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