Question 1
Which of the following statements best describes the process of dimerization?
a
Intracellular signalling process to enable cell function
b
Activation of a chemical process to prevent cell mitosis
c
Attachment of a protein to signal intracellular division
d
Extracellular binding process to activate a receptor
Question 2
Which of the following baseline testing is completed prior to administering cisplatin?
a
Audiogram
b
Electrocardiogram
c
Chest x-ray
d
Multigated acquisition scan
Question 3
Which of the following should a patient complete prior to starting an aromatase inhibitor?
a
Bone density
b
Carotid doppler
c
Chest x-ray
d
Renal ultrasound
Question 4
One cause of chemotherapy-induced nausea and vomiting is the:
a
stimulation of neural structures.
b
stabilization of serotonin levels.
c
deactivation of enterochromaffin cells.
d
inhibition of neurotransmitter receptors.
Question 5
Which medication has a side effect of cytokine-release syndrome?
a
Aldesleukin
b
Azathioprine
c
Asparaginase
d
Axitinib
Question 6
Which of the following is the emetogenicity level for a patient who is ordered irinotecan, oxaliplatin, leucovorin, and fluorouracil?
a
Low
b
Moderate
c
High
d
Minimal
Question 7
The benefits associated with the use of biosimilar agents may include:
a
clinical trial enrollment.
b
financial savings.
c
substitution practices.
d
off-label indications.
Question 8
Which of the following methods should the nurse use to overcome barriers to patient education?
a
Provide effective symptom management.
b
Allow misconceptions related to diagnosis.
c
Limit time for questions.
d
Utilize significant others as translators.
Question 9
Nursing considerations for the administration of ziv-aflibercept include:
a
restarting the dose after proteinuria is less than 2g/24 hours.
b
administering the agent over an hour using a 0.2 nylon filter.
c
withholding the doses for hypotensive events.
d
evaluating for dermatologic conditions prior to treatment.
Question 10
Which of the following is a hormone therapy agent used in the treatment of prostate cancer?
a
Miconizole
b
Ketoconazole
c
Amifostine
d
Sargramostim
Question 11
Maintaining a treatment plan's dose intensity is associated with:
a
increased toxicity.
b
improved patient survival.
c
dose reductions.
d
decreased tumor response.
Question 12
When administering an eighth dose of carboplatin the nurse:
a
monitors for tumor lysis syndrome.
b
monitors for a hypersensitivity reaction.
c
schedules a chest x-ray.
d
applies a cold compress to the IV site.
Question 13
Which of the following agents is indicated for metastatic adrendocortical cancer?
a
Bicalutamide
b
Mitotane
c
Goserelin
d
Abiraterone
Question 14
To prevent chemotherapy exposure, personal protective equipment should be removed in the following order:
a
gown, both gloves, wash hands.
b
outer gloves, inner gloves, wash hands, gown.
c
gloves, gown, wash hands.
d
outer gloves, gown, inner gloves, wash hands.
Question 15
Which of the following interventions is recommended for a patient receiving chemotherapy and experiencing mucositis?
a
Oral rinsing with sodium bicarbonate
b
Taking folinic acid
c
Using allopurinol mouthwash
d
Applying topical corticosteroids
Question 16
Which of the following adverse reactions should the nurse assess in a patient who is receiving paclitaxel dosed at 175 mg/m2 every three weeks?
a
Peripheral neuropathy
b
Hypertrichosis
c
Hypertension
d
Punctal stenosis
Question 17
Which drug has cumulative doses that are associated with secondary leukemias?
a
Bortezomib
b
Methotrexate
c
Busulfan
d
Paclitaxel
Question 18
What is the goal of a phase 2 clinical trial?
a
Assess drug-food interactions.
b
Demonstrate activity of the intervention.
c
Provide human pharmacokinetics data.
d
Determine maximum tolerated dose.
Question 19
Which of the following statements indicates that a patient receiving pembrolizumab needs additional teaching?
a
"I will notify you if I begin experiencing severe itching even if there is not a rash."
b
"I should immediately report any new cough or shortness of breath."
c
"I can expect to have more loose stools and diarrhea at the beginning of treatment."
d
"I can expect to feel more tired and fatigued during treatment."
Question 20
A patient is receiving chemotherapy at home. Which of the following instructions should the nurse provide for the care of clothing that becomes soiled with cytotoxic medication?
a
Place linens in a plastic bag and dispose of in the trash.
b
Wash with the regular household laundry using hot water.
c
Spot clean the soiled area and then allow to air dry.
d
Handle with gloves and wash separately from other laundry.
Question 21
Which of the following interventions may reduce vinorelbine-induced irritation?
a
Flush vein with at least 75-125 mL after infusion.
b
Infuse the drug over 30-60 minutes.
c
Confirm the placement of a central line.
d
Administer H1 and H2 blockers.
Question 22
Prior to administering high-dose methotrexate the nurse monitors:
a
blood pressure.
b
urine pH.
c
fluid intake.
d
oxygen saturation.
Question 23
Which of the following results is important to monitor for a patient being treated with pertuzumab?
a
Creatinine clearance
b
Bone scan
c
Pulmonary function test
d
Echocardiogram
Question 24
Which of the following medications is able to cross the blood-brain barrier to effectively treat some brain tumors?
a
Vincristine
b
Omacetaxine
c
Lomustine
d
Daunorubicin
Question 25
What best describes the effect of innate immunity? Innate immunity:
a
limits the activity of immune effector cells.
b
induces a generic immune response.
c
generates an immunologic memory.
d
produces specific immunoglobulins.
Question 26
The TP53 gene serves an important role in regulating:
a
immunity.
b
apoptosis.
c
cyclins.
d
oncogenes.
Question 27
Which of the following agents is classified as carcinogenic?
a
Tamoxifen
b
Interferon alfa 2a
c
Alemtuzumab
d
Dapsone
Question 28
An annual respiratory fit testing is required for:
a
proper use.
b
integumentary protection.
c
distribution update.
d
absorption parameter check.
Question 29
A patient scheduled to receive mitoxantrone is first evaluated with:
a
an upper endoscopy.
b
a pulmonary function test.
c
a creatinine clearance.
d
a multigated acquisition scan.
Question 30
A patient receiving idarubicin reports a burning sensation around the area of the central venous catheter. The most likely cause is:
a
an irritation.
b
hypersensitivity.
c
a flare reaction.
d
an extravasation.
Question 31
Patients who are prescribed everolimus need dose adjustments when taking:
a
proton pump inhibitors.
b
angiotensin-converting enzyme inhibitors.
c
CYP3A4 inhibitors.
d
protein kinase inhibitors.
Question 32
A patient who received four cycles of paclitaxel complains of burning, numbness, and tingling in the fingers and the toes. The most likely cause is:
a
sensory neuropathy.
b
palmar-plantar erythrodysesthesia.
c
a hypersensitivity reaction.
d
a low serum calcium.
Question 33
A patient being premedicated prior to receiving chemotherapy reports vaginal burning. Which medication can cause this?
a
Granisetron
b
Alprazolam
c
Fosaprepitant
d
Dexamethasone
Question 34
A patient has a glomerular filtration rate of 114 mL/min. Using the Calvert formula, what is the carboplatin dose if the target AUC is 6?
a
709 mg
b
798 mg
c
684 mg
d
834 mg
Question 35
Tyrosine kinase receptor activation is catalyzed by which of the following processes?
a
Angiogenesis
b
Apoptosis
c
Phosphorylation
d
Dimerization
Question 36
The priority nursing action after performing a comprehensive review of the prescribed chemotherapy is to:
a
verify that the orders were signed by the provider.
b
assess the patient's knowledge of medication side effects.
c
review the medical record for evidence of informed consent.
d
require an independent verification by a second practitioner.
Question 37
The amount of medication given over a period of time is defined as:
a
calculated dose therapy.
b
relative dose intensity.
c
dose intensity.
d
dose-dense therapy.
Question 38
A patient currently taking tamoxifen has been prescribed citalopram. The nurse understands that citalopram can:
a
reduce the risk of stroke.
b
decrease the efficacy of tamoxifen.
c
eliminate side effects of tamoxifen.
d
decrease the symptoms of menopause.
Question 39
A patient is scheduled to start erlotinib. The nurse knows that the patient is in need of additional teaching when the patient states:
a
"I can take the medication on an empty stomach."
b
"I should call the office for diarrhea."
c
"I will take the medication with breakfast."
d
"I will call the office for a rash."
Question 40
Which of the following is included in the teaching for a patient scheduled to begin a regimen consisting of oxaliplatin and capecitabine?
a
Take oral therapy two hours before eating and drinking.
b
Chew on ice for the first three days of each cycle.
c
Receive a nasal spray flu vaccine before beginning therapy.
d
Use a calendar to track the days and times to take the medication.
Question 41
A priority nursing action is to dispose of drug-contaminated items into:
a
infectious waste plastic bags.
b
double-bagged paper bags.
c
infectious waste containers.
d
rigid chemotherapy waste containers.
Question 42
High dosing of which of the following agents can cause seizures?
a
Ixabepilone
b
Bendamustine
c
Busulfan
d
Eribulin
Question 43
The lifetime cumulative dose of daunorubicin in a patient without cardiovascular risk factors is:
a
550 mg/m2.
b
650 mg/m2.
c
450 mg/m2.
d
400 mg/m2.
Question 44
Contact inhibition is a property of:
a
cytotoxic therapy.
b
enzymes.
c
malignant cells.
d
normal cells.
Question 45
A monoclonal antibody that targets angiogenesis is ordered for a patient with lung cancer. The patient is most likely being treated with:
a
pazopanib.
b
bevacizumab.
c
vandetanib.
d
cetuximab.
Question 46
Which of the following is a patient-related risk factor for increased tissue damage in extravasation?
a
Diabetes
b
Catheter migration
c
Vesicant concentration
d
Type of vesicant
Question 47
Which laboratory value indicates an increased risk for an infusion reaction for a patient with lymphoma who is scheduled to receive rituximab?
a
Hematocrit 35%
b
Circulating lymphocytes 30,000/mm3
c
Platelet count 100,000/mm3
d
ANC 6,500/mm3
Question 48
A patient is receiving bleomycin and reports dyspnea on exertion. The nurse anticipates an order for a:
a
computed tomography scan.
b
peak flow meter.
c
ventilation scan.
d
pulmonary function test.
Question 49
A patient receiving ipilimumab is receiving oral steroids for a maculopapular rash. After one week of steroids, the patient continues to have painful, diffuse erythematous macules and target lesions covering more than 30% of the body. What does the nurse tell the patient?
a
"This is a condition unrelated to the cancer treatment."
b
"This is a grade I pruritus requiring an oral antipruritic."
c
"This is an emergent dermatologic toxicity requiring hospitalization."
d
"This is an expected effect of therapy which needs no intervention."
Question 50
The appropriate gown to wear when administering chemotherapy is:
a
a gown that is front-closing.
b
a gown made with absorbent cotton.
c
a disposable gown.
d
a highly permeable gown.
Question 51
Which of the following agents has a high potential for immediate hypersensitivity reactions?
a
Bleomycin
b
Methotrexate
c
Dacarbazine
d
Paclitaxel
Question 52
An example of hormone therapy includes:
a
Adrenolytics
b
Small molecule agents
c
Monoclonal antibodies
d
Tyrosine kinase inhibitors
Question 53
A patient with colorectal cancer is scheduled to begin treatment with capecitabine. The nurse ensures that patient teaching is done for which side effect?
a
Telangiectasia behind the ears
b
Redness of palms and soles of feet
c
Xerosis of the conjunctiva
d
Paronychia of the nail fold
Question 54
A premedication of dexamethasone 8 mg PO BID beginning the day before treatment and continuing for the day of treatment and the day after treatment is ordered for:
a
vinorelbine.
b
teniposide.
c
carboplatin.
d
docetaxel.
Question 55
Which of the following situations related to oral chemotherapy treatment is most likely to result in serious adverse effects?
a
A patient obtains a refill of the prescription and continues to take the medication during the "off week".
b
A family member brings the medication bottle and dosing schedule to the followup appointment.
c
The new cycle of treatment is delayed because the medication is unavailable from the pharmacy.
d
A patient misses a follow-up appointment because he is unable to pay for transportation to the clinic.
Question 56
A patient has received a hematopoietic stem cell transplant. How soon does mucositis occur once the patient completes the conditioning regimen?
a
Four to six days
b
Seven to eight days
c
Three to five days
d
One to two days
Question 57
What is the mechanism of action for monoclonal antibodies?
a
Remove immune cells from the body, and retrain them to identify and kill specific antigens
b
Target tumor-specific antigens on the surface of some cancer cells
c
Introduce the immune system to fragments of weakened or dead bacteria
d
Accelerate and fully engage immune cells to create a robust immune response
Question 58
What is confirmed with the pharmacist before administration of intrathecal cytarabine?
a
Diphenhydramine is available.
b
Medication is reconstituted within 15 minutes.
c
Preservative-free saline is used.
d
Ondansetron is prepared.
Question 59
A patient is scheduled to receive melphalan 140 mg/m2. The patient's measurements are as follows: height 173 cm and weight 85 kg. What is the dose to be administered?
a
280 mg
b
283 mg
c
257 mg
d
295 mg
Question 60 When administering a vinca alkaloid, the nurse is prepared to manage:
A dyspnea.
B extravasation.
C anaphylaxis.
D chest pain.