OCN Symptom Management 2

Question 1

Peripheral neuropathy induced by paclitaxel typically presents as which symptom pattern?

Accepted Answer

Stocking-glove distribution numbness and tingling

Answer

Central chest pain and paresthesia

Answer

Unilateral facial numbness

Answer

Proximal muscle weakness only

Question 2

A patient undergoing pelvic radiation for cervical cancer reports vaginal dryness and dyspareunia. The nurse should recommend:

Accepted Answer

Vaginal moisturizers and dilator use as prescribed

Answer

Abstinence from all sexual activity permanently

Answer

Hormone replacement therapy only

Answer

Increased oral fluid intake

Question 3

Hot flashes in breast cancer survivors receiving aromatase inhibitors are best managed initially with which non-pharmacological approach?

Accepted Answer

Lifestyle modifications including layered clothing, cool room temperatures, and avoiding triggers

Answer

High-dose estrogen replacement

Answer

Sedating antihistamines

Answer

Increased caffeine intake

Question 4

Tumor lysis syndrome (TLS) is most likely to occur in which cancer type after treatment initiation?

Accepted Answer

Burkitt lymphoma and acute leukemia

Answer

Prostate cancer

Answer

Colon cancer

Answer

Melanoma

Question 5

Which electrolyte abnormality is NOT associated with tumor lysis syndrome?

Accepted Answer

Hypocalcemia

Answer

Hyperkalemia

Answer

Hyperphosphatemia

Answer

Hyperuricemia

Question 6

A patient with cancer reports a new severe headache rated 10/10 that began suddenly. The nurse's priority action is to:

Accepted Answer

Notify the provider immediately — this may indicate CNS metastasis or hemorrhage

Answer

Administer PRN acetaminophen and reassess in 1 hour

Answer

Document and reassess at the next scheduled assessment

Answer

Apply a cool cloth and dim the lights