ONCOLOGY LATEST UPDATED 2026-2027 ACTUAL
FINAL EXAM WITH WELL ELLABORATED PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH RATIONALES A+ GRADE
GUARANTEED BRAND NEW!!!
1. A patient receiving chemotherapy develops a
temperature of 38.5°C (101.3°F). The nurse should:
A) Administer acetaminophen and monitor
B) Notify the provider immediately (possible
neutropenic fever)
C) Give oral antibiotics
D) Wait for chills to subside
Answer: B
Rationale: Fever in a neutropenic patient is a medical
emergency; requires immediate evaluation.
2. The most common dose-limiting toxicity of
chemotherapy is:
A) Alopecia
B) Nausea and vomiting
C) Myelosuppression (neutropenia,
, thrombocytopenia, anemia)
D) Mucositis
Answer: C
Rationale: Bone marrow suppression often limits
chemotherapy dose intensity.
3. A patient receiving doxorubicin (Adriamycin) should
be monitored for:
A) Cardiotoxicity (cardiomyopathy, heart failure)
B) Nephrotoxicity
C) Ototoxicity
D) Pulmonary fibrosis
Answer: A
Rationale: Doxorubicin causes cumulative
dose-dependent cardiotoxicity.
4. The nurse is caring for a patient receiving cisplatin.
Which adverse effect is most concerning?
A) Nephrotoxicity and ototoxicity
B) Alopecia
C) Constipation
D) Skin rash
Answer: A
, Rationale: Cisplatin is nephrotoxic and ototoxic;
adequate hydration is critical.
5. A patient with breast cancer is receiving tamoxifen.
The nurse should teach about the risk of:
A) Endometrial cancer and thromboembolism
B) Hemorrhagic cystitis
C) Pulmonary fibrosis
D) Cardiotoxicity
Answer: A
Rationale: Tamoxifen increases risk of endometrial
cancer and DVT/PE.
6. A patient with prostate cancer is receiving leuprolide
(GnRH agonist). The nurse explains that this
medication:
A) Suppresses testosterone production
B) Kills cancer cells directly
C) Is a chemotherapy agent
D) Increases testosterone
Answer: A
Rationale: Leuprolide reduces testosterone through
initial flare then suppression.
, 7. A patient receiving fluorouracil (5-FU) develops
stomatitis. The nurse should:
A) Provide soft, bland foods and perform gentle oral
care
B) Encourage lemon-glycerin swabs
C) Use a stiff-bristled toothbrush
D) Apply alcohol-based mouthwash
Answer: A
Rationale: Stomatitis requires gentle care and
avoidance of irritants.
8. A patient receiving vincristine is at risk for which
adverse effect?
A) Peripheral neuropathy (foot drop, paresthesias)
B) Nephrotoxicity
C) Cardiotoxicity
D) Alopecia
Answer: A
Rationale: Vincristine commonly causes peripheral
neuropathy.
9. The nurse is preparing to administer IV
immunoglobulin (IVIG). Which adverse effect is
common?
FINAL EXAM WITH WELL ELLABORATED PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH RATIONALES A+ GRADE
GUARANTEED BRAND NEW!!!
1. A patient receiving chemotherapy develops a
temperature of 38.5°C (101.3°F). The nurse should:
A) Administer acetaminophen and monitor
B) Notify the provider immediately (possible
neutropenic fever)
C) Give oral antibiotics
D) Wait for chills to subside
Answer: B
Rationale: Fever in a neutropenic patient is a medical
emergency; requires immediate evaluation.
2. The most common dose-limiting toxicity of
chemotherapy is:
A) Alopecia
B) Nausea and vomiting
C) Myelosuppression (neutropenia,
, thrombocytopenia, anemia)
D) Mucositis
Answer: C
Rationale: Bone marrow suppression often limits
chemotherapy dose intensity.
3. A patient receiving doxorubicin (Adriamycin) should
be monitored for:
A) Cardiotoxicity (cardiomyopathy, heart failure)
B) Nephrotoxicity
C) Ototoxicity
D) Pulmonary fibrosis
Answer: A
Rationale: Doxorubicin causes cumulative
dose-dependent cardiotoxicity.
4. The nurse is caring for a patient receiving cisplatin.
Which adverse effect is most concerning?
A) Nephrotoxicity and ototoxicity
B) Alopecia
C) Constipation
D) Skin rash
Answer: A
, Rationale: Cisplatin is nephrotoxic and ototoxic;
adequate hydration is critical.
5. A patient with breast cancer is receiving tamoxifen.
The nurse should teach about the risk of:
A) Endometrial cancer and thromboembolism
B) Hemorrhagic cystitis
C) Pulmonary fibrosis
D) Cardiotoxicity
Answer: A
Rationale: Tamoxifen increases risk of endometrial
cancer and DVT/PE.
6. A patient with prostate cancer is receiving leuprolide
(GnRH agonist). The nurse explains that this
medication:
A) Suppresses testosterone production
B) Kills cancer cells directly
C) Is a chemotherapy agent
D) Increases testosterone
Answer: A
Rationale: Leuprolide reduces testosterone through
initial flare then suppression.
, 7. A patient receiving fluorouracil (5-FU) develops
stomatitis. The nurse should:
A) Provide soft, bland foods and perform gentle oral
care
B) Encourage lemon-glycerin swabs
C) Use a stiff-bristled toothbrush
D) Apply alcohol-based mouthwash
Answer: A
Rationale: Stomatitis requires gentle care and
avoidance of irritants.
8. A patient receiving vincristine is at risk for which
adverse effect?
A) Peripheral neuropathy (foot drop, paresthesias)
B) Nephrotoxicity
C) Cardiotoxicity
D) Alopecia
Answer: A
Rationale: Vincristine commonly causes peripheral
neuropathy.
9. The nurse is preparing to administer IV
immunoglobulin (IVIG). Which adverse effect is
common?
