NURSING PHARMACOLOGY. PRACTICE CASE SCENARIO EXAM
QUESTIONS WITH CORRECT ANSWERS. BEST REVISION GUIDE
WITH VERIFIED ANSWERS (UPDATED 2024).
A client has a low platelet count as a result of chemotherapy for colon cancer. The nurse plans to
include which statement in the teaching plan?
a. "Take a single aspirin daily."
b. "The preferred route for medication is by IM injection."
c. "Shave carefully with a disposable two-edged razor."
d. "Perform oral care gently." - ANSWER- D
During the decision-making period for a client with a new diagnosis of cancer, the nurse knows
that surgery and radiation therapy are preferred for which types of cancer?
a. Leukemias
b. Solid cancers
c. Lymphomas
d. Widespread metastases - ANSWER- B
During chemotherapy, the HCP writes an order for the client to begin receiving epoetin
(erythropoietin) injections. The nurse knows this drug is used to:
a. Stimulate production of neutrophils.
b. Stimulate production of red blood cells.
,c. Reduce the dose-limiting side effects of nausea and vomiting.
d. Protect the kidneys from damage. - ANSWER- B
How are antiemetics administered during chemotherapy to achieve the best outcomes? Select all
that apply.
a. Give the first dose 30 to 60 minutes before the chemotherapy.
b. Wait until the client complains of nausea.
c. Give an oral dose followed by an IV dose.
d. Administer with a full glass of water.
e. Administer a dose at the end of the chemotherapy.
f. Recommend regular doses at home for the first 24 hours after chemotherapy. - ANSWER-
AEF
A client who is at risk for infection due to the neutropenic effects of chemotherapy demonstrates
an incomplete understanding of preventive measures by making which statement?
a. "Fresh fruits and vegetables are an important part of my diet."
b. "I should avoid large crowds at the mall at this time."
c. "I should report a sore throat, cough, or fever."
d. "Both my family and I should be sure to practice good handwashing." - ANSWER- A
During treatment of a client who has breast cancer, the nurse hears the HCP mention that the client
has reached the nadir. The nurse knows that this term means:
, a. The highest level of neutrophils during therapy.
b. The lowest level of neutrophils during therapy.
c. The point at which chemotherapy must be stopped because of adverse effects.
d. The point at which the adverse effects will begin to subside. - ANSWER- B
Which instructions are important for a client who is receiving chemotherapy? Select all that apply.
a. Eat a high-fiber diet.
b. Avoid foods that are constipating.
c. Reduce the pain of stomatitis with thorough oral hygiene and a bland diet.
d. Hair loss is irreversible and should be expected.
e. Prepare for hair loss by deciding whether to use a wig, hairpiece, or hat.
f. Aspirin is the drug of choice for mild pain such as headaches. - ANSWER- ACE
When giving chemotherapy, the nurse recognizes that toxicity to normal cells occurs mostly in
tissues with a high growth fraction, including which of the following? Select all that apply.
a. Retinal cells
b. Bone marrow
c. Inner ear
d. GI epithelium
e. Hair follicles
QUESTIONS WITH CORRECT ANSWERS. BEST REVISION GUIDE
WITH VERIFIED ANSWERS (UPDATED 2024).
A client has a low platelet count as a result of chemotherapy for colon cancer. The nurse plans to
include which statement in the teaching plan?
a. "Take a single aspirin daily."
b. "The preferred route for medication is by IM injection."
c. "Shave carefully with a disposable two-edged razor."
d. "Perform oral care gently." - ANSWER- D
During the decision-making period for a client with a new diagnosis of cancer, the nurse knows
that surgery and radiation therapy are preferred for which types of cancer?
a. Leukemias
b. Solid cancers
c. Lymphomas
d. Widespread metastases - ANSWER- B
During chemotherapy, the HCP writes an order for the client to begin receiving epoetin
(erythropoietin) injections. The nurse knows this drug is used to:
a. Stimulate production of neutrophils.
b. Stimulate production of red blood cells.
,c. Reduce the dose-limiting side effects of nausea and vomiting.
d. Protect the kidneys from damage. - ANSWER- B
How are antiemetics administered during chemotherapy to achieve the best outcomes? Select all
that apply.
a. Give the first dose 30 to 60 minutes before the chemotherapy.
b. Wait until the client complains of nausea.
c. Give an oral dose followed by an IV dose.
d. Administer with a full glass of water.
e. Administer a dose at the end of the chemotherapy.
f. Recommend regular doses at home for the first 24 hours after chemotherapy. - ANSWER-
AEF
A client who is at risk for infection due to the neutropenic effects of chemotherapy demonstrates
an incomplete understanding of preventive measures by making which statement?
a. "Fresh fruits and vegetables are an important part of my diet."
b. "I should avoid large crowds at the mall at this time."
c. "I should report a sore throat, cough, or fever."
d. "Both my family and I should be sure to practice good handwashing." - ANSWER- A
During treatment of a client who has breast cancer, the nurse hears the HCP mention that the client
has reached the nadir. The nurse knows that this term means:
, a. The highest level of neutrophils during therapy.
b. The lowest level of neutrophils during therapy.
c. The point at which chemotherapy must be stopped because of adverse effects.
d. The point at which the adverse effects will begin to subside. - ANSWER- B
Which instructions are important for a client who is receiving chemotherapy? Select all that apply.
a. Eat a high-fiber diet.
b. Avoid foods that are constipating.
c. Reduce the pain of stomatitis with thorough oral hygiene and a bland diet.
d. Hair loss is irreversible and should be expected.
e. Prepare for hair loss by deciding whether to use a wig, hairpiece, or hat.
f. Aspirin is the drug of choice for mild pain such as headaches. - ANSWER- ACE
When giving chemotherapy, the nurse recognizes that toxicity to normal cells occurs mostly in
tissues with a high growth fraction, including which of the following? Select all that apply.
a. Retinal cells
b. Bone marrow
c. Inner ear
d. GI epithelium
e. Hair follicles
