Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
A patient is experiencing stomatitis after a round of chemotherapy.
Which intervention by the nurse is correct?
a. Clean the mouth with a soft-bristle toothbrush and warm saline
solution.
b. Rinse the mouth with commercial mouthwash twice a day.
c. Use lemon-glycerin swabs to keep the mouth moist.
d. Keep dentures in the mouth between meals. -
correct answer ✅a. Clean the mouth with a soft-bristle toothbrush
and warm saline solution.
The nurse is caring for a patient who becomes severely nauseated
during chemotherapy. Which intervention is most appropriate?
a. Encourage light activity during chemotherapy as a
distraction.
b. Provide antiemetic medications 30 to 60 minutes before
chemotherapy begins.
c. Provide antiemetic medications only upon the request of the
patient.
d. Hold fluids during chemotherapy to avoid vomiting -
correct answer ✅b. Provide antiemetic medications 30 to 60
minutes before chemotherapy begins.
,Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
The nurse monitors a patient who is experiencing
thrombocytopenia from severe bone marrow suppression by
looking for
a. severe weakness and fatigue.
b. elevated body temperature.
c. decreased skin turgor.
d. excessive bleeding and bruising. -
correct answer ✅d. excessive bleeding and bruising
A patient receiving chemotherapy is experiencing severe bone
marrow suppression. Which nursing diagnosis is most appropriate
at this time?
a. Activity intolerance
b. Risk for infection
c. Disturbed body image
d. Impaired physical mobility -
correct answer ✅b. Risk for infection
,Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
If extravasation of an antineoplastic medication occurs, which
intervention will the nurse perform first?
a. Apply cold compresses to the site while elevating the arm.
b. Inject subcutaneous doses of epinephrine around the IV site
every 2 hours.
c. Stop the infusion immediately while leaving the catheter in place.
d. Inject the appropriate antidote through the IV catheter. -
correct answer ✅c. Stop the infusion immediately while leaving
the catheter in place.
The nurse is assessing a patient who has experienced severe
neutropenia after chemotherapy and will monitor for which
possible signs of infection? (Select all that apply.)
a. Elevated WBC count
b. Fever
c. Nausea
d. Sore throat
e. Chills -
correct answer ✅b. Fever
d. Sore throat
, Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
e. Chills
A patient who is receiving chemotherapy with cisplatin
(Platinol) has developed pneumonia. The nurse would be
concerned about nephrotoxicity if which type of antibiotic was
ordered as treatment for the pneumonia at this time?
a. Penicillin
b. Sulfa drug
c. Fluoroquinolone
d. Aminoglycoside -
correct answer ✅d. Aminoglycoside
During treatment with doxorubicin (Adriamycin), the nurse must
monitor closely for which potentially life-threatening adverse
effect?
a. Nephrotoxicity
b. Peripheral neuritis
c. Cardiomyopathy
d. Ototoxicity -
correct answer ✅c. Cardiomyopathy
Review Exam Questions and Answers
(Latest Update 2026)
A patient is experiencing stomatitis after a round of chemotherapy.
Which intervention by the nurse is correct?
a. Clean the mouth with a soft-bristle toothbrush and warm saline
solution.
b. Rinse the mouth with commercial mouthwash twice a day.
c. Use lemon-glycerin swabs to keep the mouth moist.
d. Keep dentures in the mouth between meals. -
correct answer ✅a. Clean the mouth with a soft-bristle toothbrush
and warm saline solution.
The nurse is caring for a patient who becomes severely nauseated
during chemotherapy. Which intervention is most appropriate?
a. Encourage light activity during chemotherapy as a
distraction.
b. Provide antiemetic medications 30 to 60 minutes before
chemotherapy begins.
c. Provide antiemetic medications only upon the request of the
patient.
d. Hold fluids during chemotherapy to avoid vomiting -
correct answer ✅b. Provide antiemetic medications 30 to 60
minutes before chemotherapy begins.
,Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
The nurse monitors a patient who is experiencing
thrombocytopenia from severe bone marrow suppression by
looking for
a. severe weakness and fatigue.
b. elevated body temperature.
c. decreased skin turgor.
d. excessive bleeding and bruising. -
correct answer ✅d. excessive bleeding and bruising
A patient receiving chemotherapy is experiencing severe bone
marrow suppression. Which nursing diagnosis is most appropriate
at this time?
a. Activity intolerance
b. Risk for infection
c. Disturbed body image
d. Impaired physical mobility -
correct answer ✅b. Risk for infection
,Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
If extravasation of an antineoplastic medication occurs, which
intervention will the nurse perform first?
a. Apply cold compresses to the site while elevating the arm.
b. Inject subcutaneous doses of epinephrine around the IV site
every 2 hours.
c. Stop the infusion immediately while leaving the catheter in place.
d. Inject the appropriate antidote through the IV catheter. -
correct answer ✅c. Stop the infusion immediately while leaving
the catheter in place.
The nurse is assessing a patient who has experienced severe
neutropenia after chemotherapy and will monitor for which
possible signs of infection? (Select all that apply.)
a. Elevated WBC count
b. Fever
c. Nausea
d. Sore throat
e. Chills -
correct answer ✅b. Fever
d. Sore throat
, Lilley Pharmacology Ch 45-58 Final
Review Exam Questions and Answers
(Latest Update 2026)
e. Chills
A patient who is receiving chemotherapy with cisplatin
(Platinol) has developed pneumonia. The nurse would be
concerned about nephrotoxicity if which type of antibiotic was
ordered as treatment for the pneumonia at this time?
a. Penicillin
b. Sulfa drug
c. Fluoroquinolone
d. Aminoglycoside -
correct answer ✅d. Aminoglycoside
During treatment with doxorubicin (Adriamycin), the nurse must
monitor closely for which potentially life-threatening adverse
effect?
a. Nephrotoxicity
b. Peripheral neuritis
c. Cardiomyopathy
d. Ototoxicity -
correct answer ✅c. Cardiomyopathy
