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Exam (elaborations)

OCN Practice Test 2024 100% Accurate!!

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What is the primary purpose for providing interprofessional oncology care? a. delivering cost-effective services b. standardizing patient communication c. improving patient outcomes d. meeting regulatory standards - ANSWERc. improving patient outcomes Quality of practice includes the oncology ...

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  • September 16, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • OCN
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OCN Practice Test 2024 100% Accurate!!

What is the primary purpose for providing interprofessional oncology care?

a. delivering cost-effective services

b. standardizing patient communication

c. improving patient outcomes

d. meeting regulatory standards - ANSWERc. improving patient outcomes

Quality of practice includes the oncology nurse participating in interprofessional teams to address
outcomes and enhance factors that promote safe and effective patient outcomes.



What is the shortest phase of the cell cycle?

a. synthesis

b. gap 2

c. mitosis

d. gap 1 - ANSWERc. mitosis

Mitosis is the shortest phase of the cell's life cycle.



A patient with cancer states "What is the point of living if I have cancer? I am going to die anyway. I
should just sit at home." Which of the following statements made by the nurse offers the most
therapeutic approach?

a. "let's explore some ways you can engage and enjoy life"

b. "a pessimistic attitude puts you at risk for depression. Are you depressed?"

c. "You sound anxious. Make sure to discuss this with your physician"

d. "I will refer you to the social worker to talk through your thoughts" - ANSWERA. "let's explore some
ways you can engage and enjoy life"

A patient experiencing helplessness and possibly depression may benefit from gently reframing negative
thinking patterns.



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?

,a. informing the patient that there is nothing left to give them

b. calling anesthesia to intubate the patient

c. asking the treating physician to increase the doses of all the patient's medications

d. discussing the initiating of palliative sedation with the interprofessional team - ANSWERd. discussing
the initiating of palliative sedation with the interprofessional team

When therapies such as IV opioids, oxygen, diuretics, and benzodiazepines fail to improve intractable
dyspnea, palliative sedation could be considered in end-of-life care



One week after receiving chemotherapy, a patient is afebrile with generalized oral erythema, xerostomia,
white patches on the soft palate, and a lump-like sensation with swallowing. Which of the following
orders should the nurse anticipate?

a. allopurinol mouthwash

b. amoxicillin

c. panendoscopy

d. fluconazole - ANSWERd. fluconazole

Oral candida presents with redness and a "cottage cheese" appearance. Antifungal medications are used
to treat oral candidiasis.



Hormone therapy is effective for which two types of cancer?

a. breast and prostate

b. liver and chronic myeloid leukemia

c. lymphoma and gallbladder

d. sarcoma and small cell lung - ANSWERa. breast and prostate

Hormone therapy has been successfully used to treat breast and prostate cancers.




A patient with end-stage pancreatic cancer reports an inability to concentrate and sleep, mood swings,
and a sense of helplessness. The nurse best responds by:

a. facilitating a referral to palliative care for additional support

b. offering to take care of the patient's pets following the patient's death

, c. requesting an assignment change to avoid feeling overburdened

d. asking the physician to initiate a nightly melatonin supplement - ANSWERa. facilitating a referral to
palliative care for additional support

The nurse can offer palliative care services to provide emotional support, interventions and guidance as
related to the patient's distress and depression.



A patient with lung cancer will be discharged home after receiving etoposide and cisplatin. Discharge
instructions should include what information?

a. hiccups that develop should be reported immediately to the physician

b. a fever should be reported immediately to the physician

c. ringing in the ears is a side effect of etoposide and will improve in a few days

d. observe urine carefully for the next two days for blood and immediately report its presence. -
ANSWERb. a fever should be reported immediately to the physician

Which of the following is the best intervention to increase a patient's adherence to taking oral
chemotherapy at home?

a. instructing the patient to double the next dose if a dose is missed

b. having the patient pick up a refill at the next appointment if the supply runs out

c. calling the patient periodically to monitor for side effects and ask questions.

d. telling the patient to take over-the-counter medications as needed for nausea - ANSWERc. calling the
patient periodically to monitor for side effects and ask questions

Follow-up telephone calls are known to help with medication adherence.



The nursing assessment for a patient who received bortezomib should prioritize which of the following?

a. asking the patient basic orientation questions

b. asking the patient to demonstrate picking up a coin

c. documenting the patient's fluid intake for the past 24 hours

d. auscultating the patient's lung sounds - ANSWERb. asking the patient to demonstrate picking up a coin

Peripheral neuropathy, both early and late onset, is a common side effect of bortezomib.



A patient with metastatic breast cancer reports the intermittent periods of severe pain despite the use of
opioid analgesics. In order to further evaluate the patient's pain, the nurse should first recommend:

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