ANCC Oncology Nursing Certification

Question 1

A patient undergoing chemotherapy develops an absolute neutrophil count (ANC) of 450 cells/mcL. Which precaution is most important?

Accepted Answer

Neutropenic precautions to prevent infection

Answer

Contact precautions for MRSA

Answer

Droplet precautions for influenza

Answer

Reverse isolation with positive pressure room

Question 2

Which oncologic emergency is characterized by hypercalcemia, hyperkalemia, hyperphosphatemia, and hyperuricemia after cancer treatment?

Accepted Answer

Tumor lysis syndrome

Answer

Superior vena cava syndrome

Answer

Spinal cord compression

Answer

Syndrome of inappropriate ADH (SIADH)

Question 3

A patient receiving IV chemotherapy via a peripheral line reports burning pain at the site with surrounding erythema and blanching. This is most consistent with:

Accepted Answer

Extravasation of a vesicant agent

Answer

Phlebitis

Answer

Allergic reaction to the drug

Answer

Thrombosis at the catheter site

Question 4

The nurse is caring for a patient with cancer who reports severe, uncontrolled pain rated 9/10. According to the WHO analgesic ladder, which step of therapy is indicated?

Accepted Answer

Step 3: Strong opioids with or without non-opioids

Answer

Step 1: Non-opioid analgesics alone

Answer

Step 2: Weak opioids with or without non-opioids

Answer

Step 4: Interventional procedures only

Question 5

Which chemotherapy agent is classified as an alkylating agent?

Accepted Answer

Cyclophosphamide

Answer

Vincristine

Answer

Methotrexate

Answer

Doxorubicin

Question 6

A patient with small cell lung cancer presents with facial edema, distended neck veins, and arm swelling. What is the suspected oncologic emergency?

Accepted Answer

Superior vena cava syndrome

Answer

Tumor lysis syndrome

Answer

Pericardial tamponade

Answer

Hypercalcemia of malignancy