ONCC Practice Tests (OCN - Oncologic Emergencies)100%
CORRECT!!
Which of the following cancers is associated with the development of disseminated intravascular
coagulation?
Mucin-secreting adenocarcinoma of the breast
Nonhyperdiploid variant multiple myeloma
Primary peritoneal carcinoma
Acral lentiginous melanoma - ANSWERMucin-secreting adenocarcinoma of the breast
Answer: The incidence of disseminated intravascular coagulation is associated mostly with mucin-
secreting adenocarcinomas of the prostate, lung, and breast.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 69.
Which of the following is released into the bloodstream in the event of tumor lysis syndrome?
Uric acid
Sodium
Magnesium
Calcium - ANSWERUric acid
Answer: Tumor lysis syndrome is a massive, sudden release of cellular contents in to the bloodstream
resulting in elevated uric acid levels.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 440.
, Which of the following classes of medication will most significantly increase the risk for the development
of a cytokine-release syndrome reaction?
Monoclonal antibodies
Taxanes
Platinum compounds
Anthracyclines - ANSWERMonoclonal antibodies
Answer: Monoclonal antibodies can cause cytokine-release syndrome.
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. 243.
When a suspected extravasation occurs during the administration of a vesicant, the nurse must first:
stop the administration of medication and fluids.
remove the peripheral IV or central venous access device.
aspirate the remaining vesicant from the IV tubing.
notify the healthcare provider. - ANSWERstop the administration of medication and fluids.
Answer: The first step the nurse should take when an extravasation occurs is stopping the infusion.
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. 217.
Which of the following interventions should the nurse perform for a patient who is at risk for increased
intracranial pressure?
Assessing the patient's gag reflex
Limiting suctioning to less than 30 seconds
CORRECT!!
Which of the following cancers is associated with the development of disseminated intravascular
coagulation?
Mucin-secreting adenocarcinoma of the breast
Nonhyperdiploid variant multiple myeloma
Primary peritoneal carcinoma
Acral lentiginous melanoma - ANSWERMucin-secreting adenocarcinoma of the breast
Answer: The incidence of disseminated intravascular coagulation is associated mostly with mucin-
secreting adenocarcinomas of the prostate, lung, and breast.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 69.
Which of the following is released into the bloodstream in the event of tumor lysis syndrome?
Uric acid
Sodium
Magnesium
Calcium - ANSWERUric acid
Answer: Tumor lysis syndrome is a massive, sudden release of cellular contents in to the bloodstream
resulting in elevated uric acid levels.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 440.
, Which of the following classes of medication will most significantly increase the risk for the development
of a cytokine-release syndrome reaction?
Monoclonal antibodies
Taxanes
Platinum compounds
Anthracyclines - ANSWERMonoclonal antibodies
Answer: Monoclonal antibodies can cause cytokine-release syndrome.
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. 243.
When a suspected extravasation occurs during the administration of a vesicant, the nurse must first:
stop the administration of medication and fluids.
remove the peripheral IV or central venous access device.
aspirate the remaining vesicant from the IV tubing.
notify the healthcare provider. - ANSWERstop the administration of medication and fluids.
Answer: The first step the nurse should take when an extravasation occurs is stopping the infusion.
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. 217.
Which of the following interventions should the nurse perform for a patient who is at risk for increased
intracranial pressure?
Assessing the patient's gag reflex
Limiting suctioning to less than 30 seconds
