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OCN Practice Questions and Answers Graded A+ 2023
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OCN Practice Questionsendometrial cancer - answer A nulliparous 60-year-old obese female with diabetes is
experiencing postmenopausal bleeding. The patient is at greatest risk for developing
which type of cancer?
The nurse may choose to use the PLISSIT (permission, limited information, specific
suggestion, and intensive therapy) model when speaking to a patient who expresses
concerns about sexuality and intimacy. - answer Which of the following is the most
appropriate intervention when discussing concerns about intimacy with a patient who is
receiving treatment?
Mindfulness-based stress reduction has been studied in patients with cancer for its
positive effect on anxiety symptoms. - answer Which of the following interventions is
recommended for reducing anxiety?
Older patients who have received an allogeneic transplant from a matched unrelated
donor are at risk for development of graft-versus-host disease. - answer Which of the
following patients has an increased risk for the development of graft-versus-host
disease?
Repeated thoracenteses may result in the development of an unexpanded, or trapped,
lung. - answer A patient with pulmonary metastasis has received repeated
thoracenteses. The nurse is most concerned for the development of which of the
following?
Reiki would be an appropriate therapy for patients with low platelet counts because it
does not involve pressure, massage or manipulation. - answer Which of the following
integrative modalities is appropriate for a patient who is experiencing pain with a platelet
count of 12,000/mm3?
Human leukocyte antigen-matched platelet products may be considered to manage
patients who have developed refractory responses to standard platelet transfusions. -
answer A patient with acute myeloid leukemia is refractory to random-donor platelets
and reports bleeding gums. The nurse anticipates an order to:
A non-stimulant laxative, glycerin suppository, or oil retention enema can be helpful in
relieving obstipation. - answer A patient with advanced lung cancer reports small
amounts of liquid stool, tenesmus, and lower abdominal pain. The nurse should expect
to do which of the following?
,Effects of oxaliplatin consist of parasthesias and dysesthesias of the hands, feet, and
perioral region. - answer Which of the following medications is most likely to cause
parasthesia and dysesthesia to the hands, feet, and mouth?
Extrapyramidal side effects include difficulty speaking or swallowing, loss of balance,
shuffling gait or rigidity, twitching, or weakness of the arms and legs. - answer A
patient who is receiving prochlorperazine(compazine) reports to the emergency
department with slurred speech, a shuffling gait, and tremors. What is the patient
experiencing?
This patient has a low absolute neutrophil count, and is showing signs of a central line-
associated bloodstream infection. Blood cultures should be obtained before the
administration of antibiotics. - answer A patient has a temperature of 102°F (38.8°C)
with a cough, an absolute neutrophil count of 200/mm3, and tenderness around the
central venous catheter. What should the nurse expect to do first?
A flare reaction may cause itching, blotchiness or streaking along or next to the vein
receiving the infusion, without the presence of swelling or pain. - answer A patient
reports pruritus above the peripheral IV site while receiving an infusion of doxorubicin.
The nurse observes redness along the vein, with a brisk, sustained blood return. This
most likely indicates:
Confusion - answer Which of the following most likely indicates an early symptom of
increased intracranial pressure?
Patients demonstrating significant tissue damage following an extravasation should
receive specialized care and consultation with plastic surgery. - answer Which of the
following interventions is most appropriate for a patient with noticeable skin sloughing
and tissue breakdown following an extravasation?
Syndrome of inappropriate antidiuretic hormone is characterized by the increased
reabsorption of water by the renal tubules, causing increased urine osmolality. - answer
Which of the following is a pathologic process of syndrome of inappropriate antidiuretic
hormone?
Pain and swelling at the IV site are indicative of an extravasation. The recommended
treatment for a doxorubicin extravasation is dexrazoxane. - answer Which of the
following interventions is recommended for a patient who has developed a wheal and
pain at the peripheral IV site during an infusion of doxorubicin?
Risk factors for endometrial cancer include obesity, nulliparity, hypertension, diabetes,
and development of menopause after the age of 52. - answer A nulliparous 60-year-
old obese female with diabetes is experiencing postmenopausal bleeding. The patient is
at greatest risk for developing which type of cancer?
, A NIOSH-approved respirator must be worn when administering an aerosolized
hazardous drug or cleaning a hazardous drug spill. - answer With which activities
should a NIOSH-approved respirator be worn?
Most tumor markers are not sensitive or specific enough to diagnose a cancer or to use
in routine screening except for prostate-specific antigen levels. - answer Which
tumor marker is used to screen for a malignancy?
50. As per the American Cancer Society guidelines, both the prostate-specific antigen
blood test and digital rectal examination should be offered annually beginning at age 50.
- answer The American Cancer Society guidelines recommend that prostate-specific
antigen blood testing be offered beginning at what age for a man at average risk?
Acetylsalicylic acid use has consistently displayed effectiveness in reducing mortality
rates for patients with gastrointestinal cancers. - answer Acetylsalicylic acid has
been shown to reduce the mortality rate for which type of cancer?
Presentation of acute myeloid leukemia includes pancytopenia evidenced by the
development of petechiae. - answer Which symptom would a patient newly
diagnosed with acute myeloid leukemia most likely exhibit?
Lymphedema rates are 0% to 5% for women after a sentinel lymph node procedure and
10%-30% after axillary lymph node dissection. - answer What is the nurse's best
response to a patient who asks about the risk of lymphedema following breast-
conservation surgery with a sentinel node biopsy and radiation?
Cisplatin - answer can cause neurotoxicity, particularly at cumulative doses of more
than 300-500mg/m2. Numbness and pain will generally begin in the fingers and toes
and continue proximally.
Tamoxifen - answer Initiation of what drug can result in a tumor flare. This pain is
transient and usually resolves even with continued therapy.
It is recommended that the patient avoid inserting anything into the vagina for four
weeks following a loop electrosurgical excision procedure - answer What information
should the nurse provide to a patient following a loop electrosurgical excision
procedure?
Docetaxel is associated with fluid retention and associated alveolar permeability and
pulmonary infiltrates that may be prevented with corticosteroids premedication. - answer
A patient receiving docetaxel asks why dexamethasone is prescribed. The nurse's best
response is that it prevents:
Palmar-plantar erythrodysesthesia changes to skin can be related to capillary rupture
occurring while walking or during other weight-bearing activities - answer What is the
most likely cause of palmar-plantar erythrodysesthesia?
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