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

EXAM

Exam Solution
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OCN Tests 2026 A+ GRADE ASSURED COMPLETE SOLU
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TIONS AND VERIFIED ANSWERS (DD047)
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QUESTION 1 zm




A patient has the following laboratory values: white blood cell count 2100 mm3; neut
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rophils, segmented 23%; neutrophils, band 6%; hemoglobin 8.9 g/dl; and, platelets 10
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0,000 mm 3. The nurse's initial patient teaching includes:
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A. washing hands frequently.
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B. using an electric razor.
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C. avoiding trauma.
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D. taking daily stool softeners.
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ANSWER

A. washing hands frequently There are many nonpharmacologic interventions for the prevention of i
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nfection. Handwashing remains the single most important intervention to prevent infection.
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QUESTION 2 zm




A patient is receiving the first dose of paclitaxel. The nurse should be prepared to tre
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at the patient for:
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A. shaking chills.
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B. projectile vomiting.
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C. hypersensitivity reaction.
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D. urinary retention.
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ANSWER

C. hypersensitivity reaction A side effect associated with paclitaxel is hypersensitivity reaction. Hyper
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sensitivity is an exaggerated or inappropriate immune response that may be localized or systemic. P
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retreatment to prevent the reaction includes administering cimetidine, diphenhydramine, and if not c
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ontraindicated, dexamethasone. zm




QUESTION 3 zm

,A patient who completed treatment for malignant melanoma one year ago complains
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of still feeling tired. The nurse anticipates an order for:
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A. darbepoetin.
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B. methylphenidate.
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C. lorazepam.
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D. pegfilgrastim.
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ANSWER

B. methylphenidate Psychostimulants such as methylphenidate have been tested in certain populatio
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ns including patients with malignant melanoma as well as in patients with advanced cancer. Patients
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mreported improvement in symptoms of cancer-
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related fatigue with the use of methylphenidate but it remains an area where more research is need
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QUESTION 4 zm




A patient with prostate cancer is taking oxycodone orally every four hours as needed
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for pain. At a home visit, the nurse learns the patient is experiencing constant, dull ba
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ck pain and he has not moved his bowels for three days. These symptoms most likely
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indicate:
A. ascites.
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B. hypercalcemia.
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C. impending spinal cord compression.
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D. an adverse effect of the oxycodone.
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ANSWER

C. impending spinal cord compression Spinal cord compression may result from tumor invasion into
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the vertebrae causing a collapse on the spinal cord. Patients at high risk for cord compression inclu
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de those with prostate cancer. Dull back pain is an early symptom of spinal cord compression.
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QUESTION 5 zm




Which terms are associated with malignant tumors originating in the epithelial tissue?
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A. Osteo and chondra
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B. Lympho and myelo
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C. Adeno and squamous
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D. Lipo and rhabdo
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ANSWER

C. Adeno and squamous Tumors are classified by the tissue of origin. The malignancies that arise fr
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om the epithelium are squamous cell, adenocarcinoma, basal cell, and choriocarcinoma.
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QUESTION 6 zm

, The severe pain associated with post-
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herpetic neuropathy is most effectively treated by:
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A. propoxyphene.
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B. hydromorphone.
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C. amitriptyline.
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D. extra-strength acetaminophen.
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ANSWER

C. amitriptyline. Pain associated with herpes zoster is severe and can be debilitating. The pain is des
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cribed as continuous, deep and burning. Opioids are used to treat acute herpes zoster. Tricyclic anti
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depressants are used to treat post-herpetic neuralgia.
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QUESTION 7 zm




An oncology nurse teaching a cancer biology class explains that a proto-
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oncogene's role is to: zm zm zm



A. stimulate angiogenesis.
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B. cause apoptosis.
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C. inhibit tumor growth.
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D. promote cell division.
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ANSWER

D. promote cell division Proto-
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oncogenes promote the specialization and division of normal cells. A change in a proto-
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oncogenes genetic sequence can result in uncontrolled cell growth, ultimately causing the formation
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of a cancerous tumor. Proto-
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oncogenes can be transformed into oncogenes in three ways: point mutation (alteration of a single n
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ucleotide base pair), translocation (in which a segment of the chromosome breaks off and attaches t
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o another chromosome), or amplification (increase in the number of copies of the proto-oncogene).
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QUESTION 8 zm




A 69-year-
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old patient who received chemotherapy seven days ago calls the nurse to report a te
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mperature of 101°F (38.3° zm zm zm



C) and lightheadedness. The nurse determines the patient is dyspneic and diaphoretic.
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The nurse's initial response is to instruct the patient to:
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A. take acetaminophen.
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B. recheck his temperature in two hours.
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C. report to the emergency department.
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D. call for an ambulance.
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ANSWER

D. call for an ambulance. The time at which chemotherapy exerts its maximum effect on the bone m
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arrow and the white blood count reaches its lowest point is the nadir. This usually occurs within 7
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to 10 days after administration. Patients are most susceptible to infections at this time due to neutr
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