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ONCC PRACTICE TESTS (OCN -
ONCOLOGY NURSING PRACTICE)
Exam | Questions & 100% Correct
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Grade A+
A patient with cancer is considering entering a clinical trial that compares the current standard treatment with an investigational chemotherapeutic agent. This is an example of which phase of a clinical trial? 3 4 1 2 Correct Answer: 3 Answer: Phase 3 clinical trials have a primary goal of establishing efficacy and comparing with the current standard. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 285(t).
What is the shortest phase of the cell cycle? Mitosis Gap 1 Synthesis Gap 2 Correct Answer: Mitosis Answer: Mitosis is the shortest phase of the cell's life cycle. 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. 25. Oligodendroglial tumors originate from cells that maintain the function of the: myelin sheath. synovial fluid. lymph. plasma. Correct Answer: myelin sheath.
Establishing significant physical distance between parties Providing objective and factual information about the treatment plan Limiting questions until after all information is presented Correct Answer: Eliciting feedback about preferences and experiences Answer: The nurse should obtain information from the patient about their understanding of concepts and their reactions in order to best promote open and honest communication. 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. 417(t). Upon diagnosis of an invasive ductal adenocarcinoma of the pancreas, the disease will most likely: demonstrate spread to the liver. display widespread fat necrosis. metastasize to the bone.
remain confined to the primary site. Correct Answer: demonstrate spread to the liver. Answer: Invasive ductal adenocarcinoma of the pancreas has often metastasized at the time of diagnosis. The most common site of metastasis is the liver. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1856(f). A patient has an implanted intrathecal pump for pain management. Which of the following actions best exemplifies a safe practice? Tracing the tubing from the patient to the pump Using special tubing that has injection ports Cleansing the Leur lock ports with alcohol before each use Arranging for the patient to have the pump refilled every eight months Correct Answer: Tracing the tubing from the patient to the pump
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. 139. A patient newly diagnosed with Hodgkin lymphoma is determined to have an unfavorable prognosis through which of the following clinical findings? Absolute lymphocyte count 400/mm Hemoglobin 11 g/dL Involvement of two lymph nodes Presence of A symptoms Correct Answer: Absolute lymphocyte count 400/mm Answer: An absolute lymphocyte count of less than 600/mm3 is an unfavorable prognostic finding for a patient with advanced Hodgkin lymphoma. 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. 124(t). Cancer cells differ from normal cells in their ability to: migrate to neighboring tissues and locations.
divide only when new cells are needed. reside in a genetically coded area. allow contact inhibition with other cells. Correct Answer: migrate to neighboring tissues and locations. Answer: Cancer cells are characterized by abnormal movement and uncontrolled growth. 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. 1. A data monitoring committee is required for which phase of a clinical trial? 3 4 1 2 Correct Answer: 3 Answer: Data monitoring committees are required for phase 3 trials to protect the safety of the trial participants.
a basal cell carcinoma. Kaposi sarcoma. leukemia cutis. a malignant melanoma. Correct Answer: a basal cell carcinoma. Answer: Basal cell carcinoma usually shows characteristics that are slightly raised, minute, a well-defined margin that is rolled, pearly, and has telangiectasia. 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, p.
A nurse assigned to care for a group of five patients provides assessment and documentation on only four of the patients, because the nurse had misread the assignment. Which of the following legal principles applies to this situation? Breach of duty Absent documentation Nonmaleficence Malpractice Correct Answer: Breach of duty
Answer: Breach of duty is defined as failing to perform one's agreement. Reference: Gullatte, M.M. (Ed.). (2011). Nursing management: Principles and practice (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 567. The use of the spouse as a translator for a non-English speaking patient is: not recommended. used to increase patient comfort levels. allowed once the spouse passes a certification test. permitted if a professional is not available. Correct Answer: not recommended. Answer: Significant others are not recommended as translators because of role conflicts or inability to communicate complex medical terminology. 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. 138. Which medication in a patient's drug profile should be reported to the physician before administering cyclophosphamide?
Answer: Quality of practice includes the oncology nurse participating in interprofessional teams to address outcomes and enhance factors that promote, safe, and effective patient outcomes. Reference: Brant, J.M., & Wickham, R.S. (Eds.). (2013). Statement on the scope and standards of oncology nursing practice: Generalist and advanced practice. Pittsburgh, PA: Oncology Nursing Society, p. 52. The nurse has collected and analyzed data to identify, monitor, and improve the effectiveness of oncology nursing care. Which standard of oncology nursing practice does this best exemplify? Resource utilization Patient advocacy Collaboration Collegiality Correct Answer: Resource utilization Answer: Resource utilization requires the oncology nurse to evaluate, critique, and mobilize the most appropriate resources to maximize patient outcomes.
Reference: Brant, J.M., & Wickham, R.S. (Eds.). (2013). Statement on the scope and standards of oncology nursing practice: Generalist and advanced practice. Pittsburgh, PA: Oncology Nursing Society, p. 61. Which statement made by a patient indicates the need for additional teaching regarding the coverage provided by the Family Medical Leave Act? "I know I am eligible because I am a United States citizen." "It is difficult because my time off is unpaid." "In most cases, I can take up to 12 weeks of leave." "It will enable me to care for my spouse who also has cancer." Correct Answer: "I know I am eligible because I am a United States citizen." Answer: The Family Medical Leave Act (FMLA) of 1993 guarantees unpaid leave to care for a seriously ill spouse, son, daughter, or parent. FMLA applies to businesses with at least 50 employees. Reference: Lester, J.L., & Schmitt, P. (Eds.). (2011). Cancer rehabilitation and survivorship: Transdisciplinary approaches to personalized care. Pittsburgh, PA: Oncology Nursing Society, p. 251.
identifies how T cells, B cells, and natural killer cells work. explains how free radicals are eliminated from the body. influences treatment choices to maintain bone marrow function. predicts how well treatment will be tolerated. Correct Answer: identifies how T cells, B cells, and natural killer cells work. Answer: The goals of research in immunology include the ability to understand how the immune system cells work. Reference: Eggert, J. (Ed.). (2017). Cancer basics (2nd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 226. A true positive result from a cancer screening is indicative of which of the following? The individual: actually has cancer. does not have cancer. has cancer despite an initial negative test result. does not have cancer despite a positive test result. Correct Answer: actually has cancer.
Answer: A true positive result is a normal test for cancer in an individual who actually has cancer. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 121. The nurse manager is reviewing the policy and procedure for chemotherapy administration. How can the ASCO/ONS chemotherapy administration safety standards assist in this process? It outlines the professional responsibilities of oncology nurses in the administration of chemotherapy. It provides data collection tools for the purpose of quality improvement. It gives an example of oncology nurse job descriptions. It lists the educational classes that are required for oncology nurses. Correct Answer: It outlines the professional responsibilities of oncology nurses in the administration of chemotherapy. Answer: ASCO and ONS have collaborated to outline safety standards for the administration of chemotherapy which addresses staffing issues, chemotherapy planning preparation, and administration.
The patient has an adequate performance status. The patient must have metastatic disease. The patient has exhausted all approved treatments. The patient must have had no prior exposure to chemotherapy. Correct Answer: The patient has an adequate performance status. Answer: Since a response rate is the primary endpoint of a phase 2 clinical trial, patients entered into these studies must have a specific diagnosis, a good performance status, and minimal prior exposure to chemotherapy (at most 1 or 2 prior regimens). Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 230. A patient with stage IIIC ovarian cancer who has relapsed after receiving first line therapy demonstrates an understanding of her condition by stating: "What clinical trials are available for recurrent disease?" "These symptoms must be a result of chemotherapy." "I know I must have been overdoing it a bit." "I am glad I will not need any additional treatment." Correct Answer: "What clinical trials are available for recurrent disease?"
Answer: Many patients with stage IIIC ovarian cancer will develop a relapse after successful completion of first line therapies. Clinical trials are appropriate for patients who have had recent recurrences of ovarian cancer and should be explored. Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1809. The nurse must administer an oral medication which she is concerned may be hazardous. Which reference would assist her in determining the medication's characteristics and safe handling precautions? NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings ONS Statement on the Scope and Standards of Oncology Nursing Practice The Joint Commission Hospital Patient Safety Goals National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology Correct Answer: NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings Answer: The National Institute for Occupational Safety and Health maintains a current list of all antineoplastic hazardous medications, their characteristics, and personal protective equipment required for safe handling and administration.
