OCN Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives
Exam ID : OCN
Exam Title : Oncology Certified Nurse (OCN®)
Questions : 165
Duration : 3 hours
Exam Type : multiple-choice
Test Content Outline (Effective 2020)
I. Care Continuum - 19%
A. Health promotion and disease prevention (e.g., high-risk behaviors; preventive health practices)
B. Screening and early detection
C. Navigation
D. Advance care planning (e.g., advance directives)
E. Epidemiology
1. Modifiable risk factors (e.g., smoking, diet, exercise, occupation)
2. Non-modifiable risk factors (e.g., age, gender, genetics)
F. Survivorship
1. Rehabilitation
2. Recurrence concerns
3. Financial concerns
4. Employment concerns
5. Insurance concerns
6. Family and social support concerns
7. Sexuality concerns
G. Treatment-related considerations
1. Delayed-onset side effects
2. Chronic side effects
3. Secondary malignancies
4. Follow-up care
H. End-of-life care
1. Grief
2. Bereavement
3. Hospice care
4. Caregiver support
5. Interdisciplinary team
6. Pharmacologic comfort measures
7. Non-pharmacologic comfort measures
II. Oncology Nursing Practice - 17 %
A. Scientific basis
1. Carcinogenesis
2. Immunology
3. Clinical trials (e.g., research protocols)
B. Site-specific cancer considerations
1. Pathophysiology
2. Common metastatic locations
3. Diagnostic measures
4. Prognosis
5. Classification
6. Staging
7. Histological grading
C. Scope, standards, and related issues
1. Standards of care (nursing process)
2. Legal (including documentation)
3. Accreditation (e.g., The Joint Commission)
4. Self-care (e.g., managing compassion fatigue)
D. Standards of professional performance
1. Ethics (e.g., patient advocacy)
2. Education
3. Evidence-based practice (e.g., Putting Evidence Into Practice (PEP) guidelines) and research
4. Quality of practice
5. Communication
6. Leadership
7. Collaboration
8. Professional practice evaluation
9. Resource utilization
10. Environmental health (e.g., safety, personal protective equipment, safe handling)
III. Treatment Modalities - 19%
A. Surgery
B. Blood and marrow transplant
C. Radiation therapy
D. Chemotherapy
E. Biotherapy
F. Immunotherapy
G. Vascular Access Devices (VADs) for treatment administration
H. Targeted Therapy
IV. Symptom Management and Palliative Care - 23%
A. Etiology and patterns of symptoms (acute, chronic, late)
B. Anatomical and surgical alterations (e.g., lymphedema, ostomy, site-specific radiation)
C. Pharmacologic interventions
D. Complementary and integrative modalities (e.g., massage, acupuncture, herbal supplements)
E. Palliative care considerations
F. Alterations in functioning
1. Hematologic
2. Immune system
3. Gastrointestinal
4. Genitourinary
5. Integumentary
6. Respiratory
7. Cardiovascular
8. Neurological
9. Musculoskeletal
10. Nutrition
11. Cognition
12. Energy level (i.e., fatigue)
V. Oncologic Emergencies - 12%
A. Disseminated intravascular coagulation (DIC)
B. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
C. Sepsis (including septic shock)
D. Tumor lysis syndrome
E. Hypersensitivity
F. Anaphylaxis
G. Hypercalcemia
H. Cardiac tamponade
I. Spinal cord compression
J. Superior vena cava syndrome
K. Increased intracranial pressure
L. Obstructions (bowel and urinary)
M. Pneumonitis
N. Extravasations
VI. Psychosocial Dimensions of Care - 10%
A. Cultural, spiritual, and religious diversity
B. Financial concerns (including available resources)
C. Altered body image
D. Learning styles and barriers to learning
E. Social relationships and family dynamics
F. Coping mechanisms and skills
G. Support
1. Patient (i.e., individual and group)
2. Caregiver (including family)
H. Psychosocial considerations
1. Anxiety
2. Loss and grief
3. Depression
4. Loss of personal control
I. Sexuality
1. Reproductive issues (e.g., contraception, fertility)
2. Sexual dysfunction (e.g., physical and psychological effects)
3. Intimacy
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Question: 94
A male client is diagnosed as having a bowel tumor and several diagnostic tests are prescribed. The nurse
understands which test will confirm the diagnosis of malignancy?
A. Magnetic resonance imaging
B. Computerized tomography scan
C. Abdominal ultrasound
D. Biopsy of the tumor
Answer: D
Explanation:
Option D: A biopsy is done to determine whether a tumor is malignant or benign through the examination of the
sample of tissue taken into a body part. Options A, B, and C: Magnetic resonance imaging, computed tomography
scan, and ultrasound will visualize the presence of a mass but will not confirm a diagnosis of malignancy.
Question: 95
Vanessa, a community health nurse conducts a health promotion program regarding testicular cancer to community
members. The nurse determines that further information needs to be provided if a community member states that
which of the following is a sign of testicular cancer?
A. Back pain
B. Alopecia
C. Heavy sensation in the scrotum
D. Painless testicular swelling
Answer: B
Explanation:
Option B: Alopecia is not an assessment finding in testicular cancer. Alopecia may occur, however, as a result of
radiation or chemotherapy. Options A, C, and D: Back pain, heavy sensation in the scrotum, and painless testicular
swelling are assessment findings in testicular cancer. Back pain may indicate metastasis to the retroperitoneal
lymph nodes.
Question: 96
The male client is receiving external radiation to the neck for cancer of the larynx. The most likely side effect to be
expected is:
A. Diarrhea
B. Dyspnea
C. Constipation
D. Sore throat
Answer: D
Explanation:
Option D: In general, only the area in the treatment field is affected by the radiation. Skin reactions, fatigue,
nausea, and anorexia may occur with radiation to any site, whereas other side effects occur only when specific
areas are involved in treatment. A client receiving radiation to the larynx is most likely to experience a sore throat.
Options A and C: May occur with radiation to the gastrointestinal tract. Option B: Dyspnea may occur with lung
involvement.
Question: 97
Nurse Joy is caring for a client with an internal radiation implant. When caring for the client, the nurse should
observe which of the following principles?
A. Remove the dosimeter badge when entering the clients room
B. Individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the
client
C. Limit the time with the client to 1 hour per shift
D. Do not allow pregnant women into the clients room
Answer: D
Explanation:
Options B and D: Children younger than 16 years of age and pregnant women are not allowed in the clients room
to avoid radiation exposure that may harm the children and the developing baby. Option A: The dosimeter badge
must be worn when in the clients room. Option C: The time that the nurse spends in a room of a client with an
internal radiation implant is 30 minutes per 8-hour shift.
Question: 98
A cervical radiation implant is placed in the client for treatment of cervical cancer. The nurse initiates what most
appropriate activity order for this client?
A. Out of bed ad lib
B. Ambulation to the bathroom only
C. Bed rest
D. Out of bed in a chair only
Answer: C
Explanation:
Option C: The client with a cervical radiation implant should be maintained on bed rest in the dorsal position to
prevent movement of the radiation source. The head of the bed is elevated to a maximum of 10 to 15 degrees for
comfort. The nurse avoids turning the client on the side. If turning is absolutely necessary, a pillow is placed
between the knees and, with the body in straight alignment, the client is logrolled.
Question: 99
The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of
care for the client. The nurse plans to:
A. Teach the client and family about the need for hand hygiene
B. Insert an indwelling urinary catheter to prevent skin breakdown
C. Restrict fluid intake
D. Restrict all visitors
Answer: A
Explanation:
Option A: In the neutropenic client, meticulous hand hygiene education is implemented for the client, family,
visitors, and staff to avoid transmission-based infection. Option B: Invasive measures such as an indwelling
urinary catheter should be avoided to prevent infections. Option C: Fluids should be encouraged. Option D: Not all
visitors are restricted, but the client is protected from persons with known infections.
Question: 100
The home health care nurse is caring for a male client with cancer and the client is complaining of acute pain. The
appropriate nursing assessment of the clients pain would include which of the following?
A. The clients pain rating
B. The nurses impression of the clients pain
C. Nonverbal cues from the client
D. Pain relief after appropriate nursing intervention
Answer: A
Explanation:
Option A: The clients self-report is a critical component of pain assessment. The nurse should ask the client
about the description of the pain and listen carefully to the clients words used to describe the pain. Option B:
Nonverbal cues from the client are important but are not the most appropriate pain assessment measure. Option C:
The nurses impression of the clients pain is not appropriate in determining the clients level of pain. Option
D: Assessing pain relief is an important measure, but this option is not related to the subject of the question.
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OCN Oncology teaching
OCN Oncology teaching :: Article CreatorCombining Oncology teaching With Compassion
Jessica Smith, B.S.N., RN, OCN, has been an oncology nurse for 27 years. Jessica all started her profession on our blood and marrow transplant (BMT) unit and continues to supply personalised, compassionate care to her patients as a direct care oncology nurse.
i am her nurse manager, and that i have time-honored Jessica seeing that 2011 when i was a direct care oncology nurse. at that time, she become my nurse preceptor. Jessica is professional, an expert and efficient. She serves a large number of roles in BMT. She is a preceptor to new body of workers, she is a can charge nurse, and she serves on a shared governance council. Jessica continues her expert oncology certification and her nursing clinical ladder.
As a preceptor to new nurses, Jessica perpetually goes above and past to give concise, comprehensible oncology schooling to new team members. Jessica gives honest, in-the-moment comments to her peers to supply an open-communique ambiance.
She solutions questions and gives alternatives to new crew members using innovative, considerate guideline. Jessica has a spirit of inquiry and often reaches out to the superior practice company, attending health care professional, medical nurse specialist, scientific trial teams or nursing leadership to find the solutions to her questions. Jessica is compassionate and caring, and he or she strives for incredible patient outcomes. Jessica normally has conversations with the individuals of the fitness care team and gives solutions when patient care challenges come up. She is time-honored for expertly attempting to find policies, medical guidelines and unit-particular necessities.
Jessica has served on numerous shared governance committees through the years and currently serves on the patient care council. As a council member, Jessica serves as the nurse assigned to the BMT unit to finished epidermis incidence rounds, a nurse-led evaluation of our affected person’s skin repute. Jessica tactics each patient all over these rounds and immediately helps them believe comfy with the assessment process. She engages with compassion and a healing perspective as she ensures the unit is providing the foremost care viable.
Jessica has created a group training category for primary venous catheter line educating to all sufferers and caregivers. This two-hour, arms-on category contains step-by-step line care guideline and demonstration. Jessica schedules time past her typical work hours to interact and support affected person care and training endeavors.
Jessica is enthusiastic about speaking most useful practices and advances in skill compe- tence to supply the greatest nursing care. She invariably engages in new learning opportunities and academic experiences to have a more robust realizing of the ever-changing world of patient care. As I consider the unpredictability of the COVID-19 pandemic over the past few years, i am grateful for Jessica’s willingness to aid her team, her steadfast assist of colleagues, and her unwavering dependability and focus on patients.
Jessica is an excellent resource who is dedicated to expanding her talents of the nursing profession. Jessica is invested in the success of each and every of the brand new employees that she precepts. She is optimistic, confident and a good listener. She regularly offers employees and patients an outlet to categorical their fears, frustrations, anxieties and successes. Her positive angle offers motivation for new employees to excel.
Jessica excels at proposing holistic care to give health and healing to the complex sufferers on the BMT unit. Jessica exemplifies our framework for nursing follow, Relationship-based Care, via caring for the sufferers and members of the family, her colleagues, herself and her group. Jessica is commonly used as the professional on the BMT unit. Her peers ask for her tips and feedback. Her patients are comforted through her competencies and insistence on nursing excellence. Jessica instills hope inside her patients by providing customized affected person care with a relaxed, caring character. Jessica’s self-consciousness, outstanding verbal exchange skills and willingness to support others build trust with her sufferers and their family members.
I’m proud to have Jessica on my group!
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References
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