Ocn Test Review

Front 1

the use of monoclonal antibody, rituximab has made a significant difference in the treatment of :

Back 1

follicular lymphoma

Front 2

individuals with low income and low educational backgrounds:

Back 2

have a negative affect when accessing healthcare and have negative health outcomes

Front 3

which antioxidant used as a CAM could compromise diagnostic tests?

Back 3

Vitamin C

Front 4

the 3 leading sites of cancer in the United States are:

Back 4

colon, lung, prostate, and breast

Front 5

which of the following biologic effects of ionizing radiation fractioniaztion leads to cell death because of better blood flow of the tumor

Back 5

Reoxygenation

Front 6

on assessment of pt. , reveals: smoker sexual activity at age 18, premenopausal, 3 sex partners in the last year. the following screening test is recommended:

Back 6

Pap Smear

Front 7

a client fell ill over vacation , was recently diag. with a life threatening illness. the mose helpful resource for the nurse when locating a HOSPICE facility for this person/family is:

Back 7

The Hospice Net

Front 8

A pt. s/p chemo 5 days age, calls to inform you of fevers and chills , you request her to come in and have her lab drawn, you know the pt. is at risk for Febrile Neutropenia if her labs results reveal an ANC of < :?

Back 8

500/mm3

Front 9

what is a non-pharmacologic intervention for sleep disorder that you would teach your pt.

Back 9

to arise at the same time each morning

Front 10

the most indicative of a patient's risk for developing depression?:

Back 10

Currently receiving CHOP

Front 11

a person with a family history of multiple cancer occurrences should be further evaluated for:

Back 11

Family cancer syndrome

Front 12

pt. with mult. myeloma receiving 3rd cycle of chemo. 24 intake is 4,000 ml and output is 2,700 . BUN = 28, CRT 2.8, serum calcium of 10.8, the nurse suspects which complication may be developing??:

Back 12

Renal insufficiency

Front 13

the nurse assesses bowel sounds of an ova cancer pt. , proximal to the obstruction and documents that bowel sounds are:

Back 13

high pitched, tinkling

Front 14

the cell most likely to be assoc. with an HIV infection is ?:

Back 14

CD4, the CD4 cell is a T4 helper cell and he primary target of the HIV

Front 15

a pt. with primary brain tumor , admitted with severe mental status changes, and serum Na+ lever of 117mEq/l, the nurses priority of intervention:

Back 15

seizure precautions

Front 16

a nurse ensures that the brochure written for patients on referral certification and authorization is in plain language and provided upon admission. this effort is a means to be compliant with whiich rule?

Back 16

The Health Inusrance Portability and Accountability Act

Front 17

a pt. presents with T. 100.5, RR = 24, WBC = 12,500. the medical mgmt is based on the theory that most infections assoc. with septic shock , originate from:

Back 17

Endogenous flora of the patient

Front 18

The presence of Horner's Syndrome in lung or esophageal cancer is demonstrated by:

Back 18

Eyelid ptosis with miotic pupils

Front 19

a pt. with multiple myeloma and cardiovascular disease, admitted with a calcium level of 13.4. iv tx incl NS at 250ml/hr. the nurse should monitor pt. for what complication of tx??:

Back 19

Congestive heart failure

Front 20

colony stimulating factors can cause exacerbation of which chronic illness??:

Back 20

Diabetes Mellitus

Front 21

The American Cancer Society has stated, as we age, our lifetime risk of developing cancer, and/or dying from cancer increases. what is the lifetime risk for both men/women over age 55??:

Back 21

1:2 men and 1:3women will develop cancer and/or die of cancer

Front 22

the lifestyle with the greatest impact on cancer incidence in the community.....

Back 22

Smoking cessation for adult men

Front 23

Activated T-cells are lymphocytes with specific action to:

Back 23

A presented Antigen

Front 24

in a chemotx pt. with St.3 malig. melanoma, with anorexia. the consequence of anorexia that could affect her treatment outcome the most??:

Back 24

development of cachexia

Front 25

the World Health Organization defines anemia as:

Back 25

Males hemoglobin levels less than 13g/dl, hct less than 42%

Front 26

the daily recommended fluid intake, to minimize the risk of constipation:

Back 26

3,000ml/day

Front 27

Education regarding the long term effects caused by exposure to hazardous drugs would incl. info about:

Back 27

liver damage

Front 28

An immature neutrophil is a :

Back 28

Band

Front 29

A client with dysphagia is experiencing fever, cough, midchest discomfort. these are symptoms suggestive of:

Back 29

aspiration pneumonia

Front 30

A 64 yr. old female, with metastatic lung ca, undergoing chemo tx, pelvic radiation , is at highest risk for developing , which oncologic emergency

Back 30

Sepsis

Front 31

the nurse collaborates with other health professionals and the public in promoting community, nat'l, and intern'l efforts to meet health needs, this stmt is incorporated in ?:

Back 31

the Professional Standard, developed by ANA

Front 32

the etiology of Testicular cancer is:

Back 32

a theory yet to be proven

Front 33

Risk factors for constipation, include:

Back 33

diabetes, hyperthyroidism, and uremia

Front 34

a genetic mutation that occurs in the egg or sperm :?:

Back 34

De novo

Front 35

a pt. diag. with DIC, preparing for transfer to ICU, highest nursing priority:

Back 35

inefficient tissue perfusion

Front 36

Lack of antigens which label the cell as self, or non-self, are a result of:

Back 36

cancer cell membrane changes

Front 37

Which stage is most likely for an HIV pt. with chronic lymphadenopathy?

Back 37

stage 6 because of presence of opportunistic infection, and high CD4 count, and lymphadenopathy

Front 38

what cardiovascular effects appears on physical exam. of a client with anemia

Back 38

Tachycardia and systolic murmur

Front 39

Evolving technology and knowledge would be used to :

Back 39

Develop an evidence based plan of care

Front 40

st. 3 lymphedema is classified as:

Back 40

an affected limb that is more than 5 cm in diameter than the unaffected limb.

Front 41

a combination of medications for preventing chemo related symptoms (N&V)

Back 41

A benzodiazepine and coricosteroid

Front 42

A patient with lung cancer develops symptoms, postprocedure, of circulatory overload and pulm. htn, which is commonly assoc. with pt. undergoing?:

Back 42

pneumonectomy

Front 43

recommendation for radiation of a pregnant woman:

Back 43

better to wait until after the baby is born or if tx is needed sooner, a decision to terminate pregnancy may be needed.!

Front 44

chemo/rad. tx while pt. is under care of hospice?? ok?

Back 44

chemo and rad. tx may continue while under hospice if it is for palliative care to keep pt. comfortable.

Front 45

oral contraceptives, ok for cancer pt. ??

Back 45

oral contraceptives should not be used if the tumor is secreting hormones

Front 46

when to start chemo if pt. is pregnant?

Back 46

chemo harmful in 1st trimester in a fast growing tumor, mother should be advised to start tx immediately or wait until 2nd trimester if it is a slower growing tumor

Front 47

world Health Organization data shows that:

Back 47

cancer incidence rates will increase by 50% by2020

Front 48

In oncology nursing practice, standards of care pertains to professional nursing activities demonstrated through the:

Back 48

Nursing Process

Front 49

Stage 1 NSCL cancer with impaired pulmonary function, treatment of choice:

Back 49

external beam radiotx

Front 50

according to the american cancer society, best recommended pap smear exam schedule for early detection is:?:

Back 50

STARTING AT AGE 30, AFTER 3 CONSECUTIVE NORMAL RESULTS, EVERY 2-3 years

Front 51

An allograft rescue has the potential to be most effective if:

Back 51

hematooietic stem cells are used from 6/6 antigen HLA-matched sibling

Front 52

a pt. with cancer rec'd a bm transplant from a donor , who was a family member. the transplant was rejected, the family blames the donor for pt. decline, the donor expresses feelings of extreme guilt, appropriate intervention:

Back 52

assess the donor for suicidal ideation

Front 53

a pt. scheduled for a supraglottic laryngectomy. the most import aspect of this pt's educations regarding anticipated functional changes include , that:

Back 53

Aspiration is a risk

Front 54

women with a history of cancer of ovary, uterus, or breast with diet high in fat, and calories and low in fiber, are at risk for which cancer:

Back 54

colon cancer

Front 55

upon assessment of the pt. with Acanthosis Nigricans , noted on the abd., this change is assoc. with:

Back 55

cutaneous paraneoplastic syndrome

Front 56

Acanthosis nigricans is:

Back 56

a hyperpigmentation and thickening of the skin. common in type 2 dm, also found in GI cancers, commonly seen at the base of the neck, axilla and joints of the hands

Front 57

a pt. with primary , brain tumor, with slow, shallow respirations, 26 RR, Nausea and visual changes , nurse prepares to tx pt. for:

Back 57

Increased intracranial pressure

Front 58

Lower limb lymphedema:

Back 58

incidence may decrease with increased use of sentinel lymph node dissection

Front 59

a pt. with crystal formation on the stoma of an ileal conduit, mgmt of this problem could include:

Back 59

applying vinegar compresses on the stoma

Front 60

pt. with Acute leukemia s/p chemo 7 days ago. vs: t. 101.5, HR = 112, bp = 90/58, RR = 22, hct.= 22 (low) priority of intervention

Back 60

apply 4L/NC

Front 61

pt. with cancer has to return to work. pt. tells nurse, the manual labor seems too much to keep up with, and retirement may be the only answer, best response by nurse :

Back 61

see job counseling for creative work options

Front 62

A surgical procedure that only obtains tissue for pathologic exam. is an :

Back 62

Incisional biopsy

Front 63

Side effects of radiation tx would be expected :

Back 63

from weeks to years post treatment

Front 64

Tumor markers are useful for:

Back 64

Monitoring patient response to therapy

Front 65

As you teach a pt. about breast conserving surgeries, you stress:

Back 65

that the goal of surgery is to remove cancer cells in the breast

Front 66

regarding the Hospice Medicare Benefit...

Back 66

Hospice programs are paid a per diem rate to provide services

Front 67

The hospice medical director must recerfity that a patient is terminally ill , how often?..

Back 67

at 60-90 day intervals

Front 68

the family of a pt. diagnosed with cancer requests a meeting with the nurse. the family is seeking ifo. on reducing cancer risk for all members, an important risk assessment by the nurse should include:

Back 68

Review of a three generation family pedigree

Front 69

pt. with leukemia presents with EKG changes, bradycardia , tachycardia, n&v, diarhea , muscle weakness, and muscle cramps and paraesthesia , nurse would obtain an order for what lab tests to confirm , what...???:

Back 69

Hyperkalemia

Front 70

which cancer has a lack of proven screening interventions

Back 70

lung ca

Front 71

an example of qualitative research design :

Back 71

conducting a focus group to discuss the stress on marriage during cancer treatment

Front 72

most common cause of SIADH

Back 72

SCLC

Front 73

presentation of pt. with SIADH:

Back 73

fluid restriction of <800-1000 ml/day, serum sodium <110 (if asymptomatic) if symptomatic, hypertonic saline(3%), rapid diuresis, iv lasix , monitor for neurologic signs of hypernatremia, if 3% saline is used.

Front 74

Septicemia, presentation of pt.:

Back 74

T. of 38.3 C (101. F) for >1 hr., neutropenic fever of ANC <500,

Front 75

presentation of pt. with DIC:

Back 75

bleeding, usually from 3-4 sites, petechiae, restlessness, confusion, increased HR, decreased pulse pressure, decreased plts, and fibrinogen increased D-Dimer, prolonged PT/PTT

Front 76

hyperphosphatemia r/t TLS is treated with:

Back 76

phosphate binders, taken with meals , such as: calcium acetate (Phos lo), or aluminum hydroxide (Alternagel)

Front 77

hypocalcemia, r/t TLS is treated with...:

Back 77

can be treated with calcium gluconate, if pt. is having dysrhythmias, but is usually corrected with the treatment of the hyperphosphatemia

Front 78

presentation of pt. with TLS..:

Back 78

acidic urine = ph <7, hyperuricemia , uric acid >10
(decreased urine output, flank pain, and wt. gain),
hyperKalemia (EKG changes)
elevated BUN/CRT

Front 79

normal BUN serum value:

normal serum creatinine level:

Back 79

= 8-25

= 0.5-1 = women
= 0.7-1.2 = men

Front 80

Infection in cancer patients is most commonly caused by :

Back 80

gram positive bacteria

Front 81

hypercalcemia r/t bone mets
pt. presentation:

Back 81

polydipsia, polyuria, sleepy , calcium >12

Front 82

presentation of Cardiac TTamponade:

Back 82

tachypnea, dyspnea, chest pain (more severe when pt. is supine, relieved by sitting and leaning forward), cyanosis, chest pain, radiating **diminished, muffled heart tones**, JVD, hypotension * = * = Becks Triad

Front 83

pt. with serum sodium of 123mEq/L, confused, N&V, weight gain and severe thirst, nurse should be prepared to treat this pt. for:

Back 83

SIADH

Front 84

Radiation therapy ALONE, as treatment for esophageal cancer, focuses on :

Back 84

alleviation of obstructive problems

Front 85

the following assessment indicates stage 2B of Hodgkin disease

Back 85

two lymph node regions with c/o fever and night sweats

Front 86

stage 3 colon cancer has likelihood of developing metastatic lesions in the :...

Back 86

Liver

Front 87

pericardial effusion (cardiac tamponade, nurse would be observing ......in the pt. :

Back 87

Jugular vein distention, narrow pulse pressure!

Front 88

pt. experiencing throat spasms, difficulty swallowing, pt. has weight loss, anemia and horner's syndrome, nurse would prepare pt. for......:

Back 88

Endoscopic biopsy (signs of esophageal cancer)

Front 89

pt. with hx of testicular cancer, short of breath , being seen in the "late effects" clinic, initial testing of pt. eval should focus on :

Back 89

= pulmonary function tests, due to tx of bleomycin given for testicular ca.

Front 90

at risk for developing a malignancy of the nasopharynx:

Back 90

51 yr. old chinese male with hx of Epstein Barr infection