Chapter 11: Antineoplastic Medications

Chapter 11: Antineoplastic Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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

a.	Antibiotic
b.	Alkylating agent
c.	Antimetabolite
d.	Mitotic inhibitor

 

 

ANS:  C

Antimetabolites disrupt normal cell function by interfering with various metabolic functions of the cells.

 

DIF:    Cognitive Level: Remember            REF:   p. 191             OBJ:   1

TOP:   Antimetabolites                               KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

2. 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.”

 

 

ANS:  C

Some herbal preparations may be helpful in dealing with nausea and vomiting due to chemotherapy. The nurse should find out what herbal preparation the patient is taking to ensure it does not react negatively with the other medications the patient is prescribed.

 

DIF:    Cognitive Level: Apply                   REF:   p. 192             OBJ:   2

TOP:   Drug Interactions                            KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. 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

 

 

ANS:  A

Chemotherapeutic agents slow cell growth or delay the spread of malignant cells into other parts of the body.

 

DIF:    Cognitive Level: Remember            REF:   p. 190             OBJ:   1

TOP:   Chemotherapeutic Agents                KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

4. 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

 

 

ANS:  A

The action of antineoplastic agents on normal cells causes many adverse reactions, which include alopecia and bone marrow depression.

 

DIF:    Cognitive Level: Understand            REF:   p. 190             OBJ:   2

TOP:   Antineoplastics                               KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

5. 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

 

 

ANS:  B

Nausea, vomiting, anorexia, and diarrhea are seen with almost all of the antineoplastic agents.

 

DIF:    Cognitive Level: Apply                   REF:   p. 192             OBJ:   2

TOP:   Adverse Reactions                          KEY:  Nursing Process Step: Diagnosis

MSC:   NCLEX: Physiological Integrity: Reduction of Risk Potential