ONCC
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE
EXAM QUIZ
WITH VERIFID SOLUTIONS 2023-2024
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
B. frequently.
C. using an electric
razor.
avoiding
trauma.
taking daily stool softeners. - Answer A. washing hands
frequently
D.
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
B. chills.
C. projectile
vomiting.
hypersensitivity
reaction.
urinary retention. - Answer C. hypersensitivity
reaction
D.
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
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE EXAM QUIZ WITH VERIFID SOLUTIONS
2023-2024
,ONCC
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.10 mg of immediate-release oxycodone every 6 hours.
C.10 mg of sustained-release oxycodone every 8 hours.
D. 30 mg of sustained-release oxycodone every 12 hours. - Answer D. 30
mg of sustainedrelease oxycodone every 12 hours
The first sign that an increase in opioid dose is needed is a decrease in the
duration of analgesia for a given opioid dose. Patients may report the need
for an increased number of rescue doses. Sustained release doses plus
immediate-release (rescue) doses should be calculated. When slight
improvement in analgesia is needed, a 25% increase in opioid dose may be
sufficient; for a moderate improvement, 50%; and for a strong effect, 100%
increase may be needed.
A patient with prostate cancer is taking oxycodone orally every four hours
as needed for pain. At a home visit, the nurse learns the patient is
experiencing constant, dull back pain and he has not moved his bowels for
three days. These symptoms most likely indicate:
A. ascite
B. s.
C. hypercalce
D.mia.
impending
Spinal spinal
cord compression cord result from tumor invasion into the
may
compression.
vertebrae causing a
an adverse
collapse effect
on the of cord.
spinal the oxycodone.
Patients at- high
Answer
riskC.forimpending spinal
cord compression
cord compression
include those with
prostate cancer. Dull back pain is an early symptom of spinal cord
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE EXAM QUIZ WITH VERIFID SOLUTIONS
2023-2024
, ONCC
compression.
Which terms are associated with malignant tumors originating in the
epithelial tissue?
A. Osteo and
B. chondra
C. Lympho and
myelo
Adeno and
squamous
Lipo and rhabdo - Answer C. Adeno and
squamous
D.
Tumors are classified by the tissue of origin. The malignancies that arise
from the epithelium are squamous cell, adenocarcinoma, basal cell, and
choriocarcinoma.
The severe pain associated with post-herpetic neuropathy is most effectively
treated by:
A.propoxyphene.
B.hydromorphone.
C.amitriptyline.
D. extra-strength acetaminophen. - Answer C. amitriptyline.
Pain associated with herpes zoster is severe and can be debilitating. The
pain is described as continuous, deep and burning. Opioids are used to treat
acute herpes zoster. Tricyclic antidepressants are used to treat post-herpetic
neuralgia.
An oncology nurse teaching a cancer biology class explains that a proto-
oncogene's role is
to
:
A.stimulate angiogenesis.
B.cause apoptosis.
C.inhibit tumor growth.
D. promote cell division. - Answer D. promote cell division
Proto-oncogenes promote the specialization and division of normal cells. A
change in a proto-oncogenes genetic sequence can result in uncontrolled
cell growth, ultimately causing the formation of a cancerous tumor. Proto-
oncogenes can be transformed into oncogenes in three ways: point
mutation (alteration of a single nucleotide base pair), translocation (in
which a segment of the chromosome breaks off and attaches to another
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE EXAM QUIZ WITH VERIFID SOLUTIONS
2023-2024
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE
EXAM QUIZ
WITH VERIFID SOLUTIONS 2023-2024
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
B. frequently.
C. using an electric
razor.
avoiding
trauma.
taking daily stool softeners. - Answer A. washing hands
frequently
D.
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
B. chills.
C. projectile
vomiting.
hypersensitivity
reaction.
urinary retention. - Answer C. hypersensitivity
reaction
D.
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
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE EXAM QUIZ WITH VERIFID SOLUTIONS
2023-2024
,ONCC
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.10 mg of immediate-release oxycodone every 6 hours.
C.10 mg of sustained-release oxycodone every 8 hours.
D. 30 mg of sustained-release oxycodone every 12 hours. - Answer D. 30
mg of sustainedrelease oxycodone every 12 hours
The first sign that an increase in opioid dose is needed is a decrease in the
duration of analgesia for a given opioid dose. Patients may report the need
for an increased number of rescue doses. Sustained release doses plus
immediate-release (rescue) doses should be calculated. When slight
improvement in analgesia is needed, a 25% increase in opioid dose may be
sufficient; for a moderate improvement, 50%; and for a strong effect, 100%
increase may be needed.
A patient with prostate cancer is taking oxycodone orally every four hours
as needed for pain. At a home visit, the nurse learns the patient is
experiencing constant, dull back pain and he has not moved his bowels for
three days. These symptoms most likely indicate:
A. ascite
B. s.
C. hypercalce
D.mia.
impending
Spinal spinal
cord compression cord result from tumor invasion into the
may
compression.
vertebrae causing a
an adverse
collapse effect
on the of cord.
spinal the oxycodone.
Patients at- high
Answer
riskC.forimpending spinal
cord compression
cord compression
include those with
prostate cancer. Dull back pain is an early symptom of spinal cord
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE EXAM QUIZ WITH VERIFID SOLUTIONS
2023-2024
, ONCC
compression.
Which terms are associated with malignant tumors originating in the
epithelial tissue?
A. Osteo and
B. chondra
C. Lympho and
myelo
Adeno and
squamous
Lipo and rhabdo - Answer C. Adeno and
squamous
D.
Tumors are classified by the tissue of origin. The malignancies that arise
from the epithelium are squamous cell, adenocarcinoma, basal cell, and
choriocarcinoma.
The severe pain associated with post-herpetic neuropathy is most effectively
treated by:
A.propoxyphene.
B.hydromorphone.
C.amitriptyline.
D. extra-strength acetaminophen. - Answer C. amitriptyline.
Pain associated with herpes zoster is severe and can be debilitating. The
pain is described as continuous, deep and burning. Opioids are used to treat
acute herpes zoster. Tricyclic antidepressants are used to treat post-herpetic
neuralgia.
An oncology nurse teaching a cancer biology class explains that a proto-
oncogene's role is
to
:
A.stimulate angiogenesis.
B.cause apoptosis.
C.inhibit tumor growth.
D. promote cell division. - Answer D. promote cell division
Proto-oncogenes promote the specialization and division of normal cells. A
change in a proto-oncogenes genetic sequence can result in uncontrolled
cell growth, ultimately causing the formation of a cancerous tumor. Proto-
oncogenes can be transformed into oncogenes in three ways: point
mutation (alteration of a single nucleotide base pair), translocation (in
which a segment of the chromosome breaks off and attaches to another
ONCC ONCOLOGY CERTIFIED NURSE PRACTICE EXAM QUIZ WITH VERIFID SOLUTIONS
2023-2024
