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2024 ONCC OCN - SYMPTOM MANAGEMENT AND PALLIATIVE CARE PRACTICE TESTS EXAM WITH ANSWERS
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2024 ONCC OCN - SYMPTOM MANAGEMENT AND PALLIATIVE CARE PRACTICE TESTS EXAM WITH ANSWERS
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2024 ONCC OCN - SYMPTOMMANAGEMENT AND PALLIATIVE
CARE PRACTICE TESTS EXAM
WITH ANSWERS
Which of the following is a dose-limiting toxicity of irinotecan?
Diarrhea
Miosis
Vomiting
Alopecia - CORRECT-ANSWERSDiarrhea
Answer: Diarrhea is the dose-limiting toxicity for irinotecan.
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. 44(t).
Which side effect is reported as the most distressing to patients receiving
chemotherapy, radiation, or biotherapy?
Fatigue
Nausea
Fever
Alopecia - CORRECT-ANSWERSFatigue
Answer: Fatigue is reported as the most distressing symptom associated with
cancer and it's treatment.
Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA:
Oncology Nursing Society, p. 411.
A patient with a normal platelet count reports bleeding gums and increased
bruising two weeks after receiving chemotherapy. Which of the following is
the most appropriate nursing intervention?
Reviewing the patient's medication profile
Encouraging the intake of foods high in iron and vitamin K
, Reassuring the patient that increased bleeding is transient after
chemotherapy
Reviewing the patient's history for prior treatment with ionizing radiation -
CORRECT-ANSWERSReviewing the patient's medication profile
Answer: These symptoms in conjunction with a normal platelet count may
suggest another cause. Many over-the-counter and prescription drugs can
affect platelet function and should be reviewed.
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. 188.
A headache and constipation are potential side effects of which antiemetic?
Ondansetron
Aprepitant
Metoclopramide
Prochlorperazine - CORRECT-ANSWERSOndansetron
Answer: Headache and constipation are known side effects of serotonin
antagonists including ondansetron.
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. 201.
Patients who require chronic platelet transfusions may develop antibodies
and require further products to be:
leukoreduced.
from multiple, random donors.
volume reduced.
washed. - CORRECT-ANSWERSleukoreduced.
Answer: Leukoreduced platelets are indicated for patients expecting multiple
platelet transfusions to reduce the incidence of alloimmunization.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer
nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett,
p. 857
Risk factors for the development of lymphedema following surgery for breast
cancer include:
an axillary node dissection.
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