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Which of the following is a primary preventative method to prevent the development of
cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels ✔Correct Answer-
A premenopausal patient with metastatic breast cancer is receiving letrozole. Which other
medication is also expected to be prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen ✔Correct Answer-c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone agonist therapy,
such as goserelin, is recommended in the adjuvant, recurrent, or metastatic settings for women
with breast cancer who are premenopausal.
A patient with an insulinoma would be most likely to experience which of the following signs
and symptoms?
a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
d. hypoglycemia, confusion, vision changes ✔Correct Answer-d. hypoglycemia, confusion,
vision changes
4. A patient with esophageal cancer reports cramping and diarrhea after eating meals. What
should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals ✔Correct Answer-d. eating small, freqeunt meals aka prevent
dumping syndrome
5. What is the absolute neutrophil count for a patient who has a white blood cell count of
500/mm3 with 32% polysegmented neutrophils and 7% bands?
a. 100/mm3
b. 125/mm3
c. 195/mm3
, d. 223/mm3 ✔Correct Answer-c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented neutrophils and
bands, converting to a percentage, and multiplying by the white blood cell count (0.32 +0.07 =
0.39) x 500 = 195/mm3.
6. A patient with cancer receiving palliative services reports poor sleep, fatigue, and frequently
feeling worried. Which medication should the nurse expect to be prescribed for the patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate ✔Correct Answer-c. citalopram
The symptoms described are consistent with generalized anxiety. Selective serotonin reuptake
inhibitors, such as citalopram, are considered first-line for the management of generalized
anxiety disorder.
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is erythematous,
excoriated, and bleeding. Which of the following complications should the nurse first suspect?
a. stenosis requiring revision
b. improper pouch fit
c. increased output over baseline
d. allergy to device ✔Correct Answer-b. improper pouch fit
8. Which of these factors is most likely to result in a higher incidence of acute graft-versus- host
disease?
a. female to male donation
b. HLA identical related donors
c. reduced intensity conditioning regimen
d. T cell depleted grafts ✔Correct Answer-a. female to male donation
A male recipient receiving the stem cells of a female increases the risk for the development of
acute graft-versus-host disease.
9. A patient with cancer has a new onset of confusion, acute nausea, and blurred vision. The
nurse anticipates the physician to order which diagnostic test?
a. U/S of gallblader & bile ducts
b. CXR
c. Skeletal scintigraphy
d. MRI of brain ✔Correct Answer-d. MRI of brain
10. A patient reports odynophagia with progressive dysphagia, and weight loss of five kilograms
over the past month. The nurse should anticipate which diagnostic test to be ordered next?
a. endoscopy
b. bone marrow biopsy
c. Xray of kidneys, ureters, bladder