OCN OCN MCQ 2

Question 1

A patient receiving carboplatin reports ringing in the ears and decreased hearing. Which action should the oncology nurse take first?

Accepted Answer

Notify the provider and document the findings

Answer

Ototoxicity is a serious adverse effect that requires prompt provider notification and documentation before treatment continues.

Question 2

Which laboratory value is most critical to assess before administering methotrexate?

Accepted Answer

Serum creatinine

Answer

Methotrexate is renally excreted, and impaired renal function can lead to toxic drug accumulation.

Question 3

A patient with multiple myeloma develops sudden severe back pain and lower extremity weakness. The priority nursing action is to:

Accepted Answer

Notify the physician immediately for spinal cord compression evaluation

Answer

Sudden back pain with neurological deficits in a myeloma patient suggests spinal cord compression, an oncologic emergency.

Question 4

Which dietary instruction is most appropriate for a neutropenic patient?

Accepted Answer

Consume only commercially canned or well-cooked foods

Answer

Neutropenic patients follow a low-microbial diet, avoiding raw or undercooked foods that harbor pathogens.

Question 5

A patient's ANC is 450 cells/mm³. Based on this value, the nurse understands the patient is at:

Accepted Answer

Moderate to severe risk requiring neutropenic precautions

Answer

An ANC below 500 cells/mm³ indicates severe neutropenia and high infection risk requiring protective precautions.

OCN Exam Practice Test