OCN Practice Test 1

Nursing interventions for the management of nausea include encouraging patients to:

Which of the following is prescribed for a patient diagnosed with surgically unresectable renal cell carcinoma that has metastasized to the liver?

Initial treatment of a patient in early septic shock includes the administration of:

An example of adaptive or specific immunity is:

A patient with a life expectancy of five months is worried about using the Medicare Hospice Benefit Program because of increasing financial concerns. The nurse knows that the benefit includes providing:

Which of the following is not routinely included as part of a diagnostic work-up for colorectal cancer?

You are a registered nurse working in an outpatient infusion center and have begun administration of paclitaxel on a newly-diagnosed breast cancer patient. The patient mentions that she is feeling flushed and shows you a small hive on her left cheek. Your next course of action is to:

A 62-year-old male patient diagnosed with stage 3 small cell lung cancer is admitted to the oncology unit with somnolence, weakness, nausea, vomiting, and diffuse abdominal pain. His wife reports that he has become increasingly weak over the past three days and has exhibited a change in mental status. She reports that he has not had a bowel movement in five days. Which of the following oncologic complications is a likely explanation for the patient’s clinical presentation?

Which of the following chemotherapeutic agents is classified as a Vinca alkaloid?

Which of the following treatment examples best describes adjuvant therapy?

A 60-year-old male patient newly diagnosed with small cell carcinoma of the right lung is admitted to the oncology unit with a chief complaint of facial and neck swelling as well as a cough. A diagnosis of superior vena cava syndrome is made. Which of the following treatment options would you expect to see ordered for this patient?

Which of the following would you include as part of discharge instructions for a patient diagnosed with head and neck cancer and who has received radiation therapy?

Which chromosome is associated with chronic myelogenous leukemia?

A patient presents with a new diagnosis of non-small cell lung cancer. In the patient’s medical record you learn that the tumor in the right lung is 4 cm x 6 cm and has invaded the visceral pleura. There is evidence of metastases in the mediastinal and subcarinal nodes as well as distant metastasis in the liver. Based on TNM staging, you realize that the patient has which stage of non-small cell lung cancer?

Which of the following is an example of a “B symptom” associated with lymphoma?

Which of the following agents is classified as a tyrosine kinase inhibitor?

One of the most common primary cancers with a high incidence of brain metastasis includes:

The malignancies most associated with cardiac tamponade include all of the following except:

Which of the following is the preferred route for pharmacologic prophylactic treatment of nausea and vomiting?

A client with stomach cancer is admitted to the oncology unit after vomiting for 3 days. Physical assessment findings include irregular pulse, muscle twitching, and complaints of prickling sensations in the fingers and hands. Laboratory results include a potassium level of 2.9 mEq/L, a pH of 7.46, and a bicarbonate level of 29 mEq/L. The client is experiencing:

Warning signs and symptoms of lung cancer include persistent cough, bloody sputum, dyspnea, and which of the other following symptoms?

A client is diagnosed with multiple myeloma. The client asks the nurse about the diagnosis. The nurse bases the response on which of the following descriptions of this disorder?

Parents of pediatric clients who undergo irradiation involving the central nervous system should be warned about postirradiation somnolence. When does this neurologic syndrome usually occur?

At the time of diagnosis of Hodgkin’s lymphoma, which of the following areas is often involved?

A 56-year-old woman is currently receiving radiation therapy to the chest wall for recurrent breast cancer. She calls her health care provider to report that she has pain while swallowing and burning and tightness in her chest. Which of the following complications of radiation therapy is most likely responsible for her symptoms?

Which of the following represents the most appropriate nursing intervention for a client with pruritis caused by cancer or the treatments?

In which of the following diseases would bone marrow transplantation not be indicated in a newly diagnosed client?

In the client with terminal lung cancer, the focus of nursing care is on which of the following nursing interventions?

The nurse is developing a plan of care for the client with multiple myeloma. The nurse includes which priority intervention in the plan of care?

Which of the following tests in performed on a client with leukemia before initiation of therapy to evaluate the child’s ability to metabolize chemotherapeutic agents?

The nurse is teaching a 17-year old client and the client’s family about what to expect with high-dose chemotherapy and the effects of neutropenia. What should the nurse teach as the most reliable early indicator of infection in a neutropenic client?

Which of the following types of leukemia carries the best prognosis?

The nurse is reviewing the laboratory results of a client receiving chemotherapy. The platelet count is 10,000 cells/mm. Based on this laboratory value, the priority nursing assessment is which of the following?

Which of the following complications are three main consequences of leukemia?

Which of the following assessment findings in a client with leukemia would indicate that the cancer has invaded the brain?

Nausea and vomiting are common adverse effects of radiation and chemotherapy. When should a nurse administer antiemetics?

The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to note specifically in this disorder?

Which of the following medications usually is given to a client with leukemia as prophylaxis against P. carinii pneumonia?

The community nurse is conducting a health promotion program at a local school and is discussing the risk factors associated with cancer. Which of the following, if identified by the client as a risk factor, indicates a need for further instructions?

A centrally located tumor would produce which of the following symptoms?