PCC 4 Final UNMC Exam Questions &
Answers Updated 2025
A patient with a large tumor in the chest is undergoing aggressive chemotherapy. The
health care provider has prescribed allopurinol for the patient. Which change would the
nurse expect in the patient after treatment with allopurinol?
a. increased urine output
b. decreased uric acid level
c. increase in sodium level
d. decrease in calcium level - Answer-b. decreased uric acid level
the nurse is assessing a patient who has prostate cancer with spinal cord compression.
Which finding would indicate development of autonomic dysfunction?
a. facial edema
b. impaired bladder function
c. distention of neck veins
d. reduced CVP - Answer-b. impaired bladder function
a patient with lung cancer has persistent back pain, tender vertebrae, autonomic
dysfunction and sensory paresthesia. Which initial line of treatment with the nurse
prepare the patient to receive?
a. decompressive laminectomy
b. radiation therapy in conjunction with corticosteroids
c. aggressive chemotherapy with vincristine and cyclophosphamide
d. IV 3% sodium chloride and demeclocycline - Answer-b. radiation therapy in
conjunction with corticosteroids
Which finding in a patients laboratory results suggest the development of tumor lysis
syndrome?
a. hypokalemia
b. hyponatremia
c. hypercalcemia
d. hyperuricemia
e. hyperphosphatemia - Answer-d. e
A patient has neutropenia and a body temperature of 100.4. Which action should the
nurse take?
a. initiate parenteral fluids
b. give aspirin to the patient
c. administer pamidronate to the patient
d. notify the health care provider - Answer-d. notify the health care provider
, The nurse reviews laboratory reports of a patient with a kidney tumor and finds that the
patients serum calcium levels are 12mg/dl. Which physical findings would the nurse
expect? Select all that apply
a. polyuria
b. nocturne
c. anorexia
d. hypotension
e. muscle weakness
f low central venous pressure - Answer-a. b. c. e
The nurse is caring for a patient diagnosed with superior vena cava syndrome. Which
clinical manifestations would the nurse expect to find. Select all that apply?
a. seizures
b. periorbital edema
c. reports of headache
d. distention of head and neck veins
e. bruit over bilateral carotid artery - Answer-a. b. c. d
Which complication of cancer treatment does the nurses suspect for a patient with a
sodium level of 130, weight gain, nausea, 1+ reflexes?
a. hypercalcemia
b. third space syndrome
c. superior vena cava syndrome
d. syndrome of inappropriate antidiuretic hormone - Answer-d. syndrome of
inappropriate antidiuretic hormone
A patient with renal cancer has tumor lysis syndrome. Which outcome would the nurse
expect after administer the prescribed hydration therapy.
a. decreased uric acid
b. increased urine output
c. increased thyroid levels
d. decreased hemoglobin levels - Answer-b. increased urine output
A patient who has cancer is diagnosed with SIADH and is now experiencing seizures.
Which treatment would correct the imbalance most rapidly?
a. furosemide
b. oral salt tablets
c. isotonic 0.9% saline
d. IV 3% sodium chloride - Answer-d. IV 3% sodium chloride
An older adult patient with multiple myeloma develops hypercalcemia and is prescribed
hydration and diuretics. Which reason would the nurse give to explain the therapy to the
patient
a. To prevent bone complication
b. to reduce serum calcium levels
Answers Updated 2025
A patient with a large tumor in the chest is undergoing aggressive chemotherapy. The
health care provider has prescribed allopurinol for the patient. Which change would the
nurse expect in the patient after treatment with allopurinol?
a. increased urine output
b. decreased uric acid level
c. increase in sodium level
d. decrease in calcium level - Answer-b. decreased uric acid level
the nurse is assessing a patient who has prostate cancer with spinal cord compression.
Which finding would indicate development of autonomic dysfunction?
a. facial edema
b. impaired bladder function
c. distention of neck veins
d. reduced CVP - Answer-b. impaired bladder function
a patient with lung cancer has persistent back pain, tender vertebrae, autonomic
dysfunction and sensory paresthesia. Which initial line of treatment with the nurse
prepare the patient to receive?
a. decompressive laminectomy
b. radiation therapy in conjunction with corticosteroids
c. aggressive chemotherapy with vincristine and cyclophosphamide
d. IV 3% sodium chloride and demeclocycline - Answer-b. radiation therapy in
conjunction with corticosteroids
Which finding in a patients laboratory results suggest the development of tumor lysis
syndrome?
a. hypokalemia
b. hyponatremia
c. hypercalcemia
d. hyperuricemia
e. hyperphosphatemia - Answer-d. e
A patient has neutropenia and a body temperature of 100.4. Which action should the
nurse take?
a. initiate parenteral fluids
b. give aspirin to the patient
c. administer pamidronate to the patient
d. notify the health care provider - Answer-d. notify the health care provider
, The nurse reviews laboratory reports of a patient with a kidney tumor and finds that the
patients serum calcium levels are 12mg/dl. Which physical findings would the nurse
expect? Select all that apply
a. polyuria
b. nocturne
c. anorexia
d. hypotension
e. muscle weakness
f low central venous pressure - Answer-a. b. c. e
The nurse is caring for a patient diagnosed with superior vena cava syndrome. Which
clinical manifestations would the nurse expect to find. Select all that apply?
a. seizures
b. periorbital edema
c. reports of headache
d. distention of head and neck veins
e. bruit over bilateral carotid artery - Answer-a. b. c. d
Which complication of cancer treatment does the nurses suspect for a patient with a
sodium level of 130, weight gain, nausea, 1+ reflexes?
a. hypercalcemia
b. third space syndrome
c. superior vena cava syndrome
d. syndrome of inappropriate antidiuretic hormone - Answer-d. syndrome of
inappropriate antidiuretic hormone
A patient with renal cancer has tumor lysis syndrome. Which outcome would the nurse
expect after administer the prescribed hydration therapy.
a. decreased uric acid
b. increased urine output
c. increased thyroid levels
d. decreased hemoglobin levels - Answer-b. increased urine output
A patient who has cancer is diagnosed with SIADH and is now experiencing seizures.
Which treatment would correct the imbalance most rapidly?
a. furosemide
b. oral salt tablets
c. isotonic 0.9% saline
d. IV 3% sodium chloride - Answer-d. IV 3% sodium chloride
An older adult patient with multiple myeloma develops hypercalcemia and is prescribed
hydration and diuretics. Which reason would the nurse give to explain the therapy to the
patient
a. To prevent bone complication
b. to reduce serum calcium levels
