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ONCC Pratice Test with Questions and Answers| Rated A
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ONCC Pratice Test with Questions andAnswers| Rated A
A patient reports odynophagia with progressive dysphagia, and weight loss of five kilograms over the
past month. The nurse should anticipate which diagnostic test to be ordered next?
Endoscopy
X-ray of kidneys, ureters and bladder
Echocardiogram
Bone marrow biopsy - ✔✔Endoscopy
The patient presents with signs and symptoms of esophageal cancer. A diagnostic evaluation
would include an endoscopy
The majority of deaths in patients diagnosed with cancer are caused by:
organ metastasis.
secondary infections.
cardiovascular dysfunction.
cerebral edema. - ✔✔organ metastasis.
,Organ metastasis causes the majority of deaths for patients with a cancer diagnosis.
A patient's implanted vascular access device flushes without difficulty, but does not yield a blood
return. What should the nurse do first?
Ask the patient to reposition by raising the hands up and coughing.
Contact the physician immediately to obtain an order for a declotting medication.
Instill low-dose heparin and withdraw this medication after one hour.
Re-access the implanted vascular access device with a new needle. - ✔✔Ask the patient to
reposition by raising the hands up and coughing.
The patient should reposition in an attempt to change the intrathoracic pressure, so that a blood
return can be achieved.
A patient received daratumumab three months ago and is scheduled to receive a blood
transfusion. Which of the following actions should the nurse take first?
Notify the transfusion center of the patient's medication history.
Administer diphenhydramine and acetaminophen immediately.
Obtain verbal consent from the patient for the blood transfusion.
Initiate an infusion of 5% dextrose in water through a 20 gauge peripheral IV catheter. -
✔✔Notify the transfusion center of the patient's medication history.
A positive Coombs test may occur up to six months following the administration of daratumumab. It
is necessary to notify the transfusion center that the patient has received this medication.
A premenopausal patient with metastatic breast cancer is receiving letrozole. Which other medication is
also expected to be prescribed for ovarian ablation?
Goserelin
Exemestane
Tamoxifen
Degarelix - ✔✔Goserelin
, Concomitant ovarian ablation with a luteinizing hormone-releasing hormone agonist therapy, such as
goserelin, is recommended in the adjuvant, recurrent, or metastatic settings for women with breast
cancer who are premenopausal.
Which of the following offers the best definition of a biosimilar medication?
A medication with minor structural or chemical differences, but with the same efficacy.
A similar medication that is unable to guarantee the same amount of safety.
A medication with the same ingredients, but manufactured at a lower cost.
A medication that is made from synthetic, chemically identical products. - ✔✔A medication
with minor structural or chemical differences, but with the same efficacy.
Biosimilar medications yields the same clinical efficacy, however has minor structural and chemical
differences compared to the original reference medication.
A patient is ordered chlorambucil and reports not eating within the past four hours. Which of the
following actions should the nurse take?
Administer the medication as prescribed.
Withhold the medication.
Notify the physician.
Administer half of the prescribed dose. - ✔✔Administer the medication as prescribed.
Chlorambucil should be administered on an empty stomach.
A patient who received a Whipple procedure should expect to receive a prescription for which of the
following medications prior to discharge?
Pancrelipase
Cholestyramine
Docusate sodium
Octreotide - ✔✔Pancrelipase
Pancreatic enzymes are administered before meals to assist in fat absorption.
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