ONCC ONCC Radiation Therapy Nursing

Question 1

A patient receiving external beam radiation to the pelvis develops grade 2 radiation dermatitis. Which nursing intervention is most appropriate?

Accepted Answer

Cleanse the area gently with mild soap and water and apply a moisture barrier

Answer

Apply a topical corticosteroid cream twice daily

Answer

Apply a petroleum-based ointment and cover with an occlusive dressing

Answer

Instruct the patient to keep the area dry and avoid all topical products

Question 2

Which of the following is a late effect of radiation therapy to the chest that the oncology nurse should monitor for in follow-up?

Accepted Answer

Radiation pneumonitis and pulmonary fibrosis

Answer

Alopecia

Answer

Acute nausea and vomiting

Answer

Mucositis

Question 3

A patient undergoing radiation therapy for head and neck cancer is at highest risk for which nutritional complication?

Accepted Answer

Mucositis leading to dysphagia and malnutrition

Answer

Hypercalcemia

Answer

Dumping syndrome

Answer

Iron deficiency anemia

Question 4

Which instruction is most important for a patient receiving radiation therapy to prevent skin breakdown in the treatment field?

Accepted Answer

Avoid sun exposure, tight clothing, and harsh soaps in the treatment field

Answer

Apply ice packs to the treatment area for comfort

Answer

Use alcohol-based skin products to keep the area clean

Answer

Scrub the skin vigorously before each treatment session

Question 5

A patient receiving whole-brain radiation therapy reports severe headache and confusion two weeks into treatment. What is the priority nursing action?

Accepted Answer

Notify the radiation oncologist immediately as this may indicate increased intracranial pressure

Answer

Administer acetaminophen and reassess in one hour

Answer

Reassure the patient these are expected side effects

Answer

Encourage increased fluid intake

Question 6

Which of the following best describes the purpose of immobilization devices used in radiation therapy?

Accepted Answer

To ensure reproducible patient positioning for accurate daily dose delivery

Answer

To prevent the patient from experiencing anxiety during treatment

Answer

To protect the patient from the radiation beam

Answer

To reduce treatment time per session