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CHEMO CERTIFICATION RENEWAL CORRECT 100%

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The standard states that gowns must: A. be disposable B. not have any closures or seams that HDs can pass through C. be changed every shift if there are no specific manufacturer recommendations D. both a & b - ANSWER D. both a & b Which of the following is the only time that a verbal order should be accepted with regards to chemotherapy and biotherapy treatment? A. Decrease in the dose

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ONS/ONCC Chemotherapy Immunotherapy Certification
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CHEMO CERTIFICATION RENEWAL
CORRECT 100%
The standard states that gowns must:

A. be disposable

B. not have any closures or seams that HDs can pass through

C. be changed every shift if there are no specific manufacturer recommendations

D. both a & b - ANSWER D. both a & b

Which of the following is the only time that a verbal order should be accepted with
regards to chemotherapy and biotherapy treatment?

A. Decrease in the dose

B. Hold the dose

C. Initial treatment dose

D. Clarification of a written dose - ANSWER B. Hold the dose

Which of the following would likely be added to the treatment of some refractory
immune-related adverse events (i.e. colitis, pneumonitis)?

A. Infliximab

B. Ipilimumab

C. Penicillin-based antibiotics

D. Antifungals - ANSWER A. Infliximab

Which of the following is a new specific medical surveillance recommendation from the
USP <800> requirements?

A. Obtain a medical and exposure history plus a physical examination without any
laboratory tests.

B. Development of a follow-up plan for workers who have shown health changes
suggesting toxicity or who have been involved in a spill.

, C. Perform wipe testing routinely on an annual basis.

D. Offer biologic monitoring when exposure is suspected or symptoms are observed. -
ANSWER B. Development of a follow-up plan for workers who have shown health
changes suggesting toxicity or who have been involved in a spill.

Which of the following is true regarding immune-related response criteria?

A. RECIST criteria is used routinely with all therapies and types of cancers, solid tumors
or blood malignancies.

B. Pseudoprogression is common with checkpoint inhibitors where there is initial tumor
regression followed by an increase in tumor burden.

C. Because of the pseudoprogression phenomenon, it is recommended that immune-
mediated therapies have their own subset of RECIST criteria guidelines.

D. Response to immune-mediated therapies occurs almost immediately and tumor
response can be seen on scans within 4 weeks of therapy. - ANSWER C. Because of
the pseudoprogression phenomenon, it is recommended that immune-mediated
therapies have their own subset of RECIST criteria guidelines.

Which of the following is true regarding informed consent to receive chemotherapy?

A. Informed consent must be verbally affirmed prior to administration but can be
documented at any time after initiation of therapy.

B. All institutions will accept the general "consent to treat" document as the required
form.

C. The role of the nurse in informed consent often includes patient education and
providing detailed explanation involving the administration process, roles and
expectations.

D. Informed consent cannot be reversed once treatment is agreed upon. - ANSWER C.
The role of the nurse in informed consent often includes patient education and providing
detailed explanation involving the administration process, roles and expectations.

Which of the following is true regarding dose calculation in oncology?

A. A height and weight that was measured within the last 5 days can be used to
calculate dose.

B. Rechecking and recalculating the drug dose and comparing it to the current
chemotherapy order is part of the safety steps with administration.
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