OCN Practice EXAM #1 | Questions and Answers |
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Terms in this set (165)
Which of the following is not c. bone marrow biopsy
routinely included as part of a A bone marrow biopsy is not routinely performed
diagnostic work-up for colorectal as part of a diagnostic work-up for colorectal
cancer? cancer. Barium enemas provide a clear picture of
a. barium enema the large intestine and are useful in detection of
b. colonoscopy smaller tumors. Colonoscopy provides increased
c. bone marrow biopsy visualization and the ability to biopsy lesions. CEA
d. carcinoembryonic antigen (CEA) is elevated in later stages of colorectal cancer and
may have prognostic value at diagnosis or disease
recurrence.
,You are a registered nurse working in c. immediately stop the infusion and notify the
an outpatient infusion center and oncologist
have begun administration of The patient is experiencing signs of an infusion
paclitaxel on a newly-diagnosed reaction with the potential for anaphylaxis. The
breast cancer patient. The patient nurse must be alert to recognize signs and
mentions that she is feeling flushed symptoms of an early infusion reaction to avoid an
and shows you a small hive on her anaphylactic response. The first step in addressing
left cheek. Your next course of action an infusion reaction is to immediately stop the
is to: infusion and notify the physician.
a. reassure the patient that this is a
normal side effect of paclitaxel
b. give the patient 50mg of IV
Benadryl
c. immediately stop the infusion and
notify the oncologist
d. decrease the rate of paclitaxel by
50%
A 62-year-old male patient d. hypercalcemia
diagnosed with stage 3 SCLC is Hypercalcemia is the oncologic complication that
admitted to the oncology unit with presents with symptoms of mental status change,
somnolence, weakness, nausea, weakness, nausea, vomiting, constipation and
vomiting, and diffuse abdominal abdominal pain. Small cell lung cancer is a
pain. His wife reports that he has malignancy commonly associated with
become increasingly weak over the hypercalcemia. Superior vena cava syndrome
past three days and has exhibited a presents as edema of the face, neck, and upper
change in mental status. She reports extremities; respiratory compromise, chest pain,
that he has not had a bowel headache, dizziness and a feeling of facial fullness.
movement in five days. Which of the The clinical features of septic shock include
following oncologic complications is tachypnea, nausea, diarrhea, confusion, and
a likely explanation for the patient's ultimately oliguria and metabolic acidosis. The
clinical presentation? patient may experience some of these same
a. superior vena cava syndrome symptoms with liver metastasis as well.
b. septic shock
c. liver metastasis
d. hypercalcemia
,Which of the following d. vinblastine
chemotherapeutic agents is Vinca alkaloids are a subset of chemotherapeutic
classified as a Vinca alkaloid? drugs derived from the Madagascar periwinkle
a. docetaxel plant that exert their cytotoxic effects by halting
b. topotecan cell division and causing cell death. Vinblastine is a
c. oxaliplatin plant alkaloid, and more specifically, a vinca
d. vinblastine alkaloid. Docetaxel is also a plant alkaloid, derived
from Taxanes. Topotecan is also plant alkaloid but
is more specifically classified as a Camptothecin
analog. Oxaliplatin is not a plant alkaloid, it is an
alkylating agent known as a 'metal salt'.
Which of the following treatment b. chemotherapy following surgery
examples best describes adjuvant Adjuvant therapy is an additional cancer
therapy? treatement given after the primary treatment to
a. a 53-year-old patient receives minimize the risk of cancer recurrence. In example
chemotherapy and radiation for a B, they patient underwent surgery as a primary
diagnosis of stage 3 breast cancer treatment with chemotherapy given as adjuvant
b. a 64-year-old patient diagnosed therapy. Primary treatment is defined as the first
with stage 3 ovarian cancer receives treatment given and is also referred to as first line
chemotherapy after undergoing a treatment, induction treatment, or primary therapy.
total abdominal hysterectomy and
bilateral salpingo-oophorectomy
c. a 42-year-old patient diagnosed
with stage 1 breast cancer
undergoes a lumpectomy with lymph
node biopsy
d. an 80-year-old patient diagnosed
with chronic leukemia receives oral
chemotherapy with regular
monitoring by her oncologist
, A 60-year-old male patient newly b. chemotherapy with adjuvant radiation therapy
diagnosed with small cell carcinoma The correct answer is chemotherapy with adjuvant
of the right lung is admitted to the radiation therapy to shrink the tumor and to elevate
oncology unit with a chief complaint the obstruction that is causing the syndrome.
of facial and neck swelling as well as Thoracentesis and chest tube p[placement would
a cough. A diagnosis of superior be viable treatment options for a pleural effusion.
vena cava syndrome is made. Which Transfusion of packed red blood cells would not
of the following treatment options be suitable treatment option for superior vena cava
would you expect to see ordered for syndrome.
this patient?
a. thoracentesis under local
anesthesia
b. chemotherapy with adjuvant
radiation therapy
c. transfusion of two units of PRBCs
d. surgical consultation to place a
chest tube
Which of the following would you d. all the of the above
include as part of discharge Patients diagnosed with head and neck cancer who
instructions for a patient diagnosed are being treated with radiation therapy are at risk
with head and neck cancer and who for oral mucositis. Application of soothing
has received radiation therapy? ointments for dryness of the lips, using a soft nylon
a. apply soothing ointments to the toothbrush, oral baking soda rinses are moistening
lips for dryness and cracking food with sauces or gravies are all appropriate
b. use a soft, nylon toothbrush when teaching points for patients undergoing radiation
brushing teeth therapy to the head and neck.
c. rinse the mouth several times per
day with a baking soda and warm
water solution
d. all of the above
Verified Solutions | 2026 Edition | Pass
Guaranteed
Save
Terms in this set (165)
Which of the following is not c. bone marrow biopsy
routinely included as part of a A bone marrow biopsy is not routinely performed
diagnostic work-up for colorectal as part of a diagnostic work-up for colorectal
cancer? cancer. Barium enemas provide a clear picture of
a. barium enema the large intestine and are useful in detection of
b. colonoscopy smaller tumors. Colonoscopy provides increased
c. bone marrow biopsy visualization and the ability to biopsy lesions. CEA
d. carcinoembryonic antigen (CEA) is elevated in later stages of colorectal cancer and
may have prognostic value at diagnosis or disease
recurrence.
,You are a registered nurse working in c. immediately stop the infusion and notify the
an outpatient infusion center and oncologist
have begun administration of The patient is experiencing signs of an infusion
paclitaxel on a newly-diagnosed reaction with the potential for anaphylaxis. The
breast cancer patient. The patient nurse must be alert to recognize signs and
mentions that she is feeling flushed symptoms of an early infusion reaction to avoid an
and shows you a small hive on her anaphylactic response. The first step in addressing
left cheek. Your next course of action an infusion reaction is to immediately stop the
is to: infusion and notify the physician.
a. reassure the patient that this is a
normal side effect of paclitaxel
b. give the patient 50mg of IV
Benadryl
c. immediately stop the infusion and
notify the oncologist
d. decrease the rate of paclitaxel by
50%
A 62-year-old male patient d. hypercalcemia
diagnosed with stage 3 SCLC is Hypercalcemia is the oncologic complication that
admitted to the oncology unit with presents with symptoms of mental status change,
somnolence, weakness, nausea, weakness, nausea, vomiting, constipation and
vomiting, and diffuse abdominal abdominal pain. Small cell lung cancer is a
pain. His wife reports that he has malignancy commonly associated with
become increasingly weak over the hypercalcemia. Superior vena cava syndrome
past three days and has exhibited a presents as edema of the face, neck, and upper
change in mental status. She reports extremities; respiratory compromise, chest pain,
that he has not had a bowel headache, dizziness and a feeling of facial fullness.
movement in five days. Which of the The clinical features of septic shock include
following oncologic complications is tachypnea, nausea, diarrhea, confusion, and
a likely explanation for the patient's ultimately oliguria and metabolic acidosis. The
clinical presentation? patient may experience some of these same
a. superior vena cava syndrome symptoms with liver metastasis as well.
b. septic shock
c. liver metastasis
d. hypercalcemia
,Which of the following d. vinblastine
chemotherapeutic agents is Vinca alkaloids are a subset of chemotherapeutic
classified as a Vinca alkaloid? drugs derived from the Madagascar periwinkle
a. docetaxel plant that exert their cytotoxic effects by halting
b. topotecan cell division and causing cell death. Vinblastine is a
c. oxaliplatin plant alkaloid, and more specifically, a vinca
d. vinblastine alkaloid. Docetaxel is also a plant alkaloid, derived
from Taxanes. Topotecan is also plant alkaloid but
is more specifically classified as a Camptothecin
analog. Oxaliplatin is not a plant alkaloid, it is an
alkylating agent known as a 'metal salt'.
Which of the following treatment b. chemotherapy following surgery
examples best describes adjuvant Adjuvant therapy is an additional cancer
therapy? treatement given after the primary treatment to
a. a 53-year-old patient receives minimize the risk of cancer recurrence. In example
chemotherapy and radiation for a B, they patient underwent surgery as a primary
diagnosis of stage 3 breast cancer treatment with chemotherapy given as adjuvant
b. a 64-year-old patient diagnosed therapy. Primary treatment is defined as the first
with stage 3 ovarian cancer receives treatment given and is also referred to as first line
chemotherapy after undergoing a treatment, induction treatment, or primary therapy.
total abdominal hysterectomy and
bilateral salpingo-oophorectomy
c. a 42-year-old patient diagnosed
with stage 1 breast cancer
undergoes a lumpectomy with lymph
node biopsy
d. an 80-year-old patient diagnosed
with chronic leukemia receives oral
chemotherapy with regular
monitoring by her oncologist
, A 60-year-old male patient newly b. chemotherapy with adjuvant radiation therapy
diagnosed with small cell carcinoma The correct answer is chemotherapy with adjuvant
of the right lung is admitted to the radiation therapy to shrink the tumor and to elevate
oncology unit with a chief complaint the obstruction that is causing the syndrome.
of facial and neck swelling as well as Thoracentesis and chest tube p[placement would
a cough. A diagnosis of superior be viable treatment options for a pleural effusion.
vena cava syndrome is made. Which Transfusion of packed red blood cells would not
of the following treatment options be suitable treatment option for superior vena cava
would you expect to see ordered for syndrome.
this patient?
a. thoracentesis under local
anesthesia
b. chemotherapy with adjuvant
radiation therapy
c. transfusion of two units of PRBCs
d. surgical consultation to place a
chest tube
Which of the following would you d. all the of the above
include as part of discharge Patients diagnosed with head and neck cancer who
instructions for a patient diagnosed are being treated with radiation therapy are at risk
with head and neck cancer and who for oral mucositis. Application of soothing
has received radiation therapy? ointments for dryness of the lips, using a soft nylon
a. apply soothing ointments to the toothbrush, oral baking soda rinses are moistening
lips for dryness and cracking food with sauces or gravies are all appropriate
b. use a soft, nylon toothbrush when teaching points for patients undergoing radiation
brushing teeth therapy to the head and neck.
c. rinse the mouth several times per
day with a baking soda and warm
water solution
d. all of the above
