NURS 3730 Week 10 Exam Questions
with Complete Answers
Chemotherapy that is widely used for Hodgkin's disease is ABVD. What drugs does
this include? - ANSWER-doxorubicin [adriamycin], bleomycin, vinblastine,
dacarbazine
You are working in pediatric oncology and have a student shadowing you today.
They begin asking you about Non-Hodgkin's Lymphoma. Which of the following
statements made by the student requires further teaching?
A. "the disease is usually diffuse rather than nodular, right?"
B. "treatment is subtle and slow to reduce risk of adverse effects, right?"
C. "dissemination occurs early, more often, and rapidly, right?"
D. "manifestations totally depend on the anatomical site and extent of involvement,
right?" - ANSWER-B
treatment of chemo and radiation is aggressive
Which of the following are *not* included in the guidelines for non-pharmacological
management of nausea and vomiting in children with cancer?
A. advise the child not to eat for at least 30 minutes before chemotherapy starts
B. avoid fried, fatty, or spicy foods
C. offering food while it is hot may help as hot food digests better
D. several small meals a day are better than 3 large ones - ANSWER-C
offer food while it is cold because it smells less
Which of the following are *not* complications of drug toxicity?
A. mucosal ulceration
B. migraines
C. neuropathy
D. alopecia - ANSWER-B
in addition, complications include N/V, anorexia, hemorrhagic cystitis, steroid effects,
fatigue, and mood changes
Which of the following should *not* be used when a patient has mucosal ulcerations?
Select all that apply.
A. lemon glycerin swabs
B. hydrogen peroxide
C. milk of magnesia
D. anti-fungal troches - ANSWER-A, B and C
,patients can use anti-fungal troches (lozenges), mouthwash, and lip-balm to help
prevent and treat mucosal ulcerations
Which of the following is true about a post-coital test? Select all that apply.
A. reveals size of sperm
B. tests cervical mucus and sperm
C. tests degree of penetration of sperm through mucus
D. timed with expected time of ovulation - ANSWER-B, C and D
Which of the following is true about clomiphine citrate for females? Select all that
apply.
A. side effects include urinary frequency and pain
B. 5-day course starting on the 5th day after menstrual period
C. may be combined with metformin to combat insulin resistance
D. some women may develop ovarian cancer - ANSWER-B and C
A woman enters the clinic, clearly flushed, complaining of breast pain. She mentions
that she has been talking an ovulatory stimulant to help get pregnant, but cannot
remember the name of it. Which medication may cause these symptoms? -
ANSWER-clomiphine citrate
A woman is about to begin taking clomiphine citrate. Before she leaves, you want to
let her know to keep an eye out for the following symptoms: stomach pain, bloating,
nausea/vomiting/diarrhea, rapid weight gain (especially face and midsection), little/no
urination, pain with breathing, shortness of breath, and tachycardia. Why? -
ANSWER-because taking this medication puts her at risk of developing ovarian
hyperstimulation syndrome (OHSS) which can be life-threatening
Why might someone take medications to correct thyroid/adrenal issues when trying
to get pregnant? - ANSWER-
Which of the following is considered an obstructive symptom of BPH? Select all that
apply.
A. difficulty starting urination
B. a urinary stream that starts and stops
C. urinary frequency
D. urinary urgency - ANSWER-A and B
obstructive symptoms are symptoms that are due to *urinary retention*
Which of the following is considered an irritative symptom of BPH? Select all that
apply.
A. dysuria
B. nocturia
C. dribbling at end of urination
, D. bladder pain - ANSWER-A, B and D
irritative symptoms are symptoms that are associated with *inflammation and
infection*
Which of the following is false about BPH?
A. caused by genetic factors
B. symptoms are usually gradual in onset
C. nocturia is often first symptom patients notice
D. typically develops in the transition zone - ANSWER-A
etiology is not completely understood, but thought to result from endocrine changes
from the aging process, such as excess accumulation of dihydroxytestosterone
note on how it develops in the transition zone: this means *inside* the prostate (vs.
prostate cancer which develops on the outside of the prostate)
Which of the following is included in the interprofessional care of BPH patients?
Select all that apply.
A. passive surveillance
B. dietary changes
C. timed voiding schedule
D. medication therapy - ANSWER-A
*active* surveillance is part of care, which is "watchful waiting"
Your patient is taking a 5a-reductase inhibitor for his BPH. Which of the following
should you include in his education about this drug? Select all that apply.
A. " t must be taken continuously for therapeutic results"
B. "it reduces the size of your prostate gland"
C. "it takes about 6 months to become effective"
D. "you may experience severely increased libido, which can be controlled with
medication" - ANSWER-A, B, and C
adverse effects include *decreased* libido, decreased volume of ejaculation, and ED
Your patient is taking a a-adrenergic receptor blocker, Tamsulosin, for his BPH.
Which of the following should you include in his education about this drug? Select all
that apply.
A. "it promotes smooth muscle relaxation to help facilitate urine flow through the
urethra"
B. "you may experience postural hypotension, so make sure to move slowly when
getting up"
C. "it won't be effective for about 2-3 months"
D. "erectile dysfunction is the most common seen adverse effect with this drug" -
ANSWER-A and B
with Complete Answers
Chemotherapy that is widely used for Hodgkin's disease is ABVD. What drugs does
this include? - ANSWER-doxorubicin [adriamycin], bleomycin, vinblastine,
dacarbazine
You are working in pediatric oncology and have a student shadowing you today.
They begin asking you about Non-Hodgkin's Lymphoma. Which of the following
statements made by the student requires further teaching?
A. "the disease is usually diffuse rather than nodular, right?"
B. "treatment is subtle and slow to reduce risk of adverse effects, right?"
C. "dissemination occurs early, more often, and rapidly, right?"
D. "manifestations totally depend on the anatomical site and extent of involvement,
right?" - ANSWER-B
treatment of chemo and radiation is aggressive
Which of the following are *not* included in the guidelines for non-pharmacological
management of nausea and vomiting in children with cancer?
A. advise the child not to eat for at least 30 minutes before chemotherapy starts
B. avoid fried, fatty, or spicy foods
C. offering food while it is hot may help as hot food digests better
D. several small meals a day are better than 3 large ones - ANSWER-C
offer food while it is cold because it smells less
Which of the following are *not* complications of drug toxicity?
A. mucosal ulceration
B. migraines
C. neuropathy
D. alopecia - ANSWER-B
in addition, complications include N/V, anorexia, hemorrhagic cystitis, steroid effects,
fatigue, and mood changes
Which of the following should *not* be used when a patient has mucosal ulcerations?
Select all that apply.
A. lemon glycerin swabs
B. hydrogen peroxide
C. milk of magnesia
D. anti-fungal troches - ANSWER-A, B and C
,patients can use anti-fungal troches (lozenges), mouthwash, and lip-balm to help
prevent and treat mucosal ulcerations
Which of the following is true about a post-coital test? Select all that apply.
A. reveals size of sperm
B. tests cervical mucus and sperm
C. tests degree of penetration of sperm through mucus
D. timed with expected time of ovulation - ANSWER-B, C and D
Which of the following is true about clomiphine citrate for females? Select all that
apply.
A. side effects include urinary frequency and pain
B. 5-day course starting on the 5th day after menstrual period
C. may be combined with metformin to combat insulin resistance
D. some women may develop ovarian cancer - ANSWER-B and C
A woman enters the clinic, clearly flushed, complaining of breast pain. She mentions
that she has been talking an ovulatory stimulant to help get pregnant, but cannot
remember the name of it. Which medication may cause these symptoms? -
ANSWER-clomiphine citrate
A woman is about to begin taking clomiphine citrate. Before she leaves, you want to
let her know to keep an eye out for the following symptoms: stomach pain, bloating,
nausea/vomiting/diarrhea, rapid weight gain (especially face and midsection), little/no
urination, pain with breathing, shortness of breath, and tachycardia. Why? -
ANSWER-because taking this medication puts her at risk of developing ovarian
hyperstimulation syndrome (OHSS) which can be life-threatening
Why might someone take medications to correct thyroid/adrenal issues when trying
to get pregnant? - ANSWER-
Which of the following is considered an obstructive symptom of BPH? Select all that
apply.
A. difficulty starting urination
B. a urinary stream that starts and stops
C. urinary frequency
D. urinary urgency - ANSWER-A and B
obstructive symptoms are symptoms that are due to *urinary retention*
Which of the following is considered an irritative symptom of BPH? Select all that
apply.
A. dysuria
B. nocturia
C. dribbling at end of urination
, D. bladder pain - ANSWER-A, B and D
irritative symptoms are symptoms that are associated with *inflammation and
infection*
Which of the following is false about BPH?
A. caused by genetic factors
B. symptoms are usually gradual in onset
C. nocturia is often first symptom patients notice
D. typically develops in the transition zone - ANSWER-A
etiology is not completely understood, but thought to result from endocrine changes
from the aging process, such as excess accumulation of dihydroxytestosterone
note on how it develops in the transition zone: this means *inside* the prostate (vs.
prostate cancer which develops on the outside of the prostate)
Which of the following is included in the interprofessional care of BPH patients?
Select all that apply.
A. passive surveillance
B. dietary changes
C. timed voiding schedule
D. medication therapy - ANSWER-A
*active* surveillance is part of care, which is "watchful waiting"
Your patient is taking a 5a-reductase inhibitor for his BPH. Which of the following
should you include in his education about this drug? Select all that apply.
A. " t must be taken continuously for therapeutic results"
B. "it reduces the size of your prostate gland"
C. "it takes about 6 months to become effective"
D. "you may experience severely increased libido, which can be controlled with
medication" - ANSWER-A, B, and C
adverse effects include *decreased* libido, decreased volume of ejaculation, and ED
Your patient is taking a a-adrenergic receptor blocker, Tamsulosin, for his BPH.
Which of the following should you include in his education about this drug? Select all
that apply.
A. "it promotes smooth muscle relaxation to help facilitate urine flow through the
urethra"
B. "you may experience postural hypotension, so make sure to move slowly when
getting up"
C. "it won't be effective for about 2-3 months"
D. "erectile dysfunction is the most common seen adverse effect with this drug" -
ANSWER-A and B
