OCN PREP EXAM |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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.
CORRECT ANSWER
Approximately five days after a gastrectomy, a swallow study will be completed to
exclude an anastomotic leak.
Question 2
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.
CORRECT ANSWER
The development of portal hypertension can lead to gastrointestinal bleeding.
Question 3
1
,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
CORRECT ANSWER
Renal toxicity is a side effect of zoledronic acid. A serum creatinine must be monitored
prior to each infusion of zoledronic acid.
Question 4
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
CORRECT ANSWER
Potassium should be monitored and corrected prior to an infusion of arsenic trioxide.
Question 5
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.
2
, CORRECT ANSWER
Non-acetone polish remover will be gentler on the nail, maintaining healthy structure.
Question 6
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
CORRECT ANSWER
A patient with a lumbar-sacral spinal cord compression is likely to experience paralysis,
incontinence, and lower back pain.
Question 7
7. Which medication is administered to prevent hemorrhagic cystitis?
Dexrazoxane
Leucovorin
Mesna
Fosaprepitant
CORRECT ANSWER
Mesna is used to prevent hemorrhagic cystitis.
Question 8
3
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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.
CORRECT ANSWER
Approximately five days after a gastrectomy, a swallow study will be completed to
exclude an anastomotic leak.
Question 2
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.
CORRECT ANSWER
The development of portal hypertension can lead to gastrointestinal bleeding.
Question 3
1
,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
CORRECT ANSWER
Renal toxicity is a side effect of zoledronic acid. A serum creatinine must be monitored
prior to each infusion of zoledronic acid.
Question 4
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
CORRECT ANSWER
Potassium should be monitored and corrected prior to an infusion of arsenic trioxide.
Question 5
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.
2
, CORRECT ANSWER
Non-acetone polish remover will be gentler on the nail, maintaining healthy structure.
Question 6
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
CORRECT ANSWER
A patient with a lumbar-sacral spinal cord compression is likely to experience paralysis,
incontinence, and lower back pain.
Question 7
7. Which medication is administered to prevent hemorrhagic cystitis?
Dexrazoxane
Leucovorin
Mesna
Fosaprepitant
CORRECT ANSWER
Mesna is used to prevent hemorrhagic cystitis.
Question 8
3
