PATHOPHARMACOLOGY QUIZZES
WITH COMPLETE SOLUTIONS
What is a common analgesic administered to control moderate levels of visceral pain?
- morphine sulfate
- ibuprofen (Motrin)
- acetaminophen (Tylenol)
- oxycodone with acetaminophen (Percocet) - Answer- oxycodone with acetaminophen
(Percocet)
A client who has been on methotrexate therapy is experiencing mild pain. Her husband
calls to see if he can give her aspirin for the pain. The nurse's response is based on the
fact that aspirin:
- aggravated diarrhea
- masks signs of infection
- can lead to methotrexate toxicity
- will cause no problem for clients on methotrexate - Answer- can lead to methotrexate
toxicity
A client is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer.
Which of the following would the nurse be most concerned about specifically related to
this antineoplastic drug?
- ineffective breathing pattern related to pulmonary toxicity
- decreased cardiac output related to cardiomyopathy
- impaired urinary elimination
- dehydration due to cholinergic diarrhea - Answer- decreased cardiac output related to
cardiomyopathy
During therapy with the cytotoxic antibiotic bleomycin (Benoxane), the nurse anticipates
that which diagnostic study will be ordered specific to the adverse effects of this
medication?
- electrocardiography
- cervical radiography
- MUGA scan
- pulmonary function test - Answer- pulmonary function test
A warning sign of possible cancer would be any of the following EXCEPT:
- persistent, unusual bleeding
- change in bowel habits
- a change in shape, color, or surface of a skin lesion
,- sudden development of fever, nausea, and diarrhea - Answer- sudden development of
fever, nausea, and diarrhea
The process of carcinogenesis usually begins with:
- an irreversible change in the cell DNA
- development of defective genes
- a single exposure to a known risk factor causing temporary cell damage
- exposure to promoters causing dysplasia - Answer- an irreversible change in the cell
DNA
Radiation therapy destroys:
- all cells in the tumor at one time
- primarily rapidly dividing cells
- the cells in the center of the tumor
- radioresistant cells - Answer- primarily rapidly dividing cells
The most critical adverse effects of chemotherapy and radiation therapy are:
- headache and weight loss
- nausea and vomiting
- thrombocytopenia and leukopenia
- lethargy and infertility - Answer- thrombocytopenia and leukopenia
Which of the following laboratory results would be dose-limiting for a patient getting
chemotherapy?
- platelets 140,000/mcL
- WBC 500/mcL
- RBC 5.2 million cells/uL
- Creatinine 1.0mg/dL - Answer- WBC 500/mcL
The function of the hormones secreted by the thymus gland is to:
- break down old erythrocytes and recycle the hemoglobin
- concentrate the lymph and filter out toxins
- enable lymphocytes to develop into mature T cells
- stimulate lymph production - Answer- enable lymphocytes to develop into mature T
cells
Malignant neoplasms involving proliferation in the lymph nodes are called:
- myelomas
- lymphocytomas
- lymphedemas
- lymphomas - Answer- lymphomas
A 20 year old male was the victim of a stabbing. Which of the following types of
immunity was compromised?
Innate Immunity
Inflammatory Response
, Adaptive Immunity
Specific Immunity - Answer- Innate immunity
The nurse makes sure to check which of the blood levels prior to administering a dose
of zidovudine (Retrovir)?
- RBC level and WBC level
- blood glucose level
- AST and ALT
- BUN and Creatinine - Answer- RBC level and WBC level
Which of the following are symptoms of Throbocytopenia that the individual with SLE
may complain of?
-shortness of breath
- bruising
- fever
- fatigue - Answer- bruising
Which of the following are the cells that work with both T and B lymphocytes?
- memory T cells
- helper T cells
- suppressor T cells
- cytoxic T cells - Answer- helper T cells
Which of the following individuals would be at greatest risk for an opportunistic
infection?
- 18 year old with diabetes
- 64 year old with congestive heart failure
- 30 year old with pneumonia
- 24 year old with HIV - Answer- 24 year old with HIV
While planning care for an elderly patient, the nurse remembers that increased age is
associated with which of the following?
- increased thymus function and T cell production
- decreased immune system reaction
- increased production of autoantibodies
- increased ability to fight infection
- decreased circulating memory B cells - Answer- - decreased immune system reaction
- increased production of autoantibodies
- decreased circulating memory B cells
A woman comes into the health care provider office complaining that her boyfriend was
just diagnosed with hepatitis B. Knowing that the patient needs immediate immunity, the
nurse prepares to administer which of the following?
- Varicella virus vaccine
- Hepatitis B immunoglobulin
- Haemophilus influenzae Type B vaccine
WITH COMPLETE SOLUTIONS
What is a common analgesic administered to control moderate levels of visceral pain?
- morphine sulfate
- ibuprofen (Motrin)
- acetaminophen (Tylenol)
- oxycodone with acetaminophen (Percocet) - Answer- oxycodone with acetaminophen
(Percocet)
A client who has been on methotrexate therapy is experiencing mild pain. Her husband
calls to see if he can give her aspirin for the pain. The nurse's response is based on the
fact that aspirin:
- aggravated diarrhea
- masks signs of infection
- can lead to methotrexate toxicity
- will cause no problem for clients on methotrexate - Answer- can lead to methotrexate
toxicity
A client is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer.
Which of the following would the nurse be most concerned about specifically related to
this antineoplastic drug?
- ineffective breathing pattern related to pulmonary toxicity
- decreased cardiac output related to cardiomyopathy
- impaired urinary elimination
- dehydration due to cholinergic diarrhea - Answer- decreased cardiac output related to
cardiomyopathy
During therapy with the cytotoxic antibiotic bleomycin (Benoxane), the nurse anticipates
that which diagnostic study will be ordered specific to the adverse effects of this
medication?
- electrocardiography
- cervical radiography
- MUGA scan
- pulmonary function test - Answer- pulmonary function test
A warning sign of possible cancer would be any of the following EXCEPT:
- persistent, unusual bleeding
- change in bowel habits
- a change in shape, color, or surface of a skin lesion
,- sudden development of fever, nausea, and diarrhea - Answer- sudden development of
fever, nausea, and diarrhea
The process of carcinogenesis usually begins with:
- an irreversible change in the cell DNA
- development of defective genes
- a single exposure to a known risk factor causing temporary cell damage
- exposure to promoters causing dysplasia - Answer- an irreversible change in the cell
DNA
Radiation therapy destroys:
- all cells in the tumor at one time
- primarily rapidly dividing cells
- the cells in the center of the tumor
- radioresistant cells - Answer- primarily rapidly dividing cells
The most critical adverse effects of chemotherapy and radiation therapy are:
- headache and weight loss
- nausea and vomiting
- thrombocytopenia and leukopenia
- lethargy and infertility - Answer- thrombocytopenia and leukopenia
Which of the following laboratory results would be dose-limiting for a patient getting
chemotherapy?
- platelets 140,000/mcL
- WBC 500/mcL
- RBC 5.2 million cells/uL
- Creatinine 1.0mg/dL - Answer- WBC 500/mcL
The function of the hormones secreted by the thymus gland is to:
- break down old erythrocytes and recycle the hemoglobin
- concentrate the lymph and filter out toxins
- enable lymphocytes to develop into mature T cells
- stimulate lymph production - Answer- enable lymphocytes to develop into mature T
cells
Malignant neoplasms involving proliferation in the lymph nodes are called:
- myelomas
- lymphocytomas
- lymphedemas
- lymphomas - Answer- lymphomas
A 20 year old male was the victim of a stabbing. Which of the following types of
immunity was compromised?
Innate Immunity
Inflammatory Response
, Adaptive Immunity
Specific Immunity - Answer- Innate immunity
The nurse makes sure to check which of the blood levels prior to administering a dose
of zidovudine (Retrovir)?
- RBC level and WBC level
- blood glucose level
- AST and ALT
- BUN and Creatinine - Answer- RBC level and WBC level
Which of the following are symptoms of Throbocytopenia that the individual with SLE
may complain of?
-shortness of breath
- bruising
- fever
- fatigue - Answer- bruising
Which of the following are the cells that work with both T and B lymphocytes?
- memory T cells
- helper T cells
- suppressor T cells
- cytoxic T cells - Answer- helper T cells
Which of the following individuals would be at greatest risk for an opportunistic
infection?
- 18 year old with diabetes
- 64 year old with congestive heart failure
- 30 year old with pneumonia
- 24 year old with HIV - Answer- 24 year old with HIV
While planning care for an elderly patient, the nurse remembers that increased age is
associated with which of the following?
- increased thymus function and T cell production
- decreased immune system reaction
- increased production of autoantibodies
- increased ability to fight infection
- decreased circulating memory B cells - Answer- - decreased immune system reaction
- increased production of autoantibodies
- decreased circulating memory B cells
A woman comes into the health care provider office complaining that her boyfriend was
just diagnosed with hepatitis B. Knowing that the patient needs immediate immunity, the
nurse prepares to administer which of the following?
- Varicella virus vaccine
- Hepatitis B immunoglobulin
- Haemophilus influenzae Type B vaccine
