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

Taxane-induced peripheral neuropathy typically causes a symmetric stocking-glove pattern of numbness, tingling, and burning in the extremities.

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

Vaginal moisturizers and use of a vaginal dilator help maintain vaginal patency and moisture after pelvic radiation–induced mucosal changes.

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

Non-pharmacological strategies such as trigger avoidance, cool environments, and layered clothing are recommended first because estrogen is contraindicated in breast cancer.

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

TLS is most common in rapidly proliferating tumors such as Burkitt lymphoma and acute leukemia because rapid cell death releases large amounts of intracellular contents.

Question 5

Which electrolyte abnormality is NOT associated with tumor lysis syndrome?

Accepted Answer

Hypocalcemia

Answer

TLS causes hyperkalemia, hyperphosphatemia, hyperuricemia, and resultant hypocalcemia—not hypercalcemia; calcium falls because phosphate binds it.

OCN Exam Practice Test

OCN Exam Practice Test

OCN Symptom Management 2