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OCN Practice Questions 2023 (Test-Questions.com)
Which of the following is not routinely included as part of a diagnostic work-up for
colorectal cancer?
A. Carcinoembryonic antigen (CEA)
B. Bone marrow biopsy
C. Barium enema
D. Colonoscopy - answer B. Bone marrow biopsy
You are a registered nurse working in an outpatient infusion center and have begun
administration of paclitaxel on a newly-diagnosed breast cancer patient. The patient
mentions that she is feeling flushed and shows you a small hive on her left cheek. Your
next course of action is to:
A. Immediately stop the infusion and notify the oncologist.
B. Decrease the rate of paclitaxel by 50%.
C. Give the patient 50mg of IV Benadryl.
D. Reassure the patient that this is a normal side effect of paclitaxel. - answer A.
Immediately stop the infusion and notify the oncologist.
A 62-year-old male patient diagnosed with stage 3 small cell lung cancer is admitted to
the oncology unit with somnolence, weakness, nausea, vomiting, and diffuse abdominal
pain. His wife reports that he has become increasingly weak over the past three days
and has exhibited a change in mental status. She reports that he has not had a bowel
movement in five days. Which of the following oncologic complications is a likely
explanation for the patient's clinical presentation?
A. Hypercalcemia
B. Septic shock
C. Liver metastasis
D. Superior vena cava syndrome - answer A. Hypercalcemia
Which of the following chemotherapeutic agents is classified as a Vinca alkaloid?
A. Docetaxel
B. Etoposide
C. Oxaliplatin
D. Topotecan - answer B. Etoposide
, Which of the following treatment examples best describes adjuvant therapy?
A. A 64-year-old patient diagnosed with stage 3 ovarian cancer receives chemotherapy
after undergoing a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
B. A 53-year-old patient receives chemotherapy and radiation for a diagnosis of stage 3
breast cancer.
C. An 80-year-old patient diagnosed with chronic leukemia receives oral chemotherapy
with regular monitoring by her oncologist.
D. A 42-year-old patient diagnosed with stage 1 breast cancer undergoes a lumpectomy
with lymph node biopsy. - answer A. A 64-year-old patient diagnosed with stage 3
ovarian cancer receives chemotherapy after undergoing a total abdominal hysterectomy
and bilateral salpingo-oophorectomy.
A 60-year-old male patient newly diagnosed with small cell carcinoma of the right lung is
admitted to the oncology unit with a chief complaint of facial and neck swelling as well
as a cough. A diagnosis of superior vena cava syndrome is made. Which of the
following treatment options would you expect to see ordered for this patient?
A. Chemotherapy with adjuvant radiation therapy
B. Thoracentesis under local anesthesia
C. Surgical consultation to place a chest tube
D. Transfusion of two units of packed red blood cells - answer A. Chemotherapy with
adjuvant radiation therapy
Which of the following would you include as part of discharge instructions for a patient
diagnosed with head and neck cancer and who has received radiation therapy?
A. Use a soft, nylon toothbrush when brushing teeth.
B. Apply soothing ointments to the lips for dryness and cracking.
C. Rinse the mouth several times per day with a baking soda and warm water solution.
D. Moisten foods with sauces, gravies and other liquids.
E. All of these answer choices.
F. None of these answer choices. - answer E. All of these answer choices.
Which chromosome is associated with chronic myelogenous leukemia?
A. Philadelphia chromosome
B. Chromosome 7
C. P53
D. Chromosome 13 - answer A. Philadelphia chromosome
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