ONCC Practice Tests (OCN - Oncologic Emergencies)100% CORRECT!!
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Course
ONCC
Institution
ONCC
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 - ANSWERMucin-secreting adenocarcinom...
ONCC Practice Tests (OCN - Oncologic Emergencies)100%
CORRECT!!
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 - ANSWERMucin-secreting adenocarcinoma of the breast
Answer: The incidence of disseminated intravascular coagulation is associated mostly with mucin-
secreting adenocarcinomas of the prostate, lung, and breast.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 69.
Which of the following is released into the bloodstream in the event of tumor lysis syndrome?
Uric acid
Sodium
Magnesium
Calcium - ANSWERUric acid
Answer: Tumor lysis syndrome is a massive, sudden release of cellular contents in to the bloodstream
resulting in elevated uric acid levels.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic emergencies: A resource for
nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 440.
, Keeping the patient's bed in the high Fowler's position
Positioning pillows to hyperextend the neck - ANSWERAssessing 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. - ANSWERan 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).
A patient with sepsis reports hematuria and dyspnea. The laboratory values include platelets
37,000/mm3, prothrombin time 21 seconds, partial thromboplastin time 43 seconds, and fibrinogen 100
mg/dL. Which of the following is the most likely cause?
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
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