ONCC oncology nursing certification EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

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ONCC Tests (OCN Oncologic Emergencies) 2026 A+ GRA
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DE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
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WERS (9F808) vc




QUESTION 1 vc




Which of the following cancers is associated with the development of disseminated intra
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vascular coagulation? Mucin- vc vc



secreting adenocarcinoma of the breast Nonhyperdiploid variant multiple myeloma Pri
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mary peritoneal carcinoma Acral lentiginous melanoma
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ANSWER

Mucin-
secreting adenocarcinoma of the breast Answer: The incidence of disseminated intravascular coagulatio
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n is associated mostly with mucin-
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secreting adenocarcinomas of the prostate, lung, and breast. Reference: Kaplan, M. (Ed.). (2013). Unders
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tanding and managing oncologic emergencies: A resource for nurses (2nd ed.). Pittsburgh, PA: Oncology
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Nursing Society, p. 69. vc vc vc




QUESTION 2 vc




Which of the following is released into the bloodstream in the event of tumor lysis syndr
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ome? Uric acid Sodium Magnesium Calcium
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ANSWER

Uric acid Answer: Tumor lysis syndrome is a massive, sudden release of cellular contents in to the blood
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stream resulting in elevated uric acid levels. Reference: Kaplan, M. (Ed.). (2013). Understanding and ma
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naging oncologic emergencies: A resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society
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, p. 440.
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QUESTION 3 vc




Which of the following classes of medication will most significantly increase the risk for t
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he development of a cytokine-
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, release syndrome reaction? Monoclonal antibodies Taxanes Platinum compounds Anthr
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acyclines
ANSWER

Monoclonal antibodies Answer: Monoclonal antibodies can cause cytokine-
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release syndrome. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advis
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or: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 243.
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QUESTION 4 vc




When a suspected extravasation occurs during the administration of a vesicant, the nurs
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e must first: stop the administration of medication and fluids. remove the peripheral IV o
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r central venous access device. aspirate the remaining vesicant from the IV tubing. notify
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the healthcare provider.
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ANSWER

stop the administration of medication and fluids. Answer: The first step the nurse should take when an
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extravasation occurs is stopping the infusion. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosb
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y's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevie
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r Mosby, p. 217.
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QUESTION 5 vc




Which of the following interventions should the nurse perform for a patient who is at ris
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k for increased intracranial pressure? Assessing the patient's gag reflex Limiting suctioni
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ng to less than 30 seconds Keeping the patient's bed in the high Fowler's position Positio
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ning pillows to hyperextend the neck
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ANSWER

Assessing the patient's gag reflex Answer: Increased intracranial pressure can impair the gag reflex thus
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affecting the patient's ability to eat and drink independently. Reference: Kaplan, M. (Ed.). (2013). Under
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standing and managing oncologic emergencies: A resource for nurses (2nd ed.). Pittsburgh, PA: Oncolog
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y Nursing Society, p. 185(t).
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QUESTION 6 vc




A dexrazoxane infusion shows efficacy for treating the extravasation of: an anthracycline
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. a nitrosourea. an alkylating agent. a plant alkaloid.
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ANSWER

an anthracycline. Answer: Dexrazoxane is the treatment for anthracycline extravasation. Reference: Polo
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vich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recomme
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ndations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p. 159(t).
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