CJE Medical Surgical Test Bank 500+ Verified Practice
Questions with Verified Answers & Rationales LATEST 2026
(GUARANTEED PASS)
The most effective method of administering a chemotherapy agent that is
a vesicant is to
a. give it orally.
b. give it intraarterially.
c. use an Ommaya reservoir.
d. use a central venous access device. - VERIFIED ANSWER - d
Rationale: If vesicants are inadvertently infiltrated into the skin, severe
local tissue breakdown and necrosis may result. It is extremely important
to monitor for and promptly recognize symptoms associated with
extravasation of a vesicant and to take immediate action if it occurs. The
infusion should be immediately turned off, and protocols for drug-specific
extravasation procedures should be followed to minimize further tissue
damage. Infusion with central venous access devices can reduce the risk
of infiltration of chemotherapy agents that are vesicants.
,The nurse explains to a patient undergoing brachytherapy of the cervix
that she
a. must undergo simulation to locate the treatment area.
b. requires the use of radioactive precautions during nursing care.
c. may experience desquamation of the skin on the abdomen and upper
legs.
d. requires shielding of the ovaries during treatment to prevent ovarian
damage. - VERIFIED ANSWER - b
Rationale: Brachytherapy consists of the implantation or insertion of
radioactive materials directly into the tumor or adjacent to the tumor.
Caring for the person undergoing brachytherapy or receiving
radiopharmaceuticals requires the nurse to take special precautions. The
principles of ALARA (as low as reasonably achievable) and of time,
distance, and shielding are vital to health care professional safety in
caring for the person with an internal radiation source.
A patient on chemotherapy and radiation for head and neck cancer has a
WBC count of 1.9 × 103/µL, hemoglobin of 10.8 g/dL, and a platelet count
of 99 × 103/µL. Based on the CBC results, what is the most serious
clinical finding?
a. Cough, rhinitis, and sore throat
,b. Fatigue, nausea, and skin redness at site of radiation
c. Temperature of 101.9° F, fatigue, and shortness of breath
d. Skin redness at site of radiation, headache, and constipation - VERIFIED
ANSWER - c
Rationale: Neutropenia is more common in patients receiving
chemotherapy than in those receiving radiation, and it can seriously
increase the risk for life-threatening infection and sepsis. Any sign of
infection should be treated promptly because fever in the setting of
neutropenia is a medical emergency.
To prevent fever and shivering during an infusion of rituximab (Rituxan),
the nurse should premedicate the patient with
a. aspirin.
b. acetaminophen.
c. sodium bicarbonate.
d. meperidine (Demerol). - VERIFIED ANSWER - b
Rationale: Common side effects of rituximab include constitutional flu-like
symptoms, including headache, fever, chills, myalgias, fatigue, malaise,
weakness, anorexia, and nausea. The patient is commonly premedicated
, with acetaminophen in an attempt to prevent or decrease the intensity of
these symptoms, and large amounts of fluids help decrease symptoms.
The nurse counsels the patient receiving radiation therapy or
chemotherapy that
a. effective birth control methods should be used for the rest of the
patient's life.
b. if nausea and vomiting occur during treatment, the treatment plan will
be modified.
c. after successful treatment, a return to the person's previous functional
level can be expected.
d. the cycle of fatigue-depression-fatigue that may occur during
treatment may be reduced by restricting activity. - VERIFIED ANSWER - c
Rationale: Some cancer survivors may continue to experience symptoms
or functional impairment related to treatment for years after treatment.
Others who have successful treatment may not have any functional
limitations. A cancer diagnosis can affect many aspects of a patients' life;
cancer survivors commonly report financial, vocational, marital, and
emotional concerns long after treatment is over.
Questions with Verified Answers & Rationales LATEST 2026
(GUARANTEED PASS)
The most effective method of administering a chemotherapy agent that is
a vesicant is to
a. give it orally.
b. give it intraarterially.
c. use an Ommaya reservoir.
d. use a central venous access device. - VERIFIED ANSWER - d
Rationale: If vesicants are inadvertently infiltrated into the skin, severe
local tissue breakdown and necrosis may result. It is extremely important
to monitor for and promptly recognize symptoms associated with
extravasation of a vesicant and to take immediate action if it occurs. The
infusion should be immediately turned off, and protocols for drug-specific
extravasation procedures should be followed to minimize further tissue
damage. Infusion with central venous access devices can reduce the risk
of infiltration of chemotherapy agents that are vesicants.
,The nurse explains to a patient undergoing brachytherapy of the cervix
that she
a. must undergo simulation to locate the treatment area.
b. requires the use of radioactive precautions during nursing care.
c. may experience desquamation of the skin on the abdomen and upper
legs.
d. requires shielding of the ovaries during treatment to prevent ovarian
damage. - VERIFIED ANSWER - b
Rationale: Brachytherapy consists of the implantation or insertion of
radioactive materials directly into the tumor or adjacent to the tumor.
Caring for the person undergoing brachytherapy or receiving
radiopharmaceuticals requires the nurse to take special precautions. The
principles of ALARA (as low as reasonably achievable) and of time,
distance, and shielding are vital to health care professional safety in
caring for the person with an internal radiation source.
A patient on chemotherapy and radiation for head and neck cancer has a
WBC count of 1.9 × 103/µL, hemoglobin of 10.8 g/dL, and a platelet count
of 99 × 103/µL. Based on the CBC results, what is the most serious
clinical finding?
a. Cough, rhinitis, and sore throat
,b. Fatigue, nausea, and skin redness at site of radiation
c. Temperature of 101.9° F, fatigue, and shortness of breath
d. Skin redness at site of radiation, headache, and constipation - VERIFIED
ANSWER - c
Rationale: Neutropenia is more common in patients receiving
chemotherapy than in those receiving radiation, and it can seriously
increase the risk for life-threatening infection and sepsis. Any sign of
infection should be treated promptly because fever in the setting of
neutropenia is a medical emergency.
To prevent fever and shivering during an infusion of rituximab (Rituxan),
the nurse should premedicate the patient with
a. aspirin.
b. acetaminophen.
c. sodium bicarbonate.
d. meperidine (Demerol). - VERIFIED ANSWER - b
Rationale: Common side effects of rituximab include constitutional flu-like
symptoms, including headache, fever, chills, myalgias, fatigue, malaise,
weakness, anorexia, and nausea. The patient is commonly premedicated
, with acetaminophen in an attempt to prevent or decrease the intensity of
these symptoms, and large amounts of fluids help decrease symptoms.
The nurse counsels the patient receiving radiation therapy or
chemotherapy that
a. effective birth control methods should be used for the rest of the
patient's life.
b. if nausea and vomiting occur during treatment, the treatment plan will
be modified.
c. after successful treatment, a return to the person's previous functional
level can be expected.
d. the cycle of fatigue-depression-fatigue that may occur during
treatment may be reduced by restricting activity. - VERIFIED ANSWER - c
Rationale: Some cancer survivors may continue to experience symptoms
or functional impairment related to treatment for years after treatment.
Others who have successful treatment may not have any functional
limitations. A cancer diagnosis can affect many aspects of a patients' life;
cancer survivors commonly report financial, vocational, marital, and
emotional concerns long after treatment is over.
