COCN COCN Oncologic Emergencies 2

Question 1

The first-line pharmacologic treatment for malignant hypercalcemia, after IV hydration, is:

Accepted Answer

IV zoledronic acid or pamidronate

Answer

Oral bisphosphonates

Answer

Furosemide alone

Answer

Calcitonin alone for sustained correction

Question 2

Which medication is the cornerstone of initial treatment for malignant spinal cord compression?

Accepted Answer

High-dose corticosteroids (dexamethasone)

Answer

Morphine sulfate

Answer

Warfarin

Answer

Acetaminophen

Question 3

A patient develops syndrome of inappropriate antidiuretic hormone (SIADH) secondary to small cell lung cancer. The primary nursing concern is:

Accepted Answer

Hyponatremia and fluid restriction

Answer

Hypernatremia management

Answer

Hyperkalemia correction

Answer

Dehydration prevention

Question 4

Which assessment finding indicates worsening cardiac tamponade requiring emergency pericardiocentesis?

Accepted Answer

Increasing pulsus paradoxus (>10 mmHg) with hemodynamic instability

Answer

Mild ankle edema

Answer

Mild tachycardia without blood pressure change

Answer

Isolated JVD without other changes

Question 5

Neutropenic fever in an oncology patient is defined as a single temperature above 38.3°C (101°F) with an ANC below:

Accepted Answer

500/mm³

Answer

2000/mm³

Answer

1500/mm³

Answer

250/mm³

Question 6

A patient with lymphoma develops rapid onset of elevated serum potassium, elevated phosphate, elevated uric acid, and decreased calcium. The nurse recognizes this as:

Accepted Answer

Tumor lysis syndrome (TLS)

Answer

Addisonian crisis

Answer

Hyperparathyroidism

Answer

Septic shock