FUNDAMENTALS OF CHEMOTHERAPY IMMUNOTHERAPY
ADMINISTRATION
LATEST ACTUAL EXAM WITH VERIFIED QUESTIONS &
CORRECT ANSWERS
Question 1.
Hematologic cancer (blood can- cer)
ANSWER
-cancer that begins in bone marrow or immune system cells. -Ex: leukemia, lymphoma,
multiple myeloma
Question 2.
Leukemia
ANSWER
cancer starts in blood-forming tissues like bone marrow -causes lots of abnormal blood cells
to be produced and enter bloodstream
Question 3.
Lymphoma
ANSWER
-cancer that begins in immune system (WBC=lymphocytes) -hodgkin and non-hodgkins -B
lymphocytes (B cells) - make antibodies (bacteria and viruses, most common lymphoma -T
lymphocytes (T cells) - boost/slow immune, destroy germs and abnormal cells
Question 4.
Hodgkin lym- phoma
ANSWER
Reed-Sternberg cell (cancer cells in classic) -typically starts in B cells
Question 5.
Non-Hodgkin's Lymphoma
ANSWER
-large, diverse group of cancers in immune system cells -indolent (slow growing) or
aggressive (fast)
,Question 6.
Myeloma
ANSWER
Cancer in plasma cells (WBC that produce antibodies)
Question 7.
Chemotherapy
ANSWER
All antineoplastic agents used to treat cancer, given through oral and parenteral routes or
other routes as specified in the standard, not including hormonal therapies.
Question 8.
Who can order chemotherapy?
ANSWER
Written and signed by licensed independent practitioners (MD/DO, PA, Oncology NP)
Question 9.
Can you use verbal orders for chemotherapy?
ANSWER
NO! Only when holding/stopping admin.
Question 10.
Who can mix Chemotherapy?
ANSWER
Pharmacist, Pharmacy tech, MD/DO, qualified RN
Question 11.
Who can administer chemotherapy?
ANSWER
Registered Nurses with specialized education, prep and training. See specific state laws and
statutes
, Question 12.
How often is chemo com- petency re- assessed>
ANSWER
Annual continuing ed and competency assessment is recommended
Question 13.
What is the dose verification process?
ANSWER
-confirm plan with patient -two practitioners verify: drug name, dose, volume, rate, route,
expiration date, appearance -document verification in chart
Question 14.
What PPE is re- quired for IV Chemotherapy?
ANSWER
-Gloves: two pairs, HD tested -Gown: disposable, back closed, long sleeved -Respirator: NIOSH
approved -Eye & Face: face shield/mask
Question 15.
Neoadjuvant therapy (tumor burden)
ANSWER
Chemo BEFORE primary treatment (common in breast and colon)
Question 16.
Adjuvant therapy
ANSWER
Chemo AFTER primary treatment (common in solid tumor)
Question 17.
Bone Marrow
ANSWER
soft, sponge-like tissue in center of most bones, produce WBC, RBC, and platelets.
ADMINISTRATION
LATEST ACTUAL EXAM WITH VERIFIED QUESTIONS &
CORRECT ANSWERS
Question 1.
Hematologic cancer (blood can- cer)
ANSWER
-cancer that begins in bone marrow or immune system cells. -Ex: leukemia, lymphoma,
multiple myeloma
Question 2.
Leukemia
ANSWER
cancer starts in blood-forming tissues like bone marrow -causes lots of abnormal blood cells
to be produced and enter bloodstream
Question 3.
Lymphoma
ANSWER
-cancer that begins in immune system (WBC=lymphocytes) -hodgkin and non-hodgkins -B
lymphocytes (B cells) - make antibodies (bacteria and viruses, most common lymphoma -T
lymphocytes (T cells) - boost/slow immune, destroy germs and abnormal cells
Question 4.
Hodgkin lym- phoma
ANSWER
Reed-Sternberg cell (cancer cells in classic) -typically starts in B cells
Question 5.
Non-Hodgkin's Lymphoma
ANSWER
-large, diverse group of cancers in immune system cells -indolent (slow growing) or
aggressive (fast)
,Question 6.
Myeloma
ANSWER
Cancer in plasma cells (WBC that produce antibodies)
Question 7.
Chemotherapy
ANSWER
All antineoplastic agents used to treat cancer, given through oral and parenteral routes or
other routes as specified in the standard, not including hormonal therapies.
Question 8.
Who can order chemotherapy?
ANSWER
Written and signed by licensed independent practitioners (MD/DO, PA, Oncology NP)
Question 9.
Can you use verbal orders for chemotherapy?
ANSWER
NO! Only when holding/stopping admin.
Question 10.
Who can mix Chemotherapy?
ANSWER
Pharmacist, Pharmacy tech, MD/DO, qualified RN
Question 11.
Who can administer chemotherapy?
ANSWER
Registered Nurses with specialized education, prep and training. See specific state laws and
statutes
, Question 12.
How often is chemo com- petency re- assessed>
ANSWER
Annual continuing ed and competency assessment is recommended
Question 13.
What is the dose verification process?
ANSWER
-confirm plan with patient -two practitioners verify: drug name, dose, volume, rate, route,
expiration date, appearance -document verification in chart
Question 14.
What PPE is re- quired for IV Chemotherapy?
ANSWER
-Gloves: two pairs, HD tested -Gown: disposable, back closed, long sleeved -Respirator: NIOSH
approved -Eye & Face: face shield/mask
Question 15.
Neoadjuvant therapy (tumor burden)
ANSWER
Chemo BEFORE primary treatment (common in breast and colon)
Question 16.
Adjuvant therapy
ANSWER
Chemo AFTER primary treatment (common in solid tumor)
Question 17.
Bone Marrow
ANSWER
soft, sponge-like tissue in center of most bones, produce WBC, RBC, and platelets.
