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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
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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



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:

a. doubling the current dose of the analgesic

b. obtaining observations from caregivers

c. keeping a pain management diary

d. incorporating integrative modalities - ANSWERc. keeping a pain management diary

, A pain management diary is a useful tool in assisting a patient to evaluate the effectiveness of the pain
management plan.



Adjuvant therapy for colorectal cancer is administrered:

a. before primary therapy to shrink a tumor that is inoperable in its current state

b. to locally treat cancer with minimal harm to normal cells

c. after primary therapy to increase the chance of long-term, disease-free survival

d. at any time during therapy to cure the patient and kill cancer cells - ANSWERc. after primary therapy
to increase the chance of long-term disease-free survival

The goal of adjuvant therapy is to target minimal, residual disease after definitive treatment for patients
at high risk for recurrence.

Which of the following best represents the psychological component of a comprehensive pain
assessment?

a. the aggravating factors of the experienced pain

b. the meaning of pain to the patient and family

the influence of religion on coping with pain

d. the economic impact of the pain and its treatment - ANSWERb. the meaning of pain to the patient and
family

The meaning of pain to the patient and family is an example of the psychosocial component of the
comprehensive pain assessment.



A cancer education program for adults with low-literacy levels should include which of the following?

a. frequent use of scored quizzes on new material

b. cartoon-type illustrations to explain concepts

c. multiple forms of the same message and repetition

d. medical terms so people become familiar with these words - ANSWERc. multiple forms of the same
mesage and repetition

Repetition of concepts and using multiple ways to convey a message is recommended, including the use
of pictures and demonstrations.

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