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ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE EXAM | 100% CORRECT ANSWERS

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Prepare for the ONS Chemotherapy Immunotherapy Certificate Exam with a comprehensive collection of practice questions and correct answers covering chemotherapy administration, immunotherapy concepts, oncology nursing principles, patient assessment, treatment protocols, adverse effects, toxicity management, medication safety, clinical guidelines, and exam-focused review. An excellent study resource for nurses preparing for certification.

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ONS Chemotherapy Immunotherapy
Certificate Exam With 100% Correct
Answers
3 major phases of cell division: - Correct Answer-Interphase
Mitotic phase
Cytokinesis

3 steps of interphase: - Correct Answer-First growth phase (G1)
Synthesis phase (S phase)
Second growth phase (G2)

4 phases of mitosis: - Correct Answer-Prophase
Metaphase
Anaphase
Telophase

Innate immunity: - Correct Answer-Non-specific response, either:
1. Barrier (skin, mucous membranes, flora of skin/gut)
2. Cellular components (phagocytes, natural killer cells, granulocytes, macrophages)

Adaptive immunity: - Correct Answer-Follows innate immunity if unsuccessful. Memory
immunity, including:
1. Humoral immunity (production of antibodies or immunoglobulins)
2. Cell mediated immunity (dependent upon T cells)
3. Regulatory T -cells (prevent autoimmune reactions and limit inflammatory responses)

Define mutations - Correct Answer-Variations in the nucleotide sequence of a gene

3 main goals of treatment: - Correct Answer-Cure
Control
Palliation

Define neoadjuvant therapy - Correct Answer-Treatment is given prior to surgery to
shrink the tumor

Define adjuvant therapy - Correct Answer-Additional cancer treatment given after the
primary treatment to lower the risk that the cancer reoccur

Define conditioning/preparative therapy - Correct Answer-Treatments used to prepare a
patient for stem cell transplantation

, 2 types of conditioning therapies: - Correct Answer-Myeloablative
Nonmyeloablative

Define dose density - Correct Answer-Drug dose per unit of time

Define dose intensity - Correct Answer-Amount of drug delivered over time

How is relative dose intensity (RDI) calculated? - Correct Answer-By comparing the
dose that the patient ACTUALLY received to the planned dose of the standard regimen

How do alkylating agents work? - Correct Answer-By causing a break in the DNA helix
strand, interfering with DNA replication and causing cell death

3 subcategories of alkylating agents: - Correct Answer-1. Nitrogen mustards
2. Platinum-based agents (do not possess an alkyl group but still termed alkylating
agents as they work similarly)
3. Nitrosoureas

Most common subcategory of alkylating agents: - Correct Answer-Nitrogen mustards

Common alkylating agents: - Correct Answer-Cyclophosphamide (Cytoxan)
Ifosfamide (Ifex)
Bendamustine (Treanda)

Common platinum-based agents: - Correct Answer-Cisplatin (Platinol)
Carboplatin (Paraplatin)

What is unique about nitrosoureas agents? - Correct Answer-Able to cross the blood-
brain barrier; can be effective in treating some brain tumors

Common nitrosoureas agents: - Correct Answer-Carmustine (BiCNU)
Lomustine (CeeNu)
Streptozocin (Zanosar)

Hypersensitivity can occur with late doses of: - Correct Answer-Carboplatin

These agents are typically categorized as highly emetogenic: - Correct Answer-1.
Alkylating agents
2. Nitrosoureas

Pre-administration labs for alkylating agents and nitrosoureas: - Correct Answer-BUN
Creatinine
CBC w/ diff

What is the medication Mesna used for? - Correct Answer-Bladder protectant with
administration of cyclophosphamide or ifosfamide

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