OCN - Practice Tests Exam Questions And Answers
Verified 100% Correct
Which of the following is a complication that can occur after a percutaneous lung biopsy
is performed?
A. Pleural effusion
B. Atelectasis
C. Pneumothorax
D. Pneumonia - ANSWER C. Pneumothorax
A lung biopsy is performed by inserting a spinal type needle into the chest cavity to
obtain tissue for examination. Air can be introduced into the chest cavity during the
procedure and can cause a pneumothorax.
A survivor of colon cancer expresses his desire to change jobs. He is concerned that he
will be unable to obtain health insurance at a new job due to his history of cancer. The
nurse's best intervention is to:
A. encourage him to speak with his attorney.
B. refer him to a support group.
C. inform him about the Americans with Disabilities Act of 1990.
D. provide him with the phone number of the National Coalition of Cancer Survivorship.
- ANSWER C. inform him about the Americans with Disabilities Act of 1990.
Some survivors may avoid changing jobs because they fear the loss of health
insurance. Survivors and their family members are protected at the workplace by the
Americans with Disabilities Act (ADA). Cancer is considered a disability under the ADA.
The act requires employers to treat all employees the same, including the provision of
benefits. If insurance coverage is offered to all employees, it must be offered to the
cancer survivor or the employer is in violation of the ADA.
It is important to assess attitudes about illness and care-seeking in a patient from
different racial and ethnic groups in order to:
A. effectively change
attitudes.
B. identify the socioeconomic status
of the patient.
,C. tailor treatment approaches to the
individual patient.
D. determine where early interventions will be
ineffective. - ANSWER C. tailor
treatment approaches to the
individual patient.
The aim of transcultural nursing is to understand and assist diverse cultural groups with
their nursing and health care needs. Assessing the cultural aspects of an individual's
lifestyle, health beliefs, and health practices will enhance the nurse's decision making
and judgment when providing care, thereby tailoring care to the individual.
A patient who does not speak English is eligible to participate in a phase II clinical trial.
The patient's grandson wishes to translate to obtain informed consent. Which of the
following actions would be most appropriate?
A. Allow the grandson to act as the interpreter.
B. Have an interpreter translate without the grandson present.
C. Have an interpreter translate with the grandson present.
D. Disallow the patient's participation because of the language barrier. - ANSWER C.
Have an interpreter translate with the grandson present
Without an interpreter present, obtaining an informed consent would be deemed
inappropriate. The literal meaning of the communication may not be ensured when
using a family member to interpret the information. It is recommended a professional
interpreter be used to facilitate the process.
A patient newly diagnosed with cancer experiences restlessness, insomnia, diarrhea,
heart palpitations, and irritability. The patient states he is nervous and jittery and
requests something for nerves. The nurse's best response is to:
A. tell the patient that treatment will begin at once.
B. instruct the patient to ask the physician for a sedative.
C. assure the patient that his reaction is typical to a diagnosis of cancer.
D. ask the patient to further explain his feelings. - ANSWER D. ask the patient to
further explain his feelings
There are several risk factors that are related to the development of anxiety. Before
treating anxiety, it is important to determine those situations that cause it. The nurse
should help the patient to identify the situations that cause the anxiety.
While administering doxorubicin peripherally, a patient complains of itching at the
infusion site. The nurse observes red streaking along the vein with a blood return. The
nurse's initial response is to:
, A. change the IV site.
B. continue administering the drug.
C. stop the infusion and instill an antidote.
D. stop the infusion and flush the line with saline. - ANSWER D. stop the infusion and
flush the line with saline.
A flare reaction is a local venous inflammatory response with subsequent histamine
release manifested by streaking or red blotches along the vein, but without pain. If it is
determined that the drug administered has not extravasated, then the infusion should
stop and the line should be flushed with saline, while watching for resolution of the flare.
A patient with a history of cardiac disease is being evaluated for chronic leukemia. The
patient reports tachycardia and dyspnea. A complete blood cell count with differential is
obtained. Which of the following findings would most likely indicate the cause?
A. Hemoglobin level, 7.9 g/dl
B. Platelet count, 1000,000 mm3
C. White blood cell count, 2960 mm3
D. Absolute neutrophil count, 1700/mm3 - ANSWER A. Hemoglobin level, 7.9 g/dl
Anemia is defined as a reduction in the normal concentration of hemoglobin (Hgb) or
red blood cells in the blood. Severe anemia is defined as an Hgb level below 8 g/dl.
Clinical signs of severe anemia include: tachycardia, dyspnea at rest, angina,
headache, and dizzyness.
A patient with lung cancer is scheduled to receive her fourth dose of chemotherapy. The
patient tells the nurse that she has begun to experience nausea when driving to her
appointments. Which of the following types of nausea is the patient experiencing?
A. Acute
B. Delayed
C. Anticipatory
D. Breakthrough - ANSWER C. Anticipatory
Patterns of nausea and vomiting range in etiology and duration. Acute nausea and
vomiting occurs within several minutes to several hours after drug administration.
Delayed nausea and vomiting develops after more than 24 hours after drug
administration. Breakthrough nausea and vomiting occurs when preventative regimens
fail. Anticipatory nausea and vomiting is a conditioned response that occurs prior to the
administration of chemotherapy.
A patient with a history of ovarian cancer reports being bloated and feeling full and
vomiting after eating small amounts of food. The patient has noticed a 10 pound weight
Verified 100% Correct
Which of the following is a complication that can occur after a percutaneous lung biopsy
is performed?
A. Pleural effusion
B. Atelectasis
C. Pneumothorax
D. Pneumonia - ANSWER C. Pneumothorax
A lung biopsy is performed by inserting a spinal type needle into the chest cavity to
obtain tissue for examination. Air can be introduced into the chest cavity during the
procedure and can cause a pneumothorax.
A survivor of colon cancer expresses his desire to change jobs. He is concerned that he
will be unable to obtain health insurance at a new job due to his history of cancer. The
nurse's best intervention is to:
A. encourage him to speak with his attorney.
B. refer him to a support group.
C. inform him about the Americans with Disabilities Act of 1990.
D. provide him with the phone number of the National Coalition of Cancer Survivorship.
- ANSWER C. inform him about the Americans with Disabilities Act of 1990.
Some survivors may avoid changing jobs because they fear the loss of health
insurance. Survivors and their family members are protected at the workplace by the
Americans with Disabilities Act (ADA). Cancer is considered a disability under the ADA.
The act requires employers to treat all employees the same, including the provision of
benefits. If insurance coverage is offered to all employees, it must be offered to the
cancer survivor or the employer is in violation of the ADA.
It is important to assess attitudes about illness and care-seeking in a patient from
different racial and ethnic groups in order to:
A. effectively change
attitudes.
B. identify the socioeconomic status
of the patient.
,C. tailor treatment approaches to the
individual patient.
D. determine where early interventions will be
ineffective. - ANSWER C. tailor
treatment approaches to the
individual patient.
The aim of transcultural nursing is to understand and assist diverse cultural groups with
their nursing and health care needs. Assessing the cultural aspects of an individual's
lifestyle, health beliefs, and health practices will enhance the nurse's decision making
and judgment when providing care, thereby tailoring care to the individual.
A patient who does not speak English is eligible to participate in a phase II clinical trial.
The patient's grandson wishes to translate to obtain informed consent. Which of the
following actions would be most appropriate?
A. Allow the grandson to act as the interpreter.
B. Have an interpreter translate without the grandson present.
C. Have an interpreter translate with the grandson present.
D. Disallow the patient's participation because of the language barrier. - ANSWER C.
Have an interpreter translate with the grandson present
Without an interpreter present, obtaining an informed consent would be deemed
inappropriate. The literal meaning of the communication may not be ensured when
using a family member to interpret the information. It is recommended a professional
interpreter be used to facilitate the process.
A patient newly diagnosed with cancer experiences restlessness, insomnia, diarrhea,
heart palpitations, and irritability. The patient states he is nervous and jittery and
requests something for nerves. The nurse's best response is to:
A. tell the patient that treatment will begin at once.
B. instruct the patient to ask the physician for a sedative.
C. assure the patient that his reaction is typical to a diagnosis of cancer.
D. ask the patient to further explain his feelings. - ANSWER D. ask the patient to
further explain his feelings
There are several risk factors that are related to the development of anxiety. Before
treating anxiety, it is important to determine those situations that cause it. The nurse
should help the patient to identify the situations that cause the anxiety.
While administering doxorubicin peripherally, a patient complains of itching at the
infusion site. The nurse observes red streaking along the vein with a blood return. The
nurse's initial response is to:
, A. change the IV site.
B. continue administering the drug.
C. stop the infusion and instill an antidote.
D. stop the infusion and flush the line with saline. - ANSWER D. stop the infusion and
flush the line with saline.
A flare reaction is a local venous inflammatory response with subsequent histamine
release manifested by streaking or red blotches along the vein, but without pain. If it is
determined that the drug administered has not extravasated, then the infusion should
stop and the line should be flushed with saline, while watching for resolution of the flare.
A patient with a history of cardiac disease is being evaluated for chronic leukemia. The
patient reports tachycardia and dyspnea. A complete blood cell count with differential is
obtained. Which of the following findings would most likely indicate the cause?
A. Hemoglobin level, 7.9 g/dl
B. Platelet count, 1000,000 mm3
C. White blood cell count, 2960 mm3
D. Absolute neutrophil count, 1700/mm3 - ANSWER A. Hemoglobin level, 7.9 g/dl
Anemia is defined as a reduction in the normal concentration of hemoglobin (Hgb) or
red blood cells in the blood. Severe anemia is defined as an Hgb level below 8 g/dl.
Clinical signs of severe anemia include: tachycardia, dyspnea at rest, angina,
headache, and dizzyness.
A patient with lung cancer is scheduled to receive her fourth dose of chemotherapy. The
patient tells the nurse that she has begun to experience nausea when driving to her
appointments. Which of the following types of nausea is the patient experiencing?
A. Acute
B. Delayed
C. Anticipatory
D. Breakthrough - ANSWER C. Anticipatory
Patterns of nausea and vomiting range in etiology and duration. Acute nausea and
vomiting occurs within several minutes to several hours after drug administration.
Delayed nausea and vomiting develops after more than 24 hours after drug
administration. Breakthrough nausea and vomiting occurs when preventative regimens
fail. Anticipatory nausea and vomiting is a conditioned response that occurs prior to the
administration of chemotherapy.
A patient with a history of ovarian cancer reports being bloated and feeling full and
vomiting after eating small amounts of food. The patient has noticed a 10 pound weight
