Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
A 32-year-old woman meets with the nurse on her first official visit since undergoing a left
mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is
not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really
anxious to get back to work. Which of the following nursing interventions should the nurse
explore to support the client's current needs?
a) Ask open-ended questions about sexuality issues related to her mastectomy
b) Suggest that the client learn relaxation techniques to help with her insomnia
c) Call the physician to discuss allowing the client to return to work earlier
d) Perform a nutritional assessment to assess for anorexia
a) Ask open-ended questions about sexuality issues related to her mastectomy
- Correct Answer: A. Ask open-ended questions about sexuality issues related to her mastectomy
Option A: The content of the client's comments suggests that she is avoiding intimacy with her
husband by waiting until he is asleep before going to bed. Addressing sexuality issues is
appropriate for a client who has undergone a mastectomy.
Option B: Suggesting that she learn relaxation techniques to help her with her insomnia is
appropriate; however, the nurse must first address the psychosocial and sexual issues that are
contributing to her sleeping difficulties.
Option C: Rushing her return to work may debilitate her and add to her exhaustion.
Option D: A nutritional assessment may be useful, but there is no indication that she has
anorexia.
1
, Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
One of the most serious blood coagulation complications for individuals with cancer and for
those undergoing cancer treatments is disseminated intravascular coagulation (DIC). The most
common cause of this bleeding disorder is:
a) Brain metastasis
b) Sepsis
c) Intravenous heparin therapy
d) underlying liver disease
b) Sepsis
- Correct Answer: B. Sepsis
Option B: Bacterial endotoxins released from gram-negative bacteria activate the Hageman
factor or coagulation factor XII. This factor inhibits coagulation via the intrinsic pathway of
homeostasis, as well as stimulating fibrinolysis.
Option D: Liver disease can cause multiple bleeding abnormalities resulting in chronic,
subclinical DIC; however, sepsis is the most common cause.
A pneumonectomy is a surgical procedure sometimes indicated for the treatment of non-small-
cell lung cancer. A pneumonectomy involves removal of:
a) One lobe of a lung
b) An entire lung field
c) One or more segments of a lung lobe
d) A small, wedge-shaped lung surface
b) An entire lung field
- Correct Answer: B. An entire lung field
Option B: A pneumonectomy is the removal of an entire lung field indicated for the treatment of
non-small cell lung cancer that has not spread outside of the lung tissue. It is performed on
patients who will have adequate lung function in the unaffected lung.
2
, Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
Option D: A wedge resection refers to the removal of a wedge-shaped section of lung tissue. It
may be used to remove a tumor and a small amount of normal tissue around it/
Option A: A lobectomy is the removal of one lobe.
Option C: Removal of one or more segments of a lung lobe is called a partial lobectomy.
A 36-year-old man with lymphoma presents with signs of impending septic shock 9 days after
chemotherapy. The nurse would expect which of the following to be present?
a) low-grade fever, chills, tachycardia
b) Elevated temperature, oliguria, hypotension
c) Flushing, decreased oxygen saturation, mild hypotension
d) High-grade fever, normal blood pressure, increased respirations
a) low-grade fever, chills, tachycardia
- Correct Answer: A. Low-grade fever, chills, tachycardia
Option A: Nine days after chemotherapy, one would expect the client to be
immunocompromised. The clinical signs of shock reflect changes in cardiac function, vascular
resistance, cellular metabolism, and capillary permeability. Low-grade fever, tachycardia, and
flushing may be early signs of shock.
Option B: Oliguria and hypotension are late signs of shock. Urine output can be initially normal
or increased.
Options C and D: The client with impending signs of septic shock may not have decreased
oxygen saturation levels and normal blood pressure.
Which of the following represents the most appropriate nursing intervention for a client with
pruritus caused by cancer or the treatments?
3
, Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
a) Silk sheets
b) Steroids
c) Medicated cool baths
d) Administration of antihistamines
c) Medicated cool baths
- Correct Answer: C. Medicated cool baths
Option C: Nursing interventions to decrease the discomfort of pruritus include those that prevent
vasodilation, decrease anxiety, and maintain skin integrity and hydration. Medicated baths with
salicylic acid or colloidal oatmeal can be soothing as a temporary relief.
Option A: Using silk sheets is not a practical intervention for the hospitalized client with pruritus.
Options B and D: The use of antihistamines or topical steroids depends on the cause of pruritus,
and these agents should be used with caution.
A 56-year-old woman is currently receiving radiation therapy to the chest wall for recurrent
breast cancer. She calls her health care provider to report that she has pain while swallowing and
burning and tightness in her chest. Which of the following complications of radiation therapy is
A. Radiation enteritis likely responsible for her symptoms?
a) Radiation enteritis
b) Stomatitis
c) Esophagitis
d) Hiatal hernia
4
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
A 32-year-old woman meets with the nurse on her first official visit since undergoing a left
mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is
not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really
anxious to get back to work. Which of the following nursing interventions should the nurse
explore to support the client's current needs?
a) Ask open-ended questions about sexuality issues related to her mastectomy
b) Suggest that the client learn relaxation techniques to help with her insomnia
c) Call the physician to discuss allowing the client to return to work earlier
d) Perform a nutritional assessment to assess for anorexia
a) Ask open-ended questions about sexuality issues related to her mastectomy
- Correct Answer: A. Ask open-ended questions about sexuality issues related to her mastectomy
Option A: The content of the client's comments suggests that she is avoiding intimacy with her
husband by waiting until he is asleep before going to bed. Addressing sexuality issues is
appropriate for a client who has undergone a mastectomy.
Option B: Suggesting that she learn relaxation techniques to help her with her insomnia is
appropriate; however, the nurse must first address the psychosocial and sexual issues that are
contributing to her sleeping difficulties.
Option C: Rushing her return to work may debilitate her and add to her exhaustion.
Option D: A nutritional assessment may be useful, but there is no indication that she has
anorexia.
1
, Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
One of the most serious blood coagulation complications for individuals with cancer and for
those undergoing cancer treatments is disseminated intravascular coagulation (DIC). The most
common cause of this bleeding disorder is:
a) Brain metastasis
b) Sepsis
c) Intravenous heparin therapy
d) underlying liver disease
b) Sepsis
- Correct Answer: B. Sepsis
Option B: Bacterial endotoxins released from gram-negative bacteria activate the Hageman
factor or coagulation factor XII. This factor inhibits coagulation via the intrinsic pathway of
homeostasis, as well as stimulating fibrinolysis.
Option D: Liver disease can cause multiple bleeding abnormalities resulting in chronic,
subclinical DIC; however, sepsis is the most common cause.
A pneumonectomy is a surgical procedure sometimes indicated for the treatment of non-small-
cell lung cancer. A pneumonectomy involves removal of:
a) One lobe of a lung
b) An entire lung field
c) One or more segments of a lung lobe
d) A small, wedge-shaped lung surface
b) An entire lung field
- Correct Answer: B. An entire lung field
Option B: A pneumonectomy is the removal of an entire lung field indicated for the treatment of
non-small cell lung cancer that has not spread outside of the lung tissue. It is performed on
patients who will have adequate lung function in the unaffected lung.
2
, Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
Option D: A wedge resection refers to the removal of a wedge-shaped section of lung tissue. It
may be used to remove a tumor and a small amount of normal tissue around it/
Option A: A lobectomy is the removal of one lobe.
Option C: Removal of one or more segments of a lung lobe is called a partial lobectomy.
A 36-year-old man with lymphoma presents with signs of impending septic shock 9 days after
chemotherapy. The nurse would expect which of the following to be present?
a) low-grade fever, chills, tachycardia
b) Elevated temperature, oliguria, hypotension
c) Flushing, decreased oxygen saturation, mild hypotension
d) High-grade fever, normal blood pressure, increased respirations
a) low-grade fever, chills, tachycardia
- Correct Answer: A. Low-grade fever, chills, tachycardia
Option A: Nine days after chemotherapy, one would expect the client to be
immunocompromised. The clinical signs of shock reflect changes in cardiac function, vascular
resistance, cellular metabolism, and capillary permeability. Low-grade fever, tachycardia, and
flushing may be early signs of shock.
Option B: Oliguria and hypotension are late signs of shock. Urine output can be initially normal
or increased.
Options C and D: The client with impending signs of septic shock may not have decreased
oxygen saturation levels and normal blood pressure.
Which of the following represents the most appropriate nursing intervention for a client with
pruritus caused by cancer or the treatments?
3
, Cancer and Oncology NCLEX Nursing Exam V1
2026/2027 – Correct Verified Answers | Aligned with
Oncology Nursing Society Standards with Rationales |
OCN Certification Preparation (Graded A)
a) Silk sheets
b) Steroids
c) Medicated cool baths
d) Administration of antihistamines
c) Medicated cool baths
- Correct Answer: C. Medicated cool baths
Option C: Nursing interventions to decrease the discomfort of pruritus include those that prevent
vasodilation, decrease anxiety, and maintain skin integrity and hydration. Medicated baths with
salicylic acid or colloidal oatmeal can be soothing as a temporary relief.
Option A: Using silk sheets is not a practical intervention for the hospitalized client with pruritus.
Options B and D: The use of antihistamines or topical steroids depends on the cause of pruritus,
and these agents should be used with caution.
A 56-year-old woman is currently receiving radiation therapy to the chest wall for recurrent
breast cancer. She calls her health care provider to report that she has pain while swallowing and
burning and tightness in her chest. Which of the following complications of radiation therapy is
A. Radiation enteritis likely responsible for her symptoms?
a) Radiation enteritis
b) Stomatitis
c) Esophagitis
d) Hiatal hernia
4
