Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What MASCC score indicates a lower risk for patients progressing to sepsis?

1. 22 or higher

2. 21 or higher

3. 15 or lower

4. 10 or lower

The correct answer is: 21 or higher

The MASCC (Multinational Association of Supportive Care in Cancer) score is a clinical tool used to assess the risk of complications like sepsis in patients undergoing chemotherapy. A higher MASCC score indicates a more favorable prognosis and lower risk of developing severe complications, including sepsis. A MASCC score of 21 or higher is associated with a lower risk of progressing to sepsis in patients with fever and neutropenia. This score reflects the patient's ability to tolerate treatment and highlights key indicators such as the absence of significant comorbidities, good performance status, and the presence of a home environment that can support recovery. A score below this threshold signifies greater risk and potentially more aggressive clinical intervention. The importance of this score in guiding clinical decisions cannot be overstated, as it helps healthcare providers stratify risk and allocate resources effectively when managing febrile neutropenia in cancer patients. Therefore, the correct understanding and application of the MASCC score can directly influence patient outcomes, especially in those at risk for severe infections like sepsis.