OCN practice test A Questions & Answers 100% Correct!!
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OCN
1. A patient who reports nausea four days after receiving chemotherapy is experiencing which type of chemotherapy-induced nausea?
Breakthrough
Acute
Delayed
Refractory - ANSWERDelayed chemotherapy-induced nausea and vomiting starts at least 24 hours after treatment and may last up to 5 days.
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OCN practice test A Questions & Answers 100%
Correct!!
1. A patient who reports nausea four days after receiving chemotherapy is experiencing which type of
chemotherapy-induced nausea?
Breakthrough
Acute
Delayed
Refractory - ANSWERDelayed chemotherapy-induced nausea and vomiting starts at least 24 hours after
treatment and may last up to 5 days.
2. A patient newly diagnosed with Hodgkin lymphoma is determined to have an unfavorable prognosis
through which of the following clinical findings?
Hemoglobin 11 g/dL
Absolute lymphocyte count 400/mm3
Presence of A symptoms
Involvement of two lymph nodes - ANSWERAn absolute lymphocyte count of less than 600/mm3 is an
unfavorable prognostic finding for a patient with advanced Hodgkin lymphoma.
3. Which of the following patients with cancer is most likely to experience sexual dysfunction?
A patient and partner who schedule time for sexual activity
A female patient with hypotension
A young patient who is newly married
A patient with a history of marital discord - ANSWERPatients who have marital issues in their
relationships before a diagnosis of cancer will be a greater risk for sexual difficulties.
4. Which of the following is an advantage of an implanted vascular access device over a tunneled central
venous catheter?
Unlimited ability to access
Low cost of insertion
, Decreased risk of infection
Short-term use - ANSWERImplanted ports have a lower risk of infection than tunneled central venous
catheters.
7. Which of the following has been attributed to foreign-born women with breast cancer having a lower
survival rate than women with breast cancer who were born in the United States?
Country from where the women have immigrated
Histologic grade of the tumor
Access to mammography screening
Differences in the treatment protocols - ANSWERPatients from other countries may have more
significant barriers to obtaining recommended screenings and care, leading to diagnosis at later stages
and decreased survival.
8. Which of the following is released into the bloodstream in the event of tumor lysis syndrome?
Magnesium
Sodium
Uric acid
Calcium - ANSWERTumor lysis syndrome is a massive, sudden release of cellular contents in to the
bloodstream resulting in elevated uric acid levels.
9. When a suspected extravasation occurs during the administration of a vesicant, the nurse must first:
notify the healthcare provider.
aspirate the remaining vesicant from the IV tubing.
stop the administration of medication and fluids.
remove the peripheral IV or central venous access device. - ANSWERThe first step the nurse should take
when an extravasation occurs is stopping the infusion.
10. A patient with breast cancer who received cyclophospamide five years ago reports a new onset of
bruising and fatigue. The nurse suspects:
liver failure.
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