CHEMOTHERAPY IMMUNOTHERAPY
ADMINISTRATION COMPREHENSIVE EXAM
STUDY GUIDE WITH COMPLETE
SOLUTIONS
●● *Which of the following medications is known to be carcinogenic to
humans?
A. Streptozocin
B. Bleomycin
C. Melphalan*
D. Daunorubicin
Answer: C. Melphalan
●● *Which of the following actions could help improve adherence to
oral chemotherapeutic medications?
A. Providing the benefits of adherence at the first clinic appointment.*
B. Teaching the patient how to use a pillbox to store medication.
C. Encouraging the patient to move in with a family member.
D. Ongoing collaboration between the patient and healthcare team.
Answer: B. Teaching the patient how to use a pillbox to store
medication.
,●● *A patient with a history of receiving chest radiation is scheduled to
receive a second cycle of doxorubicin. The nurse notes that the patient's
cumulative dose of doxorubicin before this cycle is 440mg/m2. The
nurse's initial response is to:
A. Anticipate a referral for the patient to cardiology
B. Notify the physician of the cumulative dose.*
C. Cancel the patient's chemotherapy appointment
D. Administer the chemotherapy as ordered.
Answer: A. Anticipate a referral for the patient to cardiology
●● What type of analgesia is used to access an implanted port for
vesicant administration?
A. Subcutaneous lidocaine
B. Intradermal bacteriostatic saline
C. Intradermal lidocaine
D. Topical short acting anesthesic*
Answer: D. Topical short acting anesthesic*
●● A patient receiving an infusion of mitomycin reports slight
discomfort above the peripheral IV site. What is an appropriate action
for the nurse to take?
A. Restart the IV below the previous site.
B. Wrap the arm in a warm blanket
C. Reduce the infusion rate and monitor the site.
, D. Stop the infusion and aspirate for a blood return.*
Answer: D. Stop the infusion and aspirate for a blood return.*
●● A patient's IV infiltrates. The nurse restarts the IV in:
A. A site proximal to the previous site.
B. A lower extremity.
C. The ventral surface of the wrist.
D. The antecubital fossa.*
Answer: D. The antecubital fossa.*
●● *Which statement by a patient indicates the need for additional
teaching regarding the side effects doxorubicin? "I need to report any..."
A. Fever above 100.5
B. Shortness of breath
C. Changes in the color of urine*
D. Sudden weight gain
Answer: C. Changes in the color of urine*
●● A patient reports leaking at the chemotherapy infusion site. After
assessing and warning others, the nurse:
A. Consults the pharmacist for instructions
B. Relocates the patient to another room
C. Contacts the physician for additional orders.
ADMINISTRATION COMPREHENSIVE EXAM
STUDY GUIDE WITH COMPLETE
SOLUTIONS
●● *Which of the following medications is known to be carcinogenic to
humans?
A. Streptozocin
B. Bleomycin
C. Melphalan*
D. Daunorubicin
Answer: C. Melphalan
●● *Which of the following actions could help improve adherence to
oral chemotherapeutic medications?
A. Providing the benefits of adherence at the first clinic appointment.*
B. Teaching the patient how to use a pillbox to store medication.
C. Encouraging the patient to move in with a family member.
D. Ongoing collaboration between the patient and healthcare team.
Answer: B. Teaching the patient how to use a pillbox to store
medication.
,●● *A patient with a history of receiving chest radiation is scheduled to
receive a second cycle of doxorubicin. The nurse notes that the patient's
cumulative dose of doxorubicin before this cycle is 440mg/m2. The
nurse's initial response is to:
A. Anticipate a referral for the patient to cardiology
B. Notify the physician of the cumulative dose.*
C. Cancel the patient's chemotherapy appointment
D. Administer the chemotherapy as ordered.
Answer: A. Anticipate a referral for the patient to cardiology
●● What type of analgesia is used to access an implanted port for
vesicant administration?
A. Subcutaneous lidocaine
B. Intradermal bacteriostatic saline
C. Intradermal lidocaine
D. Topical short acting anesthesic*
Answer: D. Topical short acting anesthesic*
●● A patient receiving an infusion of mitomycin reports slight
discomfort above the peripheral IV site. What is an appropriate action
for the nurse to take?
A. Restart the IV below the previous site.
B. Wrap the arm in a warm blanket
C. Reduce the infusion rate and monitor the site.
, D. Stop the infusion and aspirate for a blood return.*
Answer: D. Stop the infusion and aspirate for a blood return.*
●● A patient's IV infiltrates. The nurse restarts the IV in:
A. A site proximal to the previous site.
B. A lower extremity.
C. The ventral surface of the wrist.
D. The antecubital fossa.*
Answer: D. The antecubital fossa.*
●● *Which statement by a patient indicates the need for additional
teaching regarding the side effects doxorubicin? "I need to report any..."
A. Fever above 100.5
B. Shortness of breath
C. Changes in the color of urine*
D. Sudden weight gain
Answer: C. Changes in the color of urine*
●● A patient reports leaking at the chemotherapy infusion site. After
assessing and warning others, the nurse:
A. Consults the pharmacist for instructions
B. Relocates the patient to another room
C. Contacts the physician for additional orders.
