Exam (elaborations)
OCN Exam Questions and anaswers Newest RATED A+ 2024
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OCN Exam Questions and anaswers Newest RATED A+ 2024
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OCN Exam Questions and anaswersNewest RATED A+ 2024
What is the primary purpose for providing interprofessional oncology care?
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a. delivering cost-effective services
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b. standardizing patient communication
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c. improving patient outcomes
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d. meeting regulatory standards - c. improving patient outcomes
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Quality of practice includes the oncology nurse participating in interprofessional teams to
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address outcomes and enhance factors that promote safe and effective patient
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outcomes.
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What is the shortest phase of the cell cycle?
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a. synthesis
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b. gap 2
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c. mitosis
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d. gap 1 - c. mitosis
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Mitosis is the shortest phase of the cell's life cycle.
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A patient with cancer states "What is the point of living if I have cancer? I am going to die
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anyway. I should just sit at home." Which of the following statements made by the nurse
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offers the most therapeutic approach?
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a. "let's explore some ways you can engage and enjoy life"
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b. "a pessimistic attitude puts you at risk for depression. Are you depressed?"
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c. "You sound anxious. Make sure to discuss this with your physician"
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d. "I will refer you to the social worker to talk through your thoughts" - A. "let's explore
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some ways you can engage and enjoy life"
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A patient experiencing helplessness and possibly depression may benefit from gently
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reframing negative thinking patterns.
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A patient with intractable dyspnea at the end of life has not experienced any relief with
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traditional interventions. Which of the following should the nurse next consider?
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a. informing the patient that there is nothing left to give them
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b. calling anesthesia to intubate the patient
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c. asking the treating physician to increase the doses of all the patient's medications
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d. discussing the initiating of palliative sedation with the interprofessional team - d.
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discussing the initiating of palliative sedation with the interprofessional team
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When therapies such as IV opioids, oxygen, diuretics, and benzodiazepines fail to
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improve intractable dyspnea, palliative sedation could be considered in end-of-life care
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Which of the following best represents the psychological component of a comprehensive
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pain assessment?
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a. the aggravating factors of the experienced pain
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b. the meaning of pain to the patient and family
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,the influence of religion on coping with pain
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d. the economic impact of the pain and its treatment - b. the meaning of pain to the
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patient and family
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The meaning of pain to the patient and family is an example of the psychosocial
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component of the comprehensive pain assessment.
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A cancer education program for adults with low-literacy levels should include which of
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the following?
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a. frequent use of scored quizzes on new material
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b. cartoon-type illustrations to explain concepts
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c. multiple forms of the same message and repetition
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d. medical terms so people become familiar with these words - c. multiple forms of the
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same mesage and repetition
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Repetition of concepts and using multiple ways to convey a message is recommended,
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including the use of pictures and demonstrations.
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One week after receiving chemotherapy, a patient is afebrile with generalized oral
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erythema, xerostomia, white patches on the soft palate, and a lump-like sensation with
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swallowing. Which of the following orders should the nurse anticipate?
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a. allopurinol mouthwash
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b. amoxicillin
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c. panendoscopy
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d. fluconazole - d. fluconazole
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Oral candida presents with redness and a "cottage cheese" appearance. Antifungal
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medications are used to treat oral candidiasis.
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Hormone therapy is effective for which two types of cancer?
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a. breast and prostate
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b. liver and chronic myeloid leukemia
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c. lymphoma and gallbladder
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d. sarcoma and small cell lung - a. breast and prostate
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Hormone therapy has been successfully used to treat breast and prostate cancers.
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Which of the following is the best intervention to increase a patient's adherence to taking
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oral chemotherapy at home?
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a. instructing the patient to double the next dose if a dose is missed
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b. having the patient pick up a refill at the next appointment if the supply runs out
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c. calling the patient periodically to monitor for side effects and ask questions.
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d. telling the patient to take over-the-counter medications as needed for nausea - c.
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calling the patient periodically to monitor for side effects and ask questions
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Follow-up telephone calls are known to help with medication adherence.
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The nursing assessment for a patient who received bortezomib should prioritize which of
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the following?
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a. asking the patient basic orientation questions
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b. asking the patient to demonstrate picking up a coin
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, c. documenting the patient's fluid intake for the past 24 hours
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d. auscultating the patient's lung sounds - b. asking the patient to demonstrate picking
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up a coin
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Peripheral neuropathy, both early and late onset, is a common side effect of bortezomib.
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A patient with metastatic breast cancer reports the intermittent periods of severe pain
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despite the use of opioid analgesics. In order to further evaluate the patient's pain, the
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nurse should first recommend:
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a. doubling the current dose of the analgesic
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b. obtaining observations from caregivers
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c. keeping a pain management diary
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d. incorporating integrative modalities - c. keeping a pain management diary
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A pain management diary is a useful tool in assisting a patient to evaluate the
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effectiveness of the pain management plan.
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Adjuvant therapy for colorectal cancer is administrered:
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a. before primary therapy to shrink a tumor that is inoperable in its current state
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b. to locally treat cancer with minimal harm to normal cells
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c. after primary therapy to increase the chance of long-term, disease-free survival
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d. at any time during therapy to cure the patient and kill cancer cells - c. after primary
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therapy to increase the chance of long-term disease-free survival
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The goal of adjuvant therapy is to target minimal, residual disease after definitive
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treatment for patients at high risk for recurrence.
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A patient with end-stage pancreatic cancer reports an inability to concentrate and sleep,
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mood swings, and a sense of helplessness. The nurse best responds by:
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a. facilitating a referral to palliative care for additional support
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b. offering to take care of the patient's pets following the patient's death
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c. requesting an assignment change to avoid feeling overburdened
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d. asking the physician to initiate a nightly melatonin supplement - a. facilitating a
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referral to palliative care for additional support
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The nurse can offer palliative care services to provide emotional support, interventions
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and guidance as related to the patient's distress and depression.
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A patient with lung cancer will be discharged home after receiving etoposide and
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cisplatin. Discharge instructions should include what information?
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a. hiccups that develop should be reported immediately to the physician
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b. a fever should be reported immediately to the physician
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c. ringing in the ears is a side effect of etoposide and will improve in a few days
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d. observe urine carefully for the next two days for blood and immediately report its
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presence. - b. a fever should be reported immediately to the physician
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Patient teaching after receiving chemotherapy includes follow-up care and symptom
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management. The risks and symptoms of infection are most important.
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ii A patient with breast cancer who received cyclophosphamide five years ago reports a
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ii new onset of bruising and fatigue. The nurse suspects the development of:
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