2024 ONCOLOGY CERTIFICATION
EXAM WITH CORRECT ANSWERS
Polypharmacy - CORRECT-ANSWERSUse of multiple medications in the
management of Cancer and/or any of its associated side effects includes
careful periodic Eval of the whole pharmacologic picture for the patient
Hematopoiesis - CORRECT-ANSWERSStem cell (mother cell) through the
lineage of the development of the cell into red blood cells, white blood cells,
and platelets
Radionuclide angiotherapy - CORRECT-ANSWERSUsed to test cardiac
functioning. Ejection fraction <45 % of a 5% decrease from baseline is
abnormal
Pulmonary fibrosis - CORRECT-ANSWERSLate effect of thoracic radiation
exposure and is chronic. 6-24 months after completion of therapy
Pleural effusions - CORRECT-ANSWERSAccumulations of excessive fluid in the
pleural space
What percentage of psychosocial concerns of cancer pts are identified and
refereed for help? - CORRECT-ANSWERS<10 %
Medicare and hospice care (which statement is correct) - CORRECT-
ANSWERSThe patient may be billed a small fee for impatient respite care
Osteopenia is a late effect in which Cancer survivors - CORRECT-
ANSWERSBreast cancer, prostate cancer
, True about health care proxies - CORRECT-ANSWERSProxies cannot be
physicians, nurses or other health care providers unless the person is a close
relative
Which statement is true r/t spirituality in the cancer survivor? - CORRECT-
ANSWERSReligiosity and spirituality in cancer patients and survivors is
difficult to measure (due to how these terms are uniquely individualized)
Which agency established an accreditation standard for requiring screening
psychosocial concerns at least once during cancer care and documented
guidelines for tx or referral for all cancer centers in the USA - CORRECT-
ANSWERSThe American College of surgeons commission on cancer
(2011)
What types of cancer develop from acquired mutations - CORRECT-
ANSWERSSporadic cancer
The general oncology nurses role in genetic testing includes - CORRECT-
ANSWERSPerforming risk assessments that include personal, occupational,
and family risk factors
Primarily determines the nursesscope of practice from a legal perspective -
CORRECT-ANSWERSNursing practice Act in their state of residence/licensure
According to the WHO Analgesic ladder which medication should be avoided
due to CNS toxicity - CORRECT-ANSWERSMeperidine (Demerol)!
Risk factors for cardiac tamponade - CORRECT-ANSWERSMalignancies to the
chest (lung cancer and mets 80% of cases) , lymphatic dysfunction of the
chest, HIV, hematologic malignancies, radiation therapy, chemo (high dose) ,
infections
Hypercalcemia of malignancy - CORRECT-ANSWERSHigh risk ! Solid tumor
cancers ( breast and squamous cell lung) compromise more than 1/2
followed by MM . Others are T cell lymphoma, Hodgkin lymphoma and other
types of non Hodgkin lymphoma. Rare in mets to the bone (prostate and
small cell lung)
Type of oncologic pain syndrome resulting in tight, burning pain in the
surgical site with dysesthesias and shock like pains - CORRECT-
ANSWERSPost radical neck dissection
Peripheral Neuropathy - CORRECT-ANSWERSDrugs which can cause:
Cisplatin, vincristine, taxanes
Paresthesia - CORRECT-ANSWERSPins and needles
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