OCN CORRECT FINALS QUESTIONS AND ANSWERS
SET A+
✔✔The first step in using evidence-based practice in the oncology clinical setting is to:
A. use a medical practice model to define the problem.
B. define a patient outcome prior to conducting a literature search.
C. incorporate changes into the plan of care to evaluate the outcome.
D. assess the patient's needs to define the problem. - ✔✔D. assess the patient's needs
to define the problem
Translating evidence into practice requires assessing patient needs, identifying
appropriate resources, and selecting interventions. Practices based upon strong
evidence are used to enhance and support quality patient care.
✔✔A survivor of breast cancer tearfully states, "I knew lymphedema could happen, but I
never thought it would happen to me." The nurse's priority intervention is to:
A. allow the patient to express her feelings.
B. assure the patient that the lymphedema will resolve quickly.
C. take a recent history to identify the cause of the lymphedema.
D. teach the patient ways to reduce the risk of recurrence of the lymphedema. - ✔✔A.
allow the patient to express her feelings
Because the impact of disease upon body image is closely bound to psychological
symptoms and the physical effects of the illness and its treatment, nurses must be able
to address body image dysfunction with timely interventions. An appropriate intervention
is to acknowledge the patient's loss and encourage her expression.
✔✔A patient receiving interleukin-2 has persistent fever and chills and an absolute
neutrophil count of 1500/mm 3. The nurse knows that these symptoms represent:
A. tumor lysis syndrome.
, B. a viral infection.
C. a drug-induced reaction.
D. septic shock. - ✔✔C. a drug-induced reaction
Interleukin-2's effectiveness is based on stimulation of the host's own cytotoxic,
immunological response. The most common side effect occurring with all methods of
interleukin-2 administration is flu-like symptoms.
✔✔A patient newly diagnosed with prostate cancer states, "I have quit going to all my
community activities since my diagnosis." The nurse's best initial response is:
A. "It is a good idea to concentrate on your disease."
B. "Your friends could hinder your coping with your diagnosis."
C. "When you complete your treatments, you can return to your activities."
D. "Tell me which activities you enjoyed before beginning treatments." - ✔✔D. "Tell me
which activities you enjoyed before beginning treatments"
Successful adjustment to living with cancer is characterized by the ability to minimize
disruptions to established social roles, regulate the experience of emotional distress,
and maintain active engagement in meaningful life activities. Interventions aimed at
promoting a successful adjustment include the opportunity to safely discuss thoughts
and feelings with an attentive, empathetic, and professional listener.
✔✔A patient is to begin temozolomide. The nurse instructs the patient that:
A. nausea and vomiting are uncommon side effects.
B. weekly monitoring of urine for protein is necessary.
C. diarrhea is a common side effect.
D. neutropenia occurs 22 to 29 days after completion. - ✔✔D. neutropenia occurs 22 to
28 days after completion
The dose-limiting toxicities of temozolomide are leukopenia and thrombocytopenia.
These toxicities are not cumulative. Nadir counts occur late in the treatment cycle,
generally between days 22 and 29 and recover in 14 days.
✔✔Which of the following ethnic groups in the United States has the highest incidence
and mortality for prostate cancer?
A. Asian American
B. African American
C. Hispanic American
D. Non-Hispanic Caucasian - ✔✔B. African America
SET A+
✔✔The first step in using evidence-based practice in the oncology clinical setting is to:
A. use a medical practice model to define the problem.
B. define a patient outcome prior to conducting a literature search.
C. incorporate changes into the plan of care to evaluate the outcome.
D. assess the patient's needs to define the problem. - ✔✔D. assess the patient's needs
to define the problem
Translating evidence into practice requires assessing patient needs, identifying
appropriate resources, and selecting interventions. Practices based upon strong
evidence are used to enhance and support quality patient care.
✔✔A survivor of breast cancer tearfully states, "I knew lymphedema could happen, but I
never thought it would happen to me." The nurse's priority intervention is to:
A. allow the patient to express her feelings.
B. assure the patient that the lymphedema will resolve quickly.
C. take a recent history to identify the cause of the lymphedema.
D. teach the patient ways to reduce the risk of recurrence of the lymphedema. - ✔✔A.
allow the patient to express her feelings
Because the impact of disease upon body image is closely bound to psychological
symptoms and the physical effects of the illness and its treatment, nurses must be able
to address body image dysfunction with timely interventions. An appropriate intervention
is to acknowledge the patient's loss and encourage her expression.
✔✔A patient receiving interleukin-2 has persistent fever and chills and an absolute
neutrophil count of 1500/mm 3. The nurse knows that these symptoms represent:
A. tumor lysis syndrome.
, B. a viral infection.
C. a drug-induced reaction.
D. septic shock. - ✔✔C. a drug-induced reaction
Interleukin-2's effectiveness is based on stimulation of the host's own cytotoxic,
immunological response. The most common side effect occurring with all methods of
interleukin-2 administration is flu-like symptoms.
✔✔A patient newly diagnosed with prostate cancer states, "I have quit going to all my
community activities since my diagnosis." The nurse's best initial response is:
A. "It is a good idea to concentrate on your disease."
B. "Your friends could hinder your coping with your diagnosis."
C. "When you complete your treatments, you can return to your activities."
D. "Tell me which activities you enjoyed before beginning treatments." - ✔✔D. "Tell me
which activities you enjoyed before beginning treatments"
Successful adjustment to living with cancer is characterized by the ability to minimize
disruptions to established social roles, regulate the experience of emotional distress,
and maintain active engagement in meaningful life activities. Interventions aimed at
promoting a successful adjustment include the opportunity to safely discuss thoughts
and feelings with an attentive, empathetic, and professional listener.
✔✔A patient is to begin temozolomide. The nurse instructs the patient that:
A. nausea and vomiting are uncommon side effects.
B. weekly monitoring of urine for protein is necessary.
C. diarrhea is a common side effect.
D. neutropenia occurs 22 to 29 days after completion. - ✔✔D. neutropenia occurs 22 to
28 days after completion
The dose-limiting toxicities of temozolomide are leukopenia and thrombocytopenia.
These toxicities are not cumulative. Nadir counts occur late in the treatment cycle,
generally between days 22 and 29 and recover in 14 days.
✔✔Which of the following ethnic groups in the United States has the highest incidence
and mortality for prostate cancer?
A. Asian American
B. African American
C. Hispanic American
D. Non-Hispanic Caucasian - ✔✔B. African America
