OCN Practice Questions
endometrial cancer Ans: 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?
The nurse may choose to use the PLISSIT (permission, limited information, specific...
the nurse may choose to use the plissit permission
and intensive therapy model when speaking to a patient who expresses concerns abo
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OCN Practice Questions
endometrial cancer Ans: 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?
The nurse may choose to use the PLISSIT (permission, limited information, specific suggestion,
and intensive therapy) model when speaking to a patient who expresses concerns about sexuality
and intimacy. Ans: Which of the following is the most appropriate intervention when discussing
concerns about intimacy with a patient who is receiving treatment?
Mindfulness-based stress reduction has been studied in patients with cancer for its positive effect
on anxiety symptoms. Ans: Which of the following interventions is recommended for reducing
anxiety?
Older patients who have received an allogeneic transplant from a matched unrelated donor are at
risk for development of graft-versus-host disease. Ans: Which of the following patients has an
increased risk for the development of graft-versus-host disease?
Repeated thoracenteses may result in the development of an unexpanded, or trapped, lung. Ans:
A patient with pulmonary metastasis has received repeated thoracenteses. The nurse is most
concerned for the development of which of the following?
Reiki would be an appropriate therapy for patients with low platelet counts because it does not
involve pressure, massage or manipulation. Ans: Which of the following integrative modalities
is appropriate for a patient who is experiencing pain with a platelet count of 12,000/mm3?
Human leukocyte antigen-matched platelet products may be considered to manage patients who
have developed refractory responses to standard platelet transfusions. Ans: A patient with acute
myeloid leukemia is refractory to random-donor platelets and reports bleeding gums. The nurse
anticipates an order to:
A non-stimulant laxative, glycerin suppository, or oil retention enema can be helpful in relieving
obstipation. Ans: A patient with advanced lung cancer reports small amounts of liquid stool,
tenesmus, and lower abdominal pain. The nurse should expect to do which of the following?
Effects of oxaliplatin consist of parasthesias and dysesthesias of the hands, feet, and perioral
region. Ans: Which of the following medications is most likely to cause parasthesia and
dysesthesia to the hands, feet, and mouth?
Extrapyramidal side effects include difficulty speaking or swallowing, loss of balance, shuffling
gait or rigidity, twitching, or weakness of the arms and legs. Ans: A patient who is receiving
prochlorperazine(compazine) reports to the emergency department with slurred speech, a
shuffling gait, and tremors. What is the patient experiencing?
,This patient has a low absolute neutrophil count, and is showing signs of a central line-associated
bloodstream infection. Blood cultures should be obtained before the administration of antibiotics.
Ans: A patient has a temperature of 102°F (38.8°C) with a cough, an absolute neutrophil count
of 200/mm3, and tenderness around the central venous catheter. What should the nurse expect to
do first?
A flare reaction may cause itching, blotchiness or streaking along or next to the vein receiving
the infusion, without the presence of swelling or pain. Ans: A patient reports pruritus above the
peripheral IV site while receiving an infusion of doxorubicin. The nurse observes redness along
the vein, with a brisk, sustained blood return. This most likely indicates:
Confusion Ans: Which of the following most likely indicates an early symptom of increased
intracranial pressure?
Patients demonstrating significant tissue damage following an extravasation should receive
specialized care and consultation with plastic surgery. Ans: Which of the following
interventions is most appropriate for a patient with noticeable skin sloughing and tissue
breakdown following an extravasation?
Syndrome of inappropriate antidiuretic hormone is characterized by the increased reabsorption of
water by the renal tubules, causing increased urine osmolality. Ans: Which of the following is a
pathologic process of syndrome of inappropriate antidiuretic hormone?
Pain and swelling at the IV site are indicative of an extravasation. The recommended treatment
for a doxorubicin extravasation is dexrazoxane. Ans: Which of the following interventions is
recommended for a patient who has developed a wheal and pain at the peripheral IV site during
an infusion of doxorubicin?
Risk factors for endometrial cancer include obesity, nulliparity, hypertension, diabetes, and
development of menopause after the age of 52. Ans: 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 NIOSH-approved respirator must be worn when administering an aerosolized hazardous drug
or cleaning a hazardous drug spill. Ans: With which activities should a NIOSH-approved
respirator be worn?
Most tumor markers are not sensitive or specific enough to diagnose a cancer or to use in routine
screening except for prostate-specific antigen levels. Ans: Which tumor marker is used to screen
for a malignancy?
50. As per the American Cancer Society guidelines, both the prostate-specific antigen blood test
and digital rectal examination should be offered annually beginning at age 50. Ans: The
American Cancer Society guidelines recommend that prostate-specific antigen blood testing be
offered beginning at what age for a man at average risk?
, Acetylsalicylic acid use has consistently displayed effectiveness in reducing mortality rates for
patients with gastrointestinal cancers. Ans: Acetylsalicylic acid has been shown to reduce the
mortality rate for which type of cancer?
Presentation of acute myeloid leukemia includes pancytopenia evidenced by the development of
petechiae. Ans: Which symptom would a patient newly diagnosed with acute myeloid leukemia
most likely exhibit?
Lymphedema rates are 0% to 5% for women after a sentinel lymph node procedure and 10%-
30% after axillary lymph node dissection. Ans: What is the nurse's best response to a patient
who asks about the risk of lymphedema following breast-conservation surgery with a sentinel
node biopsy and radiation?
Cisplatin Ans: can cause neurotoxicity, particularly at cumulative doses of more than 300-
500mg/m2. Numbness and pain will generally begin in the fingers and toes and continue
proximally.
Tamoxifen Ans: Initiation of what drug can result in a tumor flare. This pain is transient and
usually resolves even with continued therapy.
It is recommended that the patient avoid inserting anything into the vagina for four weeks
following a loop electrosurgical excision procedure Ans: What information should the nurse
provide to a patient following a loop electrosurgical excision procedure?
Docetaxel is associated with fluid retention and associated alveolar permeability and pulmonary
infiltrates that may be prevented with corticosteroids premedication. Ans: A patient receiving
docetaxel asks why dexamethasone is prescribed. The nurse's best response is that it prevents:
Palmar-plantar erythrodysesthesia changes to skin can be related to capillary rupture occurring
while walking or during other weight-bearing activities Ans: What is the most likely cause of
palmar-plantar erythrodysesthesia?
DMSO, the preservative used to store collected stem cells, causes a strong garlic-like taste that
the patient may find unpleasant during infusion. Ans: A patient is receiving an infusion of
cryopreserved stem cells. The nurse explains which of the following?
Cytarabine (ara-C) Ans: is used to treat lymphomatous meningitis when it is administered
intrathecally.
Constipation and headache Ans: common side effects of palonosetron
Myelosuppression is often increased in patients who are receiving concurrent chemotherapy and
radiation therapy. Ans: Which patient is at greatest risk for bone marrow depression secondary
to radiation treatment?
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