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Exam (elaborations)

ONCC Practice Tests (OCN - Oncologic Emergencies)100% CORRECT!!

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Which of the following cancers is associated with the development of disseminated intravascular coagulation? Mucin-secreting adenocarcinoma of the breast Nonhyperdiploid variant multiple myeloma Primary peritoneal carcinoma Acral lentiginous melanoma - ANSWERMucin-secreting adenocarcinom...

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  • September 16, 2024
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  • 2024/2025
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ONCC Practice Tests (OCN - Oncologic Emergencies)100%
CORRECT!!


Which of the following cancers is associated with the development of disseminated intravascular
coagulation?



Mucin-secreting adenocarcinoma of the breast

Nonhyperdiploid variant multiple myeloma

Primary peritoneal carcinoma

Acral lentiginous melanoma - ANSWERMucin-secreting adenocarcinoma of the breast



Answer: The incidence of disseminated intravascular coagulation is associated mostly with mucin-
secreting adenocarcinomas of the prostate, lung, and breast.



Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 69.



Which of the following is released into the bloodstream in the event of tumor lysis syndrome?



Uric acid

Sodium

Magnesium

Calcium - ANSWERUric acid



Answer: Tumor lysis syndrome is a massive, sudden release of cellular contents in to the bloodstream
resulting in elevated uric acid levels.



Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 440.

, Which of the following classes of medication will most significantly increase the risk for the development
of a cytokine-release syndrome reaction?



Monoclonal antibodies

Taxanes

Platinum compounds

Anthracyclines - ANSWERMonoclonal antibodies



Answer: Monoclonal antibodies can cause cytokine-release syndrome.



Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A
comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 243.



When a suspected extravasation occurs during the administration of a vesicant, the nurse must first:



stop the administration of medication and fluids.

remove the peripheral IV or central venous access device.

aspirate the remaining vesicant from the IV tubing.

notify the healthcare provider. - ANSWERstop the administration of medication and fluids.



Answer: The first step the nurse should take when an extravasation occurs is stopping the infusion.



Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A
comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 217.



Which of the following interventions should the nurse perform for a patient who is at risk for increased
intracranial pressure?



Assessing the patient's gag reflex

Limiting suctioning to less than 30 seconds

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