OCN Symptom Management and Palliative Care

Question 1

According to the WHO analgesic ladder, what class of medication is used at Step 3 for severe cancer pain?

Accepted Answer

Strong opioids (e.g., morphine)

Answer

Step 3 of the WHO analgesic ladder uses strong opioids such as morphine, oxycodone, or hydromorphone for severe pain.

Question 2

A cancer patient reports nausea that is worse with movement and relieved by staying still. Which antiemetic class best targets this type of nausea?

Accepted Answer

Antihistamines/anticholinergics

Answer

Motion-related nausea is vestibular in origin and is best managed with antihistamines or anticholinergics such as meclizine or scopolamine.

Question 3

Which non-pharmacologic intervention is evidence-based for managing cancer-related fatigue?

Accepted Answer

Aerobic exercise

Answer

Moderate aerobic exercise is the most evidence-based intervention for cancer-related fatigue, improving energy and quality of life.

Question 4

What is the primary goal of palliative care in oncology?

Accepted Answer

To improve quality of life by managing symptoms and psychosocial needs

Answer

Palliative care focuses on relieving suffering and improving quality of life for patients and families, and can be delivered alongside curative treatment.

Question 5

A patient on long-term opioid therapy reports no bowel movement in 4 days. The most appropriate first intervention is:

Accepted Answer

Add a stimulant laxative such as senna

Answer

Opioid-induced constipation requires a stimulant laxative (e.g., senna) as first-line treatment; fiber alone is insufficient with opioids.

OCN Exam Practice Test

OCN Exam Practice Test

OCN Symptom Management and Palliative Care