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ONCC Practice Tests (OCN - Oncologic Emergencies) Questions And Answers With Verified Tests 100% Correct Answers Latest Version (2025) $7.99   Add to cart

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ONCC Practice Tests (OCN - Oncologic Emergencies) Questions And Answers With Verified Tests 100% Correct Answers Latest Version (2025)

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A patient with cancer receiving the 10th dose of carboplatin suddenly becomes anxious and states, "I cannot breathe." What should the nurse do first? Stop the infusion and stay with the patient. Start a second IV and give diphenhydramine 50 mg IV push. Take the patient's vital signs and call th...

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  • November 25, 2024
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  • 2024/2025
  • Exam (elaborations)
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ACADEMICMATERIALS
ONCC Practice Tests (OCN - Oncologic
Emergencies) Questions And Answers
With Verified Tests 100% Correct
Answers Latest Version (2025)
A patient with cancer receiving the 10th dose of carboplatin suddenly becomes anxious
and states, "I cannot breathe." What should the nurse do first?

Stop the infusion and stay with the patient.
Start a second IV and give diphenhydramine 50 mg IV push.
Take the patient's vital signs and call the physician.
Administer oxygen and institute emergency procedures. - ✔️✔️Stop the infusion and
stay with the patient.

Answer: If a patient begins to experience signs and symptoms of a hypersensitivity
reaction, administration of the offending agent must be stopped immediately, the IV
infusion maintained, and a call for help be made, as the nurse must remain with the
patient.

Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology
Nursing Society, p. 536.


Which of the following classes of medication will most significantly increase the risk for
the development of a cytokine-release syndrome reaction?

Monoclonal antibodies
Taxanes
Platinum compounds
Anthracyclines - ✔️✔️Monoclonal antibodies

Answer: Monoclonal antibodies can cause cytokine-release syndrome.

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. 243.

When a suspected extravasation occurs during the administration of a vesicant, the
nurse must first:

stop the administration of medication and fluids.
remove the peripheral IV or central venous access device.

, aspirate the remaining vesicant from the IV tubing.
notify the healthcare provider. - ✔️✔️stop the administration of medication and fluids.

Answer: The first step the nurse should take when an extravasation occurs is stopping
the infusion.

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. 217.

Which of the following interventions should the nurse perform for a patient who is at risk
for increased intracranial pressure?

Assessing the patient's gag reflex
Limiting suctioning to less than 30 seconds
Keeping the patient's bed in the high Fowler's position
Positioning pillows to hyperextend the neck - ✔️✔️Assessing the patient's gag reflex

Answer: Increased intracranial pressure can impair the gag reflex thus affecting the
patient's ability to eat and drink independently.

Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic
emergencies: A resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing
Society, p. 185(t).

A dexrazoxane infusion shows efficacy for treating the extravasation of:

an anthracycline.
a nitrosourea.
an alkylating agent.
a plant alkaloid. - ✔️✔️an anthracycline.

Answer: Dexrazoxane is the treatment for anthracycline extravasation.

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. 159(t).

Which of the following cancers is associated with the development of disseminated
intravascular coagulation?

Mucin-secreting adenocarcinoma of the breast
Nonhyperdiploid variant multiple myeloma
Primary peritoneal carcinoma
Acral lentiginous melanoma - ✔️✔️Mucin-secreting adenocarcinoma of the breast

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