topbar.asp
 Nursing continuing education $3/hr

Exam & Evaluation (Cancer Chemotherapy)
 
Questions: Please respond to following statements.

1 Which of the following Is a breach of "Best Practices" when handling hazardous drugs?
  Wearing two pairs of chemotherapy approved gloves
  Wearing nonabsorbent gown with closed front and tight cuffs
  Priming I.V tubing with chemotherapy medication.
  Using face shield and goggles to protect from splashes.
2 Use a full-face piece chemical cartridge-type respirator when a chemotherapy intravenous (IV) bag breaks or a line disconnects and leaks.
True     False
3 All of the following statements are true about cancer chemotherapy except:
  Chemotherapy is used to cure, control, or palliate cancer symptoms
  Chemotherapy acts locally rather than systemically
  Over 100 drugs are currently used to treat cancer
  Chemotherapy is the treatment of choice for cancer of the bone marrow and solid tumors
4 Which of the following is not a part of Interphase?
  G-0 phase
  G-1 phase
  S phase
  M phase
5 The "growth fraction" of a tumor refers to:
  The amount of time required for a cell to move from one cell division to the next.
  The percentage of cells actively dividing at a given point in time.
  The number of cells present in the tumor.
  The length of time it takes a tumor to metastasize.
6 All of the following statements are true regarding the concept of "tumor burden" except:
  As the tumor burden increases, the number of cells actively dividing decreases
  Tumor burden refers to the number of cells present in a tumor
  Cancers with a large tumor burden are usually more responsive to chemotherapy
  The greater the tumor burden, the greater the probability of drug resistance
7 A short course of high-dose drugs given after radiation or surgery to destroy residual cancer cells is referred to as:
  Consolidation therapy
  Induction therapy
  Adjuvant therapy
  Maintenance therapy
8 In which phase of clinical trials is the anti-tumor activity of a potential cytotoxic drug tested?
  Phase I
  Phase II
  Phase III
  Phase IV
9 All of the following statements are true of cell-cycle specific drugs except:
  They are active against cells in the resting phase
  They act on cells that are actively dividing at specific phases during the cell cycle
  They are most often given in divided doses or by continuous infusion
  They are often combined with cell-cycle non-specific drugs
10 Which of the following cytotoxic drugs crosses the blood-brain barrier and is used to treat brain tumors?
  Alkylating agents
  Nitrosoureas
  Anti-tumor antibiotics
  Plant alkaloids
11 Biological response modifiers (BRMís) act by:
  Direct toxic effects on tumor cells
  Restoring, strengthening, or altering the tumorís immune response
  Modifying other biologic effects of the tumor
  All of the above
12 Which of the following hormonal agents blocks the effects of estrogen?
  Medroprogesterone
  Tamoxifen
  Testosterone
  Diethylstillbesterol
13 A drug given by the intrathecal route is administered:
  Into the chest cavity
  Into the urinary bladder
  Into the cerebrospinal fluid
  Into the tumor
Questions 14 - 20 concern the major toxic effects of chemotherapy drugs. Choose the major effect for each drug (Hint: each effect should only be used once, but they ALL should get used.)
14 Match the following drug with one of its major toxic effects: PACLITAXEL
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
15 Match the following drug with one of its major toxic effects: CYCLOPHOSPHAMIDE
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
16 Match the following drug with one of its major toxic effects: VINCRISTINE
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
17 Match the following drug with one of its major toxic effects: DAUNORUBICIN
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
18 Match the following drug with one of its major toxic effects: 5-FLOUROURACIL
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
19 Match the following drug with one of its major toxic effects: CISPLATIN
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
20 Match the following drug with one of its major toxic effects: BLEOMYCIN
  Photosensitivity
  Hypersensitivity
  Neurotoxicity
  Pulmonary toxicity
  Hemorrhagic cystitis
  Cardiotoxicity
  Renal and ototoxicity
21 A patient with a body surface area of 1.5 meters squared is to receive 80 mg/meter squared of a cytotoxic drug. What dose will the patient receive?
  80 mg
  100 mg
  120 mg
  240 mg
22 All of the following types of cells divide rapidly and are likely to be damaged by chemotherapy except:
  Muscle cells
  Bone marrow stem cells
  Hair follicle cells
  Gastrointestinal tract cells
23 Which of the following activities should be avoided by patients with neutropenia to prevent potentially life-threatening infections?
  Being around people with colds or communicable diseases
  Eating raw fruits and vegetables
  Handling pet excrement
  All of the above
24 Regrowth of hair after chemotherapy usually occurs within:
  4 to 6 weeks
  1 to 2 months
  3 to 5 months
  6 to 9 months
25 Which of the following statements is true about chemotherapy associated stomatitis?
  Stomatitis affects approximately 40% of patients receiving chemotherapy
  Stomatitis can lead to life-threatening complications such as sepsis and malnutrition
  Antimetabolites and anti-tumor antibiotics often produce stomatitis
  All of the above
26 Which of the following is not a risk factor for chemotherapy-associated neurotoxicity?
  Young age
  Radiation therapy to the head area
  Impaired renal function
  Intrathecal use of cytotoxic drugs
27 Which of the following strategies have been found to be useful in managing chemotherapy associated nausea and vomiting?
  Eat light, frequent meals with food served at room temperature
  Avoid foods with strong odors
  Rinse the mouth frequently
  All of the above
Please Evaluate the course. Choose the appropriate button to rate the following.

A The learning outcomes for this activity were met.
Strongly Agree   Agree   Neutral   Disagree   Strongly Disagree  
B This activity will enhance my knowledge/skill /practice as a health care provider.
Strongly Agree   Agree   Neutral   Disagree   Strongly Disagree  
C You are required to spend a total of 300 minutes studying this course, internet links, exam and evaluation. Please confirm by entering the number "300" in this box.
D Please tell us if you required MORE than 300 minutes to complete this course.† If so, how much TOTAL time did you spend?
E As a result of this activity, please share at least one action you will take to change your professional practice/performance.
F Where did you hear about the RnCeus.com website?
Word of mouth
Search engine
Link from another website
School: