OCN STUDYS LATEST QUESTIONS AND ANSWERS
SET A+
✔✔A patient wiht a permanent colostomy expresses concern about engaging in sexual
intercourse. The nurse first recommends:
a. tracking bowel habits to best schedule sexual intercourse
b. replacing the ostomy appliance just before engaging in sexual intercourse
c. eating immediately before engaging in sexual intercourse
d. having further discussions with a therapist prior to having sexual intercourse - ✔✔a.
tracking bowel habits to best schedule intercourse
By being aware of their bowel habits, a patient will be able to better plan sexual
activities around expected bowel movements.
✔✔A patient with leukemia demonstrates an adequate understanding of the teaching
provided regarding chemotherapy and myelosuppression by stating: "myelosuppression
is:
a. when laboratory values show an elevation in the white blood cell count
b. unintentional prior to a bone marrow transplant
c. the overreaction of the body's immune system to a medication
d. a potential and probable side effect of my cancer treatments - ✔✔d. a potential and
probable side effect of my cancer treatments
Chemotherapy will decrease the response by the immune system by causing
neutropenia, anemia, and thrombocytopenia, collectively known as myelosuppression.
✔✔The use of oral contraceptives for more than five years may provide protection from
developing which of the following cancers?
a. thyroid
b. cervical
c. ovarian
d. breast - ✔✔c. ovarian
Oral contraceptives have demonstrated risk reduction of ovarian cancer.
,✔✔Which of the following is observed in at least half of all patients who are receiving
cetuximab?
a. dermatologic toxicity
b. tumor lysis syndrome
c. infusion reaction
d. venous thromboembolism - ✔✔a. dermatologic toxicity
Dermatologic toxicities are the common side effect of epidermal growth factor inhibiting
medications.
✔✔Risk factors for a patient to develop lymphedema following surgery for breast cancer
include:
a. adjuvant hormonal therapy
b. an axillary node dissection
c. a low body mass index
d. immediate reconstruction - ✔✔b. an axillary node dissection
Factors that increase the risk of lymphedema in addition to axillary surgery are
radiation, high-risk breast cancers large tumors with positive nodes and lympho-
vascular invasion, and obesity.
✔✔A 78-year-old patient with prostate cancer and cardiovascular disease is taking
naproxen twice a day and a daily dose of aspirin. The nurse instructs the patient to:
a. take the medications on an empty stomach
b. expect and increase in swelling of the extremities during the evening
c. speak with the physician about adding a cytoprotectant
d. space the medications at least one hour apart - ✔✔c. 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.
✔✔Which of the following chemotherapy orders should the nurse question:
a. intramuscular asparaginase
b. intrathecal vincristine
c. intraperitoneal cisplatin
d. subcutaneous bortezomib - ✔✔b. intrathecal vincristine
Vincristine is fatal if administered intrathecally.
✔✔A 64-year-old Black patient with prostate cancer asks if there is any advice he
should give to his adult sons regarding prostate screening. The nurse's best response is
to recommend shared-decision making for:
a. prostatic acid phosphatase testing beginning at age 45 years
b. prostate-specific antigen testing beginning at age 45 years
c. a transrectal ultrasound beginning at age 45 years
d. an ultrasound-guided biopsy of the prostate beginning at age 45 years - ✔✔b.
prostate-specific antigen testing beginning at age 45 years
, The American Cancer Society recommends a shared-decision making conversation
about prostate-specific antigen testing and digital rectal examination beginning at age
45 years for men with a high risk of developing prostate cancer.
✔✔Which of the following patients would benefit most from the use of an erythropoiesis-
stimulating agent?
a. a patient at the end of life who is reporting increased visceral pain
b. a patient with new melanoma and a platelet count of 132,000/mm3
c. a patient presenting with severe fatigue and a hemoglobin of 7.5 g/dL
d. a patient with a new fever and a white blood cell count of 4,000/mm3 - ✔✔c. a patient
presenting with severe fatigue and a hemoglobin of 7.5 g/dL
The use of erythropoiesis-stimulating agents to correct anemia with hemoglobin levels
less than 10 g/dL may aid in decreasing fatigue.
✔✔A patient with breast cancer is scheduled for a left-sided mastectomy. The physician
orders baseline measurements of limb volume on the left side before surgery to assess
for which complication?
a. shortened limb
b. range of motion restrictions
c. fatty deposits
d. lymphedema - ✔✔d. lymphedema
Baseline limb volume measurements are a reliable, valid and cost effective method to
monitor for the development of lymphedema.
✔✔A patient with an unresectable T2 N2 M1 adenocarcinoma of the colon is receiving
fluorouracil and leucovorin. What is the goal of this treatment regimen?
a. promote radiosensitivity
b. control cancer cell growth
c. promote cellular transformation
d. increase cellular contact inhibition - ✔✔b. control cancer cell growth
A colon cancer with staging T2 N2 M1 is a stage IV cancer, which is metastatic cancer.
Chemotherapy in this setting is given to control cancer cell growth.
✔✔Alkylating agents exert their effects by:
a. causing the release of toxic free radicals inside the cell, triggering cell apoptosis
b. attaching to CD52 on the surface of B and T cells, resulting in antibody-dependent
lysis
c. disrupting folate-dependent metabolic processes essential for cell replication
d. binding to DNA strands, preventing DNA replication and cell division - ✔✔d. binding
to DNA strands, preventing DNA replication and cell division
Alkylating agents break the DNA helix strand and interfere with DNA replication.
✔✔An allogenic stem cell transplant is used to treat which of the following conditions?
a. Waldenstrom macroglobulinemia
b. acute lymphoblastic leukemia
SET A+
✔✔A patient wiht a permanent colostomy expresses concern about engaging in sexual
intercourse. The nurse first recommends:
a. tracking bowel habits to best schedule sexual intercourse
b. replacing the ostomy appliance just before engaging in sexual intercourse
c. eating immediately before engaging in sexual intercourse
d. having further discussions with a therapist prior to having sexual intercourse - ✔✔a.
tracking bowel habits to best schedule intercourse
By being aware of their bowel habits, a patient will be able to better plan sexual
activities around expected bowel movements.
✔✔A patient with leukemia demonstrates an adequate understanding of the teaching
provided regarding chemotherapy and myelosuppression by stating: "myelosuppression
is:
a. when laboratory values show an elevation in the white blood cell count
b. unintentional prior to a bone marrow transplant
c. the overreaction of the body's immune system to a medication
d. a potential and probable side effect of my cancer treatments - ✔✔d. a potential and
probable side effect of my cancer treatments
Chemotherapy will decrease the response by the immune system by causing
neutropenia, anemia, and thrombocytopenia, collectively known as myelosuppression.
✔✔The use of oral contraceptives for more than five years may provide protection from
developing which of the following cancers?
a. thyroid
b. cervical
c. ovarian
d. breast - ✔✔c. ovarian
Oral contraceptives have demonstrated risk reduction of ovarian cancer.
,✔✔Which of the following is observed in at least half of all patients who are receiving
cetuximab?
a. dermatologic toxicity
b. tumor lysis syndrome
c. infusion reaction
d. venous thromboembolism - ✔✔a. dermatologic toxicity
Dermatologic toxicities are the common side effect of epidermal growth factor inhibiting
medications.
✔✔Risk factors for a patient to develop lymphedema following surgery for breast cancer
include:
a. adjuvant hormonal therapy
b. an axillary node dissection
c. a low body mass index
d. immediate reconstruction - ✔✔b. an axillary node dissection
Factors that increase the risk of lymphedema in addition to axillary surgery are
radiation, high-risk breast cancers large tumors with positive nodes and lympho-
vascular invasion, and obesity.
✔✔A 78-year-old patient with prostate cancer and cardiovascular disease is taking
naproxen twice a day and a daily dose of aspirin. The nurse instructs the patient to:
a. take the medications on an empty stomach
b. expect and increase in swelling of the extremities during the evening
c. speak with the physician about adding a cytoprotectant
d. space the medications at least one hour apart - ✔✔c. 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.
✔✔Which of the following chemotherapy orders should the nurse question:
a. intramuscular asparaginase
b. intrathecal vincristine
c. intraperitoneal cisplatin
d. subcutaneous bortezomib - ✔✔b. intrathecal vincristine
Vincristine is fatal if administered intrathecally.
✔✔A 64-year-old Black patient with prostate cancer asks if there is any advice he
should give to his adult sons regarding prostate screening. The nurse's best response is
to recommend shared-decision making for:
a. prostatic acid phosphatase testing beginning at age 45 years
b. prostate-specific antigen testing beginning at age 45 years
c. a transrectal ultrasound beginning at age 45 years
d. an ultrasound-guided biopsy of the prostate beginning at age 45 years - ✔✔b.
prostate-specific antigen testing beginning at age 45 years
, The American Cancer Society recommends a shared-decision making conversation
about prostate-specific antigen testing and digital rectal examination beginning at age
45 years for men with a high risk of developing prostate cancer.
✔✔Which of the following patients would benefit most from the use of an erythropoiesis-
stimulating agent?
a. a patient at the end of life who is reporting increased visceral pain
b. a patient with new melanoma and a platelet count of 132,000/mm3
c. a patient presenting with severe fatigue and a hemoglobin of 7.5 g/dL
d. a patient with a new fever and a white blood cell count of 4,000/mm3 - ✔✔c. a patient
presenting with severe fatigue and a hemoglobin of 7.5 g/dL
The use of erythropoiesis-stimulating agents to correct anemia with hemoglobin levels
less than 10 g/dL may aid in decreasing fatigue.
✔✔A patient with breast cancer is scheduled for a left-sided mastectomy. The physician
orders baseline measurements of limb volume on the left side before surgery to assess
for which complication?
a. shortened limb
b. range of motion restrictions
c. fatty deposits
d. lymphedema - ✔✔d. lymphedema
Baseline limb volume measurements are a reliable, valid and cost effective method to
monitor for the development of lymphedema.
✔✔A patient with an unresectable T2 N2 M1 adenocarcinoma of the colon is receiving
fluorouracil and leucovorin. What is the goal of this treatment regimen?
a. promote radiosensitivity
b. control cancer cell growth
c. promote cellular transformation
d. increase cellular contact inhibition - ✔✔b. control cancer cell growth
A colon cancer with staging T2 N2 M1 is a stage IV cancer, which is metastatic cancer.
Chemotherapy in this setting is given to control cancer cell growth.
✔✔Alkylating agents exert their effects by:
a. causing the release of toxic free radicals inside the cell, triggering cell apoptosis
b. attaching to CD52 on the surface of B and T cells, resulting in antibody-dependent
lysis
c. disrupting folate-dependent metabolic processes essential for cell replication
d. binding to DNA strands, preventing DNA replication and cell division - ✔✔d. binding
to DNA strands, preventing DNA replication and cell division
Alkylating agents break the DNA helix strand and interfere with DNA replication.
✔✔An allogenic stem cell transplant is used to treat which of the following conditions?
a. Waldenstrom macroglobulinemia
b. acute lymphoblastic leukemia
