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ONS ONCC Chemo Renewal II | Practice Questions, Answers & Detailed Rationales | 2026/2027

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Prepare for ONS/ONCC Chemotherapy Immunotherapy Certificate Renewal™: Take 2 with an independent oncology nursing practice and review resource focused on chemotherapy, immunotherapy, treatment safety, medication management, and clinical case-based decision-making. ONS identifies Take 2 as the course for learners who previously purchased the ONS/ONCC Chemotherapy Immunotherapy Certificate Renewal course and need another attempt or are renewing after previously completing the renewal course. The official course provides 4.50 contact hours and covers cancer treatments, chemotherapy, hazardous-drug safe handling, drug names, hormonal therapies, immunotherapy, oral therapies, targeted therapies, treatment administration guidelines, treatment planning, and phases of care.

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ONS ONCC
Chemo Renewal II | Practice Questions, Answers
& Detailed Rationales | 2026/2027


Resource Features
➢ ONS/ONCC renewal-focused practice questions
➢ Answers for self-assessment
➢ Detailed rationales
➢ Oncology clinical scenarios
➢ Chemotherapy review
➢ Immunotherapy review

, ONS ONCC Chemo Renewal II | Practice
Questions, Answers & Detailed Rationales
| 2026/2027

Question 1

Which of the following is a unique side effect that occurs
with the agent oxaliplatin?

A) Myelosuppression
B) Cold sensory neuropathy
C) Mucositis
D) Alopecia

Answer: B) Cold sensory neuropathy

Rationale: Cold sensory neuropathy is a unique and characteristic
side effect of oxaliplatin. According to the prescribing
information, it is an acute, reversible, primarily peripheral sensory
neuropathy of early onset that occurs within hours or one to two
days of dosing. The symptoms are precipitated or exacerbated by
exposure to cold temperatures or cold objects and present as
transient paresthesia, dysesthesia, and hypoesthesia in the hands,

, feet, perioral area, or throat. While myelosuppression, mucositis,
and alopecia can occur with chemotherapy, they are not unique
to oxaliplatin.


Question 2

Which of the following are risk factors for developing
colorectal cancer? (Select all that apply)

A) Age over 50 years
B) Diet high in red and processed meats
C) Physical inactivity and obesity
D) Type 1 diabetes
E) Family history of colon cancer
F) African American or Ashkenazi Jewish descent

Answer: A, B, C, E, F

Rationale: Risk factors for colorectal cancer include increased age
(particularly after age 50), diet high in red and processed meats,
physical inactivity, obesity, family history of colon cancer or
inflammatory bowel disease, and certain racial/ethnic
backgrounds (African Americans and Ashkenazi Jews have the
highest incidence). Type 2 diabetes (not Type 1) is a risk factor for
colorectal cancer. Approximately 9 out of 10 people diagnosed

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