ONCC Practice Tests (OCN - Care
Continuum) with Questions and
Answers| Rated A
Answer: Patients with Hodgkin lymphoma have an increased risk of secondary malignacy including
leukemia and myelodysplastic syndrome, non-Hodgkin lymphoma, breast, lung and thyroid.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (2018). Cancer nursing: Principles and practice (8th
ed.). Burlington, MA: Jones and Bartlett, p 2036(t).
A 19-year-old patient with testicular cancer who will receive cisplatin and pelvic radiation asks if he
will be able to conceive children. What should the nurse suggest?
Sperm banking prior to beginning treatment
Sexual counseling throughout treatment
Cryopreservation after completing cisplatin treatment
Sildenafil prior to engaging in sexual activity following the completion of treatment - ✔✔Sperm
banking prior to beginning treatment
Answer: Chemotherapy, especially with cisplatin and alkylating agents can cause permanent infertility
(azoospermia). Sperm banking is recommended prior to the start of treatment if the patient is
interested in future paternity.
Reference: Burke, C.C. (Ed.). (2009). Psychosocial dimensions of oncology nursing care (2nd ed.).
Pittsburgh, PA: Oncology Nursing Society, pp. 93-94, 115.
,What should a cancer education program for adults with low-literacy levels include?
Multiple forms of the same message and repetition
Medical terms so people become familiar with these words
Frequent use of scored quizzes on new material
Cartoon-type illustrations to explain concepts - ✔✔Answer: Repetition of concepts and using
multiple ways to convey a message is recommended, including the use of pictures and
demonstrations.
Reference: Bastable, S.B. (Ed.). (2019). Nurse as educator: Principles of teaching and learning for nursing
practice (5th ed.). Burlington, MA: Jones and Bartlett, p. 299.
A patient with intractable dyspnea at the end of life has not experienced any relief with
traditional interventions. Which of the following should the nurse next consider?
Discussing the initiating of palliative sedation with the team
Asking the physician to increase the doses of all medications
Calling anesthesia to intubate the patient
Informing the patient that there is nothing else left to give them - ✔✔Discussing the initiating
of palliative sedation with the team
Answer: When therapies such as IV opioids, oxygen, diuretics, and benzodiazepines fail to improve
intractable dyspnea, palliative sedation is considered in end-of-life care.
Reference: Brown, C.G. (Ed.). (2015). A guide to oncology symptom management (2nd ed.). Pittsburgh,
PA: Oncology Nursing Society, p. 373.
, A patient's adolescent son approaches the nurse about screening for himself. The nurse most
appropriately recommends which of the following?
Testicular self-examination
CA 19-9 testing
Prostate-specific antigen testing
Colonoscopy - ✔✔Testicular self-examination
Answer: Teaching about risk factors and the importance of testicular self-examination beginning in the
teen years is the most important prevention method.
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, pp. 77-78.
Which population is most at risk for the undertreatment of pain at the end of life?
Elderly
Men
Obese adults
Young adults - ✔✔Elderly
Answer: Individuals at particular risk for undertreatment of pain symptoms at the end of life are the
elderly, minorities, and women.
Reference: Ferrell, B.R., Coyle, N. & Paice, J. (Eds.). (2015). Oxford textbook of palliative nursing (4th
ed.). New York, NY: Oxford University Press, p. 135.
A patient expresses a desire to return back to work following treatment, but still reports significant
fatigue. What is the nurse's most appropriate suggestion?