OCN TEST 3_60 QUESTIONS WITH VERIFIED
ANSWERS
C - CORRECT ANSWER The nurse is meeting with a patient, who has terminal
cancer, and his family. The nurse recommends that the patient receive palliative
care. The family says that the patient is not "ready for hospice" because he is not
imminently dying. The nurse responds that
A. The program will help to relieve financial burdens.
B. The family needs to accept the patient's future decline.
C. Although hospice care provides palliative care, one does not necessarily need to
be close to death to receive palliative services.
D. Services for the family are important right now.
D - CORRECT ANSWER Patients with cancer can struggle with loss of control,
questions of faith, and challenges to their life goals when confronting and dealing
with their diagnoses. Which psychosocial domain do these needs fall under?
A. Health and functioning
B. Family
C. Socioeconomic
D. Psychological and spiritual
B - CORRECT ANSWER Which of the following statements about Medicare in the
hospice and palliative care setting is accurate?
A. Patients aged younger than 65 years are not eligible for Medicare.
B. Patients are limited to the number of days covered under the Medicare hospice
benefit.
,C. Once hospice care is chosen, the Medicare hospice benefit should cover
everything that is needed, and original Medicare will cover any health problems
that are not part of the terminal illness.
D. Patients obtaining an add-on policy (Medigap or Medicare Health Maintenance
Organization) within six months of going on Medicare will have to wait out a
preexisting exclusion period.
B - CORRECT ANSWER Which of the following patients has the greatest fetal risk
related to cancer treatment?
A. 27-year-old pregnant woman in second trimester with slow-growing tumor
B. 28-year-old pregnant woman in first trimester undergoing chemotherapy
C. 22-year-old pregnant woman in third trimester undergoing surgery with local
anesthesia
D. 24-year-old pregnant woman in third trimester needing radiation therapy
C - CORRECT ANSWER Secondary malignancies are considered which type of effect
of cancer diagnosis and treatment?
A. Chronic
B. Acute
C. Late
D. Long-term
D - CORRECT ANSWER Which of the following is a reason why sexual dysfunction
among patients with cancer is underestimated and underdiagnosed?
A. Patients with cancer have a low incidence of sexual dysfunction.
, B. Healthcare providers are unable to ask questions related to sexuality because of
the Health Insurance Portability and Accountability Act of 1996.
C. Patients with cancer have a lack of interest in sexual activity.
D. Healthcare providers often dismiss sexual concerns in patients with cancer
A - CORRECT ANSWER A 51-year-old, postmenopausal woman is taking
anastrozole as part of her treatment for breast cancer. During her follow-up visit,
she tells the nurse that she is experiencing vaginal dryness and discomfort during
sexual intercourse. The nurse's best response is
A. "Using a vaginal lubricant might help to decrease your discomfort."
B. "This is a normal side effect of therapy. It will resolve soon."
C. "Taking oxycodone and acetaminophen before intercourse might decrease the
pain."
D. "Have you discussed this with your partner?"
D - CORRECT ANSWER You are the oncology nurse caring for Ms. J., a 24-year-old
woman with acute myelogenous leukemia who has successfully completed
induction, consolidation, and maintenance therapy. In conducting her patient
teaching, she states that she and her husband have been wanting to start a family
and she "is so happy that treatment is over so that we can finally start trying to
have a baby!" Which of the following is your best response?
A. "Your blood counts should be absolutely normal six months following
treatment. It is best to wait until that time to resume sexual activity to avoid any
infection or bleeding."
B. "Congratulations! I know that it has been difficult with your diagnosis and
treatment, and the waiting has been hard."
ANSWERS
C - CORRECT ANSWER The nurse is meeting with a patient, who has terminal
cancer, and his family. The nurse recommends that the patient receive palliative
care. The family says that the patient is not "ready for hospice" because he is not
imminently dying. The nurse responds that
A. The program will help to relieve financial burdens.
B. The family needs to accept the patient's future decline.
C. Although hospice care provides palliative care, one does not necessarily need to
be close to death to receive palliative services.
D. Services for the family are important right now.
D - CORRECT ANSWER Patients with cancer can struggle with loss of control,
questions of faith, and challenges to their life goals when confronting and dealing
with their diagnoses. Which psychosocial domain do these needs fall under?
A. Health and functioning
B. Family
C. Socioeconomic
D. Psychological and spiritual
B - CORRECT ANSWER Which of the following statements about Medicare in the
hospice and palliative care setting is accurate?
A. Patients aged younger than 65 years are not eligible for Medicare.
B. Patients are limited to the number of days covered under the Medicare hospice
benefit.
,C. Once hospice care is chosen, the Medicare hospice benefit should cover
everything that is needed, and original Medicare will cover any health problems
that are not part of the terminal illness.
D. Patients obtaining an add-on policy (Medigap or Medicare Health Maintenance
Organization) within six months of going on Medicare will have to wait out a
preexisting exclusion period.
B - CORRECT ANSWER Which of the following patients has the greatest fetal risk
related to cancer treatment?
A. 27-year-old pregnant woman in second trimester with slow-growing tumor
B. 28-year-old pregnant woman in first trimester undergoing chemotherapy
C. 22-year-old pregnant woman in third trimester undergoing surgery with local
anesthesia
D. 24-year-old pregnant woman in third trimester needing radiation therapy
C - CORRECT ANSWER Secondary malignancies are considered which type of effect
of cancer diagnosis and treatment?
A. Chronic
B. Acute
C. Late
D. Long-term
D - CORRECT ANSWER Which of the following is a reason why sexual dysfunction
among patients with cancer is underestimated and underdiagnosed?
A. Patients with cancer have a low incidence of sexual dysfunction.
, B. Healthcare providers are unable to ask questions related to sexuality because of
the Health Insurance Portability and Accountability Act of 1996.
C. Patients with cancer have a lack of interest in sexual activity.
D. Healthcare providers often dismiss sexual concerns in patients with cancer
A - CORRECT ANSWER A 51-year-old, postmenopausal woman is taking
anastrozole as part of her treatment for breast cancer. During her follow-up visit,
she tells the nurse that she is experiencing vaginal dryness and discomfort during
sexual intercourse. The nurse's best response is
A. "Using a vaginal lubricant might help to decrease your discomfort."
B. "This is a normal side effect of therapy. It will resolve soon."
C. "Taking oxycodone and acetaminophen before intercourse might decrease the
pain."
D. "Have you discussed this with your partner?"
D - CORRECT ANSWER You are the oncology nurse caring for Ms. J., a 24-year-old
woman with acute myelogenous leukemia who has successfully completed
induction, consolidation, and maintenance therapy. In conducting her patient
teaching, she states that she and her husband have been wanting to start a family
and she "is so happy that treatment is over so that we can finally start trying to
have a baby!" Which of the following is your best response?
A. "Your blood counts should be absolutely normal six months following
treatment. It is best to wait until that time to resume sexual activity to avoid any
infection or bleeding."
B. "Congratulations! I know that it has been difficult with your diagnosis and
treatment, and the waiting has been hard."
