ONS Fundamentals of Chemotherapy
Immunotherapy Administration Exam
Comprehensive Questions and Answers
(Verified Answers) Updated (Actual
Exam) LATEST VERSION!!
Hematologic cancer (blood cancer) -CORRECTANSWER -cancer that begins in bone
marrow or immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia -CORRECTANSWER cancer starts in blood-forming tissues like bone
marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma -CORRECTANSWER -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
Hodgkin lymphoma -CORRECTANSWER Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
,Non-Hodgkin's Lymphoma -CORRECTANSWER -large, diverse group of cancers in
immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma -CORRECTANSWER Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy -CORRECTANSWER 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.
Who can order chemotherapy? -CORRECTANSWER Written and signed by licensed
independent practitioners (MD/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? -CORRECTANSWER NO! Only when
holding/stopping admin.
Who can mix Chemotherapy? -CORRECTANSWER Pharmacist, Pharmacy tech,
MD/DO, qualified RN
Who can administer chemotherapy? -CORRECTANSWER Registered Nurses with
specialized education, prep and training. See specific state laws and statutes
, How often is chemo competency reassessed> -CORRECTANSWER Annual continuing
ed and competency assessment is recommended
What is the dose verification process? -CORRECTANSWER -confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration date,
appearance
-document verification in chart
What PPE is required for IV Chemotherapy? -CORRECTANSWER -Gloves: two pairs,
HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) -CORRECTANSWER Chemo BEFORE primary
treatment (common in breast and colon)
Adjuvant therapy -CORRECTANSWER Chemo AFTER primary treatment (common in
solid tumor)
Bone Marrow -CORRECTANSWER soft, sponge-like tissue in center of most bones,
produce WBC, RBC, and platelets.
Immunotherapy Administration Exam
Comprehensive Questions and Answers
(Verified Answers) Updated (Actual
Exam) LATEST VERSION!!
Hematologic cancer (blood cancer) -CORRECTANSWER -cancer that begins in bone
marrow or immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia -CORRECTANSWER cancer starts in blood-forming tissues like bone
marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma -CORRECTANSWER -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
Hodgkin lymphoma -CORRECTANSWER Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
,Non-Hodgkin's Lymphoma -CORRECTANSWER -large, diverse group of cancers in
immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma -CORRECTANSWER Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy -CORRECTANSWER 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.
Who can order chemotherapy? -CORRECTANSWER Written and signed by licensed
independent practitioners (MD/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? -CORRECTANSWER NO! Only when
holding/stopping admin.
Who can mix Chemotherapy? -CORRECTANSWER Pharmacist, Pharmacy tech,
MD/DO, qualified RN
Who can administer chemotherapy? -CORRECTANSWER Registered Nurses with
specialized education, prep and training. See specific state laws and statutes
, How often is chemo competency reassessed> -CORRECTANSWER Annual continuing
ed and competency assessment is recommended
What is the dose verification process? -CORRECTANSWER -confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration date,
appearance
-document verification in chart
What PPE is required for IV Chemotherapy? -CORRECTANSWER -Gloves: two pairs,
HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) -CORRECTANSWER Chemo BEFORE primary
treatment (common in breast and colon)
Adjuvant therapy -CORRECTANSWER Chemo AFTER primary treatment (common in
solid tumor)
Bone Marrow -CORRECTANSWER soft, sponge-like tissue in center of most bones,
produce WBC, RBC, and platelets.
