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2024 OCN STUDY GUIDE EXAM WITH CORRECT ANSWERS
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2024 OCN STUDY GUIDE EXAM WITH CORRECT ANSWERS
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2024 OCN STUDY GUIDE EXAMWITH CORRECT ANSWERS
Pleural Effusion - CORRECT-ANSWERSfluid in pleural space
pneumothorax - CORRECT-ANSWERSair in the pleural space
Most frequent treatment for advance prostate cancer? - CORRECT-
ANSWERSMedical castration
Most common presenting symptom of bladder cancer? - CORRECT-
ANSWERSHematuria
Diagnostic tests for bladder cancer - CORRECT-ANSWERSIVP
Cystoscopy
Important nursing intervention for patients with nephrectomy? - CORRECT-
ANSWERSTeach deep breathing and incentive spirometry use
Paralytic ileus - CORRECT-ANSWERSObstruction of the intestine due to
paralysis of the intestinal muscles
Caution nephrectomy patient to avoid nephrotoxic drugs such as what? -
CORRECT-ANSWERSNSAIDS
Screening tests for bladder cancer - CORRECT-ANSWERSNone. Also none for
kidneys.
Most common chemo to treat bladder cancer - CORRECT-
ANSWERSMitomycin
When used with surgery, what chemo doubles survival rates in bladder
cancer? - CORRECT-ANSWERSMVAC
MTX
Vinblastine
Adriamycin
Cisplatin
Define ileal conduit - CORRECT-ANSWERSurine reservoir created after
bladder is removed
,Difference between ileal conduit and continent ileal reservoir. - CORRECT-
ANSWERSconduit needs bag, reservoir does not
Which is most effective single agent chemo for bladder cancer? - CORRECT-
ANSWERSCisplatin
How to prevent malodorous urine? - CORRECT-ANSWERSDecrease alkaline
beverages (soda)
drink fluids high in vitamin C
Avoid stinky food (fish, asparagus)
Clean pouch using soap, water, vinegar
Ethnic group most at risk for nonmelanoma skin cancers - CORRECT-
ANSWERSCaucasian
Chemotherapy with best results in treating malignant melanoma - CORRECT-
ANSWERSDacarbazine (DTIC Dome)
Most important feature when determining prognosis in malignant melanoma.
- CORRECT-ANSWERSSize and depth of lesion at time of diagnosis
Most common sites of metastases from malignant melanoma - CORRECT-
ANSWERSLymph
Lung
Brain
What are nonmelanoma skin cancers? - CORRECT-ANSWERSBasal and
Squamos
Features of malignant melanoma - CORRECT-ANSWERSAsymmetry
Uneven borders
Color variegation
> 6 mm in diameter
Chemos used to treat malignant melanoma - CORRECT-
ANSWERSDacarbazine
Nitrosureas (Carmustine, Lomustine)
temolozamide (Temodar) (PO)
Squamos cell cancers are 90% of what type of cancer? - CORRECT-
ANSWERSHead and Neck
Head and Neck cancer with highest survival rate - CORRECT-
ANSWERSThyroid
, What are primary treatment modalities for managing head and neck tumors?
- CORRECT-ANSWERSSurgery and Radiation.
When would you advise a patient with a trach to change to a laryngectomy
tube? - CORRECT-ANSWERSWhen the stoma begins to get narrow
Most common infection of oropharynx - CORRECT-ANSWERSCandidasis
Major toxicity of cisplatin - CORRECT-ANSWERSNephrotoxicity
**Also ototoxicity**
Possible alterations in mobility after head and neck surgery - CORRECT-
ANSWERSshoulder droop
atrophy of trapezius
forward curve of spine
limited ROM
Most common presenting symptoms in clients with a brain tumor - CORRECT-
ANSWERSSeizure
HA
Unilateral Hemiparesis
Most common types of malignant tumors com from which brain tissue -
CORRECT-ANSWERSAstrocytes - connective cell tissues
Which oral alkylating agent is used to treat brain tumors? - CORRECT-
ANSWERSTemodar
Which IV chemo is used to treat brain tumors? - CORRECT-
ANSWERSCarmustine
Mets to the spine occur most frequently in what cancers? - CORRECT-
ANSWERSBreast
Lung
Prostate
Diagnostic studies for brain tumors - CORRECT-ANSWERSCT
MRI
What does ATRA treat? - CORRECT-ANSWERSAPL
Which drug binds to CD33 antigen? - CORRECT-ANSWERSGemtuzumab
(Mylotarg)
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