AOCNP Cancer and Oncology Nursing 4

Question 1

A patient is receiving intrathecal methotrexate. Which neurotoxicity symptom requires the nurse to stop the infusion and alert the provider?

Accepted Answer

Sudden leg weakness, bladder dysfunction, and back pain suggesting myelopathy

Answer

Signs of myelopathy (leg weakness, bowel/bladder changes) after intrathecal chemotherapy represent a serious neurotoxic complication requiring urgent evaluation.

Question 2

When educating a patient on granulocyte colony-stimulating factor (G-CSF) self-injection, which statement by the patient indicates understanding?

Accepted Answer

'I should start the injection 24 hours after chemotherapy and not inject in bruised areas.'

Answer

G-CSF should be started 24–72 hours after chemotherapy completion, not on the same day, and injected into unaffected skin sites.

Question 3

A cancer patient develops grade 3 peripheral neuropathy (severe symptoms limiting self-care). What is the most appropriate nursing action?

Accepted Answer

Document findings and notify the oncologist for possible dose reduction or discontinuation

Answer

Grade 3 peripheral neuropathy is severe and limits daily activities, warranting immediate provider notification for dose modification or treatment discontinuation.

Question 4

Which statement best describes the rationale for using combination chemotherapy regimens in oncology?

Accepted Answer

To target multiple mechanisms, reduce drug resistance, and allow lower individual doses to minimize toxicity

Answer

Combination chemotherapy targets different cell-cycle phases and mechanisms, which reduces resistance, improves efficacy, and allows dose reduction of individual agents.

Question 5

A patient with lung cancer reports severe dyspnea, distended neck veins, hypotension, and muffled heart sounds. Which emergency condition does the nurse suspect?

Accepted Answer

Cardiac tamponade

Answer

Beck's triad (hypotension, distended neck veins, muffled heart sounds) is classic for cardiac tamponade, a life-threatening oncologic emergency.

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP Cancer and Oncology Nursing 4