OCN OCN MCQ 3

Question 1

Which assessment finding in a patient receiving bevacizumab (Vectibix) warrants immediate intervention?

Accepted Answer

Sudden onset of severe headache and hypertension

Answer

Bevacizumab can cause hypertensive crisis and increases risk of intracranial hemorrhage; sudden severe headache with hypertension is an emergency.

Question 2

A patient undergoing radiation to the pelvis reports painful bowel movements and bloody diarrhea at week 4 of treatment. The nurse recognizes this as:

Accepted Answer

Acute radiation proctitis

Answer

Pelvic radiation commonly causes acute radiation proctitis, characterized by diarrhea, rectal pain, and bleeding during the treatment course.

Question 3

Which intervention is most appropriate for a patient experiencing grade 3 oral mucositis?

Accepted Answer

Provide parenteral nutrition and administer prescribed opioid analgesics

Answer

Grade 3 mucositis involves inability to eat adequately and severe pain, requiring nutritional support and strong analgesics.

Question 4

A patient receiving cisplatin-based chemotherapy should be monitored most closely for which electrolyte imbalance?

Accepted Answer

Hypomagnesemia

Answer

Cisplatin causes renal tubular damage leading to significant magnesium wasting and hypomagnesemia.

Question 5

When teaching a patient about the signs of tumor lysis syndrome, the nurse should instruct the patient to report:

Accepted Answer

Muscle cramps, irregular heartbeat, and decreased urine output

Answer

Tumor lysis syndrome causes hyperkalemia, hyperphosphatemia, and renal failure, manifesting as muscle cramps, cardiac dysrhythmias, and oliguria.

OCN Exam Practice Test

OCN Exam Practice Test

OCN OCN MCQ 3