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OCN Practice Test A 2026 – Oncology Nursing Certification Questions & Answers

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Get ready for the OCN exam with Practice Test A (2026). Features 100% verified questions on chemotherapy, radiation, symptom management, oncologic emergencies, and nursing interventions.

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January 22, 2026
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2025/2026
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OCN PRACTICE TEST A QUESTIONS
AND VERIFIED ANSWERS (LATEST
2026) 100% CORRECT



1. A patient who reports nausea four days after receiving
chemotherapy is experiencing which type of chemotherapy-
induced nausea?
Breakthrough
Acute
Delayed
Refractory - correct answer- Delayed chemotherapy-induced
nausea and vomiting starts at least 24 hours after treatment and
may last up to 5 days.


2. A patient newly diagnosed with Hodgkin lymphoma is
determined to have an unfavorable prognosis through which of
the following clinical findings?
Hemoglobin 11 g/dL
Absolute lymphocyte count 400/mm3
Presence of A symptoms

,Involvement of two lymph nodes - correct answer- An
absolute lymphocyte count of less than 600/mm3 is an
unfavorable prognostic finding for a patient with advanced
Hodgkin lymphoma.


3. Which of the following patients with cancer is most likely to
experience sexual dysfunction?
A patient and partner who schedule time for sexual activity
A female patient with hypotension
A young patient who is newly married
A patient with a history of marital discord - correct answer-
Patients who have marital issues in their relationships before a
diagnosis of cancer will be a greater risk for sexual difficulties.


4. Which of the following is an advantage of an implanted
vascular access device over a tunneled central venous catheter?
Unlimited ability to access
Low cost of insertion
Decreased risk of infection
Short-term use - correct answer- Implanted ports have a
lower risk of infection than tunneled central venous catheters.

, 5. Administration of filgrastim maintains the dose intensity of a
treatment regimen by reducing the:
risk of cardiotoxicity.
need for leucovorin rescue.
occurrence of febrile neutropenia.
occurrence of nausea and vomiting - correct answer-
Filgrastim is used to reduce the risk of febrile neutropenia.


6. A patient with a permanent colostomy expresses concern
about engaging in sexual intercourse. The nurse first
recommends:
eating immediately before engaging in sexual intercourse.
replacing the ostomy appliance just before engaging in sexual
intercourse.
tracking bowel habits to best schedule sexual intercourse.
having further discussions with a therapist prior to having sexual
intercourse. - correct answer- By being aware of their bowel
habits, a patient will be able to better plan sexual activities
around expected bowel movements.


7. Which of the following has been attributed to foreign-born
women with breast cancer having a lower survival rate than
women with breast cancer who were born in the United States?

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