PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH 2026
PRACTICE QUESTION SET ONE
◉ A nurse is administering doxorubicin to a pt in the outpatient
oncology clinic. WHich information would be most important for the
nurse to include in patient teaching?
A. Blood counts will most likely remain normal
B. Complete alopecia rarely occurs with this drug
C. Report any SOB, palpitations, or edema to the health care provider
D. Tissue necrosis usually occurs 2 to 3 days after administration.
Answer: C. Report any SOB, palpitations, or edema to the health care
provider
◉ A patient diagnosed with cancer is scheduled to receive
vincristine. Which nursing assessment will have the highest priority
when providing care for this patient?
A. Degree of alopecia
B. Increased digoxin levels
C. Decreased phenytoin effects
D. Periphearal neurophathy. Answer: C. Decreased phenytoin effects
,◉ A patient is experiencing mucositis (stomatitis) after receiving
chemotherapy. Which symptomatic treatments will be appropriate?
(Select all that apply)
A. Frequent mouth rinses
B. Antiemetics
C. Topical anesthetics
D. Stress reduction
E. Antibiotics. Answer: A. Frequent mouth rinses
C. Topical anesthetics
E. Antibiotics
◉ A nurse is teaching a patient who will receive chemotherapy that
will cause thrombocytopenia. Which instructions will the nurse
include in the patient's teaching plan? (Select all that apply)
A. Use an electric razor when shaving.
B. Use a soft-bristled toothbrush.
C. Use aspirin for pain or headache.
D. Monitor oral temperature daily.
E. Report any bleeding (gums, petechiae, bruises, hematuria,
melena) to the health care provider.. Answer: A. Use an electric razor
when shaving.
B. Use a soft-bristled toothbrush.
E. Report any bleeding (gums, petechiae, bruises, hematuria,
melena) to the health care provider.
, ◉ What is a nadir and when does it occur?. Answer: When blood
count is at its lowest, which is 7-10 days after chemo treatment
◉ What nursing actions would you do for a patient with
Myelosuppression?. Answer: Occurs when there is a significant
decrease in the bone marrow activity that results in decreased white
blood cells, platelets, and red blood cells. (Good handwashing, mask,
avoid crowds)
◉ What nursing actions would you do for a patient with
neutropenia?. Answer: Good hand washing, gloves, single patient
room, visitors wear masks, monitor WBC and temp for signs of
infections, advise against crowds and people who might be sick.
Report temps of 100.5 or higher
◉ What nursing actions would you do for a patient with
Thrombocytopenia?. Answer: Monitor labs (platelets, blood counts),
soft toothbrush, watch for bruising and bleeding in stool, gums,
urine, don't use a straight razor, avoid NSAIDS, normal platelet count
is 150,000- 450,000
◉ What nursing actions would you do for a patient with anemia?.
Answer: Assess for fatigue, shortness of breath, low blood pressure,
increased heart rate and respiratory rate, cyanosis, and oliguria
(small amount of urine). Plan rest periods. Administer oxygen as
NURSING PROCESS APPROACH 2026
PRACTICE QUESTION SET ONE
◉ A nurse is administering doxorubicin to a pt in the outpatient
oncology clinic. WHich information would be most important for the
nurse to include in patient teaching?
A. Blood counts will most likely remain normal
B. Complete alopecia rarely occurs with this drug
C. Report any SOB, palpitations, or edema to the health care provider
D. Tissue necrosis usually occurs 2 to 3 days after administration.
Answer: C. Report any SOB, palpitations, or edema to the health care
provider
◉ A patient diagnosed with cancer is scheduled to receive
vincristine. Which nursing assessment will have the highest priority
when providing care for this patient?
A. Degree of alopecia
B. Increased digoxin levels
C. Decreased phenytoin effects
D. Periphearal neurophathy. Answer: C. Decreased phenytoin effects
,◉ A patient is experiencing mucositis (stomatitis) after receiving
chemotherapy. Which symptomatic treatments will be appropriate?
(Select all that apply)
A. Frequent mouth rinses
B. Antiemetics
C. Topical anesthetics
D. Stress reduction
E. Antibiotics. Answer: A. Frequent mouth rinses
C. Topical anesthetics
E. Antibiotics
◉ A nurse is teaching a patient who will receive chemotherapy that
will cause thrombocytopenia. Which instructions will the nurse
include in the patient's teaching plan? (Select all that apply)
A. Use an electric razor when shaving.
B. Use a soft-bristled toothbrush.
C. Use aspirin for pain or headache.
D. Monitor oral temperature daily.
E. Report any bleeding (gums, petechiae, bruises, hematuria,
melena) to the health care provider.. Answer: A. Use an electric razor
when shaving.
B. Use a soft-bristled toothbrush.
E. Report any bleeding (gums, petechiae, bruises, hematuria,
melena) to the health care provider.
, ◉ What is a nadir and when does it occur?. Answer: When blood
count is at its lowest, which is 7-10 days after chemo treatment
◉ What nursing actions would you do for a patient with
Myelosuppression?. Answer: Occurs when there is a significant
decrease in the bone marrow activity that results in decreased white
blood cells, platelets, and red blood cells. (Good handwashing, mask,
avoid crowds)
◉ What nursing actions would you do for a patient with
neutropenia?. Answer: Good hand washing, gloves, single patient
room, visitors wear masks, monitor WBC and temp for signs of
infections, advise against crowds and people who might be sick.
Report temps of 100.5 or higher
◉ What nursing actions would you do for a patient with
Thrombocytopenia?. Answer: Monitor labs (platelets, blood counts),
soft toothbrush, watch for bruising and bleeding in stool, gums,
urine, don't use a straight razor, avoid NSAIDS, normal platelet count
is 150,000- 450,000
◉ What nursing actions would you do for a patient with anemia?.
Answer: Assess for fatigue, shortness of breath, low blood pressure,
increased heart rate and respiratory rate, cyanosis, and oliguria
(small amount of urine). Plan rest periods. Administer oxygen as
