OCN CORE MAIN ALL QUESTIONS AND ANSWERS
SET A+
✔✔When considering general principles of rehabilitation in a patient with cancer, the
nurse should:
A. focus on disabilities.
B. develop group goals.
C. emphasize capabilities.
D. encourage more frequent rest periods. - ✔✔C. emphasize capabilities
General principles of rehabilitative care include the emphasis of function versus
dysfunction, and capability versus disability. Then, it should include a balance of activity
and rest as well as provide an environment conducive to encouraging rehabilitative
efforts. In addition, rehabilitation is an individual process with a focus on the value of
independence.
✔✔A patient with lymphoma reports numbness in the feet, weakness when ambulating
and dribbling urine. The nurse suspects:
A. type I diabetes.
B. spinal cord compression.
C. peripheral neuropathy.
D. hormonal disruption. - ✔✔B. spinal cord compression
Lymphoma is a risk for spinal cord compression. Classic signs include leg weakness
(one or both) that may include loss of sensation, and the possibility of urinary or bowel
incontinence.
✔✔A patient with stage I non-small cell lung cancer has impaired pulmonary function.
The nurse anticipates the treatment of choice will be:
A. platinum-based chemotherapy.
, B. external beam radiation.
C. lobectomy.
D. pneumonectomy. - ✔✔B. external beam radiation
Patients who are not surgical candidates due to impaired lung function or other
comorbid conditions can receive radiation therapy, which can be curative in some
patients with stage I or II disease.
✔✔A patient scheduled for chemotherapy complains of shortness of breath, fatigue, and
facial swelling. Physical assessment reveals neck vein distention, edema of the hands,
tachycardia, and cyanosis. The nurse calls the physician and instructs the patient to:
A. sit up and anticipates an order for a chest x-ray.
B. lie flat and prepares the patient for an echocardiogram.
C. lie flat and prepares the patient for a thoracostomy.
D. sit up and begins the chemotherapy infusion. - ✔✔A. sit up and anticipates an order
for a chest-x-ray
Cancer is the predominant etiology for superior vena cava syndrome. Superior vena
cava syndrome refers to signs and symptoms that occur when blood flow through the
superior vena cava is compromised, resulting in venous congestion proximal to the
occlusion and restricted cardiac output. Patients are frequently anxious and relief of
symptoms is important. Many are orthopneic and most comfortable when sitting up. A
chest x-ray will be positive in approximately 80-85% of cases, and will be the first
diagnostic measure.
✔✔A patient with colon mesothelioma is scheduled for chemotherapy to be
administered in the peritoneal space. The nurse expects the patient to have which type
of access for this treatment?
A. Ommaya reservoir
B. Peripherally inserted central catheter
C. Implanted, large diameter silicone port
D. Arterial catheter - ✔✔C. implanted, large diameter silicone port
Intraperitoneal catheters or implanted ports are the type of devices indicated for delivery
of high concentrations of chemotherapy to disease in the peritoneal cavity. Client
selection criteria includes patients with metastatic cancer into the abdomen and
peritoneum; diagnosis of cancers of the ovary or colon mesotheliomas; or malignant
ascites.
✔✔After a physician discusses the need for a descending colostomy with a patient who
has colorectal cancer, the nurse informs the patient that the stoma site will be located:
A. just below the waistline.
B. in the right upper quadrant.
SET A+
✔✔When considering general principles of rehabilitation in a patient with cancer, the
nurse should:
A. focus on disabilities.
B. develop group goals.
C. emphasize capabilities.
D. encourage more frequent rest periods. - ✔✔C. emphasize capabilities
General principles of rehabilitative care include the emphasis of function versus
dysfunction, and capability versus disability. Then, it should include a balance of activity
and rest as well as provide an environment conducive to encouraging rehabilitative
efforts. In addition, rehabilitation is an individual process with a focus on the value of
independence.
✔✔A patient with lymphoma reports numbness in the feet, weakness when ambulating
and dribbling urine. The nurse suspects:
A. type I diabetes.
B. spinal cord compression.
C. peripheral neuropathy.
D. hormonal disruption. - ✔✔B. spinal cord compression
Lymphoma is a risk for spinal cord compression. Classic signs include leg weakness
(one or both) that may include loss of sensation, and the possibility of urinary or bowel
incontinence.
✔✔A patient with stage I non-small cell lung cancer has impaired pulmonary function.
The nurse anticipates the treatment of choice will be:
A. platinum-based chemotherapy.
, B. external beam radiation.
C. lobectomy.
D. pneumonectomy. - ✔✔B. external beam radiation
Patients who are not surgical candidates due to impaired lung function or other
comorbid conditions can receive radiation therapy, which can be curative in some
patients with stage I or II disease.
✔✔A patient scheduled for chemotherapy complains of shortness of breath, fatigue, and
facial swelling. Physical assessment reveals neck vein distention, edema of the hands,
tachycardia, and cyanosis. The nurse calls the physician and instructs the patient to:
A. sit up and anticipates an order for a chest x-ray.
B. lie flat and prepares the patient for an echocardiogram.
C. lie flat and prepares the patient for a thoracostomy.
D. sit up and begins the chemotherapy infusion. - ✔✔A. sit up and anticipates an order
for a chest-x-ray
Cancer is the predominant etiology for superior vena cava syndrome. Superior vena
cava syndrome refers to signs and symptoms that occur when blood flow through the
superior vena cava is compromised, resulting in venous congestion proximal to the
occlusion and restricted cardiac output. Patients are frequently anxious and relief of
symptoms is important. Many are orthopneic and most comfortable when sitting up. A
chest x-ray will be positive in approximately 80-85% of cases, and will be the first
diagnostic measure.
✔✔A patient with colon mesothelioma is scheduled for chemotherapy to be
administered in the peritoneal space. The nurse expects the patient to have which type
of access for this treatment?
A. Ommaya reservoir
B. Peripherally inserted central catheter
C. Implanted, large diameter silicone port
D. Arterial catheter - ✔✔C. implanted, large diameter silicone port
Intraperitoneal catheters or implanted ports are the type of devices indicated for delivery
of high concentrations of chemotherapy to disease in the peritoneal cavity. Client
selection criteria includes patients with metastatic cancer into the abdomen and
peritoneum; diagnosis of cancers of the ovary or colon mesotheliomas; or malignant
ascites.
✔✔After a physician discusses the need for a descending colostomy with a patient who
has colorectal cancer, the nurse informs the patient that the stoma site will be located:
A. just below the waistline.
B. in the right upper quadrant.
