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ONCC PRACTICE TESTS (OCN - CARE CONTINUUM)

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ONCC PRACTICE TESTS (OCN - CARE CONTINUUM)
Which of the following is an advantage of an implanted vascular access device over a
tunneled central venous catheter?

Decreased risk of infection
Short-term use
Low cost of insertion
Unlimited ability to access - Answers -Decreased risk of infection

Answer: Implanted ports have a lower risk of infection than tunneled central venous
catheters.

Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of
practice for oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 67.

The nurse teaches a patient that the purpose of a living will is to:

establish the patient's desires for care prior to a life-threatening illness.

make final decisions regarding treatment until disease progression.

acknowledge the risks and limitations of recommended therapies.

appoint a surrogate to make medical decisions. - Answers -establish the patient's
desires for care prior to a life-threatening illness.

Answer: Living wills are designed to determine the care that a patient is agreeable to
receive or not receive in the event of a terminal illness.

Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology
Nursing Society, p. 655(t).

Within which timeframe will chemotherapy-induced alopecia normally begin after
receiving a first treatment?

2 weeks
24 hours
1 month
3 months - Answers -2 weeks

Answer: Hair loss from chemotherapy usually begins two weeks after beginning
treatment.

Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology
Nursing Society, p. 360.

, A patient with breast cancer who received cyclophospamide five years ago reports a
new onset of bruising and fatigue. The nurse suspects:

a secondary leukemia.
liver failure.
leukoencephalopathy.
cardiomyopathy. - Answers -a secondary leukemia.

Answer: The risk of secondary leukemia increases with the use of alkylating agents.

Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and
biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA:
Oncology Nursing Society, p. 446(t).

The nurse teaches a patient that the survivorship care plan is used to:

provide clear direction for ongoing care and surveillance following treatment.

provide instructions to the employer to make accomodations upon the return to work.

take the place of discussions with their oncologist following the completion of treatment.

replace the patient's electronic medical record. - Answers -provide clear direction for
ongoing care and surveillance following treatment.

Answer: A survivorship care plan is provided to a patient upon the completion of
treatment to provide information on the treatments received, possible long term effects,
and healthy lifestyle choices and screenings throughout a patient's lifetime.

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. 403.

Which of the following is a primary cancer prevention measure?

Sunscreen use
Testicular self-examination
Guaiac stool test
Postmenopausal estrogen therapy - Answers -Sunscreen use

Answer: Primary prevention refers to measures for the prevention of the disease such
as immunization, avoiding tobacco or reducing exposure to ultraviolet rays.

Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology
Nursing Society, p. 44.

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