OCN practice Test With Complete Solution

1. A patient who reports nausea four days after receiving chemotherapy is experiencing which type of chemotherapy-induced nausea? Breakthrough Acute Delayed Refractory - Answer Delayed chemotherapy-induced nausea and vomiting starts at least 24 hours after treatment and may last up to 5 days. 2. A patient newly diagnosed with Hodgkin lymphoma is determined to have an unfavorable prognosis through which of the following clinical findings? Hemoglobin 11 g/dL Absolute lymphocyte count 400/mm3 Presence of A symptoms Involvement of two lymph nodes - Answer An absolute lymphocyte count of less than 600/mm3 is an unfavorable prognostic finding for a patient with advanced Hodgkin lymphoma. 3. Which of the following patients with cancer is most likely to experience sexual dysfunction? A patient and partner who schedule time for sexual activity A female patient with hypotension A young patient who is newly married A patient with a history of marital discord - Answer Patients who have marital issues in their relationships before a diagnosis of cancer will be a greater risk for sexual difficulties. 4. Which of the following is an advantage of an implanted vascular access device over a tunneled central venous catheter? Unlimited ability to access Low cost of insertion Decreased risk of infection Short-term use - Answer Implanted ports have a lower risk of infection than tunneled central venous catheters. 5. Administration of filgrastim maintains the dose intensity of a treatment regimen by reducing the: risk of cardiotoxicity. need for leucovorin rescue. occurrence of febrile neutropenia. occurrence of nausea and vomiting - Answer Filgrastim is used to reduce the risk of febrile neutropenia. 6. A patient with a permanent colostomy expresses concern about engaging in sexual intercourse. The nurse first recommends: eating immediately before engaging in sexual intercourse. replacing the ostomy appliance just before engaging in sexual intercourse. tracking bowel habits to best schedule sexual intercourse. having further discussions with a therapist prior to having sexual intercourse. - Answer By being aware of their bowel habits, a patient will be able to better plan sexual activities around expected bowel movements. 7. Which of the following has been attributed to foreign-born women with breast cancer having a lower survival rate than women with breast cancer who were born in the United States? Country from where the women have immigrated Histologic grade of the tumor Access to mammography screening Differences in the treatment protocols - Answer Patients from other countries may have more significant barriers to obtaining recommended screenings and care, leading to diagnosis at later stages and decreased survival. 8. Which of the following is released into the bloodstream in the event of tumor lysis syndrome? Magnesium Sodium Uric acid Calcium - Answer Tumor lysis syndrome is a massive, sudden release of cellular contents in to the bloodstream resulting in elevated uric acid levels. 9. When a suspected extravasation occurs during the administration of a vesicant, the nurse must first: notify the healthcare provider. aspirate the remaining vesicant from the IV tubing. stop the administration of medication and fluids. remove the peripheral IV or central venous access device. - Answer The first step the nurse should take when an extravasation occurs is stopping the infusion. 10. A patient with breast cancer who received cyclophospamide five years ago reports a new onset of bruising and fatigue. The nurse suspects: liver failure. cardiomyopathy. a secondary leukemia. leukoencephalopathy. - Answer The risk of secondary leukemia increases with the use of alkylating agents. 11. Which of the following conditions will most likely be treated by an allogeneic stem cell transplant? Multiple myeloma Hodgkin lymphoma Chronic myeloid leukemia Follicular thyroid cancer - Answer Chronic myeloid leukemia is most likely to be treated by an allogeneic transplant. 12. Within which timeframe will chemotherapy-induced alopecia normally begin after receiving a first treatment? 24 hours 3 months 1 month 2 weeks - Answer Hair loss from chemotherapy usually begins two weeks after beginning treatment. 13. Hormone therapy is effective for which two types of cancer? Sarcoma and small cell lung Lymphoma and gallbladder Liver and chronic myeloid leukemia Breast and prostate - Answer Hormone therapy has been successfully used to treat breast and prostate cancers.