OCN OCN Trivia 5

Question 1

A patient with cancer reports pain rated 8/10 and is currently on oral morphine. The nurse anticipates which change to the analgesic regimen?

Accepted Answer

Increase the opioid dose or change to a stronger opioid formulation

Answer

According to the WHO analgesic ladder, uncontrolled moderate-to-severe pain requires dose escalation or rotation to a stronger opioid.

Question 2

Which intervention is most effective in preventing chemotherapy-induced nausea and vomiting (CINV) prior to a highly emetogenic regimen?

Accepted Answer

Pre-medicating with a 5-HT3 antagonist, a NK1 antagonist, and dexamethasone

Answer

CINV guidelines recommend a triple-drug prophylactic regimen (5-HT3 antagonist + NK1 antagonist + dexamethasone) before highly emetogenic chemotherapy.

Question 3

The nurse is caring for a patient with hypercalcemia of malignancy. Which symptom would the nurse expect to assess?

Accepted Answer

Confusion, polyuria, constipation, and fatigue

Answer

Hypercalcemia of malignancy classically presents with confusion, polyuria, constipation, anorexia, and profound fatigue.

Question 4

Which of the following is a common long-term side effect of cisplatin-based chemotherapy?

Accepted Answer

Nephrotoxicity and ototoxicity

Answer

Cisplatin is well known for causing cumulative nephrotoxicity and ototoxicity (hearing loss/tinnitus) as major long-term toxicities.

Question 5

When educating a patient about neutropenia precautions, which dietary instruction is most important?

Accepted Answer

Avoid undercooked meats, raw eggs, and unpasteurized products

Answer

Patients with neutropenia must avoid foods at high risk for bacterial contamination, including raw/undercooked meats, raw eggs, and unpasteurized dairy.

OCN Exam Practice Test

OCN Exam Practice Test

OCN OCN Trivia 5