OCN PRACTICE EXAM UPDATE
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
1. The nurse explains to a patient who had a gastrectomy five
days ago that a swallow study is performed to:
ensure tolerance of a general diet.
check for any obstructions.
verify absence of an anastomotic leak.
confirm all the surgical margins are clear. - Answer:
Approximately five days after a gastrectomy, a swallow study
will be completed to exclude an anastomotic leak.
2. A patient with hepatocellular carcinoma presents with
gastrointestinal bleeding. The nurse suspects this is most likely
to be the result of:
lymphedema.
cholelithiasis.
splenic dysfunction.
portal hypertension. - Answer: The development of portal
hypertension can lead to gastrointestinal bleeding.
,3. Which of the following laboratory values should the nurse
check prior to administering a dose of zoledronic acid to a
patient with hypercalcemia of malignancy?
Potassium
Creatinine
Uric acid
Sodium - Answer: Renal toxicity is a side effect of zoledronic
acid. A serum creatinine must be monitored prior to each
infusion of zoledronic acid.
4. Prior to initiating an infusion of arsenic trioxide, the nurse
should ensure which of the following?
Serum potassium level is greater than 4 mEq/L
QTc interval is greater than 500 milliseconds
Order indicates the duration of the infusion is 30 minutes
Baseline pulmonary function testing results are documented -
Answer: Potassium should be monitored and corrected prior to
an infusion of arsenic trioxide.
5. A patient with breast cancer has been receiving paclitaxel and
would like to have a manicure. What instructions should the
patient receive?
, Apply artificial nails using a strong adhesive.
Soak the hands in a 50% bleach solution for 20 minutes.
Ask for a prescription for a prophylactic antibiotic.
Use a non-acetone polish remover. - Answer: Non-acetone
polish remover will be gentler on the nail, maintaining healthy
structure.
6. A patient experiencing spinal cord compression to the lumbar-
sacral area is most likely to exhibit which of the following signs
and symptoms?
A headache, shoulder and arm pain
Flaccidity, chest pain, and a positive Babinski reflex
Dyspnea and increased pain above the level of the tumor
Paralysis, incontinence, and lower back pain - Answer: A patient
with a lumbar-sacral spinal cord compression is likely to
experience paralysis, incontinence, and lower back pain.
7. Which medication is administered to prevent hemorrhagic
cystitis?
Dexrazoxane
Leucovorin
Mesna
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
1. The nurse explains to a patient who had a gastrectomy five
days ago that a swallow study is performed to:
ensure tolerance of a general diet.
check for any obstructions.
verify absence of an anastomotic leak.
confirm all the surgical margins are clear. - Answer:
Approximately five days after a gastrectomy, a swallow study
will be completed to exclude an anastomotic leak.
2. A patient with hepatocellular carcinoma presents with
gastrointestinal bleeding. The nurse suspects this is most likely
to be the result of:
lymphedema.
cholelithiasis.
splenic dysfunction.
portal hypertension. - Answer: The development of portal
hypertension can lead to gastrointestinal bleeding.
,3. Which of the following laboratory values should the nurse
check prior to administering a dose of zoledronic acid to a
patient with hypercalcemia of malignancy?
Potassium
Creatinine
Uric acid
Sodium - Answer: Renal toxicity is a side effect of zoledronic
acid. A serum creatinine must be monitored prior to each
infusion of zoledronic acid.
4. Prior to initiating an infusion of arsenic trioxide, the nurse
should ensure which of the following?
Serum potassium level is greater than 4 mEq/L
QTc interval is greater than 500 milliseconds
Order indicates the duration of the infusion is 30 minutes
Baseline pulmonary function testing results are documented -
Answer: Potassium should be monitored and corrected prior to
an infusion of arsenic trioxide.
5. A patient with breast cancer has been receiving paclitaxel and
would like to have a manicure. What instructions should the
patient receive?
, Apply artificial nails using a strong adhesive.
Soak the hands in a 50% bleach solution for 20 minutes.
Ask for a prescription for a prophylactic antibiotic.
Use a non-acetone polish remover. - Answer: Non-acetone
polish remover will be gentler on the nail, maintaining healthy
structure.
6. A patient experiencing spinal cord compression to the lumbar-
sacral area is most likely to exhibit which of the following signs
and symptoms?
A headache, shoulder and arm pain
Flaccidity, chest pain, and a positive Babinski reflex
Dyspnea and increased pain above the level of the tumor
Paralysis, incontinence, and lower back pain - Answer: A patient
with a lumbar-sacral spinal cord compression is likely to
experience paralysis, incontinence, and lower back pain.
7. Which medication is administered to prevent hemorrhagic
cystitis?
Dexrazoxane
Leucovorin
Mesna
