ONCC PRACTICE TESTS (OCN -
ONCOLOGIC EMERGENCIES) WITH
CORRECT ANSWERS
Which fof fthe ffollowing fcancers fis fassociated fwith fthe fdevelopment fof fdisseminated
fintravascular fcoagulation?
f
fMucin-secreting fadenocarcinoma fof fthe fbreast
fNonhyperdiploid fvariant fmultiple fmyeloma
fPrimary fperitoneal fcarcinoma
fAcral flentiginous fmelanoma f- fcorrect fanswers f-Mucin-secreting fadenocarcinoma fof
fthe fbreast
Answer: fThe fincidence fof fdisseminated fintravascular fcoagulation fis fassociated
fmostly fwith fmucin-secreting fadenocarcinomas fof fthe fprostate, flung, fand fbreast. f
, Reference: fKaplan, fM. f(Ed.). f(2013). fUnderstanding fand fmanaging foncologic
femergencies: fA fresource ffor fnurses f(2nd fed.). fPittsburgh, fPA: fOncology fNursing
fSociety, fp. f69.
Which fof fthe ffollowing fis freleased finto fthe fbloodstream fin fthe fevent fof ftumor flysis
fsyndrome?
f
fUric facid
fSodium
fMagnesium
fCalcium f- fcorrect fanswers f-Uric facid
Answer: fTumor flysis fsyndrome fis fa fmassive, fsudden frelease fof fcellular fcontents fin
fto fthe fbloodstream fresulting fin felevated furic facid flevels. f
Reference: fKaplan, fM. f(Ed.). f(2013). fUnderstanding fand fmanaging foncologic
femergencies: fA fresource ffor fnurses f(2nd fed.). fPittsburgh, fPA: fOncology fNursing
fSociety, fp. f440.
Which fof fthe ffollowing fclasses fof fmedication fwill fmost fsignificantly fincrease fthe frisk
ffor fthe fdevelopment fof fa fcytokine-release fsyndrome freaction?
f
fMonoclonal fantibodies
fTaxanes
fPlatinum fcompounds
fAnthracyclines f- fcorrect fanswers f-Monoclonal fantibodies
Answer: fMonoclonal fantibodies fcan fcause fcytokine-release fsyndrome. f
Reference: fNewton, fS., fHickey, fM., f& fMarrs, fJ. f(2017). fMosby's foncology fnursing
fadvisor: fA fcomprehensive fguide fto fclinical fpractice f(2nd fed.). fSt. fLouis, fMO:
fElsevier fMosby, fp. f243.
When fa fsuspected fextravasation foccurs fduring fthe fadministration fof fa fvesicant, fthe
fnurse fmust ffirst:
f
fstop fthe fadministration fof fmedication fand ffluids.
fremove fthe fperipheral fIV for fcentral fvenous faccess fdevice.
faspirate fthe fremaining fvesicant ffrom fthe fIV ftubing.
fnotify fthe fhealthcare fprovider. f- fcorrect fanswers f-stop fthe fadministration fof
fmedication fand ffluids.
Answer: fThe ffirst fstep fthe fnurse fshould ftake fwhen fan fextravasation foccurs fis
fstopping fthe finfusion. f
ONCOLOGIC EMERGENCIES) WITH
CORRECT ANSWERS
Which fof fthe ffollowing fcancers fis fassociated fwith fthe fdevelopment fof fdisseminated
fintravascular fcoagulation?
f
fMucin-secreting fadenocarcinoma fof fthe fbreast
fNonhyperdiploid fvariant fmultiple fmyeloma
fPrimary fperitoneal fcarcinoma
fAcral flentiginous fmelanoma f- fcorrect fanswers f-Mucin-secreting fadenocarcinoma fof
fthe fbreast
Answer: fThe fincidence fof fdisseminated fintravascular fcoagulation fis fassociated
fmostly fwith fmucin-secreting fadenocarcinomas fof fthe fprostate, flung, fand fbreast. f
, Reference: fKaplan, fM. f(Ed.). f(2013). fUnderstanding fand fmanaging foncologic
femergencies: fA fresource ffor fnurses f(2nd fed.). fPittsburgh, fPA: fOncology fNursing
fSociety, fp. f69.
Which fof fthe ffollowing fis freleased finto fthe fbloodstream fin fthe fevent fof ftumor flysis
fsyndrome?
f
fUric facid
fSodium
fMagnesium
fCalcium f- fcorrect fanswers f-Uric facid
Answer: fTumor flysis fsyndrome fis fa fmassive, fsudden frelease fof fcellular fcontents fin
fto fthe fbloodstream fresulting fin felevated furic facid flevels. f
Reference: fKaplan, fM. f(Ed.). f(2013). fUnderstanding fand fmanaging foncologic
femergencies: fA fresource ffor fnurses f(2nd fed.). fPittsburgh, fPA: fOncology fNursing
fSociety, fp. f440.
Which fof fthe ffollowing fclasses fof fmedication fwill fmost fsignificantly fincrease fthe frisk
ffor fthe fdevelopment fof fa fcytokine-release fsyndrome freaction?
f
fMonoclonal fantibodies
fTaxanes
fPlatinum fcompounds
fAnthracyclines f- fcorrect fanswers f-Monoclonal fantibodies
Answer: fMonoclonal fantibodies fcan fcause fcytokine-release fsyndrome. f
Reference: fNewton, fS., fHickey, fM., f& fMarrs, fJ. f(2017). fMosby's foncology fnursing
fadvisor: fA fcomprehensive fguide fto fclinical fpractice f(2nd fed.). fSt. fLouis, fMO:
fElsevier fMosby, fp. f243.
When fa fsuspected fextravasation foccurs fduring fthe fadministration fof fa fvesicant, fthe
fnurse fmust ffirst:
f
fstop fthe fadministration fof fmedication fand ffluids.
fremove fthe fperipheral fIV for fcentral fvenous faccess fdevice.
faspirate fthe fremaining fvesicant ffrom fthe fIV ftubing.
fnotify fthe fhealthcare fprovider. f- fcorrect fanswers f-stop fthe fadministration fof
fmedication fand ffluids.
Answer: fThe ffirst fstep fthe fnurse fshould ftake fwhen fan fextravasation foccurs fis
fstopping fthe finfusion. f
