OCN – ACTUAL PRACTICE TEST QUESTIONS 2026-
2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
In addition to decreasing inflammation, corticosteroids:
A. improve muscle tone.
B. stimulate weight loss.
C. stimulate the appetite.
D. reduce anxiety.
C. stimulate the appetite
Corticosteroids, such as dexamethasone and prednisone can stimulate
the appetite. Additionally, this class of medications can create a sense of
well-being, and may cause weight gain.
A patient is ordered opiates around the clock for pain control. Prior to
initiating opioid therapy, the nurse anticipates an order for:
A. bulk laxatives.
B. suppositories.
C. stimulant laxatives.
D. oral mineral oil.
C. stimulant laxatives
Opioids can delay gastric emptying, slow bowel motility, decrease
peristalsis, and reduce secretions from the colonic mucosa. Constipation
is the most common side effect of opioids and the only one for which
individuals do not develop tolerance. Prevention, rather than treatment,
of opioid side effects is important. Stimulant laxatives plus a stool
softener is recommended when initiating opioid therapy.
,In order to assist in resolving the patient's spiritual pain during end-stage
disease, the priority nursing intervention is to:
A. encourage random reflection of life events.
B. mobilize the patient's support system.
C. acknowledge the legitimacy of the patient's pain.
D. encourage the patient to avoid focusing on the issues.
C. acknowledge the legitimacy of the patient's pain
Spirituality, a part of every human being, is the connection to self , others,
the environment, and a "higher power". Clients who have been alienated
from their religious or spiritual community may suffer from spiritual
distress. Acknowledge the client's spiritual pain, encourage verbalization,
and use a family genogram to elicit relationships, fears, hopes, and
unfinished business.
An example of adaptive or specific immunity is:
A. inflammatory response.
B. acute-phase protein production.
C. large lymphocyte production.
D. cell-mediated response.
D. cell-mediated response
An example of adaptive or specific immunity is cell-mediated immunity.
Cell-mediated immunity is mediated by T-cells and their cytokine
products. This type of immunity does not involve an antibody.
,A patient with acute lymphoid leukemia experiences hyperkalemia,
hyperphosphatemia, and hypocalcemia within a week of initiating
chemotherapy. These symptoms are most likely indicative of:
A. disseminated intravascular coagulation.
B. syndrome of inappropriate antidiuretic hormone.
C. septic shock.
D. tumor lysis syndrome.
D. tumor lysis syndrome
Tumor lysis syndrome is common in acute lymphocytic leukemia.
Metabolic abnormalities associated with tumor lysis syndrome are
hyperkalemia, Hyperuricemia, hyperphosphatemia, and hypocalcemia.
A nurse mistakenly administers a long-acting morphine tablet instead of
the prescribed long-acting oxycodone. What is the nurse's next step?
A. Continue to monitor the patient closely for the next eight hours.
B. Hold all further medications for the patient.
C. Notify the patient and physician of the error.
D. Call the risk management department to guide documentation.
C. Notify the patient and physician of the error.
When errors occur that could cause a possible injury to the patient,
explanation of the error and possible long and short term effects should
be explained. It is important that the nurse offer full disclosure of the
event, and the steps to be taken.
, A 21-year-old patient recently withdrew from college classes secondary
to cancer recurrence. His parents report that the patient is moody and is
no longer seeing friends and classmates. The nurse initiates strategies
aimed at achieving which of the following patient outcomes?
A. Participation in a clinical trial
B. Maintenance of open communication
C. Re-enrollment in college courses
D. Recognition of self-destructive behaviors
B. Maintenance of open communication
Providing open communication between the patient and parents
facilitates support and validation of feelings.
To reduce the risk of complications from thrombocytopenia, patients are
taught to avoid:
A. using a soft-bristled toothbrush.
B. getting a haircut.
C. consuming high-fiber foods.
D. walking barefoot.
D. walking barefoot
Thrombocytopenia is a decrease in the number of circulating platelets
below 100,000/mm3. Interventions to minimize the occurrence of
bleeding include encouraging the patient to wear shoes during
ambulation to maintain skin integrity and avoid injury.
2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
In addition to decreasing inflammation, corticosteroids:
A. improve muscle tone.
B. stimulate weight loss.
C. stimulate the appetite.
D. reduce anxiety.
C. stimulate the appetite
Corticosteroids, such as dexamethasone and prednisone can stimulate
the appetite. Additionally, this class of medications can create a sense of
well-being, and may cause weight gain.
A patient is ordered opiates around the clock for pain control. Prior to
initiating opioid therapy, the nurse anticipates an order for:
A. bulk laxatives.
B. suppositories.
C. stimulant laxatives.
D. oral mineral oil.
C. stimulant laxatives
Opioids can delay gastric emptying, slow bowel motility, decrease
peristalsis, and reduce secretions from the colonic mucosa. Constipation
is the most common side effect of opioids and the only one for which
individuals do not develop tolerance. Prevention, rather than treatment,
of opioid side effects is important. Stimulant laxatives plus a stool
softener is recommended when initiating opioid therapy.
,In order to assist in resolving the patient's spiritual pain during end-stage
disease, the priority nursing intervention is to:
A. encourage random reflection of life events.
B. mobilize the patient's support system.
C. acknowledge the legitimacy of the patient's pain.
D. encourage the patient to avoid focusing on the issues.
C. acknowledge the legitimacy of the patient's pain
Spirituality, a part of every human being, is the connection to self , others,
the environment, and a "higher power". Clients who have been alienated
from their religious or spiritual community may suffer from spiritual
distress. Acknowledge the client's spiritual pain, encourage verbalization,
and use a family genogram to elicit relationships, fears, hopes, and
unfinished business.
An example of adaptive or specific immunity is:
A. inflammatory response.
B. acute-phase protein production.
C. large lymphocyte production.
D. cell-mediated response.
D. cell-mediated response
An example of adaptive or specific immunity is cell-mediated immunity.
Cell-mediated immunity is mediated by T-cells and their cytokine
products. This type of immunity does not involve an antibody.
,A patient with acute lymphoid leukemia experiences hyperkalemia,
hyperphosphatemia, and hypocalcemia within a week of initiating
chemotherapy. These symptoms are most likely indicative of:
A. disseminated intravascular coagulation.
B. syndrome of inappropriate antidiuretic hormone.
C. septic shock.
D. tumor lysis syndrome.
D. tumor lysis syndrome
Tumor lysis syndrome is common in acute lymphocytic leukemia.
Metabolic abnormalities associated with tumor lysis syndrome are
hyperkalemia, Hyperuricemia, hyperphosphatemia, and hypocalcemia.
A nurse mistakenly administers a long-acting morphine tablet instead of
the prescribed long-acting oxycodone. What is the nurse's next step?
A. Continue to monitor the patient closely for the next eight hours.
B. Hold all further medications for the patient.
C. Notify the patient and physician of the error.
D. Call the risk management department to guide documentation.
C. Notify the patient and physician of the error.
When errors occur that could cause a possible injury to the patient,
explanation of the error and possible long and short term effects should
be explained. It is important that the nurse offer full disclosure of the
event, and the steps to be taken.
, A 21-year-old patient recently withdrew from college classes secondary
to cancer recurrence. His parents report that the patient is moody and is
no longer seeing friends and classmates. The nurse initiates strategies
aimed at achieving which of the following patient outcomes?
A. Participation in a clinical trial
B. Maintenance of open communication
C. Re-enrollment in college courses
D. Recognition of self-destructive behaviors
B. Maintenance of open communication
Providing open communication between the patient and parents
facilitates support and validation of feelings.
To reduce the risk of complications from thrombocytopenia, patients are
taught to avoid:
A. using a soft-bristled toothbrush.
B. getting a haircut.
C. consuming high-fiber foods.
D. walking barefoot.
D. walking barefoot
Thrombocytopenia is a decrease in the number of circulating platelets
below 100,000/mm3. Interventions to minimize the occurrence of
bleeding include encouraging the patient to wear shoes during
ambulation to maintain skin integrity and avoid injury.
