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2026 ONS ONCC CHEMOTHERAPY COMPREHENSIVE EXAMS UPDATED QUESTIONS

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2026 ONS ONCC CHEMOTHERAPY COMPREHENSIVE EXAMS UPDATED QUESTIONS

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2026 ONS ONCC CHEMOTHERAPY COMPREHENSIVE
EXAMS UPDATED QUESTIONS AND ANSWERS SURE
A+
✔✔Recommended for Practice:
Cryotherapy
Low Level Laser Therapy in Patients Undergoing Hematopoietic Cell Transplantation
Low Level Laser Therapy in Patients With Head and Neck Cancer
Oral Care Protocol
Sodium Bicarbonate

Likely to Be Effective:
Benzydamine for Patients Receiving Combination Chemotherapy and Radiation
Therapy
Benzydamine for Radiation-Related Mucositis
Lactobacillus Lozenges
Palifermin for Patients Receiving Chemotherapy and Radiation for Head and Neck
Cancer
Palifermin with High-Dose Chemotherapy and/or Hematopoietic Cell Transplantation -
✔✔Recommended and effective care in mucositis

✔✔Single gown use with back closure

, Two pairs of chemotherapy gloves - ✔✔Which of the following are recommended as
standard PPE when there is any potential exposure for hazardous drugs? (select all that
apply)

✔✔Administering HDs by any route (PO, IV, IT, etc.)
Handling any HD vials, ampules, or packaging materials
Introducing or withdrawing needles or dispensing pins from HD vials
Transferring drugs from HD vials to other containers using needles, dispensing pins, or
syringes
Opening ampules or HDs
Expelling air from an HD-filled syringe
Spiking IV bags containing HDs and changing IV tubing
Priming IV tubing with HDs
Handling HD leakage from tubing, syringe, and connection sites
Discontinuing infusions of HDs
Disposing of HDs and items contaminated by HDs
Handling the body fluids of a patient who had received HDs in the past 48 hours
Cleaning HD spills
Touching any surface that is potentially contaminated with HD residue - ✔✔PPE should
be worn whenever there is a potential that hazardous drugs could be released into the
environment like in the following situations:

✔✔When receiving chemotherapy in the home (in Mr. Patterson..'s case he is getting
continuous 5-FU) it is recommended to send the patient home with and instruct them on
the use of a spill kit (see Figure 13 from the Guidelines). Other important things to
include in your education is that everyone, not just caregivers, should wear gloves when
touching the chemotherapy or anything soiled by chemotherapy. Visitors are welcome
and encouraged when patients are going through chemotherapy. Hugging and kissing
are safe post chemotherapy. Sexual activity is usually considered safe as well with the
use of barrier protection. However, it is recommended that patients discuss this issue
with their physician or nurse first to discuss specific precautions that may be necessary.
- ✔✔Which of the following is of utmost importance to include in your education to Mr.
Patterson since he will be receiving HDs at home (continuous 5-FU)?

✔✔Serum Creatinine

The estimated glomerular filtration rate (eGFR) is required for the carboplatin dose
calculation. Serum creatinine is used to determine the eGFR. The eGFR is needed to
calculate the carboplatin dose. To determine the eGFR the following is needed: age of
patient, weight, gender, and serum creatinine. The most commonly used formula to
calculate the GFR in the United States is the Cockcroft-Gault formula . A 24-hour urine
can also be used to determine GFR if the patient has one. - ✔✔Which of the following
lab results must you have to review the dose calculation of Mrs. Kearns's carboplatin?

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