ONS ONCOLOGY CERTIFICATION |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Which of the following is a primary preventative method to prevent the development of
cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels
CORRECT ANSWER
Question 2
A premenopausal patient with metastatic breast cancer is receiving letrozole. Which other
medication is also expected to be prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen
CORRECT ANSWER
c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone agonist
therapy, such as goserelin, is recommended in the adjuvant, recurrent, or metastatic
settings for women with breast cancer who are premenopausal.
1
,Question 3
A patient with an insulinoma would be most likely to experience which of the following
signs and symptoms?
a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
d. hypoglycemia, confusion, vision changes
CORRECT ANSWER
d. hypoglycemia, confusion, vision changes
Question 4
4. A patient with esophageal cancer reports cramping and diarrhea after eating meals.
What should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals
CORRECT ANSWER
d. eating small, freqeunt meals aka prevent dumping syndrome
Question 5
5. What is the absolute neutrophil count for a patient who has a white blood cell count of
500/mm3 with 32% polysegmented neutrophils and 7% bands?
a. 100/mm3
2
, b. 125/mm3
c. 195/mm3
d. 223/mm3
CORRECT ANSWER
c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented neutrophils
and bands, converting to a percentage, and multiplying by the white blood cell count
(0.32 +0.07 = 0.39) x 500 = 195/mm3.
Question 6
6. A patient with cancer receiving palliative services reports poor sleep, fatigue, and
frequently feeling worried. Which medication should the nurse expect to be prescribed for
the patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate
CORRECT ANSWER
c. citalopram
The symptoms described are consistent with generalized anxiety. Selective serotonin
reuptake inhibitors, such as citalopram, are considered first-line for the management of
generalized anxiety disorder.
Question 7
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is erythematous,
excoriated, and bleeding. Which of the following complications should the nurse first
suspect?
3
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Which of the following is a primary preventative method to prevent the development of
cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels
CORRECT ANSWER
Question 2
A premenopausal patient with metastatic breast cancer is receiving letrozole. Which other
medication is also expected to be prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen
CORRECT ANSWER
c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone agonist
therapy, such as goserelin, is recommended in the adjuvant, recurrent, or metastatic
settings for women with breast cancer who are premenopausal.
1
,Question 3
A patient with an insulinoma would be most likely to experience which of the following
signs and symptoms?
a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
d. hypoglycemia, confusion, vision changes
CORRECT ANSWER
d. hypoglycemia, confusion, vision changes
Question 4
4. A patient with esophageal cancer reports cramping and diarrhea after eating meals.
What should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals
CORRECT ANSWER
d. eating small, freqeunt meals aka prevent dumping syndrome
Question 5
5. What is the absolute neutrophil count for a patient who has a white blood cell count of
500/mm3 with 32% polysegmented neutrophils and 7% bands?
a. 100/mm3
2
, b. 125/mm3
c. 195/mm3
d. 223/mm3
CORRECT ANSWER
c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented neutrophils
and bands, converting to a percentage, and multiplying by the white blood cell count
(0.32 +0.07 = 0.39) x 500 = 195/mm3.
Question 6
6. A patient with cancer receiving palliative services reports poor sleep, fatigue, and
frequently feeling worried. Which medication should the nurse expect to be prescribed for
the patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate
CORRECT ANSWER
c. citalopram
The symptoms described are consistent with generalized anxiety. Selective serotonin
reuptake inhibitors, such as citalopram, are considered first-line for the management of
generalized anxiety disorder.
Question 7
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is erythematous,
excoriated, and bleeding. Which of the following complications should the nurse first
suspect?
3
