OCN practice test
Within which timeframe will chemotherapy-induced alopecia normally begin after
receiving a first treatment?
24 hours
2 weeks
1 month
3 months - answer 2 weeks
The nurse teaches a patient that the survivorship care plan is used to:
A. provide instructions to the employer to make accommodations upon the return to
work.
B. replace the patient's electronic medical record.
C. provide clear direction for ongoing care and surveillance following treatment.
D. completion of treatment. - answer provide clear direction for ongoing care and
surveillance following treatment.
Which of the following interventions should the nurse perform for a patient who is at risk
for increased intracranial pressure?
Keeping the patient's bed in the high Fowler's position
Limiting suctioning to less than 30 seconds
Assessing the patient's gag reflex
Positioning pillows to hyperextend the neck - answer Assessing the patient's gag
reflex
Which of the following is a dose-limiting toxicity of irinotecan?
Diarrhea
Alopecia
Miosis
Vomiting - answer diarhhea
A patient demonstrates an adequate understanding of the teaching provided regarding
chemotherapy and myelosuppression by stating:
A. "Myelosuppression is:
the overreaction of the body's immune system to a medication."
B. unintentional prior to a bone marrow transplant."
, C. a potential side effect of many cancer treatments."
D. when laboratory values show an elevation in the white blood cell count." - answer
A patient receiving a fluorouracil-based combination chemotherapy regimen is
employed as a landscaper. The nurse teaches the patient about the risk of:
gout.
peripheral edema.
photosensitivity.
pulmonary toxicity. - answer photosensitivity.
Which of the following is released into the bloodstream in the event of tumor lysis
syndrome?
Uric acid
Sodium
Magnesium
Calcium - answer uric acid
The nurse preparing to instill intravesical mitomycin should wear which of the following
pieces of personal protective equipment?
A plastic face shield
A front-closing laboratory gown
One pair of powdered nitrile gloves
A pair of shoe covers - answer A plastic face shield
Alkylating agents exert their effects by:
A. binding to DNA strands, preventing DNA replication and cell division.
B. disrupting folate-dependent metabolic processes essential for cell replication.
C. causing the release of toxic free radicals inside the cell, triggering cell apoptosis.
D. attaching to CD52 on the surface of B and T cells, resulting in antibody-dependent
lysis. - answer binding to DNA strands, preventing DNA replication and cell division.
One year after receiving total body irradiation for a hematopoietic stem cell transplant, a
patient reports increasingly dim vision and ocular sensitivity. The nurse suspects which
late effect related to treatment?
Optic nerve dysfunction
Strabismus
Cataracts
Macular degeneration - answer cataracts
Which of the following conditions will most likely be treated by an allogeneic stem cell
transplant?
Within which timeframe will chemotherapy-induced alopecia normally begin after
receiving a first treatment?
24 hours
2 weeks
1 month
3 months - answer 2 weeks
The nurse teaches a patient that the survivorship care plan is used to:
A. provide instructions to the employer to make accommodations upon the return to
work.
B. replace the patient's electronic medical record.
C. provide clear direction for ongoing care and surveillance following treatment.
D. completion of treatment. - answer provide clear direction for ongoing care and
surveillance following treatment.
Which of the following interventions should the nurse perform for a patient who is at risk
for increased intracranial pressure?
Keeping the patient's bed in the high Fowler's position
Limiting suctioning to less than 30 seconds
Assessing the patient's gag reflex
Positioning pillows to hyperextend the neck - answer Assessing the patient's gag
reflex
Which of the following is a dose-limiting toxicity of irinotecan?
Diarrhea
Alopecia
Miosis
Vomiting - answer diarhhea
A patient demonstrates an adequate understanding of the teaching provided regarding
chemotherapy and myelosuppression by stating:
A. "Myelosuppression is:
the overreaction of the body's immune system to a medication."
B. unintentional prior to a bone marrow transplant."
, C. a potential side effect of many cancer treatments."
D. when laboratory values show an elevation in the white blood cell count." - answer
A patient receiving a fluorouracil-based combination chemotherapy regimen is
employed as a landscaper. The nurse teaches the patient about the risk of:
gout.
peripheral edema.
photosensitivity.
pulmonary toxicity. - answer photosensitivity.
Which of the following is released into the bloodstream in the event of tumor lysis
syndrome?
Uric acid
Sodium
Magnesium
Calcium - answer uric acid
The nurse preparing to instill intravesical mitomycin should wear which of the following
pieces of personal protective equipment?
A plastic face shield
A front-closing laboratory gown
One pair of powdered nitrile gloves
A pair of shoe covers - answer A plastic face shield
Alkylating agents exert their effects by:
A. binding to DNA strands, preventing DNA replication and cell division.
B. disrupting folate-dependent metabolic processes essential for cell replication.
C. causing the release of toxic free radicals inside the cell, triggering cell apoptosis.
D. attaching to CD52 on the surface of B and T cells, resulting in antibody-dependent
lysis. - answer binding to DNA strands, preventing DNA replication and cell division.
One year after receiving total body irradiation for a hematopoietic stem cell transplant, a
patient reports increasingly dim vision and ocular sensitivity. The nurse suspects which
late effect related to treatment?
Optic nerve dysfunction
Strabismus
Cataracts
Macular degeneration - answer cataracts
Which of the following conditions will most likely be treated by an allogeneic stem cell
transplant?
