OCN Knowledge Assessment with All Correct & 100%
Verified Answers |Latest Version |Already Graded A+
A male patient with a history of spinal chondrosarcoma presents to the ED with complaints of
feeling weak in the legs, sharp stabbing back pain, and difficulty urinating. Emergency
intervention for this patient will most likely include: ✔Correct Answer-Surgical decompression
of the spine
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This patient is demonstrating signs and symptoms of cauda equina, a cluster of symptoms that
result from the compression of the spinal nerve roots near the lower end of the spinal cord.
Emergency decompression has been shown to lessen the risk of nerve necrosis, which could
result in paraplegia.
Following surgical removal of a brain tumor, a patient participates in a program that helps
improve the ability to perform activities of daily living (ADLs). Which nursing intervention would
be MOST appropriate? ✔Correct Answer-Provide positive reinforcement for skills achieved
during the program
Feedback
Providing positive reinforcement for achieved skills supports the level of self-sufficiency
achieved by the patient. Other listed interventions seem to exclude patient input for their care.
A patient with bladder cancer is placed on a biotherapy regimen. The primary purpose of this
treatment modality is to: ✔Correct Answer-Use natural host defense mechanisms to produce
antitumor effects
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Biotherapy either stimulates or suppresses certain immune system functions in order to
produce antitumor/anticancer effects.
A patient states that she plans to use herbal remedies to reduce side effects of her
chemotherapy. The nurse should: ✔Correct Answer-Determine what the patient is using, and
inform the rest of the health care team
Feedback
The nurse should obtain the types and amounts of herbal substances used by the patient and
inform the healthcare team of the patient's choice so adverse reactions can be avoided.
A nurse is educating a patient and her family about pheochromocytoma. In order to decrease
the likelihood of paroxysms or hypertensive crises, the patient should avoid: ✔Correct
Answer-Constipation
Feedback
Activities, such as bending or lifting, or conditions that increase transabdominal pressure or
cause labile variations in blood pressure should be avoided. Constipation may cause the client
to perform the Valsalva maneuver, which alters cardiac function and may trigger a paroxysm.
, A nurse is caring for a female cancer patient who had chemotherapy 11 days ago. The patient
complains of malaise, and her temperature is 103°F (39.4°C). Her CBC results are as follows:
WBC: 4000 (polys 10%, bands 5%, lymph 70%, monos 10%) Hgb: 10 g/dL Platelets: 60,000 mm3
Which of the following actions would NOT be appropriate at this time? ✔Correct Answer-
White blood cell transfusion
Feedback
White blood cell transfusion are not used frequently any more to treat neutropenia, due to their
short life span and ability to cause allergic reactions. Start antibiotic therapy after both blood
cultures have been obtained.
A nurse prepares to discharge instructions to a male patient with a recently placed colostomy
due to a bowel resection. The nurse notes that the patient handles the supplies for the
colostomy and asks, "How do I work this?" Which of the following methods would most likely
ensure this patient's retention of the discharge instructions? ✔Correct Answer-Providing
opportunity for return demonstrations
Feedback
Tactile or kinesthetic learners need the "hands on" practice in order to retain information.
Return demonstrations will allow this patient to perform the procedures while getting
immediate feedback.
A patient arrives for his scheduled chemotherapy. The nursing assessment reveals dyspnea,
facial swelling, jugular vein distension (JVD), tachycardia, and a patient complaint of fatigue. The
nurse should: ✔Correct Answer-Position the patient in high-Fowler's and anticipate an order
for a chest X-ray from the practitioner
Feedback
This patient's symptoms are caused by superior vena cava (SVC) syndrome, a cancer-related
venous congestion in the SVC and restricted cardiac output. Primary nursing interventions
include reducing anxiety and relieving shortness of breath and other related symptoms. A chest
X-ray is usually the first diagnostic test performed to confirm the syndrome.
A woman whose husband died after receiving in-home hospice care continues to care for her
two young children. The best nursing intervention for this family is to: ✔Correct Answer-
Continue bereavement support through hospice services
Feedback
Following the death of a family member, the surviving family may still access bereavement
support at minimal cost through hospice services.
A female patient has incurable cancer with a life expectancy of a few weeks. Which response by
the patient's husband indicates that he is reacting with a normal and expected coping
response? ✔Correct Answer-He expresses anger with God
Feedback
Verified Answers |Latest Version |Already Graded A+
A male patient with a history of spinal chondrosarcoma presents to the ED with complaints of
feeling weak in the legs, sharp stabbing back pain, and difficulty urinating. Emergency
intervention for this patient will most likely include: ✔Correct Answer-Surgical decompression
of the spine
Feedback
This patient is demonstrating signs and symptoms of cauda equina, a cluster of symptoms that
result from the compression of the spinal nerve roots near the lower end of the spinal cord.
Emergency decompression has been shown to lessen the risk of nerve necrosis, which could
result in paraplegia.
Following surgical removal of a brain tumor, a patient participates in a program that helps
improve the ability to perform activities of daily living (ADLs). Which nursing intervention would
be MOST appropriate? ✔Correct Answer-Provide positive reinforcement for skills achieved
during the program
Feedback
Providing positive reinforcement for achieved skills supports the level of self-sufficiency
achieved by the patient. Other listed interventions seem to exclude patient input for their care.
A patient with bladder cancer is placed on a biotherapy regimen. The primary purpose of this
treatment modality is to: ✔Correct Answer-Use natural host defense mechanisms to produce
antitumor effects
Feedback
Biotherapy either stimulates or suppresses certain immune system functions in order to
produce antitumor/anticancer effects.
A patient states that she plans to use herbal remedies to reduce side effects of her
chemotherapy. The nurse should: ✔Correct Answer-Determine what the patient is using, and
inform the rest of the health care team
Feedback
The nurse should obtain the types and amounts of herbal substances used by the patient and
inform the healthcare team of the patient's choice so adverse reactions can be avoided.
A nurse is educating a patient and her family about pheochromocytoma. In order to decrease
the likelihood of paroxysms or hypertensive crises, the patient should avoid: ✔Correct
Answer-Constipation
Feedback
Activities, such as bending or lifting, or conditions that increase transabdominal pressure or
cause labile variations in blood pressure should be avoided. Constipation may cause the client
to perform the Valsalva maneuver, which alters cardiac function and may trigger a paroxysm.
, A nurse is caring for a female cancer patient who had chemotherapy 11 days ago. The patient
complains of malaise, and her temperature is 103°F (39.4°C). Her CBC results are as follows:
WBC: 4000 (polys 10%, bands 5%, lymph 70%, monos 10%) Hgb: 10 g/dL Platelets: 60,000 mm3
Which of the following actions would NOT be appropriate at this time? ✔Correct Answer-
White blood cell transfusion
Feedback
White blood cell transfusion are not used frequently any more to treat neutropenia, due to their
short life span and ability to cause allergic reactions. Start antibiotic therapy after both blood
cultures have been obtained.
A nurse prepares to discharge instructions to a male patient with a recently placed colostomy
due to a bowel resection. The nurse notes that the patient handles the supplies for the
colostomy and asks, "How do I work this?" Which of the following methods would most likely
ensure this patient's retention of the discharge instructions? ✔Correct Answer-Providing
opportunity for return demonstrations
Feedback
Tactile or kinesthetic learners need the "hands on" practice in order to retain information.
Return demonstrations will allow this patient to perform the procedures while getting
immediate feedback.
A patient arrives for his scheduled chemotherapy. The nursing assessment reveals dyspnea,
facial swelling, jugular vein distension (JVD), tachycardia, and a patient complaint of fatigue. The
nurse should: ✔Correct Answer-Position the patient in high-Fowler's and anticipate an order
for a chest X-ray from the practitioner
Feedback
This patient's symptoms are caused by superior vena cava (SVC) syndrome, a cancer-related
venous congestion in the SVC and restricted cardiac output. Primary nursing interventions
include reducing anxiety and relieving shortness of breath and other related symptoms. A chest
X-ray is usually the first diagnostic test performed to confirm the syndrome.
A woman whose husband died after receiving in-home hospice care continues to care for her
two young children. The best nursing intervention for this family is to: ✔Correct Answer-
Continue bereavement support through hospice services
Feedback
Following the death of a family member, the surviving family may still access bereavement
support at minimal cost through hospice services.
A female patient has incurable cancer with a life expectancy of a few weeks. Which response by
the patient's husband indicates that he is reacting with a normal and expected coping
response? ✔Correct Answer-He expresses anger with God
Feedback
