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PRE-TEST
ONCOLOGIC NURSING

NAME:

1. You are an oncology nurse. While doing your rounds, which of the following patients need immediate intervention? Select all
that apply.
I. Sara Lee, 25/F with ovarian cancer, facial edema in the morning was present
II. Lupe Bing, 34/M with colorectal cancer, weight loss of 2 kilos
III. Kara Lopez, 34/F, lung adenocarcinoma, serum Ca of 14 mg/dL
IV. Maya Cruz, 32/F, polycystic kidney disease, serum K: 4.0 mEq/L
a. I,II,III
b. I,III
c. II,IV
d. I,II,III,IV
2. Which of the following signs and symptoms are expected in patients experiencing tumor lysis syndrome?
a. Azotemia, hyperphosphatemia, hyperkalemia
b. Azotemia, hypophosphatemia, hyperkalemia
c. Azotemia, hyperphosphatemia, hypokalemia
d. Azotemia, hypophosphatemia, hypokalemia
3. Which of the following is NOT included in the plan of care of a patient with tumor lysis syndrome?
a. initiating vigorous rehydration
b. Reduce uric acid levels
c. Increase potassium and phosphate intake
d. None of the above
4. Sandra, due to persistent anemia after chemotherapy, is scheduled for blood transfusion. Following infusion of a unit of
packed red blood cells, she developed new onset of tachycardia, bounding pulses, crackles, and wheezes. Which action should
the nurse implement first?
A. Maintain bed rest with legs elevated.
B. Place the client in high-Fowler's position.
C. Increase the rate of infusion of intravenous fluids.
D. Consult with the primary health care provider (PHCP) regarding initiation of oxygen therapy.
5. Gerry is a 45/M diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse understands that this has
been confirmed by which finding?
A. Swelling in the neck area
B. Bluish discoloration in the genitalia only
C. Positive punch biopsy of the cutaneous lesions
D. Appearance of reddish-blue lesions noted on the mucosa

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