ONCC Practice Tests (OCN - Oncology Nursing Practice) practice test with verified accurate expert solutions(2024 LATEST UPDATE)ALREADY GRADED A+(GUARANTEED SUCCESS)

A patient with cancer is considering entering a clinical trial that compares the current standard treatment with an investigational chemotherapeutic agent. This is an example of which phase of a clinical trial? 3 4 1 2 3 Answer: Phase 3 clinical trials have a primary goal of establishing efficacy and comparing with the current standard. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 285(t). What is the shortest phase of the cell cycle? Mitosis Gap 1 Synthesis Gap 2 Mitosis Answer: Mitosis is the shortest phase of the cell's life cycle. Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p. 25. Oligodendroglial tumors originate from cells that maintain the function of the: myelin sheath. synovial fluid. lymph. plasma. myelin sheath. Answer: Oligodendrocytes are cells that develop and maintain the myelin sheath. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1368. A squamous cell carcinoma of the esophagus is most likely to arise from the: proximal esophagus. Schatzki's ring. cricoid cartilage. abdominal esophagus. proximal esophagus. Answer: A squamous cell carcinoma of the esophagus is most likely to arise from the proximal esophagus. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1538. Which of the following techniques is most likely to support healthy communication patterns between the nurse and a patient? Eliciting feedback about preferences and experiences Establishing significant physical distance between parties Providing objective and factual information about the treatment plan Limiting questions until after all information is presented Eliciting feedback about preferences and experiences Answer: The nurse should obtain information from the patient about their understanding of concepts and their reactions in order to best promote open and honest communication. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 417(t). Upon diagnosis of an invasive ductal adenocarcinoma of the pancreas, the disease will most likely: demonstrate spread to the liver. display widespread fat necrosis. metastasize to the bone. remain confined to the primary site. demonstrate spread to the liver. Answer: Invasive ductal adenocarcinoma of the pancreas has often metastasized at the time of diagnosis. The most common site of metastasis is the liver. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1856(f). A patient has an implanted intrathecal pump for pain management. Which of the following actions best exemplifies a safe practice? Tracing the tubing from the patient to the pump Using special tubing that has injection ports Cleansing the Leur lock ports with alcohol before each use Arranging for the patient to have the pump refilled every eight months Tracing the tubing from the patient to the pump Answer: Ensuring that there are no dislodgements, kinks or issues with pump functionality by tracing the line from the patient to the pump is the safest practice when caring for a patient with an implanted intrathecal pump. Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of practice for oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 124. A 70-year-old patient reports weight loss, abdominal pain and diarrhea that often interrupts sleep. The patient reports a brother has recently been diagnosed with prostate cancer. The nurse suspects: carcinoid syndrome. systemic inflammatory response syndrome. irritable bowel syndrome. syndrome of inappropriate antidiuretic hormone. carcinoid syndrome. Answer: Patients over the age of 66 who have a first degree relative with prostate cancer are at higher risk for the development of neuroendocrine tumors and carcinoid syndrome. Symptoms of carcinoid syndrome include pain, weight loss, and diarrhea that interrupts sleep. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 139. A patient newly diagnosed with Hodgkin lymphoma is determined to have an unfavorable prognosis through which of the following clinical findings? Absolute lymphocyte count 400/mm3 Hemoglobin 11 g/dL Involvement of two lymph nodes Presence of A symptoms Absolute lymphocyte count 400/mm3 Answer: An absolute lymphocyte count of less than 600/mm3 is an unfavorable prognostic finding for a patient with advanced Hodgkin lymphoma. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 124(t). Cancer cells differ from normal cells in their ability to: migrate to neighboring tissues and locations. divide only when new cells are needed. reside in a genetically coded area. allow contact inhibition with other cells. migrate to neighboring tissues and locations. Answer: Cancer cells are characterized by abnormal movement and uncontrolled growth. Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p. 1. A data monitoring committee is required for which phase of a clinical trial? 3 4 1 2 3 Answer: Data monitoring committees are required for phase 3 trials to protect the safety of the trial participants. Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p. 19. The family members of a patient who is dying disagree on the placement of a feeding tube. What action should the nurse take? Meet with the family to discuss the goals of care. Contact social work to begin the process for state guardianship. Explain that only an ethics committee can make this decision. Encourage the family to review similar cases in the media. Meet with the family to discuss the goals of care. Answer: Families often have a difficult time agreeing to goals of care for the patient. Coordinating a family meeting is a supportive structure to educate family members, answer questions, and promote communication with the professional health team. Reference: Burke, C.C. (Ed.). (2009). Psychosocial dimensions of oncology nursing care (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 20 - 21. While completing a physical assessment, the nurse observes a raised, pearly lesion on a patient's upper chest. The nurse knows this is most likely: a basal cell carcinoma. Kaposi sarcoma. leukemia cutis. a malignant melanoma. a basal cell carcinoma. Answer: Basal cell carcinoma usually shows characteristics that are slightly raised, minute, a well-defined margin that is rolled, pearly, and has telangiectasia. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier, p. 159. A nurse assigned to care for a group of five patients provides assessment and documentation on only four of the patients, because the nurse had misread the assignment. Which of the following legal principles applies to this situation? Breach of duty Absent documentation Nonmaleficence Malpractice Breach of duty Answer: Breach of duty is defined as failing to perform one's agreement. Reference: Gullatte, M.M. (Ed.). (2011). Nursing management: Principles and practice (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 567. The use of the spouse as a translator for a non-English speaking patient is: not recommended. used to increase patient comfort levels. allowed once the spouse passes a certification test. permitted if a professional is not available. not recommended. Answer: Significant others are not recommended as translators because of role conflicts or inability to communicate complex medical terminology. Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p. 138. Which medication in a patient's drug profile should be reported to the physician before administering cyclophosphamide? Allopurinol Metoprolol Amitriptyline Citalopram Allopurinol Answer: Cyclophosphamide is an alkylating agent that disrupts the synthesis of proteins as a cancer treatment. The concomitant use of allopurinol can increase the toxicity of the agent, particularly bone marrow depression by decreasing renal excretion. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 396(t). What is the primary purpose for providing multidisciplinary oncology care? Improving patient outcomes Delivering cost-effective services Standardizing patient communication Meeting regulatory standards Improving patient outcomes Answer: Quality of practice includes the oncology nurse participating in interprofessional teams to address outcomes and enhance factors that promote, safe, and effective patient outcomes. Reference: Brant, J.M., & Wickham, R.S. (Eds.). (2013). Statement on the scope and standards of oncology nursing practice: Generalist and advanced practice. Pittsburgh, PA: Oncology Nursing Society, p. 52. The nurse has collected and analyzed data to identify, monitor, and improve the effectiveness of oncology nursing care. Which standard of oncology nursing practice does this best exemplify? Resource utilization Patient advocacy Collaboration Collegiality Resource utilization Answer: Resource utilization requires the oncology nurse to evaluate, critique, and mobilize the most appropriate resources to maximize patient outcomes. Reference: Brant, J.M., & Wickham, R.S. (Eds.). (2013). Statement on the scope and standards of oncology nursing practice: Generalist and advanced practice. Pittsburgh, PA: Oncology Nursing Society, p. 61.