Mrs Jones presents to the AIC with history of breast cancer. You obtain labs prior to chemo and discover that her calcium is 11.0. You also note that her weight has dropped 10 ponds since her last visit. What lab value do need to obtain to fully evaluate her hypercalcemia?
a. creatinine
b. albumin
c. phosphorus
d. calcitonin
What is albumin
100
Which patient is at the highest risk for developing tumor lysis syndrome
a. 36yo male with stage 1a lung cancer
b. 48 yo female with 4cm left sided breast cancer
c. 60 yo male with newly diagnosed B cell lymphoma
d. 80 yo female with recurrent pancreatic cancer
What is B cell lymphoma
100
Al of the following findings neurological deficits would alert you to a possible spinal cord compression except:
a. Increased rectal tone
b. Distended bladder
c. Erectile dysfunction
d. Hyperreflexia
What is increased rectal tone
100
Mrs Brown is on C6D1 Carbo/taxol for recurrent ovarian cancer. She was treated last year with 6 cycles of carbo/taxol. Approx 10 minutes after the carbo was started, the patient stated that her back was hurting. What is the first thing the RN should do?
A. Place the patient on oxygen
B. Give her Benadryl
C. Shut off the infusion
D. get her a heating pad.
What is shut off the infusion?
100
the nurse is reviewing Mr Harris's lab work before she starts his chemotherapy. She observes that his sodium is 120. She is most concerned about
A. SIADH
B. ARF
C. SCC
D. TLS
What is SIADH?
200
First line treatment for hypercalcemia is
a. Pamidronate
b. Dexamethasone
c. Hydration
d. Low calcium diet
What is hydration?
200
Which lab tests would you review to assess a patients risk of developing TLS?
a. LDH, Uric acid
b. Cacium
c. Sodium
d. Potassium
What is LDH, Uric acid?
200
Which of the following would be considered first line treatment for spinal cord compression?
A. Tylenol
B. Vicodin
C. Decadron
D. Muscle relaxers
What is decadron?
200
All of the following may be used as first line drugs in a hypersensitivity reaction except
A. Benadryl
B. Tylenol
C. Oxygen
D. Decadron
What is Tylenol?
200
Which of the following may be a symptoms of hyponatremia?
A. Abdominal pain
B. Blurred vision
C. Confusion
D. Shortness of breath
What is confusion?
300
All of the following are sign of hypercalcemia except:
a. Weakness, lethargy
b. Confusion
c. Nausea, anorexia
d. Jaundice, lymphedema
What is jaundice, lymphedema
300
All of the following you would expect to see in TLS except:
a. Hyperkalemia
b. Hyperuricemia
c. hypocalcemia
d. Hyperglycemia
What is hyperglycemia
300
All of the following may be side effects of steroids except:
A. GI upset
B. Insomnia
C. Irritability
D. Forgetfulness
What is forgetfulness?
300
The correct dose/route of epinephrine during a hypersensitivity reaction is:
a. Epinephrine 1:10,000 0.3cc IV
b. Epinephrine 1:1000 0.3cc IM
C. Epinephrine 1:10,000 0.3cc IM
D. Epinephrine 1:1000 0.3cc IV
What is Epinephrine 1:1000 0.3cc IM
300
Mr Burk, a 68yo male was recently diagnosed with small cell lung cancer. You note that his face looks swollen, his neck veins are bulging, and both of his arms are edematous. You immediately suspect:
A. A brain tumor
B. An allergic reaction
C. SIADH
D. Superior vena cava syndrome
What is superior vena cava syndrome?
400
The patient was admitted to the hospital and given hydration as well as pamidronate (aredia). What symptom would be worrisome to you if she called the office 2 days after treatment?
a. Headache
b. Cough
c. Muscle cramps
d. Dysuria
What are muscle cramps?
400
What signs and symptoms alert you to the presence of TLS?
a. muscle cramps, constipation, paresthesias
b. Lethargy, diarrhea, nausea
c. Hypotension, vomiting, paresthesias
d. Weight gain, weakness, constipation
What is lethargy, diarrhea, nausea
400
When assessing the patient for discharge, which should the nurses top priority be?
A. Pain Management
B. Transportation
C. Safety
D. Cooking
What is safety?
400
You are rounding on your patients after report and notice that Ms Watts is somewhat lethargic, is diaphoretic, and her blood pressure is 80/60. She just completed induction chemotherapy for AML 5 days ago. You immediately suspect
A. DVT
B. Dehydration
C. Sepsis
D. restful sleep
What is sepsis?
500
You are getting ready to discharge your hypercalcemic patient. when reviewing her discharge medications, which medication gives you cause for concern?
a. Lasix
b. Tums
c. Pepcid
d. norvasc
What is tums?
500
All of the following are appropriate measures to decrease the risk of TLS except:
1. Allopurinol
2. Bicarb
3. Dietary restriction of calcium and phosphorous
4. Allopurinol
What is dietary restriction of calcium and phosphorous
500
Mr Peters, a 67 yo male with metastatic prostate cancer, states that his wife is overreacting when she reports him falling a lot and not being able o urinate. The patient states that he is "fine". He insists that his back does not hurt, that he does not fall and can walk without assistance, and that he is urinating without difficulty. The prudent nurse would
A. Believe the patient. The wife just wants him to stay in the hospital.
B. Let the patient go home, but tell him to be careful.
C. Ask the patient to take a short walk with her to assess his gait.
D. Acknowledge that her shift is over and clock out.