ONCC ONCC Radiation Therapy Nursing 1

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

Gentle cleansing with mild soap and water followed by a moisture barrier is recommended for grade 2 radiation dermatitis to maintain skin integrity.

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

Radiation pneumonitis (acute) and pulmonary fibrosis (late) are significant complications of chest radiation that require long-term monitoring.

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

Mucositis and xerostomia from head and neck radiation commonly cause severe dysphagia, placing patients at high risk for malnutrition.

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

Protecting irradiated skin from UV exposure, friction, and irritants reduces the risk of radiation dermatitis and breakdown.

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

Severe headache and confusion during whole-brain radiation may signal increased intracranial pressure, a potentially life-threatening complication requiring urgent evaluation.

ONCC - Oncology Nursing Certification Corporation Practice Test

ONCC - Oncology Nursing Certification Corporation Practice Test

ONCC ONCC Radiation Therapy Nursing 1