Tumor Lysis Syndrome and Oncologic Emergencies Practice Questions
20 free Tumor Lysis Syndrome and Oncologic Emergencies practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.
Questions
20 questions
All Tumor Lysis Syndrome and Oncologic Emergencies questions
- Q1. Which lab finding most supports a diagnosis of Tumor Lysis Syndrome in a patient with high-grade lymphoma undergoing chemotherapy?
- Q2. Which scenario presents the highest risk for the development of Tumor Lysis Syndrome?
- Q3. What is the most critical nursing intervention for prevention of Tumor Lysis Syndrome?
- Q4. When a patient with TLS has serum potassium of 6.8 mEq/L and peaked T-waves on ECG, what treatment would the nurse anticipate?
- Q5. Which electrolyte pattern is characteristic of Tumor Lysis Syndrome?
- Q6. In hypercalcemia of malignancy, which initial therapy is most appropriate for a patient with calcium level of 15 mg/dL?
- Q7. What oncologic emergency is most likely in a patient presenting with facial swelling, dyspnea, and dilated veins in the upper chest and neck?
- Q8. Which structure releases intracellular nucleic acids during Tumor Lysis Syndrome, contributing to elevated uric acid levels?
- Q9. When is the use of Rasburicase particularly indicated in managing TLS?
- Q10. In a patient with TLS and oliguria, what intervention may be required with persistent hyperphosphatemia?
- Q11. Which symptom in a patient with malignancy should prompt urgent evaluation for hypercalcemia?
- Q12. What nursing measure best helps reduce the risk of TLS in a patient with acute lymphoblastic leukemia and high WBC count starting induction chemo?
- Q13. Which ECG change is most likely in hyperkalemia associated with Tumor Lysis Syndrome?
- Q14. In a patient with bone metastases and severe hypercalcemia, what does calcium level of 16 mg/dL indicate?
- Q15. Why does hyperphosphatemia in Tumor Lysis Syndrome cause hypocalcemia?
- Q16. Which oncologic emergency should be suspected in a lung cancer patient with sudden back pain, difficulty walking, and sensory changes in legs?
- Q17. What laboratory monitoring frequency is recommended for a high-risk TLS patient during the first 24-48 hours after chemotherapy?
- Q18. Why is bisphosphonate therapy indicated in hypercalcemia of malignancy?
- Q19. When TLS occurs before chemotherapy in patients with high tumor burden, what is this scenario called?
- Q20. Which symptom should a nurse prioritize for immediate assessment in a patient with suspected oncologic metabolic emergency?