OCN PRACTICE TEST B 50 QUESTIONS WITH
VERIFIED ANSWERS
Chemotherapy started after the first trimester has less complications, and poses
less risk to the fetus. - CORRECT ANSWER 1. A patient with breast cancer who is
14-weeks pregnant presents for teaching prior to beginning chemotherapy. She is
concerned about the potential effects of treatment on her baby. What information
should the nurse provide to the patient?
Chemotherapy given after the first trimester has minimal fetal toxicities.
Doses will be decreased to ensure safety.
A spontaneous abortion will most likely occur.
Treatment will be held until after the delivery of the child.
The risk of pneumonitis is increased when having a large volume of lung included
in the treatment field. - CORRECT ANSWER 2. Which of the following is a risk
factor for treatment-related pneumonitis?
Less than 60 years of age
Mantle field radiation
Concomitant use of steroids
Oxygen therapy at low concentrations
Complementary or integrative therapy, such as massage, music therapy, or
acupuncture can help with anticipatory nausea. - CORRECT ANSWER 3. A patient
receiving chemotherapy continues to have nausea and vomiting before each
treatment, despite the use of antiemetics. The patient is crying and wishes to stop
treatment. What is an appropriate nursing intervention?
Explain that everyone experiences nausea and vomiting.
,Recommend that the healthcare provider reduce the dosage.
Suggest the healthcare provider stop treatment.
Discuss integrative therapy options.
When therapies such as IV opioids, oxygen, diuretics, and benzodiazepines fail to
improve intractable dyspnea, palliative sedation is considered in end-of-life care. -
CORRECT ANSWER 4. A patient with intractable dyspnea at the end of life has not
experienced any relief with traditional interventions. Which of the following
should the nurse next consider?
Calling anesthesia to intubate the patient
Informing the patient that there is nothing else left to give them
Discussing the initiating of palliative sedation with the team
Asking the physician to increase the doses of all medications
General guidelines suggest that hydration of the skin with an emollient, such as
aloe vera, is helpful in promoting comfort and reducing pruritus. - CORRECT
ANSWER 5. The nurse suggests which of the following interventions to a patient
experiencing dry desquamation?
A wet-to-dry dressing
A moisturizing skin cream
Cornstarch
A hydrogel dressing
Drowsiness, fatigue, headache, and changes in blood pressure are symptoms of
worsening increased intracranial pressure. Corticosteroids are used to decrease
surrounding edema from the tumor. - CORRECT ANSWER 6. A patient with an
, astrocytoma reports headaches, a loss of balance, fatigue, and elevated blood
pressure for four days and has not refilled a prescription for high-dose steriods.
What is the patient most likely experiencing?
Withdrawal
Hypertensive crisis
Increased intracranial pressure
Subdural hematoma
Many patients who have experienced only mild infusion reactions with the first
administration of paclitaxel have tolerated subsequent doses well with a
decreased rate of infusion and additional premedications. - CORRECT ANSWER 7.
A patient had experienced a mild hypersensitivity reaction to the first dose of
paclitaxel and now arrives for the second treatment. Which of the following
interventions should the nurse perform?
Withhold the medication.
Slow the infusion rate of the medication.
Administer prophylactic meperidine.
Dilute the medication in additional fluid.
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. - CORRECT
ANSWER 8. 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?
Survivor guilt
Transmitter guilt
Reactive depression
VERIFIED ANSWERS
Chemotherapy started after the first trimester has less complications, and poses
less risk to the fetus. - CORRECT ANSWER 1. A patient with breast cancer who is
14-weeks pregnant presents for teaching prior to beginning chemotherapy. She is
concerned about the potential effects of treatment on her baby. What information
should the nurse provide to the patient?
Chemotherapy given after the first trimester has minimal fetal toxicities.
Doses will be decreased to ensure safety.
A spontaneous abortion will most likely occur.
Treatment will be held until after the delivery of the child.
The risk of pneumonitis is increased when having a large volume of lung included
in the treatment field. - CORRECT ANSWER 2. Which of the following is a risk
factor for treatment-related pneumonitis?
Less than 60 years of age
Mantle field radiation
Concomitant use of steroids
Oxygen therapy at low concentrations
Complementary or integrative therapy, such as massage, music therapy, or
acupuncture can help with anticipatory nausea. - CORRECT ANSWER 3. A patient
receiving chemotherapy continues to have nausea and vomiting before each
treatment, despite the use of antiemetics. The patient is crying and wishes to stop
treatment. What is an appropriate nursing intervention?
Explain that everyone experiences nausea and vomiting.
,Recommend that the healthcare provider reduce the dosage.
Suggest the healthcare provider stop treatment.
Discuss integrative therapy options.
When therapies such as IV opioids, oxygen, diuretics, and benzodiazepines fail to
improve intractable dyspnea, palliative sedation is considered in end-of-life care. -
CORRECT ANSWER 4. A patient with intractable dyspnea at the end of life has not
experienced any relief with traditional interventions. Which of the following
should the nurse next consider?
Calling anesthesia to intubate the patient
Informing the patient that there is nothing else left to give them
Discussing the initiating of palliative sedation with the team
Asking the physician to increase the doses of all medications
General guidelines suggest that hydration of the skin with an emollient, such as
aloe vera, is helpful in promoting comfort and reducing pruritus. - CORRECT
ANSWER 5. The nurse suggests which of the following interventions to a patient
experiencing dry desquamation?
A wet-to-dry dressing
A moisturizing skin cream
Cornstarch
A hydrogel dressing
Drowsiness, fatigue, headache, and changes in blood pressure are symptoms of
worsening increased intracranial pressure. Corticosteroids are used to decrease
surrounding edema from the tumor. - CORRECT ANSWER 6. A patient with an
, astrocytoma reports headaches, a loss of balance, fatigue, and elevated blood
pressure for four days and has not refilled a prescription for high-dose steriods.
What is the patient most likely experiencing?
Withdrawal
Hypertensive crisis
Increased intracranial pressure
Subdural hematoma
Many patients who have experienced only mild infusion reactions with the first
administration of paclitaxel have tolerated subsequent doses well with a
decreased rate of infusion and additional premedications. - CORRECT ANSWER 7.
A patient had experienced a mild hypersensitivity reaction to the first dose of
paclitaxel and now arrives for the second treatment. Which of the following
interventions should the nurse perform?
Withhold the medication.
Slow the infusion rate of the medication.
Administer prophylactic meperidine.
Dilute the medication in additional fluid.
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. - CORRECT
ANSWER 8. 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?
Survivor guilt
Transmitter guilt
Reactive depression
