2024 ONCC OCN - CARE
CONTINUUM PRACTICE TESTS
EXAM WITH CORRECT ANSWERS
What information should the nurse provide to a patient following a loop
electrosurgical excision procedure?
Avoid inserting anything into the vagina for four weeks.
Begin an exercise program to decrease weight gain.
Sit upright the majority of the day.
Expect extreme fatigue for several months. - CORRECT-ANSWERSAvoid
inserting anything into the vagina for four weeks.
Answer: It is recommended that the patient avoid inserting anything into the
vagina for four weeks following a loop electrosurgical excision procedure.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer
nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett,
p. 1407.
Which of the following factors play a major role in the prevention of colon
cancer?
Answer: It is estimated that 80% of colon cancers can be prevented by
dietary change.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer
nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett,
p. 143.
What is the most likely cause of palmar-plantar erythrodysesthesia?
Rupture of capillaries from pressure and friction
Overexposure of fast-growing skin cells
Increased circulation during infusion
, Decreased circulation after infusion - CORRECT-ANSWERSRupture of
capillaries from pressure and friction
Answer: Palmar-plantar erythrodysesthesia changes to skin can be related to
capillary rupture occurring while walking or during other weight-bearing
activities.
Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA:
Oncology Nursing Society, p. 399.
Which of the following is the most appropriate nursing intervention for a
patient with cancer who has been informed that treatment has failed?
Asking the patient to share feelings about hearing the news
Offering the patient some time alone to process the news
Reviewing further treatment possibilities offered by the physician
Calling the family in to be with the patient - CORRECT-ANSWERSAsking the
patient to share feelings about hearing the news
Answer: When treatment fails, the nurse should explore the patient's feelings
about hearing the news rather than focusing on the treatment possibilities
discussed with the physician.
Reference: Burke, C.C. (Ed.). (2009). Psychosocial dimensions of oncology
nursing care (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 41.
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?
"Although your risk is low; precautions still need to be taken."
"If you do not develop lymphedema within the first year, you will not
develop it later."
"There is no risk of lymphedema with sentinel node biopsy."
"If you follow the lymphedema guidelines for prevention, you will not
develop it." - CORRECT-ANSWERS"Although your risk is low; precautions still
need to be taken."
Answer: Lymphedema rates are 0% to 5% for women after a sentinel lymph
node procedure and 10%-30% after axillary lymph node dissection.
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