OCN Domain 2: Oncology Nursing Practice Welcome to your OCN Domain 2: Oncology Nursing Practice 1. OCN: Oncology Nursing Practice A patient with Hodgkin lymphoma is receiving ABVD chemotherapy (Adriamycin, Bleomycin, Vinblastine, and Dacarbazine). During the infusion, they experience a sudden drop in blood pressure and difficulty breathing. What is the most appropriate nursing action? Stop the infusion and call for immediate assistance Slow the infusion and monitor the patient closely Administer intravenous fluids and continue the infusion Complete the infusion, then monitor the patient for 30 minutes None 2. OCN: Oncology Nursing Practice A patient with non-small cell lung cancer is receiving targeted therapy with erlotinib. What dietary advice should the oncology nurse provide to avoid interactions with the medication? Avoid grapefruit and grapefruit juice Limit the intake of dairy products Avoid high-protein foods Increase fiber intake None 3. OCN: Oncology Nursing Practice A patient with leukemia is undergoing allogeneic stem cell transplantation. What is the primary concern for the oncology nurse during the first 100 days post-transplant? Infection Tumor recurrence Graft failure Nausea and vomiting None 4. OCN: Oncology Nursing Practice An oncology nurse is caring for a patient with breast cancer undergoing radiation therapy. The patient reports persistent fatigue and asks for advice. Which is the most appropriate nursing response? Encourage regular light exercise and adequate sleep Suggest a complete rest with minimal physical activity Advise taking energy-boosting supplements Recommend a high-calorie diet None 5. OCN: Oncology Nursing Practice A patient with multiple myeloma is undergoing bisphosphonate therapy. What is a significant potential side effect that the oncology nurse should monitor for? Osteonecrosis of the jaw Peripheral neuropathy Hemorrhagic cystitis Cardiac arrhythmia None 6. OCN: Oncology Nursing Practice A patient with advanced pancreatic cancer is experiencing severe pain. The oncology nurse suggests using a patient-controlled analgesia (PC device for pain management. Which of the following statements is true regarding PCA? A) It allows the patient to self-administer pre-set doses of pain medication It administers a continuous dose of pain medication without patient intervention It is typically only used for opioid administration It requires the nurse to administer each dose manually None 7. OCN: Oncology Nursing Practice An oncology nurse is caring for a patient with chemotherapy-induced neutropenia. Which of the following interventions should be prioritized to minimize the risk of infection? Implementing strict hand hygiene practices Providing dietary supplements to boost immune function Encouraging frequent outdoor activities Using broad-spectrum antibiotics prophylactically None 8. OCN: Oncology Nursing Practice A patient undergoing chemotherapy reports mouth sores and difficulty eating. What is the best nursing intervention to alleviate this symptom? Encourage the use of a soft-bristle toothbrush and non-alcoholic mouthwash Advise the patient to avoid all foods until symptoms subside Recommend mouth rinses containing alcohol for disinfection Suggest gargling with warm salt water None 9. OCN: Oncology Nursing Practice An oncology nurse is discussing treatment options with a patient diagnosed with localized prostate cancer. Which of the following is a potential advantage of choosing brachytherapy over external beam radiation therapy (EBRT)? Lower risk of damage to surrounding tissues Shorter treatment duration Minimal need for anesthesia Reduced need for frequent hospital visits None 10. OCN: Oncology Nursing Practice An oncology nurse is educating a patient with colorectal cancer about possible side effects of chemotherapy with fluorouracil (5-FU). What is a common side effect of this treatment? Hand-foot syndrome Hair loss Joint pain Muscle cramps None 11. OCN: Oncology Nursing Practice A patient with advanced ovarian cancer is receiving paracentesis for ascites management. What is a critical nursing assessment post-procedure? Monitoring for signs of hypotension Observing for respiratory distress Checking for urinary retention Assessing for severe headache None 12. OCN: Oncology Nursing Practice An oncology nurse is caring for a patient with stage IV non-Hodgkin lymphoma receiving immunotherapy. The patient reports flu-like symptoms, including fever and muscle aches. What is the most appropriate nursing action? Inform the patient that these are common side effects of immunotherapy Stop the immunotherapy and notify the oncologist immediately Administer antipyretics and muscle relaxants to relieve symptoms Encourage the patient to drink warm fluids and rest None 13. OCN: Oncology Nursing Practice A patient with chronic myeloid leukemia (CML) is receiving tyrosine kinase inhibitor therapy. What is an important nursing consideration when assessing potential side effects of this treatment? Cardiotoxicity Nephrotoxicity Retinopathy Neurotoxicity None 14. OCN: Oncology Nursing Practice An oncology nurse is discussing fertility preservation with a young patient about to undergo chemotherapy for testicular cancer. Which of the following is a common method for fertility preservation in this context? Sperm banking Cryopreservation of testicular tissue Hormone therapy Surrogacy arrangements None 15. OCN: Oncology Nursing Practice A patient undergoing treatment for breast cancer reports lymphedema in the arm where lymph nodes were removed during surgery. What is a recommended nursing intervention to manage lymphedema? Compression therapy Immobilization of the affected arm Application of ice packs Regular massage with oil-based products None 16. OCN: Oncology Nursing Practice During chemotherapy administration, a patient exhibits signs of an acute infusion reaction. What is the first step the oncology nurse should take? Continue the infusion at a slower rate Administer an antihistamine and monitor the patient Stop the infusion immediately and assess the patient Notify the physician and continue monitoring None 17. OCN: Oncology Nursing Practice A patient with metastatic melanoma is being treated with high-dose interleukin-2 therapy. Which of the following side effects should the oncology nurse educate the patient about before starting therapy? Severe constipation Capillary leak syndrome Hyperglycemia Peripheral neuropathy None 18. OCN: Oncology Nursing Practice An oncology nurse is caring for a patient who has just undergone a mastectomy for breast cancer. What is a priority nursing intervention in the immediate post-operative period? Pain management Fluid balance monitoring Assessment of surgical drain output Early mobilization None 19. OCN: Oncology Nursing Practice Which of the following dietary recommendations should an oncology nurse make for a patient experiencing mucositis due to head and neck radiation therapy? Increase spicy and acidic foods to stimulate saliva production Use a straw for liquids to bypass oral lesions Consume soft, bland foods that are easy to swallow Prioritize dry, crunchy foods to clean the oral cavity None 20. OCN: Oncology Nursing Practice A patient receiving radiotherapy for lung cancer reports shortness of breath and a dry cough. What condition should the oncology nurse consider as a possible cause of these symptoms? Pneumonitis Pulmonary embolism Asthma exacerbation Cardiac tamponade None 1 out of 20 Time is Up! Time's up
