ONS Practice Test Questions and Answers
1. Which of the following is a primary preventative method to
prevent the development of cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels: C
2. A premenopausal patient with metastatic breast cancer is
receiving letrozole. Which other medication is also expected to be
prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen: c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone agonist therapy, such
as goserelin, is recommended in the adjuvant, recurrent, or metastatic settings for women with
breast cancer who are pre-menopausal.
3. A patient with an insulinoma would be most likely to experience
which of the following signs and symptoms?
,a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
d. hypoglycemia, confusion, vision changes: d. hypoglycemia, confusion, vision
changes
4. 4. A patient with esophageal cancer reports cramping and
diarrhea after eating meals. What should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals: d. eating small, freqeunt meals aka prevent dumping
syndrome
5. 5. What is the absolute neutrophil count for a patient who has a
white blood cell count of 500/mm3 with 32% polysegmented
neutrophils and 7% bands?
a. 100/mm3
b. 125/mm3
c. 195/mm3
d. 223/mm3: c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented neutrophils and bands,
converting to a percentage, and multiplying by the white blood cell count (0.32 +0.07 = 0.39) x 500 =
, 195/mm3.
6. 6. A patient with cancer receiving palliative services reports
poor sleep, fatigue, and frequently feeling worried. Which
medication should the nurse expect to be prescribed for the
patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate: c. citalopram
The symptoms described are consistent with generalized anxiety. Selective serotonin reuptake inhibitors,
such as citalopram, are considered first-line for the management of generalized anxiety disorder.
7. 7. The nurse is assessing a patient with an ileostomy. The
peristomal skin is erythematous, excoriated, and bleeding. Which of
the following complications should the nurse first suspect?
a. stenosis requiring revision
b. improper pouch fit
c. increased output over baseline
d. allergy to device: b. improper pouch fit
8. 8. Which of these factors is most likely to result in a higher
incidence of acute graft-versus- host disease?
1. Which of the following is a primary preventative method to
prevent the development of cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels: C
2. A premenopausal patient with metastatic breast cancer is
receiving letrozole. Which other medication is also expected to be
prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen: c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone agonist therapy, such
as goserelin, is recommended in the adjuvant, recurrent, or metastatic settings for women with
breast cancer who are pre-menopausal.
3. A patient with an insulinoma would be most likely to experience
which of the following signs and symptoms?
,a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
d. hypoglycemia, confusion, vision changes: d. hypoglycemia, confusion, vision
changes
4. 4. A patient with esophageal cancer reports cramping and
diarrhea after eating meals. What should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals: d. eating small, freqeunt meals aka prevent dumping
syndrome
5. 5. What is the absolute neutrophil count for a patient who has a
white blood cell count of 500/mm3 with 32% polysegmented
neutrophils and 7% bands?
a. 100/mm3
b. 125/mm3
c. 195/mm3
d. 223/mm3: c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented neutrophils and bands,
converting to a percentage, and multiplying by the white blood cell count (0.32 +0.07 = 0.39) x 500 =
, 195/mm3.
6. 6. A patient with cancer receiving palliative services reports
poor sleep, fatigue, and frequently feeling worried. Which
medication should the nurse expect to be prescribed for the
patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate: c. citalopram
The symptoms described are consistent with generalized anxiety. Selective serotonin reuptake inhibitors,
such as citalopram, are considered first-line for the management of generalized anxiety disorder.
7. 7. The nurse is assessing a patient with an ileostomy. The
peristomal skin is erythematous, excoriated, and bleeding. Which of
the following complications should the nurse first suspect?
a. stenosis requiring revision
b. improper pouch fit
c. increased output over baseline
d. allergy to device: b. improper pouch fit
8. 8. Which of these factors is most likely to result in a higher
incidence of acute graft-versus- host disease?
