OCN OCN MCQ 4

Question 1

A patient receiving immunotherapy with pembrolizumab develops a new onset dry cough and dyspnea at rest. The nurse should suspect:

Accepted Answer

Immune-mediated pneumonitis

Answer

PD-1 inhibitors like pembrolizumab can cause immune-related pneumonitis, requiring prompt evaluation and possible immunosuppressive therapy.

Question 2

Which cancer screening recommendation aligns with current American Cancer Society guidelines for average-risk adults?

Accepted Answer

Colorectal cancer screening beginning at age 45

Answer

The ACS updated guidelines recommend colorectal cancer screening beginning at age 45 for average-risk individuals.

Question 3

A patient's pain is described as burning and shooting down the leg following spinal metastasis. This type of pain is classified as:

Accepted Answer

Neuropathic pain

Answer

Burning, shooting, or electric shock-like pain radiating along a nerve distribution is characteristic of neuropathic pain.

Question 4

A patient with cancer-related hypercalcemia of malignancy is most likely to present with which set of symptoms?

Accepted Answer

Fatigue, constipation, polyuria, and confusion

Answer

Hypercalcemia classically presents with fatigue, constipation, polyuria/polydipsia, and altered mental status (bones, stones, groans, moans).

Question 5

During a blood product transfusion, a patient reports chills, back pain, and dark urine 15 minutes into the infusion. The nurse's priority action is to:

Accepted Answer

Stop the transfusion immediately and maintain IV access with normal saline

Answer

These symptoms indicate an acute hemolytic transfusion reaction; the transfusion must be stopped immediately while IV access is maintained.

OCN Exam Practice Test

OCN Exam Practice Test

OCN OCN MCQ 4