OCN — Oncology Certified Nurse, CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY GRADED
A+ (2025/2026).,
Section 1: Care Continuum (Questions 1-19)
(Health promotion, screening, survivorship, end-of-life care)
Question 1
A 20-year-old woman with a family history of BRCA1 and BRCA2 breast
cancer asks when she should have a mammogram. What should the
nurse recommend?
• A) Talking with her doctor about the benefits and limitations of
starting screening early
• B) Having a yearly mammogram beginning at age 35
• C) Having a breast ultrasound after the birth of her first child
• D) Screening to begin at the age of her family member's diagnosis
Correct ,,,,Answer,,,,: A
Rationale: Yearly mammograms are recommended starting at age 40 for
average-risk women. Women at increased risk (family history, genetic
tendency) should discuss the benefits and limitations of starting
screening earlier with their providers .
,Question 2
Which of the following is the most appropriate screening test for average-
risk women aged 45-54 for breast cancer?
• A) Clinical breast exam every 3 years
• B) Annual mammography
• C) MRI of the breasts annually
• D) Breast self-examination only
Correct ,,,,Answer,,,,: B
Rationale: Current guidelines recommend annual mammography for
average-risk women beginning at age 45 (or biennial starting at age 50).
Clinical exam and self-exam are adjuncts, not primary screening .
Question 3
A 62-year-old man with a 40-pack-year smoking history asks about lung
cancer screening. Which test is indicated?
• A) Low-dose CT scan annually
• B) Chest X-ray every year
• C) Sputum cytology quarterly
• D) No screening until symptoms develop
Correct ,,,,Answer,,,,: A
Rationale: Low-dose computed tomography (LDCT) annually is
recommended for adults aged 50-80 years with a ≥20 pack-year smoking
history who currently smoke or have quit within 15 years .
,Question 4
Which dietary factor is most strongly associated with reduced risk of
colorectal cancer?
• A) High red meat intake
• B) Low fiber intake
• C) High fruit and vegetable consumption
• D) High saturated fat consumption
Correct ,,,,Answer,,,,: C
Rationale: Diets rich in fruits, vegetables, and whole grains (high fiber) are
linked to lower colorectal cancer incidence .
Question 5
A nulliparous 60-year-old obese female with diabetes is experiencing
postmenopausal bleeding. The patient is at greatest risk for developing
which type of cancer?
• A) Endometrial cancer
• B) Cervical cancer
• C) Ovarian cancer
• D) Vulvar cancer
Correct ,,,,Answer,,,,: A
Rationale: Risk factors for endometrial cancer include obesity, nulliparity,
diabetes, and postmenopausal bleeding. This patient has multiple risk
factors .
, Question 6
What is the primary purpose of cancer staging?
• A) To evaluate the extent of local and potential metastatic
disease for treatment selection
• B) To predict exact survival time
• C) To determine the patient's insurance coverage
• D) To compare treatment results across populations
Correct ,,,,Answer,,,,: A
Rationale: The primary purpose of 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 .
Question 7
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
Correct ,,,,Answer,,,,: D
Rationale: The primary purpose for staging is to provide optimal treatment
selection and planning for each individual patient. Staging does not
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY GRADED
A+ (2025/2026).,
Section 1: Care Continuum (Questions 1-19)
(Health promotion, screening, survivorship, end-of-life care)
Question 1
A 20-year-old woman with a family history of BRCA1 and BRCA2 breast
cancer asks when she should have a mammogram. What should the
nurse recommend?
• A) Talking with her doctor about the benefits and limitations of
starting screening early
• B) Having a yearly mammogram beginning at age 35
• C) Having a breast ultrasound after the birth of her first child
• D) Screening to begin at the age of her family member's diagnosis
Correct ,,,,Answer,,,,: A
Rationale: Yearly mammograms are recommended starting at age 40 for
average-risk women. Women at increased risk (family history, genetic
tendency) should discuss the benefits and limitations of starting
screening earlier with their providers .
,Question 2
Which of the following is the most appropriate screening test for average-
risk women aged 45-54 for breast cancer?
• A) Clinical breast exam every 3 years
• B) Annual mammography
• C) MRI of the breasts annually
• D) Breast self-examination only
Correct ,,,,Answer,,,,: B
Rationale: Current guidelines recommend annual mammography for
average-risk women beginning at age 45 (or biennial starting at age 50).
Clinical exam and self-exam are adjuncts, not primary screening .
Question 3
A 62-year-old man with a 40-pack-year smoking history asks about lung
cancer screening. Which test is indicated?
• A) Low-dose CT scan annually
• B) Chest X-ray every year
• C) Sputum cytology quarterly
• D) No screening until symptoms develop
Correct ,,,,Answer,,,,: A
Rationale: Low-dose computed tomography (LDCT) annually is
recommended for adults aged 50-80 years with a ≥20 pack-year smoking
history who currently smoke or have quit within 15 years .
,Question 4
Which dietary factor is most strongly associated with reduced risk of
colorectal cancer?
• A) High red meat intake
• B) Low fiber intake
• C) High fruit and vegetable consumption
• D) High saturated fat consumption
Correct ,,,,Answer,,,,: C
Rationale: Diets rich in fruits, vegetables, and whole grains (high fiber) are
linked to lower colorectal cancer incidence .
Question 5
A nulliparous 60-year-old obese female with diabetes is experiencing
postmenopausal bleeding. The patient is at greatest risk for developing
which type of cancer?
• A) Endometrial cancer
• B) Cervical cancer
• C) Ovarian cancer
• D) Vulvar cancer
Correct ,,,,Answer,,,,: A
Rationale: Risk factors for endometrial cancer include obesity, nulliparity,
diabetes, and postmenopausal bleeding. This patient has multiple risk
factors .
, Question 6
What is the primary purpose of cancer staging?
• A) To evaluate the extent of local and potential metastatic
disease for treatment selection
• B) To predict exact survival time
• C) To determine the patient's insurance coverage
• D) To compare treatment results across populations
Correct ,,,,Answer,,,,: A
Rationale: The primary purpose of 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 .
Question 7
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
Correct ,,,,Answer,,,,: D
Rationale: The primary purpose for staging is to provide optimal treatment
selection and planning for each individual patient. Staging does not
