NURS 2474 PHARMACOLOGY FINAL EXAM
2023 - 2024 UPDATED QUESTIONS AND
ACCURATE SOLUTIONS DETAILED -LATEST
VERSIONS VERIFIED 100 % COMPLETE
DOCUMENT FOR STUDY AND EXAM
PREPARATION
One patient has cancer of the bone; another has cancer in the connective tissues of the thigh muscles; a
third patient has cancer in the vascular tissues. Which of these is the correct term for these tumors? -
CORRECT CORRECT ANSWER>>Sarcoma
The nurse is administering a combination of three different antineoplastic drugs to a patient who has
metastatic breast cancer. Which statement best describes the rationale for combination therapy? -
CORRECT CORRECT ANSWER>>Increased cancer-cell killing will occur.
A patient who has been on methotrexate therapy is experiencing mild pain. The patient is asking for
aspirin for the pain. The nurse recognizes that which of these is true in this situation? - CORRECT
CORRECT ANSWER>>Aspirin can lead to methotrexate toxicity.
A patient is receiving high doses of methotrexate and is experiencing severe bone marrow suppression.
The nurse expects which intervention to be ordered with this drug to reduce this problem? - CORRECT
CORRECT ANSWER>>Leucovorin rescue
The nurse is monitoring a patient who has severe bone marrow suppression following antineoplastic
drug therapy. Which is considered a principal early sign of infection? - CORRECT CORRECT
ANSWER>>Fever
A patient, diagnosed with lymphoma, has an allergy to one of the proposed chemotherapy drugs. The
tumor has not responded to other types of treatment. The nurse expects the oncologist to follow which
,course of treatment? - CORRECT CORRECT ANSWER>>The chemotherapy will be given along with
supportive measures to treat a possible allergic reaction.
A patient is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer. Which nursing
diagnosis is related to this antineoplastic drug? - CORRECT CORRECT ANSWER>>Decreased cardiac
output related to the adverse effect of cardiotoxicity
A patient is receiving a third session of chemotherapy with doxorubicin (Adriamycin). The nurse will
assess the patient for which signs of a potential severe toxic effect of this drug? - CORRECT CORRECT
ANSWER>>A weight gain of 2 pounds or more in 24 hours
Just before the second course of chemotherapy, the laboratory calls to report that the patient's
neutrophil count is 450 cells/mm3. The nurse expects that the oncologist will follow which course of
treatment? - CORRECT CORRECT ANSWER>>Chemotherapy will be withheld until the neutrophil count
returns toward normal levels.
When hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a small amount
of the solution onto the floor. Which action by the nurse is appropriate? - CORRECT CORRECT
ANSWER>>Use a spill kit to clean the area.
A patient who has received chemotherapy has a steadily decreasing white blood cell count. The
chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating
factor will be started soon. The nurse knows that the appropriate time to start this medication is when?
- CORRECT CORRECT ANSWER>>Wednesday afternoon, 24 hours after the chemotherapy ends
A patient who has received chemotherapy has a critically low platelet count. The nurse expects which
drug or drug class to be used to stimulate platelet cell production? - CORRECT CORRECT
ANSWER>>Oprelvekin (Neumega)
When monitoring a patient's response to interferon therapy, the nurse notes that the major dose-
limiting factor for interferon therapy is which condition? - CORRECT CORRECT ANSWER>>Fatigue
,Aldesleukin [IL-2] (Proleukin) is prescribed for a patient. The nurse reviews the patient's medication list
and would note a potential drug interaction if which drug class is also ordered? - CORRECT CORRECT
ANSWER>>Antihypertensive drugs
During a patient's therapy with interleukins, the nurse monitors the patient for capillary leak syndrome.
Which assessment finding, if present, would indicate this problem? - CORRECT CORRECT ANSWER>>A
sudden, 15-pound weight gain
Abatacept (Orencia) is prescribed for a patient with severe rheumatoid arthritis. The nurse checks the
patient's medical history, knowing that this medication would need to be used cautiously if which
condition is present? - CORRECT CORRECT ANSWER>>Chronic obstructive pulmonary disease
A patient is about to undergo a kidney transplant. She will be given an immunosuppressant drug before,
during, and after surgery to minimize organ rejection. During the preoperative teaching session, which
information will the nurse include about the medication therapy? - CORRECT CORRECT
ANSWER>>Several days before the surgery, the medication will be administered orally
The nurse is preparing to administer an injection of monoclonal antibodies. Which additional drug will
the nurse administer to minimize adverse reactions to the monoclonal antibodies? - CORRECT CORRECT
ANSWER>>A corticosteroid
A patient has an order for cyclosporine (Sandimmune). The nurse finds that only cyclosporine-modified
(Neoral) is available in the automated medication cabinet. Which action by the nurse is correct? -
CORRECT CORRECT ANSWER>>Notify the pharmacy to obtain the Sandimmune form of the drug.
Cyclosporine is prescribed for a patient who had an organ transplant. The nurse will monitor the patient
for which common adverse effect? - CORRECT CORRECT ANSWER>>Hypertension
The nurse is reviewing infection-prevention measures with a patient who is receiving antineoplastic drug
therapy. Which statement by the patient indicates the need for further teaching? - CORRECT CORRECT
ANSWER>>"I will eat only fresh fruits and vegetables."
, A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential
adverse effect of antineoplastic therapy. What will the nurse teach her about managing this problem? -
CORRECT CORRECT ANSWER>>"Be sure to examine your mouth daily for bleeding, painful areas, and
ulcerations."
What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous
(IV) administration? - CORRECT CORRECT ANSWER>>Stop the infusion immediately, but leave the IV
catheter in place.
When giving cisplatin (Platinol-AQ), the nurse is aware that the major dose-limiting effect of this drug is
which condition? - CORRECT CORRECT ANSWER>>Kidney damage
A patient has an order for the monoclonal antibody adalimumab (Humira). The nurse notes that the
patient does not have a history of cancer. What is another possible reason for administering this drug? -
CORRECT CORRECT ANSWER>>Rheumatoid arthritis
During interleukin drug therapy, a patient is showing signs of severe fluid retention, with increasing
dyspnea and severe peripheral edema. The next dose of the interleukin is due now. Which action will
the nurse take next? - CORRECT CORRECT ANSWER>>Hold the drug, and notify the prescriber.
When administering cyclosporine, the nurse notes that the patient has grapefruit juice on the breakfast
tray. What is a potential result of this drug/food interaction? - CORRECT CORRECT ANSWER>>Increased
absorption of cyclosporine and toxicity
When monitoring a patient who is on immunosuppressant therapy with cyclosporine (Sandimmune), the
nurse will monitor which laboratory results? - CORRECT CORRECT ANSWER>>White blood cell
(leukocyte) count
A patient is receiving irinotecan (Camptosar), along with other antineoplastic drugs, as treatment for
ovarian cancer. The nurse will monitor for which potentially life-threatening adverse effect that is
associated with this drug? - CORRECT CORRECT ANSWER>>Delayed-onset cholinergic diarrhea
2023 - 2024 UPDATED QUESTIONS AND
ACCURATE SOLUTIONS DETAILED -LATEST
VERSIONS VERIFIED 100 % COMPLETE
DOCUMENT FOR STUDY AND EXAM
PREPARATION
One patient has cancer of the bone; another has cancer in the connective tissues of the thigh muscles; a
third patient has cancer in the vascular tissues. Which of these is the correct term for these tumors? -
CORRECT CORRECT ANSWER>>Sarcoma
The nurse is administering a combination of three different antineoplastic drugs to a patient who has
metastatic breast cancer. Which statement best describes the rationale for combination therapy? -
CORRECT CORRECT ANSWER>>Increased cancer-cell killing will occur.
A patient who has been on methotrexate therapy is experiencing mild pain. The patient is asking for
aspirin for the pain. The nurse recognizes that which of these is true in this situation? - CORRECT
CORRECT ANSWER>>Aspirin can lead to methotrexate toxicity.
A patient is receiving high doses of methotrexate and is experiencing severe bone marrow suppression.
The nurse expects which intervention to be ordered with this drug to reduce this problem? - CORRECT
CORRECT ANSWER>>Leucovorin rescue
The nurse is monitoring a patient who has severe bone marrow suppression following antineoplastic
drug therapy. Which is considered a principal early sign of infection? - CORRECT CORRECT
ANSWER>>Fever
A patient, diagnosed with lymphoma, has an allergy to one of the proposed chemotherapy drugs. The
tumor has not responded to other types of treatment. The nurse expects the oncologist to follow which
,course of treatment? - CORRECT CORRECT ANSWER>>The chemotherapy will be given along with
supportive measures to treat a possible allergic reaction.
A patient is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer. Which nursing
diagnosis is related to this antineoplastic drug? - CORRECT CORRECT ANSWER>>Decreased cardiac
output related to the adverse effect of cardiotoxicity
A patient is receiving a third session of chemotherapy with doxorubicin (Adriamycin). The nurse will
assess the patient for which signs of a potential severe toxic effect of this drug? - CORRECT CORRECT
ANSWER>>A weight gain of 2 pounds or more in 24 hours
Just before the second course of chemotherapy, the laboratory calls to report that the patient's
neutrophil count is 450 cells/mm3. The nurse expects that the oncologist will follow which course of
treatment? - CORRECT CORRECT ANSWER>>Chemotherapy will be withheld until the neutrophil count
returns toward normal levels.
When hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a small amount
of the solution onto the floor. Which action by the nurse is appropriate? - CORRECT CORRECT
ANSWER>>Use a spill kit to clean the area.
A patient who has received chemotherapy has a steadily decreasing white blood cell count. The
chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating
factor will be started soon. The nurse knows that the appropriate time to start this medication is when?
- CORRECT CORRECT ANSWER>>Wednesday afternoon, 24 hours after the chemotherapy ends
A patient who has received chemotherapy has a critically low platelet count. The nurse expects which
drug or drug class to be used to stimulate platelet cell production? - CORRECT CORRECT
ANSWER>>Oprelvekin (Neumega)
When monitoring a patient's response to interferon therapy, the nurse notes that the major dose-
limiting factor for interferon therapy is which condition? - CORRECT CORRECT ANSWER>>Fatigue
,Aldesleukin [IL-2] (Proleukin) is prescribed for a patient. The nurse reviews the patient's medication list
and would note a potential drug interaction if which drug class is also ordered? - CORRECT CORRECT
ANSWER>>Antihypertensive drugs
During a patient's therapy with interleukins, the nurse monitors the patient for capillary leak syndrome.
Which assessment finding, if present, would indicate this problem? - CORRECT CORRECT ANSWER>>A
sudden, 15-pound weight gain
Abatacept (Orencia) is prescribed for a patient with severe rheumatoid arthritis. The nurse checks the
patient's medical history, knowing that this medication would need to be used cautiously if which
condition is present? - CORRECT CORRECT ANSWER>>Chronic obstructive pulmonary disease
A patient is about to undergo a kidney transplant. She will be given an immunosuppressant drug before,
during, and after surgery to minimize organ rejection. During the preoperative teaching session, which
information will the nurse include about the medication therapy? - CORRECT CORRECT
ANSWER>>Several days before the surgery, the medication will be administered orally
The nurse is preparing to administer an injection of monoclonal antibodies. Which additional drug will
the nurse administer to minimize adverse reactions to the monoclonal antibodies? - CORRECT CORRECT
ANSWER>>A corticosteroid
A patient has an order for cyclosporine (Sandimmune). The nurse finds that only cyclosporine-modified
(Neoral) is available in the automated medication cabinet. Which action by the nurse is correct? -
CORRECT CORRECT ANSWER>>Notify the pharmacy to obtain the Sandimmune form of the drug.
Cyclosporine is prescribed for a patient who had an organ transplant. The nurse will monitor the patient
for which common adverse effect? - CORRECT CORRECT ANSWER>>Hypertension
The nurse is reviewing infection-prevention measures with a patient who is receiving antineoplastic drug
therapy. Which statement by the patient indicates the need for further teaching? - CORRECT CORRECT
ANSWER>>"I will eat only fresh fruits and vegetables."
, A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential
adverse effect of antineoplastic therapy. What will the nurse teach her about managing this problem? -
CORRECT CORRECT ANSWER>>"Be sure to examine your mouth daily for bleeding, painful areas, and
ulcerations."
What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous
(IV) administration? - CORRECT CORRECT ANSWER>>Stop the infusion immediately, but leave the IV
catheter in place.
When giving cisplatin (Platinol-AQ), the nurse is aware that the major dose-limiting effect of this drug is
which condition? - CORRECT CORRECT ANSWER>>Kidney damage
A patient has an order for the monoclonal antibody adalimumab (Humira). The nurse notes that the
patient does not have a history of cancer. What is another possible reason for administering this drug? -
CORRECT CORRECT ANSWER>>Rheumatoid arthritis
During interleukin drug therapy, a patient is showing signs of severe fluid retention, with increasing
dyspnea and severe peripheral edema. The next dose of the interleukin is due now. Which action will
the nurse take next? - CORRECT CORRECT ANSWER>>Hold the drug, and notify the prescriber.
When administering cyclosporine, the nurse notes that the patient has grapefruit juice on the breakfast
tray. What is a potential result of this drug/food interaction? - CORRECT CORRECT ANSWER>>Increased
absorption of cyclosporine and toxicity
When monitoring a patient who is on immunosuppressant therapy with cyclosporine (Sandimmune), the
nurse will monitor which laboratory results? - CORRECT CORRECT ANSWER>>White blood cell
(leukocyte) count
A patient is receiving irinotecan (Camptosar), along with other antineoplastic drugs, as treatment for
ovarian cancer. The nurse will monitor for which potentially life-threatening adverse effect that is
associated with this drug? - CORRECT CORRECT ANSWER>>Delayed-onset cholinergic diarrhea
