PHCL 4020: Chemotherapy: Test Bank |Verified Practice
Questions with A+ Answers | Final Exam Guide FOR 2025/2026
(the most recent quizzes)
What is an important lab value to monitor in a patient receiving methotrexate?
a) Blood glucose levels
b) Liver enzymes
c) Potassium levels
d) Heart rate - b) Liver enzymes
Which adverse effect is commonly associated with methotrexate therapy?
a) Nephrotoxicity
b) Mucositis
c) Hypercalcemia
d) Hypertension - b) Mucositis
A patient taking methotrexate should be advised to avoid:
a) Folic acid supplements
b) Caffeine
c) Dairy products
d) Vitamin D supplements - a) Folic acid supplements
A nurse is administering methotrexate to a patient. Which of the following interventions is most
important?
a) Encourage the patient to take folic acid supplements.
b) Monitor for signs of infection due to bone marrow suppression.
c) Administer the drug with a high-fat meal.
d) Increase exposure to sunlight for vitamin D absorption. - b) Monitor for signs of infection
due to bone marrow suppression
,What lab value should the nurse monitor closely when administering folic acid analogs?
a) Hemoglobin levels
b) White blood cell count
c) Creatinine clearance
d) Potassium levels - b) White blood cell count
A patient on methotrexate therapy develops mouth ulcers. What should the nurse recommend?
a) Rinse with an alcohol-based mouthwash.
b) Increase intake of acidic foods.
c) Use a soft toothbrush and avoid spicy foods.
d) Reduce fluid intake. - c) Use a soft toothbrush and avoid spicy foods.
A nurse is monitoring a patient receiving cytarabine. Which finding should be reported
immediately?
a) Mild nausea
b) Hand-foot syndrome
c) Increased intracranial pressure
d) Dry skin - C) Increased intracranial pressure
Which symptom is a potential side effect of cytarabine therapy?
a) Hyperkalemia
b) Neurotoxicity
c) Bradycardia
d) Hyperglycemia - b) Neurotoxicity
, Which of the following is most important for a patient taking cytarabine?
a) Increase vitamin C intake
b) Monitor for signs of bleeding
c) Avoid sun exposure
d) Restrict fluid intake - b) Monitor for signs of bleeding
A nurse is administering fluorouracil to a patient with colorectal cancer. Which adverse effect
should be closely monitored?
a) Cardiotoxicity
b) Hand-foot syndrome
c) Increased intracranial pressure
d) Pancreatitis - b) Hand-foot syndrome
A patient receiving cytarabine for leukemia is experiencing nausea and vomiting. What is the
most appropriate nursing action?
a) Discontinue the medication immediately
b) Administer an antiemetic before chemotherapy
c) Encourage a high-protein diet
d) Suggest the patient take the medication with dairy products - b) Administer an antiemetic
before chemotherapy
Which laboratory value should be monitored closely in a patient receiving fluorouracil?
a) Serum calcium levels
b) White blood cell count
c) Blood glucose levels
d) Magnesium levels - b) White blood cell count
Questions with A+ Answers | Final Exam Guide FOR 2025/2026
(the most recent quizzes)
What is an important lab value to monitor in a patient receiving methotrexate?
a) Blood glucose levels
b) Liver enzymes
c) Potassium levels
d) Heart rate - b) Liver enzymes
Which adverse effect is commonly associated with methotrexate therapy?
a) Nephrotoxicity
b) Mucositis
c) Hypercalcemia
d) Hypertension - b) Mucositis
A patient taking methotrexate should be advised to avoid:
a) Folic acid supplements
b) Caffeine
c) Dairy products
d) Vitamin D supplements - a) Folic acid supplements
A nurse is administering methotrexate to a patient. Which of the following interventions is most
important?
a) Encourage the patient to take folic acid supplements.
b) Monitor for signs of infection due to bone marrow suppression.
c) Administer the drug with a high-fat meal.
d) Increase exposure to sunlight for vitamin D absorption. - b) Monitor for signs of infection
due to bone marrow suppression
,What lab value should the nurse monitor closely when administering folic acid analogs?
a) Hemoglobin levels
b) White blood cell count
c) Creatinine clearance
d) Potassium levels - b) White blood cell count
A patient on methotrexate therapy develops mouth ulcers. What should the nurse recommend?
a) Rinse with an alcohol-based mouthwash.
b) Increase intake of acidic foods.
c) Use a soft toothbrush and avoid spicy foods.
d) Reduce fluid intake. - c) Use a soft toothbrush and avoid spicy foods.
A nurse is monitoring a patient receiving cytarabine. Which finding should be reported
immediately?
a) Mild nausea
b) Hand-foot syndrome
c) Increased intracranial pressure
d) Dry skin - C) Increased intracranial pressure
Which symptom is a potential side effect of cytarabine therapy?
a) Hyperkalemia
b) Neurotoxicity
c) Bradycardia
d) Hyperglycemia - b) Neurotoxicity
, Which of the following is most important for a patient taking cytarabine?
a) Increase vitamin C intake
b) Monitor for signs of bleeding
c) Avoid sun exposure
d) Restrict fluid intake - b) Monitor for signs of bleeding
A nurse is administering fluorouracil to a patient with colorectal cancer. Which adverse effect
should be closely monitored?
a) Cardiotoxicity
b) Hand-foot syndrome
c) Increased intracranial pressure
d) Pancreatitis - b) Hand-foot syndrome
A patient receiving cytarabine for leukemia is experiencing nausea and vomiting. What is the
most appropriate nursing action?
a) Discontinue the medication immediately
b) Administer an antiemetic before chemotherapy
c) Encourage a high-protein diet
d) Suggest the patient take the medication with dairy products - b) Administer an antiemetic
before chemotherapy
Which laboratory value should be monitored closely in a patient receiving fluorouracil?
a) Serum calcium levels
b) White blood cell count
c) Blood glucose levels
d) Magnesium levels - b) White blood cell count
