ONCC PRACTICE TEST 2 (OCN - ONCOLOGIC
EMERGENCIES) FULLY SOLVED
A patient has had an allergenic him out of poetic stem cell transplant. How many days after this
transplant shut the patient expect to experience neutrophil engraftment. - ANSWER>>>15-20 days
A patient is receiving paclitaxel and would like to have a manicure. What instructions should the patient
receive? - ANSWER>>>Use a non-acetone, polish remover
Which of the following task should the nurse ask a patient to perform prior to the administration of each
dose of high dose cytarabine? - ANSWER>>>Writing the first and last name. Neurologic and Sarabel are
functioning should be assessed before each dose to assess neurotoxicities
Which medication is administered to prevent her hemorrhagic cystitis? - ANSWER>>>Mesna is used to
prevent hemorrhagic cystitis
A patient is receiving continuous infusion of Floricel, which type of access demonstrates the highest risk
for Venus irritation during the infusion? - ANSWER>>>A new 18 gauge peripheral IV requiring multiple
attempts. Repeat attempts at venous access and larger gauge needles increase the risk for Venous
irritation.
Which of the following offers the best definition of a bio similar medication? - ANSWER>>>A medication
with minor structural or chemical differences, but with the same efficacy.
The majority of deaths in patients diagnosed with cancers, are caused by? - ANSWER>>>Oregon
metastasis causes the majority of deaths for patients with cancer diagnosis
A bone marrow biopsy is performed to determine which of the following? - ANSWER>>>Cytogenic
analysis. Bone marrow biopsy helps to identify the cytopathology and chromosomal abnormalities of a
malignant condition.
Which of the following is a primary preventative method to prevent the development of cancer? -
ANSWER>>>Avoiding the use of tobacco products. Primary cancer prevention strategies focus on
avoiding harmful, carcinogens, or eliminating exposure to them, such as avoiding tobacco containing
products.
A patient with small cell lung cancer reports a weight gain of 4 kg over the past four days with a decrease
in appetite and muscle cramps. The patient's serum sodium level is 128 mEq per liter and potassium is
3.6 mEq per liter. The nurse suspects the patient is exhibiting signs of? - ANSWER>>>SIADH. Patients with
small cell lung cancer may display symptoms of syndrome of inappropriate antidiuretic hormone,
including waking, nausea, anorexia, and muscle cramps.
A patient who received chemotherapy two weeks ago, presents with temperature of 102.4, heart rate of
145, respiration rate of 30, and a blood pressure of 80/38. The patient's white blood cell count is 18,000.
, Which oncologic emergency should the nurse suspect? - ANSWER>>>Septic shock. Patients with sepsis
present with signs of infection, including leukocytosis, hypotension, fever, and tachycardia.
The nurse is teaching a patient who is scheduled to begin treatment with neratinib about the risk of
which of the following side effects? - ANSWER>>>Significant diarrhea requiring loperamide. Neratinib
can cause serious diarrhea, which requires regular loperamide for the first two cycles.
Which of the following offers the best rational of the use of compression garments for a patient with
lymphedema? - ANSWER>>>Preventing the accumulation of length in the soft tissue.
A patient received Daratumumab three months ago and is scheduled to receive a blood transfusion.
Which of the following action should the nurse take first? - ANSWER>>>Notify the transfusion center of
the patient's medication history. A positive coombs test make her up to six months following the
administration of Daratumumab. It is necessary to notify the transfusion center that the patient has
received this medication.
A patient with esophageal cancer reports cramping and diarrhea after eating meals. What should the
nurse recommend? - ANSWER>>>Eating small, frequent meals. Dumping syndrome can occur if patients
eat too fast, eat an improper diet, or drink too many fluids with meals. Patients should be advised to eat
small, frequent meals.
Carcinoma inSITU indicates that there is which of the following features? - ANSWER>>>Abnormal cells
without spread to nearby tissue. Carcinoma insitu is not actually the presence of cancer, but abnormal
cells with the potential of becoming cancer.
A patient reports odynophagia with progressive dysphasia, and weight loss of 5 kg over the past month.
The nurse should anticipate which diagnostic test to be ordered next question. - ANSWER>>>Endoscopy.
The patient presents with signs and symptoms of esophageal cancer a diagnostic evaluation would
include endoscopy.
A patient with an insulinoma would be most likely to experience which of the following signs and
symptoms? - ANSWER>>>Hypoglycemia, confusion, and vision changes.
Which of the following laboratory values should the nurse check prior to administering a dose of
zoledronic acid or Zometa to a patient with hypercalcemia of malignancy? - ANSWER>>>Creatinine.
Renal toxicity is a side effect of zoledronic acid.
A patient states, I have been afraid to show my body to my spouse since the mastectomy, to promote
open communication the nurse response? - ANSWER>>>Let's practice discussing your concerns with
your spouse. The nurse is able to provide a safe space to explore concerns and actively problem solve.
A newly diagnosed patient with cancer frequently, interrupts the nurse, who is providing teaching about
treatment, and states why did this happen to me? The nurse recognizes this behavior most likely
represents? - ANSWER>>>Reactive anxiety. Patient may present with a variety of emotional signs of
anxiety in the beginning phase of their diagnosis and treatment with symptoms that include impulses
and repetitive behavior.
EMERGENCIES) FULLY SOLVED
A patient has had an allergenic him out of poetic stem cell transplant. How many days after this
transplant shut the patient expect to experience neutrophil engraftment. - ANSWER>>>15-20 days
A patient is receiving paclitaxel and would like to have a manicure. What instructions should the patient
receive? - ANSWER>>>Use a non-acetone, polish remover
Which of the following task should the nurse ask a patient to perform prior to the administration of each
dose of high dose cytarabine? - ANSWER>>>Writing the first and last name. Neurologic and Sarabel are
functioning should be assessed before each dose to assess neurotoxicities
Which medication is administered to prevent her hemorrhagic cystitis? - ANSWER>>>Mesna is used to
prevent hemorrhagic cystitis
A patient is receiving continuous infusion of Floricel, which type of access demonstrates the highest risk
for Venus irritation during the infusion? - ANSWER>>>A new 18 gauge peripheral IV requiring multiple
attempts. Repeat attempts at venous access and larger gauge needles increase the risk for Venous
irritation.
Which of the following offers the best definition of a bio similar medication? - ANSWER>>>A medication
with minor structural or chemical differences, but with the same efficacy.
The majority of deaths in patients diagnosed with cancers, are caused by? - ANSWER>>>Oregon
metastasis causes the majority of deaths for patients with cancer diagnosis
A bone marrow biopsy is performed to determine which of the following? - ANSWER>>>Cytogenic
analysis. Bone marrow biopsy helps to identify the cytopathology and chromosomal abnormalities of a
malignant condition.
Which of the following is a primary preventative method to prevent the development of cancer? -
ANSWER>>>Avoiding the use of tobacco products. Primary cancer prevention strategies focus on
avoiding harmful, carcinogens, or eliminating exposure to them, such as avoiding tobacco containing
products.
A patient with small cell lung cancer reports a weight gain of 4 kg over the past four days with a decrease
in appetite and muscle cramps. The patient's serum sodium level is 128 mEq per liter and potassium is
3.6 mEq per liter. The nurse suspects the patient is exhibiting signs of? - ANSWER>>>SIADH. Patients with
small cell lung cancer may display symptoms of syndrome of inappropriate antidiuretic hormone,
including waking, nausea, anorexia, and muscle cramps.
A patient who received chemotherapy two weeks ago, presents with temperature of 102.4, heart rate of
145, respiration rate of 30, and a blood pressure of 80/38. The patient's white blood cell count is 18,000.
, Which oncologic emergency should the nurse suspect? - ANSWER>>>Septic shock. Patients with sepsis
present with signs of infection, including leukocytosis, hypotension, fever, and tachycardia.
The nurse is teaching a patient who is scheduled to begin treatment with neratinib about the risk of
which of the following side effects? - ANSWER>>>Significant diarrhea requiring loperamide. Neratinib
can cause serious diarrhea, which requires regular loperamide for the first two cycles.
Which of the following offers the best rational of the use of compression garments for a patient with
lymphedema? - ANSWER>>>Preventing the accumulation of length in the soft tissue.
A patient received Daratumumab three months ago and is scheduled to receive a blood transfusion.
Which of the following action should the nurse take first? - ANSWER>>>Notify the transfusion center of
the patient's medication history. A positive coombs test make her up to six months following the
administration of Daratumumab. It is necessary to notify the transfusion center that the patient has
received this medication.
A patient with esophageal cancer reports cramping and diarrhea after eating meals. What should the
nurse recommend? - ANSWER>>>Eating small, frequent meals. Dumping syndrome can occur if patients
eat too fast, eat an improper diet, or drink too many fluids with meals. Patients should be advised to eat
small, frequent meals.
Carcinoma inSITU indicates that there is which of the following features? - ANSWER>>>Abnormal cells
without spread to nearby tissue. Carcinoma insitu is not actually the presence of cancer, but abnormal
cells with the potential of becoming cancer.
A patient reports odynophagia with progressive dysphasia, and weight loss of 5 kg over the past month.
The nurse should anticipate which diagnostic test to be ordered next question. - ANSWER>>>Endoscopy.
The patient presents with signs and symptoms of esophageal cancer a diagnostic evaluation would
include endoscopy.
A patient with an insulinoma would be most likely to experience which of the following signs and
symptoms? - ANSWER>>>Hypoglycemia, confusion, and vision changes.
Which of the following laboratory values should the nurse check prior to administering a dose of
zoledronic acid or Zometa to a patient with hypercalcemia of malignancy? - ANSWER>>>Creatinine.
Renal toxicity is a side effect of zoledronic acid.
A patient states, I have been afraid to show my body to my spouse since the mastectomy, to promote
open communication the nurse response? - ANSWER>>>Let's practice discussing your concerns with
your spouse. The nurse is able to provide a safe space to explore concerns and actively problem solve.
A newly diagnosed patient with cancer frequently, interrupts the nurse, who is providing teaching about
treatment, and states why did this happen to me? The nurse recognizes this behavior most likely
represents? - ANSWER>>>Reactive anxiety. Patient may present with a variety of emotional signs of
anxiety in the beginning phase of their diagnosis and treatment with symptoms that include impulses
and repetitive behavior.
