OCN - Practice Tests Q&A 2023

A patient has the following laboratory values: white blood cell count 2100 mm3; neutrophils, segmented 23%; neutrophils, band 6%; hemoglobin 8.9 g/dl; and, platelets 100,000 mm 3. The nurse's initial patient teaching includes: A. washing hands frequently. B. using an electric razor. C. avoiding trauma. D. taking daily stool softeners. - Answer- A. washing hands frequently There are many nonpharmacologic interventions for the prevention of infection. Handwashing remains the single most important intervention to prevent infection. A patient is receiving the first dose of paclitaxel. The nurse should be prepared to treat the patient for: A. shaking chills. B. projectile vomiting. C. hypersensitivity reaction. D. urinary retention. - Answer- C. hypersensitivity reaction A side effect associated with paclitaxel is hypersensitivity reaction. Hypersensitivity is an exaggerated or inappropriate immune response that may be localized or systemic. Pretreatment to prevent the reaction includes administering cimetidine, diphenhydramine, and if not contraindicated, dexamethasone. A patient who completed treatment for malignant melanoma one year ago complains of still feeling tired. The nurse anticipates an order for: A. darbepoetin. B. methylphenidate. C. lorazepam. D. pegfilgrastim. - Answer- B. methylphenidate Psychostimulants such as methylphenidate have been tested in certain populations including patients with malignant melanoma as well as in patients with advanced cancer. Patients reported improvement in symptoms of cancer-related fatigue with the use of methylphenidate but it remains an area where more research is needed. A patient receiving 10 mg of sustained-release oxycodone every 12 hours requires 5 mg of immediate-release oxycodone five to six times daily. The best adjustment in the pain medication regimen is to request an order for: A. 5 mg of immediate-release oxycodone every 3 hours. B. 1