Exam (elaborations)
OCN practice test A Questions and Answers Fully solved 2023
- Course
- Institution
Exam of 10 pages for the course OCN at OCN (OCN practice test A)
[Show more]
Seller
Follow
jw638729
Reviews received
Content preview
OCN practice test A1. 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
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.
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:
notify the healthcare provider.
aspirate the remaining vesicant from the IV tubing.
stop the administration of medication and fluids.
remove the peripheral IV or central venous access device. - answer The first step the
nurse should take when an extravasation occurs is stopping the infusion.
10. A patient with breast cancer who received cyclophospamide five years ago reports a
new onset of bruising and fatigue. The nurse suspects:
liver failure.
cardiomyopathy.
a secondary leukemia.
leukoencephalopathy. - answer The risk of secondary leukemia increases with the
use of alkylating agents.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jw638729. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now