AOCNP : ONCC Advanced Oncology Certified Nurse Practitioner Exam

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ONCC Advanced Oncology Certified Nurse Practitioner
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Question: 903
During a survivorship care plan discussion, a 45-year-old male patient who underwent chemotherapy for testicular cancer expresses concern about his heart health. Which of the following chemotherapy agents is most associated with the development of cardiomyopathy?
1. Methotrexate
2. Cyclophosphamide
3. Cisplatin
er: D
nation: Doxorubicin is well-documented to cause dose-dependent cardiomyopathy, particularl cumulative doses. Patients treated with this agent should be monitored for cardiac function.
ion: 904
ussing cancer prevention strategies, which of the following lifestyle modifications has the str ce supporting its role in reducing breast cancer risk?
reasing physical activity levels. ducing caffeine intake.
oiding all forms of alcohol. lowing a high-fat diet.
er: A
nation: Increasing physical activity levels has strong evidence supporting its role in reducing risk, along with other health benefits, making it a key lifestyle modification for prevention.
ion: 905
ent undergoing treatment for lymphoma presents with abdominal pain and distension. An und reveals ascites. What is the most appropriate next step in management?
iate diuretic therapy form paracentesis
Doxorubicin Answ
Expla y at
higher
Quest
In disc ongest
eviden
1. Inc
2. Re
3. Av
4. Fol Answ
Expla breast
cancer
Quest A pati ultraso
1. Init
2. Per
3. Start chemotherapy
4. Monitor for changes Answer: B
Explanation: Performing paracentesis is the most appropriate next step to relieve abdominal distension and assess the fluid for potential malignancy or infection.
In the context of survivorship care, which of the following is a key factor that must be communicated to patients regarding lifestyle modifications post-treatment?
1. All patients should follow the same dietary regimen.
2. Lifestyle modifications are irrelevant once treatment is completed.
3. Individualized recommendations based on personal health status and preferences are crucial.
4. Patients should avoid discussing lifestyle changes with their primary care provider. Answer: C
ective lifestyle modifications post-treatment, as they help patients make sustainable changes ve their overall health.
ion: 907
ntoring a nurse practitioner in the oncology setting, which of the following practices is essent te critical thinking in patient care decisions?
viding structured protocols to follow without question
couraging the exploration of evidence-based practices and guidelines miting discussions to only successful patient outcomes
phasizing the importance of following traditional methods er: B
nation: Encouraging exploration of evidence-based practices fosters a deeper understanding o care and promotes critical thinking.
ion: 908
ent treated with doxorubicin presents with symptoms suggestive of heart failure, including ess of breath and edema. Which of the following assessments is crucial for determining the e diac toxicity?
um potassium levels
Explanation: Individualized recommendations based on personal health status and preferences are crucial for eff that
impro
Quest
In me ial to
promo
1. Pro
2. En
3. Li
4. Em
Answ
Expla f
patient
Quest
A pati
shortn xtent
of car
1. Ser
2. Echocardiogram
3. Electrocardiogram
4. Chest X-ray Answer: B
Explanation: An echocardiogram provides a direct assessment of cardiac function and can identify any reductions in ejection fraction indicative of doxorubicin-induced cardiotoxicity.
Question: 909
Which of the following statements about survivorship care plans is true regarding their development and implementation?
1. They should be developed in isolation by oncology providers without patient input.
2. They primarily focus on physical health and exclude holistic approaches.
3. They can remain static once implemented, without the need for updates.
4. They must be flexible and adaptable to the evolving needs of the survivor. Answer: D
nation: Survivorship care plans must be flexible and adaptable to the evolving needs of the or, as changes in health status or life circumstances may require modifications to the plan.
ion: 910
a genetic counseling session, a patient expresses concern about the implications of her gene Which of the following aspects of genetic counseling is most important to address first?
cuss the technical details of genetic testing.
plain the potential psychosocial impacts of the results. vide information on available treatment options.
tline the statistical likelihood of developing cancer. er: B
nation: Addressing the potential psychosocial impacts of genetic testing results is crucial, as patients xperience anxiety, fear, or changes in their familial relationships upon receiving their results.
ion: 911
the most significant challenge an Advanced Practice Nurse might face when acting as a pr ew nurse in a specialized oncology unit?
suring the new nurse understands the technical aspects of equipment essing the new nurse's interpersonal skills during patient interactions
Expla surviv
Quest
During tic test
results.
1. Dis
2. Ex
3. Pro
4. Ou
Answ Expla
may e
Quest
What is eceptor
to a n
1. En
2. Ass
3. Balancing the precepting role with their patient care responsibilities
4. Providing adequate resources for the new nurse's continuing education Answer: C
Explanation: Balancing time between precepting and patient care is a common challenge that can affect the quality of training and patient outcomes.
For a patient with metastatic colorectal cancer who is receiving first-line treatment with FOLFOX (folinic acid, fluorouracil, and oxaliplatin), which of the following side effects should the healthcare provider closely monitor?
1. Peripheral neuropathy
2. Cardiotoxicity
3. Thrombocytopenia
4. Renal failure Answer: A
nation: Peripheral neuropathy is a well-documented side effect of oxaliplatin, and patients sh ored for symptoms such as tingling or numbness in the extremities.
ion: 913
year-old woman diagnosed with leukemia is confused about her health insurance coverage fo ng treatment. Which of the following statements is true regarding insurance coverage for can ent?
urance coverage for cancer treatment is regulated by state laws. cancer treatments are covered under any insurance plan.
urance companies can deny coverage based on pre-existing conditions. urance policies cannot impose caps on cancer treatment expenses.
er: A
nation: Insurance coverage varies by plan and is often governed by state laws, which can affe bility and extent of coverage for cancer treatments.
ion: 914
ontext of genetic counseling for breast cancer, which gene mutation is most commonly ass increased risk of developing breast and ovarian cancer, particularly in women of Ashkenaz descent?
Expla ould be
monit
Quest
A 40- r
ongoi cer
treatm
1. Ins
2. All
3. Ins
4. Ins Answ
Expla ct the
availa
Quest
In the c ociated
with an i
Jewish
1. PTEN
2. TP53
3. BRCA1
4. MLH1
Answer: C
Explanation: The BRCA1 gene mutation is well-documented for its association with increased risk for breast and ovarian cancers, especially among individuals of Ashkenazi Jewish ancestry.
In managing a patient with severe thrombocytopenia who is experiencing a high fever, which of the following interventions should be prioritized?
1. Administer platelet transfusion
2. Perform a complete blood count
3. Start broad-spectrum antibiotics
4. Encourage oral hydration Answer: C
nation: In a febrile patient with thrombocytopenia, starting broad-spectrum antibiotics is urge potential infection, as the patient is at high risk of sepsis.
ion: 916
ontext of psychosocial assessments, what is the primary limitation of using standardized onnaires without supplementary qualitative interviews?
ey are time-consuming to administer
ey are too complex for patients to understand
ey may not adequately capture individual patient experiences ey do not provide numeric data for analysis
er: C
nation: Standardized questionnaires can miss nuances of individual experiences, making it cr mplement them with qualitative interviews for a holistic understanding of a patient's psychoso
ion: 917
ssessing the educational needs of a newly diagnosed oncology patient, which of the followi should the Advanced Practice Nurse consider as the most critical to tailor the educational als effectively?
Expla nt to
address
Quest
In the c questi
1. Th
2. Th
3. Th
4. Th
Answ
Expla ucial
to co cial
state.
Quest
When a ng
factors materi
1. The patient's prior knowledge of cancer treatment
2. The patient's socioeconomic status
3. The patient's age and gender
4. The patient's cultural beliefs and practices Answer: D
Explanation: Cultural beliefs and practices significantly influence a patient's understanding and acceptance of medical information, making them crucial in tailoring educational materials.
A 55-year-old woman with a history of smoking is evaluated for lung cancer screening. Which of the following screening methods is currently recommended for high-risk individuals?
1. Routine chest X-ray
2. Biopsy of suspicious lesions
3. Sputum cytology
nation: Annual low-dose CT scans are recommended for lung cancer screening in high-risk duals, such as those with a significant smoking history, as they are more effective than chest
ion: 919
llow-up assessment, a nurse finds that a patient with prostate cancer is reluctant to discuss onal issues. Which technique can the nurse use to facilitate a more open dialogue?
rmalize the patient’s feelings by discussing common reactions re information about the patient’s diagnosis
closed-ended questions to guide the conversation cus on the patient’s physical health status
er: A
nation: Normalizing the patient’s feelings by discussing common reactions can help create a nment, encouraging the patient to share his emotional struggles more openly.
ion: 920
of the following best describes the primary goal of cancer risk assessment in individuals wit history of specific cancers?
Annual low-dose CT scan Answer: D
Expla
indivi X-
rays.
Quest
In a fo emoti
1. No
2. Sha
3. Use
4. Fo
Answ
Expla safe
enviro
Quest
Which h a
family
1. To eliminate all cancer risk factors
2. To identify individuals who may benefit from enhanced surveillance or preventive strategies
3. To ensure genetic testing for all family members
4. To provide psychological counseling to families Answer: B
Explanation: The primary goal of cancer risk assessment is to identify individuals who may benefit from enhanced surveillance or preventive strategies based on their family history and genetic risk factors.
In a patient receiving radiation therapy for lung cancer, which of the following symptoms should prompt the nurse to investigate the possibility of radiation pneumonitis?
1. Fever and chills
2. Cough and shortness of breath
3. Abdominal pain and diarrhea
nation: Cough and shortness of breath are key symptoms of radiation pneumonitis, a potentia ication of radiation therapy to the lungs, requiring prompt assessment and intervention.
ion: 922
of the following statements best reflects the relationship between social support and mental mes in cancer patients?
cial support is only beneficial for patients with strong family ties reased social support correlates with improved mental health outcomes ial support has no significant impact on mental health outcomes
cial support is irrelevant for older cancer patients er: B
nation: Increased social support is consistently associated with improved mental health outco patients, highlighting its importance in psychosocial care.
ion: 923
essing the impact of community resources on cancer patient outcomes, which metric is most ive of success?
ient-reported improvement in quality of life and access to care
Insomnia and fatigue Answer: B
Expla l
compl
Quest
Which health
outco
1. So
2. Inc
3. Soc
4. So
Answ
Expla mes in
cancer
Quest
In ass indicat
1. Pat
2. The number of resources available in the community
3. Increased funding for community programs
4. Higher attendance rates at community events Answer: A
Explanation: Patient-reported improvement in quality of life and access to care is the most indicative metric of success when assessing the impact of community resources on cancer patient outcomes. This feedback directly reflects the effectiveness of the resources in meeting patient needs.
In assessing the prognosis of a patient diagnosed with stage IIIB non-small cell lung cancer (NSCLC), which of the following factors is most influential in determining survival outcomes?
1. Gender
2. Performance status
3. Age
nation: The performance status of the patient is a critical prognostic factor in NSCLC, influe ent decisions and overall survival.
Histological subtype Answer: B
Expla ncing
treatm

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