CHEMOTHERAPY PRACTICE EXAM
QUESTIONS AND DETAILED SOLUTIONS
2026
▶ Types of CINV. Answer: -Acute: occurring within 24 hours
-Delayed: from 24 hour - 5 days after
-Breakthrough: Occurring despite treatment
-Anticipatory: triggered by taste, odor, memories, visions, anxiety r/t chemo
-Refractory: occurring despite subsequent cycles when treatment failed in
earlier cycles
▶ Prevention/Treatment of hand foot syndrome. Answer: -limit exposure of
hands and feet to hot water
-take cool showers
-avoid exposure to sources of heat, such as using saunas or sitting in the
sun
,-avoid activities that cause unnecessary force or friction on the hands or
feet, such as running or aerobics
-avoid contact with harsh chemicals used in detergents and household
cleaning products
-avoid activities that require you to press your hand against a hard surface
-elevate your hands and feet when sitting or lying down
-gently apply skin care creams to keep hands moist
-wear loose-fitting, well ventilated shoes
▶ Nadir. Answer: -point at which blood cell counts are at their lowest
following treatment
-typically, but not always, occurs 7-10 days after the cycle is administered
▶ Neutropenia. Answer: -ANC of less than 500/mm3 or
-less than 1000/mm3 with the expectation that the count will drop below
500 in the next 48 hours
, ▶ Neutopenia RF. Answer: -older than 65
-hx of neutropenia with previous chemo
-previous chemo or radiation
-hematologic malignancy, uncontrolled or advanced cancer, or lung cancer
▶ Neutropenic Fever. Answer: -temp of 38.3 or greater one time
-temp of 38 lasting 1 hour
▶ Absolute Neutrophil Count. Answer: - (%segs + %bands) x (WBC) / 100
▶ Mucositis. Answer: -inflammation of the mucous membrane lining the
digestive tract from mouth to anus
-affects 40-100% of pts
▶ Stomatitis. Answer: -specifically inflammatory conditions of the mouth
▶ Xerostomia. Answer: -dryness of the mouth caused by damage to or
dysfunction of the salivary glands
QUESTIONS AND DETAILED SOLUTIONS
2026
▶ Types of CINV. Answer: -Acute: occurring within 24 hours
-Delayed: from 24 hour - 5 days after
-Breakthrough: Occurring despite treatment
-Anticipatory: triggered by taste, odor, memories, visions, anxiety r/t chemo
-Refractory: occurring despite subsequent cycles when treatment failed in
earlier cycles
▶ Prevention/Treatment of hand foot syndrome. Answer: -limit exposure of
hands and feet to hot water
-take cool showers
-avoid exposure to sources of heat, such as using saunas or sitting in the
sun
,-avoid activities that cause unnecessary force or friction on the hands or
feet, such as running or aerobics
-avoid contact with harsh chemicals used in detergents and household
cleaning products
-avoid activities that require you to press your hand against a hard surface
-elevate your hands and feet when sitting or lying down
-gently apply skin care creams to keep hands moist
-wear loose-fitting, well ventilated shoes
▶ Nadir. Answer: -point at which blood cell counts are at their lowest
following treatment
-typically, but not always, occurs 7-10 days after the cycle is administered
▶ Neutropenia. Answer: -ANC of less than 500/mm3 or
-less than 1000/mm3 with the expectation that the count will drop below
500 in the next 48 hours
, ▶ Neutopenia RF. Answer: -older than 65
-hx of neutropenia with previous chemo
-previous chemo or radiation
-hematologic malignancy, uncontrolled or advanced cancer, or lung cancer
▶ Neutropenic Fever. Answer: -temp of 38.3 or greater one time
-temp of 38 lasting 1 hour
▶ Absolute Neutrophil Count. Answer: - (%segs + %bands) x (WBC) / 100
▶ Mucositis. Answer: -inflammation of the mucous membrane lining the
digestive tract from mouth to anus
-affects 40-100% of pts
▶ Stomatitis. Answer: -specifically inflammatory conditions of the mouth
▶ Xerostomia. Answer: -dryness of the mouth caused by damage to or
dysfunction of the salivary glands
