Free OCN MCQ Questions and Answers

Question 1

The initial course of action for a patient with a photoallergic reaction is:

Accepted Answer

Topical steroids

Answer

A photoallergic reaction is an immune-mediated skin reaction triggered by sun exposure after contact with a photosensitizing agent. The initial course of action involves reducing inflammation and suppressing the immune response in the affected skin. Topical steroids are the first-line treatment for localized photoallergic reactions due to their anti-inflammatory properties, which effectively alleviate symptoms like redness, itching, and rash.

Question 2

The IOM's Six Aims of Quality Healthcare include all of the items below, with the exception of:

Accepted Answer

Safe and rapid

Answer

The Institute of Medicine (IOM), now the National Academy of Medicine, outlined six aims for quality healthcare: safe, effective, patient-centered, timely, efficient, and equitable. The option 'safe and rapid' is incorrect because 'rapid' is not one of the distinct aims. Instead, 'timely' is the correct aim, focusing on reducing harmful delays for both those who receive and those who give care.

Question 3

Which of the following chemotherapy drugs is administered to treat the spread of prostate cancer?

Accepted Answer

Mitoxantrone (Novantrone)

Answer

Mitoxantrone (Novantrone) is an anthracenedione antineoplastic agent commonly used in the treatment of hormone-refractory metastatic prostate cancer. It works by interfering with DNA synthesis and repair, thereby inhibiting the growth of cancer cells. The other listed drugs are typically used for different types of cancer.

Question 4

Due to severe and incurable pancreatic cancer, a patient was given hospice care and sent home with orders for morphine, lorazepam, and 2 L of oxygen. According to the nurse, which of the following situations poses the most risk to the patient's and the family's safety during the initial home visit?

Accepted Answer

The patient's wife is smoking in the living room

Answer

The presence of oxygen therapy in the home creates a significant fire hazard, as oxygen is highly combustible. Smoking in the same room as a patient receiving oxygen therapy dramatically increases the risk of a fire or explosion. This poses an immediate and severe threat to the patient's and family's safety, far outweighing other environmental factors.

Question 5

The nurse is evaluating a patient with metastatic non-small cell lung cancer. During the assessment, the patient complains of periodic numbness and tingling in their hands and new back discomfort. The BEST thing the nurse can do is:

Accepted Answer

Communicate the finding to the appropriate provider

Answer

New neurological symptoms like numbness, tingling, and new back pain in a patient with metastatic cancer are concerning and require immediate medical evaluation. These symptoms could indicate serious complications such as spinal cord compression due to metastasis or peripheral neuropathy. Prompt communication with the provider ensures timely assessment and intervention, which is crucial for preventing further neurological damage or managing severe pain.

OCN Exam Practice Test

OCN Exam Practice Test

Free OCN MCQ Questions and Answers