1
HESI Case Study - Management of an Oncology Unit Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse manager notices frequent delays in chemotherapy administration. What is the best initial action?
- Blame the staff for inefficiency
- Increase the number of patient appointments
- Cancel non-urgent treatments
✔✔C. Assess workflow and identify bottlenecks
A patient receiving chemotherapy reports severe nausea despite medications. What should the nurse do first?
- Encourage the patient to eat normally
- Suggest herbal remedies
- Wait until the next scheduled dose
- / 3
✔✔C. Notify the provider and evaluate antiemetic therapy
2
A nurse observes that staff are inconsistent in performing hand hygiene. What is the appropriate management intervention?
- Give verbal warnings to all staff
- Remove non-compliant staff immediately
- Ignore minor lapses
✔✔B. Provide staff education and implement audits
A patient is experiencing neutropenia. What is the priority nursing action?
- Allow visitors without restriction
- Encourage outdoor activities
- Delay scheduled medications
✔✔B. Implement neutropenic precautions to prevent infection
A nurse manager notices staff are unsure about handling hazardous chemotherapy drugs. What is the best response?
- Assign experienced staff only
- Ignore minor mistakes
✔✔C. Provide training and competency checks for all staff 2 / 3
3
- Limit patient admissions
A patient reports extreme fatigue during cancer treatment. What should the nurse assess first?
- Encourage exercise without assessment
- Suggest more rest without evaluation
- Delay next chemotherapy session
✔✔B. Assess hemoglobin levels and overall physical status
A patient develops a sudden fever while receiving chemotherapy. What is the nurse’s immediate action?
- Provide antipyretics and continue therapy
- Wait until the next scheduled vital signs check
- Document and monitor
✔✔B. Assess for infection and notify the provider immediately
A nurse observes staff documentation inconsistencies regarding chemotherapy side effects. What is the appropriate action?
- Ignore minor errors
- / 3