NRSG 357: Cancer Treatment Exam
Questions and Answers Graded A+
When does acute toxicity occur? - Correct answer-during or immediately after drug
admin
What does acute toxicity cause? - Correct answer--anaphylactic and
hypersensitivity reactions
-extravasation
-anticipatory nausea and vomiting
-cardiac dysrhythmias
What are the delayed effects of chemo? - Correct answer--nausea, vomiting,
mucositis, altered bowel function
-alopecia, skin rashes, bone marrow suppression
-a variety of cumulative neurotoxicities
When do chronic toxicities occur? - Correct answer--long term effects that develop
during or immediately after treatment
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, -persist or late effects that are absent during treatment and manifest later
Where do chronic toxicities occur? - Correct answer-heart, lungs, kidney's, liver,
anemia (onset is about 3-4 mos after treatment begins)
What are the long-term effects of cancer treatment? - Correct answer-Cardiac
toxicity, cataracts, arthralgias, endocrine alterations, renal insufficiency, hepatitis,
osteoporosis, neurocognitive dysfunction
What is NADIR? - Correct answer--lowest blood cell counts between 7-10 days
after initiation of therapy
-must protect pt more in this time frame!!
What should be monitored with bone marrow suppression? - Correct answer--
Monitor CBC (specifically neutrophil [below 1500 is not ideal], platelet, RBC)
-monitor for neutropenia (serious risk factor for life-threatening infection and
sepsis)
-prevent infection at all costs
-hand hygiene!!
-monitor temperature routinely and report sings of infection promptly
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
Questions and Answers Graded A+
When does acute toxicity occur? - Correct answer-during or immediately after drug
admin
What does acute toxicity cause? - Correct answer--anaphylactic and
hypersensitivity reactions
-extravasation
-anticipatory nausea and vomiting
-cardiac dysrhythmias
What are the delayed effects of chemo? - Correct answer--nausea, vomiting,
mucositis, altered bowel function
-alopecia, skin rashes, bone marrow suppression
-a variety of cumulative neurotoxicities
When do chronic toxicities occur? - Correct answer--long term effects that develop
during or immediately after treatment
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, -persist or late effects that are absent during treatment and manifest later
Where do chronic toxicities occur? - Correct answer-heart, lungs, kidney's, liver,
anemia (onset is about 3-4 mos after treatment begins)
What are the long-term effects of cancer treatment? - Correct answer-Cardiac
toxicity, cataracts, arthralgias, endocrine alterations, renal insufficiency, hepatitis,
osteoporosis, neurocognitive dysfunction
What is NADIR? - Correct answer--lowest blood cell counts between 7-10 days
after initiation of therapy
-must protect pt more in this time frame!!
What should be monitored with bone marrow suppression? - Correct answer--
Monitor CBC (specifically neutrophil [below 1500 is not ideal], platelet, RBC)
-monitor for neutropenia (serious risk factor for life-threatening infection and
sepsis)
-prevent infection at all costs
-hand hygiene!!
-monitor temperature routinely and report sings of infection promptly
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
