ONCC UPDATED QUESTIONS AND ANSWERS 2024

A patient with cancer is considering entering a clinical trial that compares the current standard treatment with an investigational chemotherapeutic agent. This is an example of which phase of a clinical trial? 3 4 1 2 - CORRECT ANSWER 3 Answer: Phase 3 clinical trials have a primary goal of establishing efficacy and comparing with the current standard. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 285(t). What is the shortest phase of the cell cycle? Mitosis Gap 1 Synthesis Gap 2 - CORRECT ANSWER Mitosis Answer: Mitosis is the shortest phase of the cell's life cycle. Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p. 25. Oligodendroglial tumors originate from cells that maintain the function of the: myelin sheath. synovial fluid. lymph. plasma. - CORRECT ANSWER myelin sheath. Answer: Oligodendrocytes are cells that develop and maintain the myelin sheath. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1368. A squamous cell carcinoma of the esophagus is most likely to arise from the: proximal esophagus. Schatzki's ring. cricoid cartilage. abdominal esophagus. - CORRECT ANSWER proximal esophagus. Answer: A squamous cell carcinoma of the esophagus is most likely to arise from the proximal esophagus. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1538. Which of the following techniques is most likely to support healthy communication patterns between the nurse and a patient? Eliciting feedback about preferences and experiences Establishing significant physical distance between parties Providing objective and factual information about the treatment plan Limiting questions until after all information is presented - CORRECT ANSWER Eliciting feedback about preferences and experiences Answer: The nurse should obtain information from the patient about their understanding of concepts and their reactions in order to best promote open and honest communication. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 417(t). Upon diagnosis of an invasive ductal adenocarcinoma of the pancreas, the disease will most likely: demonstrate spread to the liver. display widespread fat necrosis. metastasize to the bone. remain confined to the primary site. - CORRECT ANSWER demonstrate spread to the liver. Answer: Invasive ductal adenocarcinoma of the pancreas has often metastasized at the time of diagnosis. The most common site of metastasis is the liver. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1856(f). A patient has an implanted intrathecal pump for pain management. Which of the following actions best exemplifies a safe practice? Tracing the tubing from the patient to the pump Using special tubing that has injection ports Cleansing the Leur lock ports with alcohol before each use Arranging for the patient to have the pump refilled every eight months - CORRECT ANSWER Tracing the tubing from the patient to the pump Answer: Ensuring that there are no dislodgements, kinks or issues with pump functionality by tracing the line from the patient to the pump is the safest practice when caring for a patient with an implanted intrathecal pump. Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of practice for oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 124. A 70-year-old patient reports weight loss, abdominal pain and diarrhea that often interrupts sleep. The patient reports a brother has recently been diagnosed with prostate cancer. The nurse suspects: carcinoid syndrome. systemic inflammatory response syndrome. irritable bowel syndrome. syndrome of inappropriate antidiuretic hormone. - CORRECT ANSWER carcinoid syndrome. Answer: Patients over the age of 66 who have a first degree relative with prostate cancer are at higher risk for the development of neuroendocrine tumors and carcinoid syndrome. Symptoms of carcinoid syndrome include pain, weight loss, and diarrhea that interrupts sleep. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 139.