Deck 11: Antineoplastic Medications

Question 1

Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which preparation?

A) Mitotic agent
B) Chemotherapy agent
C) Hormone
D) Neoplasm

Answer 1

Mitotic agent

Question 2

For which reason must a patient keep his or her chemotherapy medications in a locked cabinet?

A) These medications are very costly.
B) These medications are very toxic.
C) These medications have narcotic effects.
D) These medications are hard to replace monthly.

Answer 2

These medications are very toxic.

Question 3

Which healthy cells in the body are commonly affected by antineoplastic agents?

A) Myocardial
B) Gastrointestinal
C) Vascular
D) Cerebral

Answer 3

Gastrointestinal

Question 4

The effectiveness of antineoplastic agents can be best evaluated by which means?

A) Physical exam
B) Laboratory studies
C) Return of appetite
D) Subjective report of increased strength

Question 5

For which condition should the nurse take special care in an older patient who is receiving chemotherapy?

A) Anorexia and diarrhea
B) Dry eyes
C) Edema in the joints
D) Pain at injection site

Question 6

Which common adverse reaction is associated with antineoplastic drugs?

A) Alopecia and bone marrow depression
B) Bone marrow stimulation and nausea
C) Diarrhea and blurred vision
D) Anorexia and rhinorrhea

Question 7

The nurse is completing education for a patient receiving Novantrone (mitoxantrone)for treatment of leukemia.The nurse teaches the patient that he or she may experience which signs or symptoms?

A) Low blood pressure
B) Stomatitis
C) Numbness
D) Increased appetite

Question 8

Which precautions should nurses administering antineoplastic preparations use?

A) Standard precautions as always
B) Proper hand hygiene after use
C) Preparation of medication in special areas
D) Preparation in direct light under a hood

Question 9

Which over-the-counter medications might a patient on chemotherapy use to control nausea?

A) Zinc and honey
B) Vitamin C and honey
C) Herbal preparations
D) Vanilla extract

Question 10

Antioxidants are viewed as helpful in the prevention and treatment of cancer because they have which effects?

A) They stimulate platelet production.
B) They minimize the toxic effects of other antineoplastics.
C) They eliminate free radicals.
D) They alleviate nausea.

Question 11

In observing a chemotherapy patient,an LPN/LVN must be aware of adverse effects from other products.The patient tells the nurse that he has found an herbal preparation to help control his nausea.Which represents the nurse's best response?

A) "That sounds wonderful, and it's inexpensive."
B) "Stop taking this product; it is toxic."
C) "Tell me the name of the herbal preparation you are taking."
D) "Follow the instructions on how to take that preparation."

Question 12

Which person is qualified to prepare and administer antineoplastic drugs?

A) Any trained drug representative
B) Any medical assistant
C) An advanced practice nurse
D) An oncology nurse

Question 13

The nurse is caring for a patient receiving an antineoplastic medication IV.While the medication is infusing,the IV needle becomes dislodged and goes in to the tissue.What is the highest priority for this patient at this time?

A) Call the physician on call to report the occurrence.
B) Inject medication immediately into the skin to counter the effect of the medication.
C) Elevate the affected IV site and apply ice.
D) Place the affected site into a dependent position.

Question 14

A patient in treatment for multiple myeloma is on Mesnex (ifosfamide).She reports to the nurse that she is having bouts of nausea and has been unable to eat.Which would be the best advice to give her?

A) Take nothing by mouth until this passes.
B) Replace fluid losses right away.
C) Only eat nonsalty foods.
D) Hold ice chips in your mouth.

Question 15

The nurse may include which diagnosis for a patient taking an antineoplastic medication?

A) Decreased cardiac output
B) Deficient fluid volume
C) Social isolation
D) Imbalanced nutrition: more than body requirements

Question 16

A chemotherapy patient should be instructed to report which signs or symptoms to his or her health care provider? (Select all that apply.)

A) Sleeping 10 hours at night
B) Uncontrollable nausea
C) Constipation
D) Oral temperature of 98° F
E) Blood pressure 120/80

Question 17

What is the effect of chemotherapeutic agents on cells?

A) Slows cell growth
B) Kills malignant cells
C) Breaks down the bacterial cell wall
D) Increase helper T-cell production

Question 18

A patient taking Mustargen is suffering from alopecia.The nurse should include which intervention in the care plan?

A) Provide ice chips.
B) Maintain IV hydration.
C) Use emollients on the affected area.
D) Offer the use of a scarf.

Question 19

For which organ may a patient with cancer be prescribed hormones?

A) Bone
B) Prostate
C) Brain
D) Liver

Question 20

Which term refers to a medication that interferes with metabolic functions in cells?

A) Antibiotic
B) Alkylating agent
C) Antimetabolite
D) Mitotic inhibitor

Question 21

A patient is being treated for ovarian carcinoma with carboplatin,an alkylating agent.Which are actions of this medication? (Select all that apply.)

A) It interferes with normal cell division.
B) Malignant cells convert to normal cells.
C) Its effects occur in both normal and malignant cells.
D) Cell division is totally controlled with this medication.
E) It attaches to DNA.

Question 22

Dactinomycin (Cosmegen)is an antibiotic used in the treatment of which types of cancer? (Select all that apply.)

A) Pancreatic carcinoma
B) Testicular carcinoma
C) Uterine carcinoma
D) Wilms tumor
E) Multiple myeloma