OCN Symptom Management and Palliative Care 2

Question 1

Mucositis is most likely to develop in patients receiving which treatment?

Accepted Answer

High-dose methotrexate or radiation to the head and neck

Answer

Anti-hormonal therapy

Answer

Checkpoint inhibitors

Answer

Tyrosine kinase inhibitors

Question 2

A patient with advanced cancer reports dyspnea at rest. Which nursing intervention is most effective for immediate relief?

Accepted Answer

Position the patient upright and use a fan directed at the face

Answer

Administer supplemental oxygen to all patients regardless of SpO2

Answer

Encourage deep breathing exercises

Answer

Restrict fluid intake

Question 3

Which medication is first-line for treating opioid-induced nausea and vomiting?

Accepted Answer

Prochlorperazine or metoclopramide

Answer

Ondansetron

Answer

Lorazepam

Answer

Dexamethasone

Question 4

Cachexia in cancer patients is best described as:

Accepted Answer

A metabolic syndrome of weight loss, muscle wasting, and inflammation

Answer

Simple malnutrition from decreased oral intake

Answer

A side effect of antiemetics

Answer

Dehydration due to vomiting

Question 5

Which assessment tool is validated specifically for measuring overall symptom burden in cancer patients?

Accepted Answer

Edmonton Symptom Assessment System (ESAS)

Answer

CAGE questionnaire

Answer

Mini-Mental State Examination

Answer

Braden Scale

Question 6

A patient with cancer develops sudden onset of confusion. Which potentially reversible cause should the nurse investigate first?

Accepted Answer

Hypercalcemia

Answer

Disease progression to the brain

Answer

Terminal restlessness

Answer

Opioid tolerance