Exam (elaborations)
OCN QUESTIONS AND ANSWERS GRADED A+ 2023
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Exam of 10 pages for the course OCN at OCN (OCN)
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OCNIn performing an assessment on a patient with leukemia, you know that leukemic cells
are capable of infiltrating and accumulating in other organs (called chloromas). This
occurs most commonly in acute leukemia and is seen in which of the following
organs/organ systems? - answer Bone
The most important external risk factor for bladder cancer development is - answer
Cigarette smoking
In preparing a talk to be given at your local community health center on cancer
prevention strategies, which of the following should you include when considering
prevention strategies against ovarian cancer? - answer Not having children
(nulliparity)
You are the oncology nurse caring for Ms. J, a 28-year-old woman with acute
myelogenous leukemia who has completed induction and consolidation therapy and
presents today for her surveillance visit. She shows you a lesion on the back of her calf
that is irregular and bleeds easily. You anticipate referral to the dermatologist for what
type of procedure? - answer Shave biopsy of lesion
A patient presents to the local community care clinic complaining of two weeks of pain
in his left shoulder radiating to his forearm as well as dyspnea and fatigue. Upon
physical examination, he is noted to have a drooping eyelid and constricted pupil on the
left. What potential malignancy is this constellation of symptoms most consistent with? -
answer Lung cancer (mets to brain)
Which chronic health condition is associated with an increased risk of colorectal
cancer? - answer Diabetes
You have been asked to develop an education program about cancer prevention for
high school students. In considering information to include on risk modification, which of
the following is most appropriate based on your audience? - answer Avoid tanning
beds and use of sunscreen
Based on the National Comprehensive Cancer Network and U.S. Preventive Services
Task Force, which of the following patients is not likely not a candidate for prostate
cancer screening? - answer 85-year-old man currently undergoing palliative radiation
for metastatic bone cancer
, What level of cancer prevention is aimed at detecting a disease in its earliest stages,
before symptoms appear, and intervening to slow or stop its progression? - answer
Secondary
Which of the following statements is accurate regarding nonmelanoma skin cancer? -
answer Global incidence has decreased by 3%-10% per year because of risk
reduction modifications.
You are the oncology nurse caring for Mr. L, a 56-year-old who is considering
participating in a clinical trial for treatment of his colorectal cancer. He asks you about
the purpose of a phase II clinical trial. What is your best response? - answer To
assess effectiveness against a specific type(s) of cancer with dosages/schedule
identified in the previous phase study
When providing teaching to an HIV-positive patient regarding the increased risk for
Kaposi sarcoma, the oncology nurse describes skin lesions with a brown, purple, or
reddish discoloration most commonly found on which areas of the body? - answer
The lower extremities or face
Which pathogen poses a great risk for cancer of the nasopharynx? - answer Epstein-
Barr virus
You are an oncology nurse caring for Mr. L, a 54-year-old with colorectal cancer. You
tell Mr. L and his wife that you will be drawing blood for a complete blood count,
comprehensive metabolic panel, and carcinoembryonic antigen (CEA) level, referring to
the CEA test as a tumor marker. Mr. L's wife asks what tumor markers are used for.
Which of the following is your best response? - answer Detecting treatment failure or
cancer recurrence
You are the oncology nurse caring for Ms. J, a 45-year-old nonsmoking, premenopausal
woman with ER/PR+ breast cancer. She asks you which drug she will most likely be
treated with following surgery or radiation as hormonal therapy. Which of the following is
the best agent for this patient? - answer Tamoxifen
Employers are affected by [...] by not being permitted to hire, fire, or change job
assignments based on employee's genetic information - answer Genetic Information
Non-Discrimination Act
Punched out lytic lesions found on x-ray in the long, marrow-producing bones and
widespread osteoporosis are frequently associated with pathologic fractures in patients
with what type of malignancy? - answer Multiple myeloma
Which type of immune response is mediated by antibodies, which are secreted by
plasma cells, or transformed B lymphocytes following exposure to an antigen? - answer
Humoral (cell-mediated)
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