(100+ UPDATED QUESTIONS AND ANSWERS) CHEMO CERTIFICATION TEST LATEST 2023 EXAM) |AGRADE

PPE is required when administering chemotherapy using which of the following routes of administration? SATA - ANSWER- Select all answers. When caring for the patient who is receiving chemotherapy, you notice a puddle of urine beneath the foley bag on the floor. What should be your first action? - ANSWER- Remove unnecessary people from the area Which of the following may be included in a medical surveillance program? - ANSWER- Administer periodic questionnaires tracking contact with HD, use of PPE, and adverse events The NCCN guidelines recommend that with the agent you are administering that you should give the following three drug combination as antiemetic premedication: 1. 5-HT3 Antagonist 2. NK1 Antagonist 3. Corticosteroid - ANSWER- High emetic risk Prior to beginning any chemotherapy treatment, the nurse must perform an assessment where which of the following should occur? - ANSWER- Discussion with the patient about a history of drug, allergic, or transfusion reactions Certain chemotherapy agents are safely administered intrathecally but which of the following should NEVER be administered intrathecally as it is almost certain to be fatal? - ANSWER- Vincristine What is the very first thing you should do if you suspect a drug extravasation? - ANSWER- Stop the infusion Prevention of infection is so important for most oncology patients. Which of the following is no longer recommended to prevent infection? - ANSWER- Neutropenic Diet Which of the following is true about closed-system transfer devices? - ANSWER- Use of full PPE is still required If you are administering a chemotherapy agent that is an irritant know to have some vesicant properties, which of the following is true? - ANSWER- Treat an extravasation like it is a vesicant Out of the following, which is the safest way to administer vesicant therapy? - ANSWER- MOST LIKELY: IV push via the free flow method DEFINITELY NOT: Short infusion over 2 hours OR IV Continuous Infusion Which of the following is a concern when using oral chemotherapy agents? - ANSWER- Ensuring adherence to prescribed therapy With which of the following agents would the nurse need to educate the patient about ways to prevent acute, reversible neuropathy exacerbated by cold temperatures? - ANSWER- Oxiplatin You are educating your patient about febrile neutropenia. You discuss that febrile neutropenia is defined as an oral temperature greater than 100.4 lasting at least one hour with an ANC less than: - ANSWER- 500 You are discussing the advantages and disadvantages of oral chemotherapy with your patient. What is one of the advantages of oral chemotherapy that can ultimately lead to adherence issues with this type of therapy? - ANSWER- MOST LIKELY: Patient has an increased sense of control over treatment DEFINITELY NOT: Dosing schedules are straightforward... OR The convenience for the patient of taking medication at home Which of the following is often overlooked or sometimes even not included in the routine two-nurse check of chemotherapy orders? - ANSWER- Cumulative Dose IV access is needed for a continuous infusion of vincristine and doxorubicin. Of the choices below, which would be the best location to infuse this treatment? - ANSWER- Peripherally inserted central catheter with strong blood return You know from reviewing the ONS PEP resources on skin reactions, that the only intervention that is likely to be effective is/ - ANSWER- MOST LIKELY: Dose interruption or modification (on ONS website) DEFINITELY NOT: Antibiotics Your patient has just arrived and is neutropenic and has a fever of 101.5. What is the most important thing to do after you obtain the ordered cultures? - ANSWER- Administer empiric, broad spectrum antibiotics According to the ONS position "Education of the Nurse Administers and Cares for the Individual Receiving Chemotherapy and Biotherapy", which of the following is necessary of the nurse who administers chemotherapy? - ANSWER- They complete both a didactic component and a clinical practicum to chow competency with administration principles. Which of the following is the only time it is acceptable to take a verbal order? - ANSWER- Stop or hold chemotherapy Which statement describes how chemotherapy works? - ANSWER- Disrupts the cell cycle during reproduction The benefits of combination therapy include: - ANSWER- Synergistic effect between drugs