OCN - PRACTICE TESTS LATEST
A patient newly diagnosed with cancer tells the nurse, "The doctor
ordered all of these tests for clinical staging. What does that mean?" The
nurse's best response is based on the knowledge that staging:
A. predicts response to treatment.
B. compares treatment results across populations.
C. assesses the usual patterns of spread of specific cancers.
D. evaluates the extent of local and potential metastatic disease. -
ANSWERS-D. evaluates the extent of local and potential metastatic
disease.
The primary purpose for staging is to provide optimal treatment
selection and planning for each individual patient. Staging systems
include clinical, surgical, pathology and biochemical determinants to
define the extent of disease and direct treatment of the individual.
Staging does not directly predict response to treatment, assess patterns of
spread, nor compare results across a population.
A patient with small cell lung cancer has a four-pound weight gain,
headache, and excessive thirst. These symptoms indicate:
A. tumor lysis syndrome.
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, OCN - PRACTICE TESTS LATEST
B. hemolytic uremic syndrome.
C. neoplastic cardiac tamponade.
D. syndrome of inappropriate antidiuretic hormone. - ANSWERS-D.
syndrome of inappropriate antidiuretic hormone
Small cell lung cancer accounts for 80% of syndrome of inappropriate
antidiuretic hormone syndrome (SIADH) cases. Signs and symptoms
include thirst, weight gain, lethargy, headache, anorexia, muscle cramps,
and weakness.
A 62-year-old patient with CD33-positive acute myeloid leukemia in
first relapse presents with a left ejection fraction of 40%. The nurse
anticipates an order for:
A. gemtuzumab ozogamicin.
B. all-trans retinoic acid.
C. cytarabine.
D. rituximab. - ANSWERS-A. gemtuzumab ozogamicin
Gemtuzumab ozogamicin is used for the treatment of relapsed CD33-
positive acute myeloid leukemia in patients greater than or equal to 60
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, OCN - PRACTICE TESTS LATEST
years of age, who would not be considered candidates for cytotoxic
chemotherapy.
Which of the following medications can cause increased sedation when
administered with opioids?
A. Chlorpromazine
B. Ibuprofen
C. Naloxone
D. Prednisone - ANSWERS-A. Chlorpromazine
Phenothiazines can potentiate the sedative effects of opiates.
Nonsteriodal anti-inflammatory agents (NSAIDs) such as ibuprofen do
not cause sedation. Naloxone antagonizes opioids, and prednisone can
cause hyperexcitability and insomnia.
A patient recently diagnosed with liver cancer presents with mild ascites
and complaints of early satiety and bloating. Which of the following
increases the risk of developing malignant ascites?
A. Diabetes
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PAGE
3
, OCN - PRACTICE TESTS LATEST
B. Diverticulitis
C. Renal disease
D. Pulmonary disease - ANSWERS-C. Renal disease
Patients at risk for developing malignant ascites include those with
primary tumors of the liver and comorbid conditions such as renal and
cardiac disease.
An 85-year-old patient's physician recommends major surgery and
chemotherapy for his cancer. His family advocates palliative care. The
patient asks the nurse to help him decide what to do. The most
appropriate initial nursing action would be to:
A. help the patient to complete an advance directive.
B. support and document the family's preference.
C. assess the patient's values and basis for his preference.
D. consult the hospital ethics committee. - ANSWERS-C. assess the
patient's values and basis for his preference
The initial key component in the nursing process when evaluating
psychosocial issues is to obtain a thorough assessment. This should
END OF
PAGE
4
A patient newly diagnosed with cancer tells the nurse, "The doctor
ordered all of these tests for clinical staging. What does that mean?" The
nurse's best response is based on the knowledge that staging:
A. predicts response to treatment.
B. compares treatment results across populations.
C. assesses the usual patterns of spread of specific cancers.
D. evaluates the extent of local and potential metastatic disease. -
ANSWERS-D. evaluates the extent of local and potential metastatic
disease.
The primary purpose for staging is to provide optimal treatment
selection and planning for each individual patient. Staging systems
include clinical, surgical, pathology and biochemical determinants to
define the extent of disease and direct treatment of the individual.
Staging does not directly predict response to treatment, assess patterns of
spread, nor compare results across a population.
A patient with small cell lung cancer has a four-pound weight gain,
headache, and excessive thirst. These symptoms indicate:
A. tumor lysis syndrome.
END OF
PAGE
1
, OCN - PRACTICE TESTS LATEST
B. hemolytic uremic syndrome.
C. neoplastic cardiac tamponade.
D. syndrome of inappropriate antidiuretic hormone. - ANSWERS-D.
syndrome of inappropriate antidiuretic hormone
Small cell lung cancer accounts for 80% of syndrome of inappropriate
antidiuretic hormone syndrome (SIADH) cases. Signs and symptoms
include thirst, weight gain, lethargy, headache, anorexia, muscle cramps,
and weakness.
A 62-year-old patient with CD33-positive acute myeloid leukemia in
first relapse presents with a left ejection fraction of 40%. The nurse
anticipates an order for:
A. gemtuzumab ozogamicin.
B. all-trans retinoic acid.
C. cytarabine.
D. rituximab. - ANSWERS-A. gemtuzumab ozogamicin
Gemtuzumab ozogamicin is used for the treatment of relapsed CD33-
positive acute myeloid leukemia in patients greater than or equal to 60
END OF
PAGE
2
, OCN - PRACTICE TESTS LATEST
years of age, who would not be considered candidates for cytotoxic
chemotherapy.
Which of the following medications can cause increased sedation when
administered with opioids?
A. Chlorpromazine
B. Ibuprofen
C. Naloxone
D. Prednisone - ANSWERS-A. Chlorpromazine
Phenothiazines can potentiate the sedative effects of opiates.
Nonsteriodal anti-inflammatory agents (NSAIDs) such as ibuprofen do
not cause sedation. Naloxone antagonizes opioids, and prednisone can
cause hyperexcitability and insomnia.
A patient recently diagnosed with liver cancer presents with mild ascites
and complaints of early satiety and bloating. Which of the following
increases the risk of developing malignant ascites?
A. Diabetes
END OF
PAGE
3
, OCN - PRACTICE TESTS LATEST
B. Diverticulitis
C. Renal disease
D. Pulmonary disease - ANSWERS-C. Renal disease
Patients at risk for developing malignant ascites include those with
primary tumors of the liver and comorbid conditions such as renal and
cardiac disease.
An 85-year-old patient's physician recommends major surgery and
chemotherapy for his cancer. His family advocates palliative care. The
patient asks the nurse to help him decide what to do. The most
appropriate initial nursing action would be to:
A. help the patient to complete an advance directive.
B. support and document the family's preference.
C. assess the patient's values and basis for his preference.
D. consult the hospital ethics committee. - ANSWERS-C. assess the
patient's values and basis for his preference
The initial key component in the nursing process when evaluating
psychosocial issues is to obtain a thorough assessment. This should
END OF
PAGE
4
