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OCN Practice Test Questions – Verified Answers for Oncology Nursing Certification

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Prepare for the OCN exam with this Grade A practice test. Covers chemotherapy side effects, oncologic emergencies, symptom management, and nursing interventions with 100% correct answers.

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Uploaded on
January 22, 2026
Number of pages
18
Written in
2025/2026
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OCN PRACTICE TEST QUESTIONS AND
VERIFIED ANSWERS; 100% CORRECT; GRADE A




A 24-year-old patient who received carmustine as a child reports
a persistent cough and shortness of breath. The nurse
understands that the patient is at an increased risk for
developing pulmonary:


fibrosis.
embolism.
aspergillosis.
empyema. - correct answer- Nitrosoureas can cause
pulmonary fibrosis.


A 70-year-old patient reports weight loss, abdominal pain and
diarrhea that often interrupts sleep. The patient reports a
brother has recently been diagnosed with prostate cancer. The
nurse suspects:


systemic inflammatory response syndrome.
carcinoid syndrome.

,irritable bowel syndrome.
syndrome of inappropriate antidiuretic hormone. - correct
answer- carcinoid syndrome.


A 78-year-old patient with prostate cancer and cardiovascular
disease is taking naproxen twice a day and a daily dose of
acetylsalicylic acid. The nurse instructs the patient to:


expect an increase in swelling of the extremities during the
evening.
speak with the physician about adding a cytoprotectant.
space the medications at least one hour apart.
take the medications on an empty stomach. - correct answer-
speak with the physician about adding a cytoprotectant.
Patients receiving cyclooxygenase-1 inhibitors who are high risk
based on existing cardiac disease should consider the addition of
a cytoprotectant.


A dexrazoxane infusion shows efficacy for treating the
extravasation of:


an anthracycline.

, an alkylating agent.
a nitrosourea.
a plant alkaloid. - correct answer- anthracycline


A patient demonstrates an adequate understanding of the
teaching provided regarding chemotherapy and
myelosuppression by stating:


A. "Myelosuppression is:
the overreaction of the body's immune system to a medication."
B. unintentional prior to a bone marrow transplant."
C. a potential side effect of many cancer treatments."
D. when laboratory values show an elevation in the white blood
cell count." - correct answer-


A patient has an implanted intrathecal pump for pain
management. Which of the following actions best exemplifies a
safe practice?


Tracing the tubing from the patient to the pump
Arranging for the patient to have the pump refilled every 8
months

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