FREE ONCC Oncology Certified Nurse Questions and Answers

Question 1

During the intravenous administration of a chemotherapeutic agent, the patient has a sudden onset of dyspnea, wheezing, hypotension, and throat and facial edema.
The nurse's initial action should be to:

Accepted Answer

discontinue administration of the chemotherapeutic agent.

Answer

administer oxygen.

Answer

administer epinephrine.

Answer

administer an antihistamine.

Question 2

Which of the following may be an indication of non-medical opioid use in a cancer patient being treated for pain?

Accepted Answer

The patient repeatedly loses pain medication.

Answer

The patient asks about changing drugs to improve analgesia.

Answer

The patient keeps a pain diary.

Answer

The patient maintains meticulous records of pain medications.

Question 3

A patient is to begin treatment with Zometa for bone metastasis. Which laboratory tests or test is indicated prior to each dose of treatment?

Accepted Answer

Serum creatinine/creatinine clearance

Answer

СВС

Answer

Carcinoembryonic antigen (CEA)

Answer

Liver function tests

Question 4

A young man is undergoing a syngeneic, hematopoietic stem cell transplantation (HSCT). The donor tissue is coming from:

Accepted Answer

An identical twin

Answer

A matched, unrelated donor

Answer

A family member

Answer

The patient

Question 5

A patient has had persistent nausea and vomiting, despite receiving medication to control her symptoms. Which of the following measures may provide some relief?

Accepted Answer

Asking the patient to do deep breathing and controlled swallowing maneuvers

Answer

Increasing fluid intake with meals

Answer

Serving foods at a warm to hot temperature

Answer

Asking the patient to lie flat after eating

Question 6

A 20-year-old survivor of childhood brain cancer is now complaining of fatigue, weight gain, muscle weakness, dysmenorrhea, and depression. She underwent surgery and radiation therapy as treatment for her cancer fifteen years ago. Which of the following late effects is she probably experiencing?

Accepted Answer

Hypothyroidism

Answer

Cardiomyopathy

Answer

Resurgence of cancer

Answer

Anemia

Question 7

A patient who has received adjuvant chemotherapy is very distressed about cognitive impairment ("chemo brain"), which is interfering with her ability to work.

Which of the following techniques is likely to be most helpful initially?

Accepted Answer

Maintain a detailed daily planner.

Answer

Practice brain exercises.

Answer

Set up an exercise regimen.

Answer

Keep a diary of memory problems.

Question 8

A patient receiving chemotherapy has developed oral mucositis, and the patient states that brushing her teeth with toothpaste increases her mouth pain. What should the patient use as an alternative?

Accepted Answer

Saltwater

Answer

Standard mouthwash

Answer

Water only

Answer

Lidocaine-based mouthwash

Question 9

Providing all patients with literature about the dangers of smoking, the steps to quitting, and the recommendation that all patients stop smoking, is an example of what type of preventive measure?

Accepted Answer

Primary

Answer

Secondary

Answer

Tertiary

Answer

Quaternary

Question 10

A patient has been diagnosed with stage ll renal cell cancer (T2 NO MO). The nurse anticipates the treatment of choice will be:

Accepted Answer

Radical nephrectomy

Answer

Radical nephrectomy and chemotherapy

Answer

Radical nephrectomy and external beam radiation

Answer

Chemotherapy and external beam radiation