AOCNP Cancer and Oncology Nursing 3

Question 1

A patient with breast cancer is receiving doxorubicin. Which baseline assessment is most critical before initiating therapy?

Accepted Answer

Echocardiogram or MUGA scan for cardiac function

Answer

Doxorubicin is cardiotoxic; baseline left ventricular ejection fraction must be established before starting therapy to monitor for cardiomyopathy.

Question 2

A patient with cancer reports pain rated 7/10 and is currently on scheduled oral morphine. The nurse notes the last dose was given 2 hours ago. What is the most appropriate action?

Accepted Answer

Administer the prescribed breakthrough (PRN) opioid dose

Answer

Breakthrough dosing is indicated for uncontrolled pain between scheduled doses and is a standard component of cancer pain management.

Question 3

Which dietary recommendation is appropriate for a patient with chemotherapy-induced mucositis?

Accepted Answer

Offer soft, bland, moist foods at room temperature

Answer

Soft, bland, moist foods at room temperature minimize mucosal irritation and are best tolerated during mucositis.

Question 4

A patient receiving paclitaxel develops hypersensitivity within minutes of starting the infusion. What is the FIRST nursing intervention?

Accepted Answer

Stop the infusion, maintain IV access, and call for emergency assistance

Answer

Stopping the infusion immediately and maintaining IV access while calling for help is the first step in managing chemotherapy hypersensitivity reactions.

Question 5

A patient with multiple myeloma is at greatest risk for which skeletal complication?

Accepted Answer

Pathological fractures due to osteolytic lesions

Answer

Multiple myeloma causes osteolytic (bone-destroying) lesions that significantly weaken bone structure, increasing the risk of pathological fractures.

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP Cancer and Oncology Nursing 3