OCN - PRACTICE TESTS EXAM NEW LATEST VERSION WITH
ALL QUESTIONS FROM ACTUAL EXAM 100% CORRECT
ANSWERS AND RATIONALE
A patient with lymphoma reports persistent nausea, muscle cramps, weakness, and paresthesia of the
fingers two days after receiving the first cycle of chemotherapy. The patient most likely is experiencing:
A. hypercalcemia.
B. tumor lysis syndrome.
C. disseminated intravasular coagulation.
D. syndrome of inappropriate antidiuretic hormone secretion. - CORRECT ANSWERS-B. tumor
lysis syndrome
Tumor lysis syndrome involves a metabolic imbalance that occurs with the rapid release of intracellular
potassium, phosphorus, and nucleic acid into the blood as a result of tumor cell kill. Early signs and
symptoms of tumor lysis syndrome include the following: muscle cramps, weakness, nausea and
vomiting, diarrhea, lethargy, and paresthesia.
During the initial evaluation of a patient, the treatment plan is outlined and includes amputation of the
right leg. The patient begins to scream and cry, stating, "But I have small children. I need to be able to
run, walk, and play with them." The nurse's best response is:
A. It sounds like you fear your treatment plan, tell me what you know about it.
B. Many patients feel better after they are fitted with a prosthesis.
C. If you do not receive the amputation, your chance of dying is great.
D. The psychiatric nurse will help you cope with the amputation. - CORRECT ANSWERS-A. It
sounds like you fear your treatment plan, tell me what you know about it.
Anger as part of the mourning process often is felt most profoundly in those who experience disfiguring
surgery, loss of body parts, and loss of control of the body. Nurses can address the underlying feelings
with reflective statements. A reflective statement will help patients to gain control and focus on the real
issues.
,Which of the following is a complication that can occur after a percutaneous lung biopsy is performed?
A. Pleural effusion
B. Atelectasis
C. Pneumothorax
D. Pneumonia - CORRECT ANSWERS-C. Pneumothorax
A lung biopsy is performed by inserting a spinal type needle into the chest cavity to obtain tissue for
examination. Air can be introduced into the chest cavity during the procedure and can cause a
pneumothorax.
A survivor of colon cancer expresses his desire to change jobs. He is concerned that he will be unable to
obtain health insurance at a new job due to his history of cancer. The nurse's best intervention is to:
A. encourage him to speak with his attorney.
B. refer him to a support group.
C. inform him about the Americans with Disabilities Act of 1990.
D. provide him with the phone number of the National Coalition of Cancer Survivorship. - CORRECT
ANSWERS-C. inform him about the Americans with Disabilities Act of 1990.
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 frequently.
B. using an electric razor.
C. avoiding trauma.
D. taking daily stool softeners. - CORRECT ANSWERS-A. washing hands frequently
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 chills.
B. projectile vomiting.
C. hypersensitivity reaction.
D. urinary retention. - CORRECT ANSWERS-C. hypersensitivity reaction
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 ago complains of still feeling
tired. The nurse anticipates an order for:
A. darbepoetin.
B. methylphenidate.
C. lorazepam.
D. pegfilgrastim. - CORRECT ANSWERS-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.
ALL QUESTIONS FROM ACTUAL EXAM 100% CORRECT
ANSWERS AND RATIONALE
A patient with lymphoma reports persistent nausea, muscle cramps, weakness, and paresthesia of the
fingers two days after receiving the first cycle of chemotherapy. The patient most likely is experiencing:
A. hypercalcemia.
B. tumor lysis syndrome.
C. disseminated intravasular coagulation.
D. syndrome of inappropriate antidiuretic hormone secretion. - CORRECT ANSWERS-B. tumor
lysis syndrome
Tumor lysis syndrome involves a metabolic imbalance that occurs with the rapid release of intracellular
potassium, phosphorus, and nucleic acid into the blood as a result of tumor cell kill. Early signs and
symptoms of tumor lysis syndrome include the following: muscle cramps, weakness, nausea and
vomiting, diarrhea, lethargy, and paresthesia.
During the initial evaluation of a patient, the treatment plan is outlined and includes amputation of the
right leg. The patient begins to scream and cry, stating, "But I have small children. I need to be able to
run, walk, and play with them." The nurse's best response is:
A. It sounds like you fear your treatment plan, tell me what you know about it.
B. Many patients feel better after they are fitted with a prosthesis.
C. If you do not receive the amputation, your chance of dying is great.
D. The psychiatric nurse will help you cope with the amputation. - CORRECT ANSWERS-A. It
sounds like you fear your treatment plan, tell me what you know about it.
Anger as part of the mourning process often is felt most profoundly in those who experience disfiguring
surgery, loss of body parts, and loss of control of the body. Nurses can address the underlying feelings
with reflective statements. A reflective statement will help patients to gain control and focus on the real
issues.
,Which of the following is a complication that can occur after a percutaneous lung biopsy is performed?
A. Pleural effusion
B. Atelectasis
C. Pneumothorax
D. Pneumonia - CORRECT ANSWERS-C. Pneumothorax
A lung biopsy is performed by inserting a spinal type needle into the chest cavity to obtain tissue for
examination. Air can be introduced into the chest cavity during the procedure and can cause a
pneumothorax.
A survivor of colon cancer expresses his desire to change jobs. He is concerned that he will be unable to
obtain health insurance at a new job due to his history of cancer. The nurse's best intervention is to:
A. encourage him to speak with his attorney.
B. refer him to a support group.
C. inform him about the Americans with Disabilities Act of 1990.
D. provide him with the phone number of the National Coalition of Cancer Survivorship. - CORRECT
ANSWERS-C. inform him about the Americans with Disabilities Act of 1990.
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 frequently.
B. using an electric razor.
C. avoiding trauma.
D. taking daily stool softeners. - CORRECT ANSWERS-A. washing hands frequently
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 chills.
B. projectile vomiting.
C. hypersensitivity reaction.
D. urinary retention. - CORRECT ANSWERS-C. hypersensitivity reaction
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 ago complains of still feeling
tired. The nurse anticipates an order for:
A. darbepoetin.
B. methylphenidate.
C. lorazepam.
D. pegfilgrastim. - CORRECT ANSWERS-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.
