OCN practice test
Study online at https://quizlet.com/_feyjxz
1. During the intravenous administration of a Discontinue administra-
chemotherapeutic agent, the patient has a sudden tion of the chemothera-
onset of dyspnea, wheezing, hypotension, and throat peutic agent
and facial edema. The nurse's initial action should be
to:
Discontinue administration of the chemotherapeutic
agent.
Administer oxygen.
Administer epinephrine.
Administer an antihistamine.
2. Which of the following may be an indication of non- The patient repeatedly
medical opioid use in a cancer patient being treated loses pain medication.
for pain?
The patient asks about changing drugs to improve
analgesia.
The patient keeps a pain diary.
The patient maintains meticulous records of pain
medications.
The patient repeatedly loses pain medication.
3. Which of the following is true for colon cancer? Anemia without bowel
symptoms may be a pre-
About two-thirds of these cancers occur in the cecum senting sign.
and ascending colon.
Anemia without bowel symptoms may be a present-
ing sign.
Five-year survival for those with stage I is only 50%.
If the tumor perforates the bowel it is considered
stage IV.
, OCN practice test
Study online at https://quizlet.com/_feyjxz
4. A patient is to begin treatment with Zometa for bone Serum creatinine/creati-
metastasis. Which laboratory tests or test is indicated nine clearance
prior to each dose of treatment?
CBC
Serum creatinine/creatinine clearance
Carcinoembryonic antigen (CEA)
Liver function tests
5. A young man is undergoing a syngeneic, hematopoi- An identical twin
etic stem cell transplantation (HSCT). The donor tissue
is coming from:
A matched, unrelated donor
A family member
The patient
An identical twin
6. A patient has had persistent nausea and vomiting, de- Asking the patient to do
spite receiving medication to control her symptoms. deep breathing and con-
Which of the following measures may provide some trolled swallowing ma-
relief? neuvers
Increasing fluid intake with meals
Serving foods at a warm to hot temperature
Asking the patient lie flat after eating
Asking the patient to do deep breathing and con-
trolled swallowing maneuvers
7. The most common sites for metastasis from bladder Bone, liver, lung
cancer are to:
Adrenal glands, bone, brain, liver, lung
, OCN practice test
Study online at https://quizlet.com/_feyjxz
Bone, brain, liver, lung
Liver, lung, peritoneum
Bone, liver, lung
8. A 20-year-old survivor of childhood brain cancer is Hypothyroidism
now complaining of fatigue, weight gain, muscle
weakness, dysmenorrhea, and depression. She un-
derwent surgery and radiation therapy as treatment
for her cancer fifteen years ago. Which of the follow-
ing late effects is she probably experiencing?
Cardiomyopathy
Resurgence of cancer
Hypothyroidism
Anemia
9. A patient who has received adjuvant chemotherapy is Maintain a detailed daily
very distressed about cognitive impairment ("chemo planner.
brain"), which is interfering with her ability to work.
Which of the following techniques is likely to be most
helpful initially?
Maintain a detailed daily planner.
Practice brain exercises.
Set up an exercise regimen.
Keep a diary of memory problems.
10. A patient receiving chemotherapy has developed oral salt water
mucositis, and the patient states that brushing her
teeth with toothpaste increases her mouth pain. What
should the patient use as an alternative?
Standard mouthwash
, OCN practice test
Study online at https://quizlet.com/_feyjxz
Water only
Lidocaine-based mouthwash
Salt water
11. Providing all patients with literature about the dan- Primary
gers of smoking, the steps to quitting, and the rec-
ommendation that all patients stop smoking, is an
example of what type of preventive measure?
Primary
Secondary
Tertiary
Quaternary
12. A patient has been diagnosed with stage II renal cell Radical nephrectomy
cancer (T2 N0 M0). The nurse anticipates the treat-
ment of choice will be: renal cell usually does not
respond well to systemic
Radical nephrectomy and chemotherapy therapy, so no chemo!
Radical nephrectomy and external beam radiation
Radical nephrectomy
Chemotherapy and external beam radiation
13. A patient with ovarian cancer suddenly develops se- Obstruction of small in-
vere nausea. She is vomiting large volumes of flu- testines
id. Her abdomen is painful and rigid on palpation,
and bowel sounds are diminished. She reports feeling
short of breath. She is afebrile. She reports that she
has had only very small bowel movements recently.
The most likely diagnosis is:
Fecal impaction
Obstruction of small intestines
Study online at https://quizlet.com/_feyjxz
1. During the intravenous administration of a Discontinue administra-
chemotherapeutic agent, the patient has a sudden tion of the chemothera-
onset of dyspnea, wheezing, hypotension, and throat peutic agent
and facial edema. The nurse's initial action should be
to:
Discontinue administration of the chemotherapeutic
agent.
Administer oxygen.
Administer epinephrine.
Administer an antihistamine.
2. Which of the following may be an indication of non- The patient repeatedly
medical opioid use in a cancer patient being treated loses pain medication.
for pain?
The patient asks about changing drugs to improve
analgesia.
The patient keeps a pain diary.
The patient maintains meticulous records of pain
medications.
The patient repeatedly loses pain medication.
3. Which of the following is true for colon cancer? Anemia without bowel
symptoms may be a pre-
About two-thirds of these cancers occur in the cecum senting sign.
and ascending colon.
Anemia without bowel symptoms may be a present-
ing sign.
Five-year survival for those with stage I is only 50%.
If the tumor perforates the bowel it is considered
stage IV.
, OCN practice test
Study online at https://quizlet.com/_feyjxz
4. A patient is to begin treatment with Zometa for bone Serum creatinine/creati-
metastasis. Which laboratory tests or test is indicated nine clearance
prior to each dose of treatment?
CBC
Serum creatinine/creatinine clearance
Carcinoembryonic antigen (CEA)
Liver function tests
5. A young man is undergoing a syngeneic, hematopoi- An identical twin
etic stem cell transplantation (HSCT). The donor tissue
is coming from:
A matched, unrelated donor
A family member
The patient
An identical twin
6. A patient has had persistent nausea and vomiting, de- Asking the patient to do
spite receiving medication to control her symptoms. deep breathing and con-
Which of the following measures may provide some trolled swallowing ma-
relief? neuvers
Increasing fluid intake with meals
Serving foods at a warm to hot temperature
Asking the patient lie flat after eating
Asking the patient to do deep breathing and con-
trolled swallowing maneuvers
7. The most common sites for metastasis from bladder Bone, liver, lung
cancer are to:
Adrenal glands, bone, brain, liver, lung
, OCN practice test
Study online at https://quizlet.com/_feyjxz
Bone, brain, liver, lung
Liver, lung, peritoneum
Bone, liver, lung
8. A 20-year-old survivor of childhood brain cancer is Hypothyroidism
now complaining of fatigue, weight gain, muscle
weakness, dysmenorrhea, and depression. She un-
derwent surgery and radiation therapy as treatment
for her cancer fifteen years ago. Which of the follow-
ing late effects is she probably experiencing?
Cardiomyopathy
Resurgence of cancer
Hypothyroidism
Anemia
9. A patient who has received adjuvant chemotherapy is Maintain a detailed daily
very distressed about cognitive impairment ("chemo planner.
brain"), which is interfering with her ability to work.
Which of the following techniques is likely to be most
helpful initially?
Maintain a detailed daily planner.
Practice brain exercises.
Set up an exercise regimen.
Keep a diary of memory problems.
10. A patient receiving chemotherapy has developed oral salt water
mucositis, and the patient states that brushing her
teeth with toothpaste increases her mouth pain. What
should the patient use as an alternative?
Standard mouthwash
, OCN practice test
Study online at https://quizlet.com/_feyjxz
Water only
Lidocaine-based mouthwash
Salt water
11. Providing all patients with literature about the dan- Primary
gers of smoking, the steps to quitting, and the rec-
ommendation that all patients stop smoking, is an
example of what type of preventive measure?
Primary
Secondary
Tertiary
Quaternary
12. A patient has been diagnosed with stage II renal cell Radical nephrectomy
cancer (T2 N0 M0). The nurse anticipates the treat-
ment of choice will be: renal cell usually does not
respond well to systemic
Radical nephrectomy and chemotherapy therapy, so no chemo!
Radical nephrectomy and external beam radiation
Radical nephrectomy
Chemotherapy and external beam radiation
13. A patient with ovarian cancer suddenly develops se- Obstruction of small in-
vere nausea. She is vomiting large volumes of flu- testines
id. Her abdomen is painful and rigid on palpation,
and bowel sounds are diminished. She reports feeling
short of breath. She is afebrile. She reports that she
has had only very small bowel movements recently.
The most likely diagnosis is:
Fecal impaction
Obstruction of small intestines
