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OCN practice test A Practice Questions and Answers 100% Pass 1. A patient who reports nausea four days after receiving chemotherapy is experiencing which type of chemotherapy-induced nausea? Breakthrough Acute Delayed Refractory - ANSWER-Delayed chemotherapy-induced nausea and vomiting start...

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  • November 4, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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KaylinHoffman
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OCN practice test A Practice Questions

and Answers 100% Pass


1. A patient who reports nausea four days after receiving chemotherapy is experiencing which type of

chemotherapy-induced nausea?


Breakthrough


Acute


Delayed


Refractory - ANSWER✔✔-Delayed chemotherapy-induced nausea and vomiting starts at least 24 hours

after treatment and may last up to 5 days.


2. A patient newly diagnosed with Hodgkin lymphoma is determined to have an unfavorable prognosis

through which of the following clinical findings?


Hemoglobin 11 g/dL


Absolute lymphocyte count 400/mm3


Presence of A symptoms


Involvement of two lymph nodes - ANSWER✔✔-An absolute lymphocyte count of less than 600/mm3 is

an unfavorable prognostic finding for a patient with advanced Hodgkin lymphoma.


3. Which of the following patients with cancer is most likely to experience sexual dysfunction?


A patient and partner who schedule time for sexual activity

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A female patient with hypotension


A young patient who is newly married


A patient with a history of marital discord - ANSWER✔✔-Patients who have marital issues in their

relationships before a diagnosis of cancer will be a greater risk for sexual difficulties.


4. Which of the following is an advantage of an implanted vascular access device over a tunneled central

venous catheter?


Unlimited ability to access


Low cost of insertion


Decreased risk of infection


Short-term use - ANSWER✔✔-Implanted ports have a lower risk of infection than tunneled central

venous catheters.


5. Administration of filgrastim maintains the dose intensity of a treatment regimen by reducing the:


risk of cardiotoxicity.


need for leucovorin rescue.


occurrence of febrile neutropenia.


occurrence of nausea and vomiting - ANSWER✔✔-Filgrastim is used to reduce the risk of febrile

neutropenia.


6. A patient with a permanent colostomy expresses concern about engaging in sexual intercourse. The

nurse first recommends:


eating immediately before engaging in sexual intercourse.

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replacing the ostomy appliance just before engaging in sexual intercourse.


tracking bowel habits to best schedule sexual intercourse.


having further discussions with a therapist prior to having sexual intercourse. - ANSWER✔✔-By being

aware of their bowel habits, a patient will be able to better plan sexual activities around expected bowel

movements.


7. Which of the following has been attributed to foreign-born women with breast cancer having a lower

survival rate than women with breast cancer who were born in the United States?


Country from where the women have immigrated


Histologic grade of the tumor


Access to mammography screening


Differences in the treatment protocols - ANSWER✔✔-Patients from other countries may have more

significant barriers to obtaining recommended screenings and care, leading to diagnosis at later stages

and decreased survival.


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


Magnesium


Sodium


Uric acid


Calcium - ANSWER✔✔-Tumor lysis syndrome is a massive, sudden release of cellular contents in to the

bloodstream resulting in elevated uric acid levels.


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


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