OCN CORRECT TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔The nursing assessment for a patient who received bortezomib should prioritize
which of the following?
a. asking the patient basic orientation questions
b. asking the patient to demonstrate picking up a coin
c. documenting the patient's fluid intake for the past 24 hours
d. auscultating the patient's lung sounds - ✔✔b. asking the patient to demonstrate
picking up a coin
Peripheral neuropathy, both early and late onset, is a common side effect of
bortezomib.
✔✔A patient with metastatic breast cancer reports the intermittent periods of severe
pain despite the use of opioid analgesics. In order to further evaluate the patient's pain,
the nurse should first recommend:
a. doubling the current dose of the analgesic
b. obtaining observations from caregivers
c. keeping a pain management diary
d. incorporating integrative modalities - ✔✔c. keeping a pain management diary
A pain management diary is a useful tool in assisting a patient to evaluate the
effectiveness of the pain management plan.
✔✔Adjuvant therapy for colorectal cancer is administrered:
a. before primary therapy to shrink a tumor that is inoperable in its current state
b. to locally treat cancer with minimal harm to normal cells
c. after primary therapy to increase the chance of long-term, disease-free survival
d. at any time during therapy to cure the patient and kill cancer cells - ✔✔c. after
primary therapy to increase the chance of long-term disease-free survival
The goal of adjuvant therapy is to target minimal, residual disease after definitive
treatment for patients at high risk for recurrence.
,✔✔A patient with end-stage pancreatic cancer reports an inability to concentrate and
sleep, mood swings, and a sense of helplessness. The nurse best responds by:
a. facilitating a referral to palliative care for additional support
b. offering to take care of the patient's pets following the patient's death
c. requesting an assignment change to avoid feeling overburdened
d. asking the physician to initiate a nightly melatonin supplement - ✔✔a. facilitating a
referral to palliative care for additional support
The nurse can offer palliative care services to provide emotional support, interventions
and guidance as related to the patient's distress and depression.
✔✔A patient with lung cancer will be discharged home after receiving etoposide and
cisplatin. Discharge instructions should include what information?
a. hiccups that develop should be reported immediately to the physician
b. a fever should be reported immediately to the physician
c. ringing in the ears is a side effect of etoposide and will improve in a few days
d. observe urine carefully for the next two days for blood and immediately report its
presence. - ✔✔b. a fever should be reported immediately to the physician
Patient teaching after receiving chemotherapy includes follow-up care and symptom
management. The risks and symptoms of infection are most important.
✔✔A patient with breast cancer who received cyclophosphamide five years ago reports
a new onset of bruising and fatigue. The nurse suspects the development of:
a. cardiomyopathy
b. leukoencephalopathy
c. liver failure
d. a subsequent leukemia - ✔✔d. a subsequent leukemia
The risk of a patient developing a subsequent leukemia increases with the use of
alkylating agents.
✔✔Which side effect is reported as the most distressing to patients receiving
chemotherapy, radiation, or biotherapy?
a. nausea
b. fatigue
c. alopecia
d. fever - ✔✔b. fatigue
Fatigue is reported as the most distressing symptom associated with cancer and it's
treatment.
✔✔A patient receiving chemotherapy reports fatigue. Which of the following responses
provides the best strategy for this patient to conserve energy?
a. "try to quickly perform all of your errands"
b. "keep frequently used items near you"
c. "ask for help from friends or family sparingly"
d. "refrain from using electric scooters in stores" - ✔✔b. "keep frequently used items
near you"
, Fatigued individuals should try to conserve energy by keeping frequently used items
close to them for ease of accessibility.
✔✔A patient's sister has tested positive for a BRCA mutation, but the patient has a
negative result. The patient begins to cry and says, "I was always the bad child". What
is the patient most likely experiencing?
a. survivor guilt
b. transmitter guilt
c. sibling rivalry
d. reactive depression - ✔✔a. survivor guilt
Survivor guilt occurs when a person tests negative and feel guilty as to why they were
fortunate enough to test negative when a relative tested positive.
✔✔Oligodendroglial tumors originate from cells that maintain the function of the:
a. synovial fluid
b. myelin sheath
c. lymph
d. plasma - ✔✔b. myelin sheath
Oligodendrocytes are cells that develop and maintain the myelin sheath
✔✔Radiation-induced diarrhea is treated with which of the following medications?
a. neomycin
b. loperamide
c. cholestyramine
d. glutamine - ✔✔b. loperamide
The use of loperamide continues to be the recommended standard of practice for
patients with radiation-induced diarrhea.
✔✔Which of the following is an advantage of an implanted vascular access device over
a tunneled central venous catheter?
a. unlimited ability to access the device
b. decreased risk of infection
c. short-term use
d. low cost of insertion - ✔✔b. decreased risk of infection
Implanted vascular access devices have a lower risk of infection than tunneled central
venous catheters.
✔✔A patient with a neuroendocrine tumor reports flushing, wheezing, and abdominal
cramping most mornings after eating. Which food is most likely to trigger these
symptoms?
a. bananas
b. strawberries
c. muffins
d. eggs - ✔✔a. bananas
ANSWERS SET A+
✔✔The nursing assessment for a patient who received bortezomib should prioritize
which of the following?
a. asking the patient basic orientation questions
b. asking the patient to demonstrate picking up a coin
c. documenting the patient's fluid intake for the past 24 hours
d. auscultating the patient's lung sounds - ✔✔b. asking the patient to demonstrate
picking up a coin
Peripheral neuropathy, both early and late onset, is a common side effect of
bortezomib.
✔✔A patient with metastatic breast cancer reports the intermittent periods of severe
pain despite the use of opioid analgesics. In order to further evaluate the patient's pain,
the nurse should first recommend:
a. doubling the current dose of the analgesic
b. obtaining observations from caregivers
c. keeping a pain management diary
d. incorporating integrative modalities - ✔✔c. keeping a pain management diary
A pain management diary is a useful tool in assisting a patient to evaluate the
effectiveness of the pain management plan.
✔✔Adjuvant therapy for colorectal cancer is administrered:
a. before primary therapy to shrink a tumor that is inoperable in its current state
b. to locally treat cancer with minimal harm to normal cells
c. after primary therapy to increase the chance of long-term, disease-free survival
d. at any time during therapy to cure the patient and kill cancer cells - ✔✔c. after
primary therapy to increase the chance of long-term disease-free survival
The goal of adjuvant therapy is to target minimal, residual disease after definitive
treatment for patients at high risk for recurrence.
,✔✔A patient with end-stage pancreatic cancer reports an inability to concentrate and
sleep, mood swings, and a sense of helplessness. The nurse best responds by:
a. facilitating a referral to palliative care for additional support
b. offering to take care of the patient's pets following the patient's death
c. requesting an assignment change to avoid feeling overburdened
d. asking the physician to initiate a nightly melatonin supplement - ✔✔a. facilitating a
referral to palliative care for additional support
The nurse can offer palliative care services to provide emotional support, interventions
and guidance as related to the patient's distress and depression.
✔✔A patient with lung cancer will be discharged home after receiving etoposide and
cisplatin. Discharge instructions should include what information?
a. hiccups that develop should be reported immediately to the physician
b. a fever should be reported immediately to the physician
c. ringing in the ears is a side effect of etoposide and will improve in a few days
d. observe urine carefully for the next two days for blood and immediately report its
presence. - ✔✔b. a fever should be reported immediately to the physician
Patient teaching after receiving chemotherapy includes follow-up care and symptom
management. The risks and symptoms of infection are most important.
✔✔A patient with breast cancer who received cyclophosphamide five years ago reports
a new onset of bruising and fatigue. The nurse suspects the development of:
a. cardiomyopathy
b. leukoencephalopathy
c. liver failure
d. a subsequent leukemia - ✔✔d. a subsequent leukemia
The risk of a patient developing a subsequent leukemia increases with the use of
alkylating agents.
✔✔Which side effect is reported as the most distressing to patients receiving
chemotherapy, radiation, or biotherapy?
a. nausea
b. fatigue
c. alopecia
d. fever - ✔✔b. fatigue
Fatigue is reported as the most distressing symptom associated with cancer and it's
treatment.
✔✔A patient receiving chemotherapy reports fatigue. Which of the following responses
provides the best strategy for this patient to conserve energy?
a. "try to quickly perform all of your errands"
b. "keep frequently used items near you"
c. "ask for help from friends or family sparingly"
d. "refrain from using electric scooters in stores" - ✔✔b. "keep frequently used items
near you"
, Fatigued individuals should try to conserve energy by keeping frequently used items
close to them for ease of accessibility.
✔✔A patient's sister has tested positive for a BRCA mutation, but the patient has a
negative result. The patient begins to cry and says, "I was always the bad child". What
is the patient most likely experiencing?
a. survivor guilt
b. transmitter guilt
c. sibling rivalry
d. reactive depression - ✔✔a. survivor guilt
Survivor guilt occurs when a person tests negative and feel guilty as to why they were
fortunate enough to test negative when a relative tested positive.
✔✔Oligodendroglial tumors originate from cells that maintain the function of the:
a. synovial fluid
b. myelin sheath
c. lymph
d. plasma - ✔✔b. myelin sheath
Oligodendrocytes are cells that develop and maintain the myelin sheath
✔✔Radiation-induced diarrhea is treated with which of the following medications?
a. neomycin
b. loperamide
c. cholestyramine
d. glutamine - ✔✔b. loperamide
The use of loperamide continues to be the recommended standard of practice for
patients with radiation-induced diarrhea.
✔✔Which of the following is an advantage of an implanted vascular access device over
a tunneled central venous catheter?
a. unlimited ability to access the device
b. decreased risk of infection
c. short-term use
d. low cost of insertion - ✔✔b. decreased risk of infection
Implanted vascular access devices have a lower risk of infection than tunneled central
venous catheters.
✔✔A patient with a neuroendocrine tumor reports flushing, wheezing, and abdominal
cramping most mornings after eating. Which food is most likely to trigger these
symptoms?
a. bananas
b. strawberries
c. muffins
d. eggs - ✔✔a. bananas
