiation
2. SVCS Interventions - ANSWER Maintain airway
Administer oxygen
3. Tumor lysis syndrome - ANSWER large number of tumor cells are
destroyed quickly and contents of those cells (potassium and purines) are
released into the blood stream
4. Tumor lysis syndrome s/s - ANSWER Hyperkalemia
Hypocalcemia
Hyperuricemia
Acute Renal failure*
Acidosis
5. Tumor lysis syndrome treatment - ANSWER Inpatient monitoring
Fluid resuscitation
Correction of acidosis
Hemodialysis
,Allopurinol or uricase therapy
6. Tumor lysis syndrome intervention - ANSWER Maintain ABCs
Monitor vitals and cardiac rhythm
Manage electrolyte balance
Prepare patient for hemodialysis
7. Malignant pericardial effusion - ANSWER Develops due to fluid
accumulation around the pericardial sac
8. Malignant pericardial effusion s/s - ANSWER Dyspnea
Fatigue
Distended neck veins
Distant heart sound
Tachycardia
Orthopnea
9. Malignant pericardial effusion Treatment - ANSWER Radiation
Surgical Intervention
10.Malignant pericardial effusion nursing interventions - ANSWER Assess for
neurological deficits
Manage pain
Prevent skin breakdown
,11.Hospice care - ANSWER Model for quality, compassionate care for those
facing life-limiting illness or injury
Usually less than 6 months to live
12.Palliative Care - ANSWER Philosophy of care for those with life-
threatening disease
Provided by physician, nurse practitioner, or team
13.Assessment findings - ANSWER o Weakness
Sleeping more
Anorexia
Changes in organ system function
Cold, mottled, cyanotic extremities
Changes in breathing pattern
Decreased LOC
14.Interventions=responding - ANSWER o Needs and preferences met
Control of symptoms of distress
Meaningful interactions with family
Peaceful death
15.Managing Breathlessness/dyspnea - ANSWER Opioids, bronchodilators,
diuretics, antibiotics, anticholinergics, benzodiazepines
Oxygen (for comfort)
Electric fan for air circulation
Reposition
16.Managing Nausea/vomiting - ANSWER o Antiemetic
agents,Prochlorperazine (Compazine),Ondansetron (Zofran),Dexamethasone
(Decadron, Deronil, Dexasone) Metoclopramide (Reglan, Maxeran)
Remove any source of odors
, Comfortable room temperature
Aromatherapy
17.Managing Agitation/delirium - ANSWER Assess for pain, urinary retention,
constipation, other reversible cause
Pharmacologic agents
Music therapy; aromatherapy
18.Managing Refractory symptoms of distress - ANSWER o Proportionate
palliative sedation
19.Lab values for normal ranges - ANSWER o Sodium 136-145
Potassium 3.5-5
Calcium 9-10.5
Chloride 98-106
Magnesium 1.8-2.6
20.Metastasis - ANSWER Cells move from primary site to the rest of the body
21.Carcinogenesis/oncogenesis - ANSWER cancer development
22.Cancer classification - ANSWER o Grading
Ploidy
Staging
TNM
Doubling time and mitotic index
What are the glands of the endocrine system? (SATA Q?) - ANSWER *PT PAP
HOT*
