ONCC Practice Tests (OCN - Oncologic
Emergencies)
Which of the following cancers is associated with the development of disseminated intravascular
coagulation?
Mucin-secreting adenocarcinoma of the breast
Nonhyperdiploid variant more than one myeloma
Primary peritoneal carcinoma
Acral lentiginous melanoma - ANSMucin-secreting adenocarcinoma of the breast
Answer: The occurrence of disseminated intravascular coagulation is associated primarily with
mucin-secreting adenocarcinomas of the prostate, lung, and breast.
Reference: Kaplan, M. (Ed.). (2013). Understanding and coping with oncologic emergencies: A
resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. Sixty nine.
Which of the following is released into the bloodstream in the occasion of tumor lysis syndrome?
Uric acid
Sodium
Magnesium
Calcium - ANSUric acid
Answer: Tumor lysis syndrome is a huge, unexpected launch of cell contents in to the
bloodstream resulting in extended uric acid degrees.
Reference: Kaplan, M. (Ed.). (2013). Understanding and handling oncologic emergencies: A
useful resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 440.
Which of the subsequent lessons of medicine will most importantly growth the hazard for the
improvement of a cytokine-release syndrome response?
Monoclonal antibodies
Taxanes
Platinum compounds
Anthracyclines - ANSMonoclonal antibodies
Answer: Monoclonal antibodies can motive cytokine-release syndrome.
, Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing guide: A
comprehensive manual to scientific exercise (2d ed.). St. Louis, MO: Elsevier Mosby, p. 243.
When a suspected extravasation takes place all through the administration of a vesicant, the
nurse need to first:
forestall the administration of medicine and fluids.
Take away the peripheral IV or relevant venous get right of entry to device.
Aspirate the final vesicant from the IV tubing.
Notify the healthcare provider. - ANSstop the management of drugs and fluids.
Answer: The first step the nurse should take when an extravasation takes place is preventing
the infusion.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing guide: A
complete guide to clinical practice (second ed.). St. Louis, MO: Elsevier Mosby, p. 217.
Which of the following interventions need to the nurse perform for a affected person who's at
risk for expanded intracranial stress?
Assessing the patient's gag reflex
Limiting suctioning to much less than 30 seconds
Keeping the patient's mattress inside the high Fowler's role
Positioning pillows to hyperextend the neck - ANSAssessing the patient's gag reflex
Answer: Increased intracranial stress can impair the gag reflex therefore affecting the affected
person's capability to devour and drink independently.
Reference: Kaplan, M. (Ed.). (2013). Understanding and dealing with oncologic emergencies: A
resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 185(t).
A dexrazoxane infusion shows efficacy for treating the extravasation of:
an anthracycline.
A nitrosourea.
An alkylating agent.
A plant alkaloid. - ANSan anthracycline.
Answer: Dexrazoxane is the treatment for anthracycline extravasation.
Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and
biotherapy tips and pointers for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p.
159(t).
Emergencies)
Which of the following cancers is associated with the development of disseminated intravascular
coagulation?
Mucin-secreting adenocarcinoma of the breast
Nonhyperdiploid variant more than one myeloma
Primary peritoneal carcinoma
Acral lentiginous melanoma - ANSMucin-secreting adenocarcinoma of the breast
Answer: The occurrence of disseminated intravascular coagulation is associated primarily with
mucin-secreting adenocarcinomas of the prostate, lung, and breast.
Reference: Kaplan, M. (Ed.). (2013). Understanding and coping with oncologic emergencies: A
resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. Sixty nine.
Which of the following is released into the bloodstream in the occasion of tumor lysis syndrome?
Uric acid
Sodium
Magnesium
Calcium - ANSUric acid
Answer: Tumor lysis syndrome is a huge, unexpected launch of cell contents in to the
bloodstream resulting in extended uric acid degrees.
Reference: Kaplan, M. (Ed.). (2013). Understanding and handling oncologic emergencies: A
useful resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 440.
Which of the subsequent lessons of medicine will most importantly growth the hazard for the
improvement of a cytokine-release syndrome response?
Monoclonal antibodies
Taxanes
Platinum compounds
Anthracyclines - ANSMonoclonal antibodies
Answer: Monoclonal antibodies can motive cytokine-release syndrome.
, Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing guide: A
comprehensive manual to scientific exercise (2d ed.). St. Louis, MO: Elsevier Mosby, p. 243.
When a suspected extravasation takes place all through the administration of a vesicant, the
nurse need to first:
forestall the administration of medicine and fluids.
Take away the peripheral IV or relevant venous get right of entry to device.
Aspirate the final vesicant from the IV tubing.
Notify the healthcare provider. - ANSstop the management of drugs and fluids.
Answer: The first step the nurse should take when an extravasation takes place is preventing
the infusion.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing guide: A
complete guide to clinical practice (second ed.). St. Louis, MO: Elsevier Mosby, p. 217.
Which of the following interventions need to the nurse perform for a affected person who's at
risk for expanded intracranial stress?
Assessing the patient's gag reflex
Limiting suctioning to much less than 30 seconds
Keeping the patient's mattress inside the high Fowler's role
Positioning pillows to hyperextend the neck - ANSAssessing the patient's gag reflex
Answer: Increased intracranial stress can impair the gag reflex therefore affecting the affected
person's capability to devour and drink independently.
Reference: Kaplan, M. (Ed.). (2013). Understanding and dealing with oncologic emergencies: A
resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 185(t).
A dexrazoxane infusion shows efficacy for treating the extravasation of:
an anthracycline.
A nitrosourea.
An alkylating agent.
A plant alkaloid. - ANSan anthracycline.
Answer: Dexrazoxane is the treatment for anthracycline extravasation.
Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and
biotherapy tips and pointers for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, p.
159(t).
