EXAM
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OCN FREE 2026 A+ GRADE ASSURED COMPLETE SOLUT
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IONS AND VERIFIED ANSWERS (50097) zm zm zm zm
QUESTION 1 zm
1. The nurse explains to a patient who had a gastrectomy five days ago that a swallow
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study is performed to: ensure tolerance of a general diet. check for any obstructions.
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verify absence of an anastomotic leak. confirm all the surgical margins are clear.
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ANSWER
Approximately five days after a gastrectomy, a swallow study will be completed to exclude an anast
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omotic leak. zm
QUESTION 2 zm
2. A patient with hepatocellular carcinoma presents with gastrointestinal bleeding. Th
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e nurse suspects this is most likely to be the result of: lymphedema. cholelithiasis. spl
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enic dysfunction. portal hypertension.
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ANSWER
The development of portal hypertension can lead to gastrointestinal bleeding.
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QUESTION 3 zm
3. Which of the following laboratory values should the nurse check prior to administe
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ring a dose of zoledronic acid to a patient with hypercalcemia of malignancy? Potassiu
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m Creatinine Uric acid Sodium
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ANSWER
Renal toxicity is a side effect of zoledronic acid. A serum creatinine must be monitored prior to eac
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h infusion of zoledronic acid.
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QUESTION 4 zm
, 4. Prior to initiating an infusion of arsenic trioxide, the nurse should ensure which of
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the following? Serum potassium level is greater than 4 mEq/L QTc interval is greater
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than 500 milliseconds Order indicates the duration of the infusion is 30 minutes Basel
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ine pulmonary function testing results are documented
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ANSWER
Potassium should be monitored and corrected prior to an infusion of arsenic trioxide.
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QUESTION 5 zm
5. A patient with breast cancer has been receiving paclitaxel and would like to have a
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mmanicure. What instructions should the patient receive? Apply artificial nails using a
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strong adhesive. Soak the hands in a 50% bleach solution for 20 minutes. Ask for a pr
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escription for a prophylactic antibiotic. Use a non-acetone polish remover.
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ANSWER
Non-acetone polish remover will be gentler on the nail, maintaining healthy structure.
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QUESTION 6 zm
6. A patient experiencing spinal cord compression to the lumbar-
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sacral area is most likely to exhibit which of the following signs and symptoms? A hea
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dache, shoulder and arm pain Flaccidity, chest pain, and a positive Babinski reflex Dys
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pnea and increased pain above the level of the tumor Paralysis, incontinence, and low
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er back pain
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ANSWER
A patient with a lumbar-
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sacral spinal cord compression is likely to experience paralysis, incontinence, and lower back pain.
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QUESTION 7 zm
7. Which medication is administered to prevent hemorrhagic cystitis? Dexrazoxane Le
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ucovorin Mesna Fosaprepitant zm zm
ANSWER
Mesna is used to prevent hemorrhagic cystitis.
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QUESTION 8 zm
8. Which of the following is a primary preventative method to prevent the developme
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nt of cancer? Obtaining biannual serum tumor marker levels Performing monthly brea
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st self-examination Receiving an annual Pap test Avoiding the use of tobacco products
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Exam Solution zm
OCN FREE 2026 A+ GRADE ASSURED COMPLETE SOLUT
zm zm zm zm zm zm zm
IONS AND VERIFIED ANSWERS (50097) zm zm zm zm
QUESTION 1 zm
1. The nurse explains to a patient who had a gastrectomy five days ago that a swallow
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study is performed to: ensure tolerance of a general diet. check for any obstructions.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
verify absence of an anastomotic leak. confirm all the surgical margins are clear.
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Approximately five days after a gastrectomy, a swallow study will be completed to exclude an anast
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omotic leak. zm
QUESTION 2 zm
2. A patient with hepatocellular carcinoma presents with gastrointestinal bleeding. Th
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e nurse suspects this is most likely to be the result of: lymphedema. cholelithiasis. spl
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enic dysfunction. portal hypertension.
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ANSWER
The development of portal hypertension can lead to gastrointestinal bleeding.
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QUESTION 3 zm
3. Which of the following laboratory values should the nurse check prior to administe
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ring a dose of zoledronic acid to a patient with hypercalcemia of malignancy? Potassiu
zm zm zm zm zm zm zm zm zm zm zm zm zm
m Creatinine Uric acid Sodium
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ANSWER
Renal toxicity is a side effect of zoledronic acid. A serum creatinine must be monitored prior to eac
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h infusion of zoledronic acid.
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QUESTION 4 zm
, 4. Prior to initiating an infusion of arsenic trioxide, the nurse should ensure which of
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the following? Serum potassium level is greater than 4 mEq/L QTc interval is greater
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than 500 milliseconds Order indicates the duration of the infusion is 30 minutes Basel
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ine pulmonary function testing results are documented
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ANSWER
Potassium should be monitored and corrected prior to an infusion of arsenic trioxide.
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QUESTION 5 zm
5. A patient with breast cancer has been receiving paclitaxel and would like to have a
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mmanicure. What instructions should the patient receive? Apply artificial nails using a
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strong adhesive. Soak the hands in a 50% bleach solution for 20 minutes. Ask for a pr
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escription for a prophylactic antibiotic. Use a non-acetone polish remover.
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ANSWER
Non-acetone polish remover will be gentler on the nail, maintaining healthy structure.
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QUESTION 6 zm
6. A patient experiencing spinal cord compression to the lumbar-
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sacral area is most likely to exhibit which of the following signs and symptoms? A hea
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dache, shoulder and arm pain Flaccidity, chest pain, and a positive Babinski reflex Dys
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pnea and increased pain above the level of the tumor Paralysis, incontinence, and low
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er back pain
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ANSWER
A patient with a lumbar-
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sacral spinal cord compression is likely to experience paralysis, incontinence, and lower back pain.
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QUESTION 7 zm
7. Which medication is administered to prevent hemorrhagic cystitis? Dexrazoxane Le
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ucovorin Mesna Fosaprepitant zm zm
ANSWER
Mesna is used to prevent hemorrhagic cystitis.
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QUESTION 8 zm
8. Which of the following is a primary preventative method to prevent the developme
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nt of cancer? Obtaining biannual serum tumor marker levels Performing monthly brea
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st self-examination Receiving an annual Pap test Avoiding the use of tobacco products
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