1
NURS642-Exam3 Questions with Answers (100%
Correct Answers)
Symptoms of SVC syndrome Answer: Intracranial tension and brain
edema: neck and face edema, periorbital, dyspnea and cough,
congestion, dysphagia, head pressure, epistaxis, hemoptysis. Worsen
with bending forward of lying down
Spinal cord compression: Symptoms Management Answer: Back pain,
radiculopathy Dexamethasone, radiation, surgical decompression
These 3 cancers are most likely to mets to the brain Answer: Lung,
breast, melanoma
Bony lytic lesions ("moth eaten") are concerning for ___. This patient will
also have this electrolyte disturbance ____. Answer: Multiple myeloma,
hypercalcemia
Treatment for a patient with hypercalcemia and AKI from multiple
myeloma ____ Answer: Fluids, diuresis, calcitonin
Calcitrol and parathyroid hormone both _____ calcium levels Answer:
Increase
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,2
Solid organ tumors (lung, breast, head, neck, renal) produce PTH-rP,
which can cause _____ Answer: Hypercalcemia
PTH levels will be high in primary hyperparathyroidism. It will be
suppressed in ______, due to bone mets Answer: Hypercalcemia
Malignant lymphomas produce calcitriol, which not only elevates
calcium, but also elevates _____ Answer: Serum phosphate
Treatments of hypercalcemia (4) Answer: Fluids 2-300 ml/hr to maintain
UO of 100-150/hr. Bisphosphonates to inhibit bone
resorption/osteoclasts. Calcitonin (for <48hrs). Dialysis.
Hyponatremia in SIADH shows inappropriately high _____ when
compared to _____. They also have high urine _____ without volume
depletion. Answer: High urine osmolality, lower serum osmolality.
Sodium (euvolemic hyponatremia)
Management of SIADH Answer: Fluid restriction. Hypertonic saline to
correct sodium at 0.5-1 meq/hr.
WBC >100,000. Name and treatment. Answer: Leukostasis.
Chemotherapy and leukapheresis.
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, 3
Lab diagnosis of DIC Answer: Elevated D-dimer, decreased
antithrombin 3 and 2 indicators of end-organ damage (LDH, Cr,
decreased pH or PaO2)
Management of DIC Answer: Platelets if below 50k, cryopreciptitate if
fibrinogen is below 100 mg/dL.
Electrolyte/metabolic disorders with TLS. (5) Answer: Hyperuricemia,
hyperkalemia, hyperphosphatemia, hypocalcemia, lactic acidosis
In TLS, _____ caused by release of intracellular phosphate leads to ______
which results in tetany and neuromuscular irritability. Calcium
phosphate can deposit into renal tubules and cause AKI Answer:
Hyperphosphatemia, hypocalcemia
Cairo-Bishop is lab diagnostics criteria for TLS, says two or more of
these lab changes THREE days prior or SEVEN days after chemo
Answer: Uric acid >8, K>6, Phos >1.45, Calcium <7
Neutropenia is neutrophil count less than _____. Fever is one single
temp more than ____ , or more than 38.0 for >1hour Answer: 500. 38.3
(101), 38.0 (100.4)
© 2025 All rights reserved
NURS642-Exam3 Questions with Answers (100%
Correct Answers)
Symptoms of SVC syndrome Answer: Intracranial tension and brain
edema: neck and face edema, periorbital, dyspnea and cough,
congestion, dysphagia, head pressure, epistaxis, hemoptysis. Worsen
with bending forward of lying down
Spinal cord compression: Symptoms Management Answer: Back pain,
radiculopathy Dexamethasone, radiation, surgical decompression
These 3 cancers are most likely to mets to the brain Answer: Lung,
breast, melanoma
Bony lytic lesions ("moth eaten") are concerning for ___. This patient will
also have this electrolyte disturbance ____. Answer: Multiple myeloma,
hypercalcemia
Treatment for a patient with hypercalcemia and AKI from multiple
myeloma ____ Answer: Fluids, diuresis, calcitonin
Calcitrol and parathyroid hormone both _____ calcium levels Answer:
Increase
© 2025 All rights reserved
,2
Solid organ tumors (lung, breast, head, neck, renal) produce PTH-rP,
which can cause _____ Answer: Hypercalcemia
PTH levels will be high in primary hyperparathyroidism. It will be
suppressed in ______, due to bone mets Answer: Hypercalcemia
Malignant lymphomas produce calcitriol, which not only elevates
calcium, but also elevates _____ Answer: Serum phosphate
Treatments of hypercalcemia (4) Answer: Fluids 2-300 ml/hr to maintain
UO of 100-150/hr. Bisphosphonates to inhibit bone
resorption/osteoclasts. Calcitonin (for <48hrs). Dialysis.
Hyponatremia in SIADH shows inappropriately high _____ when
compared to _____. They also have high urine _____ without volume
depletion. Answer: High urine osmolality, lower serum osmolality.
Sodium (euvolemic hyponatremia)
Management of SIADH Answer: Fluid restriction. Hypertonic saline to
correct sodium at 0.5-1 meq/hr.
WBC >100,000. Name and treatment. Answer: Leukostasis.
Chemotherapy and leukapheresis.
© 2025 All rights reserved
, 3
Lab diagnosis of DIC Answer: Elevated D-dimer, decreased
antithrombin 3 and 2 indicators of end-organ damage (LDH, Cr,
decreased pH or PaO2)
Management of DIC Answer: Platelets if below 50k, cryopreciptitate if
fibrinogen is below 100 mg/dL.
Electrolyte/metabolic disorders with TLS. (5) Answer: Hyperuricemia,
hyperkalemia, hyperphosphatemia, hypocalcemia, lactic acidosis
In TLS, _____ caused by release of intracellular phosphate leads to ______
which results in tetany and neuromuscular irritability. Calcium
phosphate can deposit into renal tubules and cause AKI Answer:
Hyperphosphatemia, hypocalcemia
Cairo-Bishop is lab diagnostics criteria for TLS, says two or more of
these lab changes THREE days prior or SEVEN days after chemo
Answer: Uric acid >8, K>6, Phos >1.45, Calcium <7
Neutropenia is neutrophil count less than _____. Fever is one single
temp more than ____ , or more than 38.0 for >1hour Answer: 500. 38.3
(101), 38.0 (100.4)
© 2025 All rights reserved
