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ONCC PRACTICE TESTS (OCN - CARE
CONTINUUM) Exam | Questions &
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Which of the following is an advantage of an implanted vascular access device over a tunneled central venous catheter? Decreased risk of infection Short-term use Low cost of insertion Unlimited ability to access Correct Answer: Decreased risk of infection Answer: Implanted ports have a lower risk of infection than tunneled central venous catheters. Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of practice for oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 67. The nurse teaches a patient that the purpose of a living will is to:
establish the patient's desires for care prior to a life-threatening illness. make final decisions regarding treatment until disease progression. acknowledge the risks and limitations of recommended therapies. appoint a surrogate to make medical decisions. Correct Answer: establish the patient's desires for care prior to a life-threatening illness. Answer: Living wills are designed to determine the care that a patient is agreeable to receive or not receive in the event of a terminal illness. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 655(t). Within which timeframe will chemotherapy-induced alopecia normally begin after receiving a first treatment? 2 weeks 24 hours 1 month
A patient with a permanent colostomy expresses concern about engaging in sexual intercourse. The nurse first recommends: tracking bowel habits to best schedule sexual intercourse. eating immediately before engaging in sexual intercourse. having further discussions with a therapist prior to having sexual intercourse. replacing the ostomy appliance just before engaging in sexual intercourse. Correct Answer: tracking bowel habits to best schedule sexual intercourse. Answer: By being aware of their bowel habits, a patient will be able to better plan sexual activities around expected bowel movements. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 349. A patient with ovarian cancer is most likely to be diagnosed with which of the following secondary malignancies?
Ocular melanoma Leiomyosarcoma Gastric carcinoma Hodgkin lymphoma Correct Answer: Ocular melanoma Answer: A patient with ovarian cancer is at risk for the development of a secondary melanoma of the eye. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 2036(t). Which of the following is the best intervention to increase a patient's adherence to taking oral chemotherapy at home? Calling the patient periodically to monitor for side effects and ask questions Intructing the patient to double the next dose if a dose is missed Telling the patient to take over-the-counter medications as needed for nausea Having the patient pick up a refill at the next appointment if the supply runs out
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 4. The nurse teaches a patient that the survivorship care plan is used to: provide clear direction for ongoing care and surveillance following treatment. provide instructions to the employer to make accomodations upon the return to work. take the place of discussions with their oncologist following the completion of treatment. replace the patient's electronic medical record. Correct Answer: provide clear direction for ongoing care and surveillance following treatment. Answer: A survivorship care plan is provided to a patient upon the completion of treatment to provide information on the treatments received, possible long term effects, and healthy lifestyle choices and screenings throughout a patient's lifetime. Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 403.
Which of the following is a primary cancer prevention measure? Sunscreen use Testicular self-examination Guaiac stool test Postmenopausal estrogen therapy Correct Answer: Sunscreen use Answer: Primary prevention refers to measures for the prevention of the disease such as immunization, avoiding tobacco or reducing exposure to ultraviolet rays. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 44. A patient with Hodgkin lymphoma is most likely to develop which of the following secondary malignancies? Leukemia Colorectal Melanoma Ovarian Correct Answer: Leukemia
What should a cancer education program for adults with low-literacy levels include? Multiple forms of the same message and repetition Medical terms so people become familiar with these words Frequent use of scored quizzes on new material Cartoon-type illustrations to explain concepts Correct Answer: Answer: Repetition of concepts and using multiple ways to convey a message is recommended, including the use of pictures and demonstrations. Reference: Bastable, S.B. (Ed.). (2019). Nurse as educator: Principles of teaching and learning for nursing practice (5th ed.). Burlington, MA: Jones and Bartlett, p. 299. A patient with intractable dyspnea at the end of life has not experienced any relief with traditional interventions. Which of the following should the nurse next consider? Discussing the initiating of palliative sedation with the team Asking the physician to increase the doses of all medications
Calling anesthesia to intubate the patient Informing the patient that there is nothing else left to give them Correct Answer: Discussing the initiating of palliative sedation with the team Answer: When therapies such as IV opioids, oxygen, diuretics, and benzodiazepines fail to improve intractable dyspnea, palliative sedation is considered in end-of-life care. Reference: Brown, C.G. (Ed.). (2015). A guide to oncology symptom management (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 373. A patient's adolescent son approaches the nurse about screening for himself. The nurse most appropriately recommends which of the following? Testicular self-examination CA 19-9 testing Prostate-specific antigen testing Colonoscopy Correct Answer: Testicular self-examination Answer: Teaching about risk factors and the importance of testicular self-examination beginning in the teen years is the most important prevention method.
Encouraging a delay for an additional year before returning to work Reflecting on changed roles at home before making a decision Instructing to avoid discussion of the illness with coworkers Correct Answer: Discussing a flexible work schedule with the employer Answer: The possibility of reduced work schedules, and support from coworkers are factors that can facilitate a smoother transition into the workforce following treatment. Reference: Lester, J.L., & Schmitt, P. (Eds.). (2011). Cancer rehabilitation and survivorship: Transdisciplinary approaches to personalized care. Pittsburgh, PA: Oncology Nursing Society, p. 252. During a home visit, the nurse discovers that a patient has lost 20 pounds since beginning chemotherapy four months ago. What should the nurse do first? Investigate the cause of weight loss Arrange for Meals on Wheels services Recommend a high-protein, high-calorie supplement Consult with the physician Correct Answer: Investigate the cause of weight loss
Answer: The extent of nutrition intervention depends on the cause of weight loss and overall goals of the patient and healthcare team. Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014). Chemotherapy and biotherapy guidelines and recommendations for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 222-225. Neglecting to address a patient's quality of life at the end of life can lead to which of the following? Premature death A sense of peace Hope for recovery Adequate pain control Correct Answer: Premature death Answer: Neglecting the quality of life can lead to premature death either by suicide or passive surrender. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 220
an ultrasound-guided biopsy of the prostate beginning at age 45. prostatic acid phosphatase testing beginning at age 45. Correct Answer: prostate-specific antigen testing beginning at age 45. Answer: The American Cancer Society recommends a shared-decision making conversation about prostate-specific antigen testing and digital rectal examination beginning at age 45 for men with a high risk of developing prostate cancer. Reference: American Cancer Society (2018). Cancer facts and figures. Retrieved from: https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer- facts-figures-2018.html., p. 22. A patient with lung cancer will be discharged after receiving etoposide and cisplatin. Discharge instructions should include what information? A fever should be reported immediately to the physician. Ringing in the ears is due to the etoposide and will improve in a few days. Observe the urine carefully for the next two days for blood and immediately report its presence. Hiccups that develops should be reported immediately to the physician. Correct Answer: A fever should be reported immediately to the physician.
Answer: Patient teaching after receiving chemotherapy includes follow-up care and symptom management. The risks and symptoms of infection are most important. 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. 140. Excessive use of smokeless tobacco and alcohol increases the risk for developing which type of cancer? Laryngeal Hepatocellular Lung Gastric Correct Answer: Laryngeal Answer: The combined use of alcohol and tobacco synergistically increases the risk of laryngeal cancer by about 50%. Reference: Newton, S., Hickey, M., & Brant, J. (2017). Mosby's oncology nursing advisor: A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 93.
Correct Answer: Lenalidomide Answer: Lenalidomide is only available under the REVAssist® program to ensure patients are properly informed of fetal risks. 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. 68. Advance directives are based upon which of the following principles? Autonomy Beneficience Veracity Justice Correct Answer: Autonomy Answer: Advance directives are based on the principle of autonomy. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 653.
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 Answer: Avoid 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? Diet Acetaminophen Vitamins Exercise Correct Answer: Diet
