EXAM
Exam Solution zm
ONS 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
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AND VERIFIED ANSWERS (9E3A5)
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QUESTION 1 zm
A premenopausal patient with metastatic breast cancer is receiving letrozole. Which o
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ther medication is also expected to be prescribed for ovarian ablation?
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a. degarelix
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b. exemestane
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c. goserelin
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d. tamoxifen
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ANSWER
c. goserelin Concomitant ovarian ablation with a luteinizing hormone-
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releasing hormone agonist therapy, such as goserelin, is recommended in the adjuvant, recurrent, or
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mmetastatic settings for women with breast cancer who are premenopausal.
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QUESTION 2 zm
A patient with an insulinoma would be most likely to experience which of the followi
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ng signs and symptoms?
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a. hypoK, aclorhydria, vasoconstriction
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b. glucose interolerance, diarrhea, anemia
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c. abd pain, reflux, vit b6 deficiency
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d. hypoglycemia, confusion, vision changes
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ANSWER
d. hypoglycemia, confusion, vision changes
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QUESTION 3 zm
4. A patient with esophageal cancer reports cramping and diarrhea after eating meals.
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What should the nurse recommend?
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a. chewing thoroughly
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b. drinking at least 20oz of water during meals
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, c. decreasing dietary protein intake
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d. eating small, freqeunt meals
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ANSWER
d. eating small, freqeunt meals aka prevent dumping syndrome
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QUESTION 4 zm
5. What is the absolute neutrophil count for a patient who has a white blood cell coun
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t of 500/mm3 with 32% polysegmented neutrophils and 7% bands?
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a. 100/mm3
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b. 125/mm3
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c. 195/mm3
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d. 223/mm3
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ANSWER
c. 195/mm3 The absolute neutrophil count can be calculated by adding polysegmented neutrophils a
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nd bands, converting to a percentage, and multiplying by the white blood cell count (0.32 +0.07 = 0.
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39) x 500 = 195/mm3.
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QUESTION 5 zm
6. A patient with cancer receiving palliative services reports poor sleep, fatigue, and fr
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equently feeling worried. Which medication should the nurse expect to be prescribed
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for the patient?
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a. miratazapine
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b. diphenhydramine
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c. citalopram
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d. methylphenidate
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ANSWER
c. citalopram The symptoms described are consistent with generalized anxiety. Selective serotonin re
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uptake inhibitors, such as citalopram, are considered first-
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line for the management of generalized anxiety disorder.
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QUESTION 6 zm
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is erythema
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tous, excoriated, and bleeding. Which of the following complications should the nurse
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first suspect? zm
a. stenosis requiring revision
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b. improper pouch fit
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c. increased output over baseline
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d. allergy to device
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Exam Solution zm
ONS 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
zm zm zm zm zm zm zm
AND VERIFIED ANSWERS (9E3A5)
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QUESTION 1 zm
A premenopausal patient with metastatic breast cancer is receiving letrozole. Which o
zm zm zm zm zm zm zm zm zm zm zm
ther medication is also expected to be prescribed for ovarian ablation?
zm zm zm zm zm zm zm zm zm zm
a. degarelix
zm
b. exemestane
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c. goserelin
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d. tamoxifen
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ANSWER
c. goserelin Concomitant ovarian ablation with a luteinizing hormone-
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releasing hormone agonist therapy, such as goserelin, is recommended in the adjuvant, recurrent, or
zm zm zm zm zm zm zm zm zm zm zm zm zm z
mmetastatic settings for women with breast cancer who are premenopausal.
zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
A patient with an insulinoma would be most likely to experience which of the followi
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ng signs and symptoms?
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a. hypoK, aclorhydria, vasoconstriction
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b. glucose interolerance, diarrhea, anemia
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c. abd pain, reflux, vit b6 deficiency
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d. hypoglycemia, confusion, vision changes
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ANSWER
d. hypoglycemia, confusion, vision changes
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QUESTION 3 zm
4. A patient with esophageal cancer reports cramping and diarrhea after eating meals.
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What should the nurse recommend?
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a. chewing thoroughly
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b. drinking at least 20oz of water during meals
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, c. decreasing dietary protein intake
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d. eating small, freqeunt meals
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ANSWER
d. eating small, freqeunt meals aka prevent dumping syndrome
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QUESTION 4 zm
5. What is the absolute neutrophil count for a patient who has a white blood cell coun
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t of 500/mm3 with 32% polysegmented neutrophils and 7% bands?
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a. 100/mm3
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b. 125/mm3
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c. 195/mm3
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d. 223/mm3
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ANSWER
c. 195/mm3 The absolute neutrophil count can be calculated by adding polysegmented neutrophils a
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nd bands, converting to a percentage, and multiplying by the white blood cell count (0.32 +0.07 = 0.
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39) x 500 = 195/mm3.
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QUESTION 5 zm
6. A patient with cancer receiving palliative services reports poor sleep, fatigue, and fr
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equently feeling worried. Which medication should the nurse expect to be prescribed
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for the patient?
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a. miratazapine
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b. diphenhydramine
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c. citalopram
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d. methylphenidate
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ANSWER
c. citalopram The symptoms described are consistent with generalized anxiety. Selective serotonin re
zm zm zm zm zm zm zm zm zm zm zm zm
uptake inhibitors, such as citalopram, are considered first-
zm zm zm zm zm zm zm
line for the management of generalized anxiety disorder.
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QUESTION 6 zm
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is erythema
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tous, excoriated, and bleeding. Which of the following complications should the nurse
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first suspect? zm
a. stenosis requiring revision
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b. improper pouch fit
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c. increased output over baseline
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d. allergy to device
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