OCN OCN MCQ 5

Question 1

When educating a patient about tamoxifen therapy for hormone receptor-positive breast cancer, the nurse should emphasize reporting:

Accepted Answer

Leg pain, swelling, or shortness of breath

Answer

Tamoxifen increases the risk of thromboembolic events; leg pain, swelling, and dyspnea are signs of DVT or pulmonary embolism requiring urgent evaluation.

Question 2

Which action demonstrates the oncology nurse's understanding of safe handling of oral chemotherapy agents at home?

Accepted Answer

Teach the patient to wear gloves when handling tablets and store them away from children

Answer

Oral chemotherapy agents are hazardous drugs requiring PPE during handling and safe storage away from others, especially children.

Question 3

A patient receiving high-dose corticosteroids as part of cancer treatment should be monitored for which complication?

Accepted Answer

Hyperglycemia, fluid retention, and immunosuppression

Answer

Corticosteroids cause hyperglycemia by increasing gluconeogenesis, promote sodium and fluid retention, and suppress immune function increasing infection risk.

Question 4

According to the NCCN distress thermometer guidelines, a distress score at which threshold warrants referral to psychosocial support services?

Accepted Answer

4 or above

Answer

NCCN guidelines recommend referral to appropriate resources when a patient scores 4 or higher on the Distress Thermometer.

Question 5

A patient with advanced cancer reports existential distress, stating 'I feel like my life has had no meaning.' Which nursing response best reflects a palliative care approach?

Accepted Answer

'Would you like me to arrange for a chaplain or counselor to speak with you?'

Answer

Palliative care addresses spiritual and existential distress; offering a chaplain or counselor validates the patient's experience and connects them with appropriate support.

OCN Exam Practice Test

OCN Exam Practice Test

OCN OCN MCQ 5