OCN EXAM AND PRACTICE EXAM NEWEST 2026 TEST
BANK| ONCC OCN (ONCOLOGY CERTIFIED NURSE)
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
1. A patient receiving chemotherapy reports fatigue that
interferes with daily activities. What is the nurse's priority
intervention?
A) Encourage the patient to rest in bed as much as possible
B) Recommend a balanced program of rest and physical activity
C) Prescribe a stimulant medication for energy
D) Tell the patient fatigue is expected and nothing can be done
Correct Answer: B
Rationale: Cancer-related fatigue is best managed with a
balanced program of rest and physical activity such as walking.
Evidence supports exercise as an effective intervention for
reducing fatigue severity (Yarbro, Wujcik, & Gobel, 2018).
Complete bed rest can decondition patients and worsen fatigue.
Stimulants are not first-line and require careful consideration .
1
,2. Which assessment finding indicates chemotherapy-induced
peripheral neuropathy (CIPN)?
A) Bradycardia and hypotension
B) Numbness and tingling in a "stocking-glove" distribution
C) Hyperreflexia and muscle spasticity
D) Facial drooping and slurred speech
Correct Answer: B
Rationale: CIPN typically presents as numbness, tingling, and
pain in a symmetrical "stocking-glove" distribution (distal
extremities). Symptoms result from damage to peripheral nerves
caused by neurotoxic agents such as platinum compounds,
taxanes, and vinca alkaloids (Brant, 2023) .
3. A patient with mucositis reports severe oral pain rated
8/10. What is the most appropriate pain management
approach?
A) Administer oral acetaminophen every 6 hours
B) Use a magic mouthwash containing lidocaine as the sole
treatment
2
,C) Implement a multimodal approach including systemic
analgesics and topical agents
D) Recommend salt water rinses only
Correct Answer: C
Rationale: Management of mucositis pain requires a multimodal
approach including systemic analgesics (opioids for severe pain)
and topical anesthetics (lidocaine, benzocaine, diphenhydramine)
as well as non-pharmacologic interventions. Magic mouthwash
alone is insufficient for severe pain (Brown, 2015) .
4. A patient undergoing radiation therapy reports skin
erythema and dryness in the treatment field. Which
intervention should the nurse recommend?
A) Apply topical antibiotics to prevent infection
B) Use fragrance-free, alcohol-free moisturizers
C) Scrub the area gently during bathing
D) Apply ice packs directly to the skin
Correct Answer: B
Rationale: For radiation dermatitis, patients should use gentle,
fragrance-free, alcohol-free moisturizers to soothe dry skin.
3
, Avoidance of irritants, gentle cleansing with mild soap and
water, and protection from sun exposure are recommended.
Scrubbing and ice packs can further damage compromised skin
(McQuestion, Drapek, & Witt, 2021) .
5. A patient with advanced cancer has anorexia-cachexia
syndrome. Which nursing intervention is appropriate?
A) Force the patient to eat high-calorie meals
B) Provide small, frequent meals that are nutrient-dense
C) Restrict fluids to increase appetite
D) Recommend only clear liquids until appetite improves
Correct Answer: B
Rationale: Small, frequent meals (every 2-3 hours) that are
nutrient-dense and appealing can help manage anorexia-
cachexia. Force feeding is inappropriate and increases distress.
Patients should be offered preferred foods and assisted with
eating as needed (Ferrell & Paice, 2019) .
6. A patient receiving cisplatin reports ringing in the ears. This
symptom indicates:
4
BANK| ONCC OCN (ONCOLOGY CERTIFIED NURSE)
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
1. A patient receiving chemotherapy reports fatigue that
interferes with daily activities. What is the nurse's priority
intervention?
A) Encourage the patient to rest in bed as much as possible
B) Recommend a balanced program of rest and physical activity
C) Prescribe a stimulant medication for energy
D) Tell the patient fatigue is expected and nothing can be done
Correct Answer: B
Rationale: Cancer-related fatigue is best managed with a
balanced program of rest and physical activity such as walking.
Evidence supports exercise as an effective intervention for
reducing fatigue severity (Yarbro, Wujcik, & Gobel, 2018).
Complete bed rest can decondition patients and worsen fatigue.
Stimulants are not first-line and require careful consideration .
1
,2. Which assessment finding indicates chemotherapy-induced
peripheral neuropathy (CIPN)?
A) Bradycardia and hypotension
B) Numbness and tingling in a "stocking-glove" distribution
C) Hyperreflexia and muscle spasticity
D) Facial drooping and slurred speech
Correct Answer: B
Rationale: CIPN typically presents as numbness, tingling, and
pain in a symmetrical "stocking-glove" distribution (distal
extremities). Symptoms result from damage to peripheral nerves
caused by neurotoxic agents such as platinum compounds,
taxanes, and vinca alkaloids (Brant, 2023) .
3. A patient with mucositis reports severe oral pain rated
8/10. What is the most appropriate pain management
approach?
A) Administer oral acetaminophen every 6 hours
B) Use a magic mouthwash containing lidocaine as the sole
treatment
2
,C) Implement a multimodal approach including systemic
analgesics and topical agents
D) Recommend salt water rinses only
Correct Answer: C
Rationale: Management of mucositis pain requires a multimodal
approach including systemic analgesics (opioids for severe pain)
and topical anesthetics (lidocaine, benzocaine, diphenhydramine)
as well as non-pharmacologic interventions. Magic mouthwash
alone is insufficient for severe pain (Brown, 2015) .
4. A patient undergoing radiation therapy reports skin
erythema and dryness in the treatment field. Which
intervention should the nurse recommend?
A) Apply topical antibiotics to prevent infection
B) Use fragrance-free, alcohol-free moisturizers
C) Scrub the area gently during bathing
D) Apply ice packs directly to the skin
Correct Answer: B
Rationale: For radiation dermatitis, patients should use gentle,
fragrance-free, alcohol-free moisturizers to soothe dry skin.
3
, Avoidance of irritants, gentle cleansing with mild soap and
water, and protection from sun exposure are recommended.
Scrubbing and ice packs can further damage compromised skin
(McQuestion, Drapek, & Witt, 2021) .
5. A patient with advanced cancer has anorexia-cachexia
syndrome. Which nursing intervention is appropriate?
A) Force the patient to eat high-calorie meals
B) Provide small, frequent meals that are nutrient-dense
C) Restrict fluids to increase appetite
D) Recommend only clear liquids until appetite improves
Correct Answer: B
Rationale: Small, frequent meals (every 2-3 hours) that are
nutrient-dense and appealing can help manage anorexia-
cachexia. Force feeding is inappropriate and increases distress.
Patients should be offered preferred foods and assisted with
eating as needed (Ferrell & Paice, 2019) .
6. A patient receiving cisplatin reports ringing in the ears. This
symptom indicates:
4
