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AOCNP – Advanced Oncology Certified Nurse Practitioner, Complete Review Exam Questions and Answers (Graded A+) Study Guide

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This document contains comprehensive review exam questions and answers for the Advanced Oncology Certified Nurse Practitioner (AOCNP) certification exam. It covers essential oncology topics, including cancer pathophysiology, diagnosis, treatment modalities, symptom management, pharmacology, survivorship, palliative care, and evidence-based clinical practice to support effective certification exam preparation.

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AOCNP REVIEW EXAM




AOCNP REVIEW EXAM QUESTIONS AND ANSWERS GRADED A+




4 phases of the cell cycle - correct answer G1, S, G2 and M


What is the first phase of the cell cycle? - correct answer G1- cell
grows in size and synthesizes mRNA and proteins that are
necessary for DNA synthesis


What is the second phase of the cell cycle? - correct answer S phase-
DNA replication occurs; each chromosome is replicated to
produce two sister chromatids


What is the third phase of the cell cycle? - correct answer G2- cell
continues to grow and produces new proteins and organelles;
ensures that everything is in place for a smooth division into
two daughter cells

,AOCNP REVIEW EXAM


What is the final phase of the cell cycle? - correct answer M phase-
mitosis; cell divided its copied DNA and cytoplasm to create two
new cells


What are the two types of Hemolytic Uremic Syndrome (HUS)? -
correct answer Typical: aka- diarrhea associated; form that most
commonly occurs in children triggered by an infection
Atypical: usually a genetic component; associated with poor
prognosis and risk of progressing to chronic kidney disease or
long-term dialysis


What is the triad of symptoms of Hemolytic Uremic Syndrome
(HUS)? - correct answer anemia, thrombocytopenia, and acute
kidney injury


What are the key elements in a cancer treatment summary? -
correct answer Demographic/contact information, disease specifics,
treatment specifics, follow-up care plan, and cancer screening
recommendations


What is a primary concern with the use of Gemcitabine? - correct
answer -Its impact on bone marrow; it can cause
myelosuppression which can lead to neutropenia, making
patients more susceptible to infection

,AOCNP REVIEW EXAM


-Significant risk of bleeding/thrombocytopenia


What is melphalan primarily used to treat? - correct answer
Alkylating agent used to treat ovarian, multiple myeloma,
rhabdomyosarcoma, neuroblastoma, and in conditioning
regimens before bone marrow transplant


What is ifosfamide primarily used to treat? - correct answer
testicular cancer, lymphoma, and sarcomas


What is one of the side effects of ifosfamide? - correct answer
Bladder toxicity; often given with Mesna to reduce bladder
irritation and bleeding


What is paclitaxel primarily used to treat? - correct answer ovarian,
breast, lung, and pancreatic cancers


Where is paclitaxel primarily metabolized and excreted? - correct
answer Metabolized in the liver and eliminated through bile




What agents are known to cause alopecia? - correct answer
etoposide, cyclophosphamide, docetaxel, doxorubicin,
ifosfamide, paclitaxel

, AOCNP REVIEW EXAM




What are the types of cancer biomarkers? - correct answer
hormones, oncofetal antigens, enzymes, proteins, genetic
markers, and hormone receptors


What are the components of the metastatic cascade? - correct
answer Detachment, invasion, survival in transport, arrest in
distant organ capillary beds, establishment of secondary tumors


What is the mechanism of action of monoclonal antibodies (ex:
rituximab)? - correct answer they target specific antigens on cancer
cells, marking them for immune destruction or interfering with
tumor growth


What are the common side effects of immune checkpoint
inhibitors (Ex: nivolumab, pembrolizumab)? - correct answer
Immune-related adverse events: pneumonitis, colitis, hepatitis,
hypothyroidism


What lab value is typically elevated in tumor lysis syndrome? -
correct answer Uric acid, potassium, phosphate, and LDH; calcium is
decreased

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