OCN Exam Practice Questions & Answers
Best Rated A+
Which of the following is not routinely included as part of a diagnostic work-up for colorectal cancer?
A. Carcinoembryonic antigen (CEA)
B. Bone marrow biopsy
C. Barium enema
D. Colonoscopy - Answer B. Bone marrow biopsy
You are a registered nurse working in an outpatient infusion center and have begun administration of
paclitaxel on a newly-diagnosed breast cancer patient. The patient mentions that she is feeling flushed
and shows you a small hive on her left cheek. Your next course of action is to:
A. Immediately stop the infusion and notify the oncologist.
B. Decrease the rate of paclitaxel by 50%.
C. Give the patient 50mg of IV Benadryl.
D. Reassure the patient that this is a normal side effect of paclitaxel. - Answer A. Immediately stop the
infusion and notify the oncologist.
A 62-year-old male patient diagnosed with stage 3 small cell lung cancer is admitted to the oncology unit
with somnolence, weakness, nausea, vomiting, and diffuse abdominal pain. His wife reports that he has
become increasingly weak over the past three days and has exhibited a change in mental status. She
reports that he has not had a bowel movement in five days. Which of the following oncologic
complications is a likely explanation for the patient's clinical presentation?
A. Hypercalcemia
B. Septic shock
C. Liver metastasis
D. Superior vena cava syndrome - Answer A. Hypercalcemia
, Which of the following chemotherapeutic agents is classified as a Vinca alkaloid?
A. Docetaxel
B. Etoposide
C. Oxaliplatin
D. Topotecan - Answer B. Etoposide
Which of the following treatment examples best describes adjuvant therapy?
A. A 64-year-old patient diagnosed with stage 3 ovarian cancer receives chemotherapy after undergoing
a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
B. A 53-year-old patient receives chemotherapy and radiation for a diagnosis of stage 3 breast cancer.
C. An 80-year-old patient diagnosed with chronic leukemia receives oral chemotherapy with regular
monitoring by her oncologist.
D. A 42-year-old patient diagnosed with stage 1 breast cancer undergoes a lumpectomy with lymph
node biopsy. - Answer A. A 64-year-old patient diagnosed with stage 3 ovarian cancer receives
chemotherapy after undergoing a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
A 60-year-old male patient newly diagnosed with small cell carcinoma of the right lung is admitted to
the oncology unit with a chief complaint of facial and neck swelling as well as a cough. A diagnosis of
superior vena cava syndrome is made. Which of the following treatment options would you expect to
see ordered for this patient?
A. Chemotherapy with adjuvant radiation therapy
B. Thoracentesis under local anesthesia
C. Surgical consultation to place a chest tube
D. Transfusion of two units of packed red blood cells - Answer A. Chemotherapy with adjuvant radiation
therapy
Best Rated A+
Which of the following is not routinely included as part of a diagnostic work-up for colorectal cancer?
A. Carcinoembryonic antigen (CEA)
B. Bone marrow biopsy
C. Barium enema
D. Colonoscopy - Answer B. Bone marrow biopsy
You are a registered nurse working in an outpatient infusion center and have begun administration of
paclitaxel on a newly-diagnosed breast cancer patient. The patient mentions that she is feeling flushed
and shows you a small hive on her left cheek. Your next course of action is to:
A. Immediately stop the infusion and notify the oncologist.
B. Decrease the rate of paclitaxel by 50%.
C. Give the patient 50mg of IV Benadryl.
D. Reassure the patient that this is a normal side effect of paclitaxel. - Answer A. Immediately stop the
infusion and notify the oncologist.
A 62-year-old male patient diagnosed with stage 3 small cell lung cancer is admitted to the oncology unit
with somnolence, weakness, nausea, vomiting, and diffuse abdominal pain. His wife reports that he has
become increasingly weak over the past three days and has exhibited a change in mental status. She
reports that he has not had a bowel movement in five days. Which of the following oncologic
complications is a likely explanation for the patient's clinical presentation?
A. Hypercalcemia
B. Septic shock
C. Liver metastasis
D. Superior vena cava syndrome - Answer A. Hypercalcemia
, Which of the following chemotherapeutic agents is classified as a Vinca alkaloid?
A. Docetaxel
B. Etoposide
C. Oxaliplatin
D. Topotecan - Answer B. Etoposide
Which of the following treatment examples best describes adjuvant therapy?
A. A 64-year-old patient diagnosed with stage 3 ovarian cancer receives chemotherapy after undergoing
a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
B. A 53-year-old patient receives chemotherapy and radiation for a diagnosis of stage 3 breast cancer.
C. An 80-year-old patient diagnosed with chronic leukemia receives oral chemotherapy with regular
monitoring by her oncologist.
D. A 42-year-old patient diagnosed with stage 1 breast cancer undergoes a lumpectomy with lymph
node biopsy. - Answer A. A 64-year-old patient diagnosed with stage 3 ovarian cancer receives
chemotherapy after undergoing a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
A 60-year-old male patient newly diagnosed with small cell carcinoma of the right lung is admitted to
the oncology unit with a chief complaint of facial and neck swelling as well as a cough. A diagnosis of
superior vena cava syndrome is made. Which of the following treatment options would you expect to
see ordered for this patient?
A. Chemotherapy with adjuvant radiation therapy
B. Thoracentesis under local anesthesia
C. Surgical consultation to place a chest tube
D. Transfusion of two units of packed red blood cells - Answer A. Chemotherapy with adjuvant radiation
therapy
