CPHON Chemo Exam Latest Update
Which Chemo agent is associated with a high risk for hypersensitivity reaction?
A. Methotrexate
B. Carboplatin
C. Cytarabine
D. Busulfan - ANSWER B
Before a patient is to receive intrathecal Chemo:
A. Ensure developmentally appropriate patient teaching is completed
B. Verify the patient's white blood cell count
C. Ensure other chemo agents are available to administer
D. Apply LMX cream between L5-L7 - ANSWER A
John is a 3-year-old who is scheduled to receive his first subQ injection of Neupogen. What
would NOT be an appropriate strategy to decrease the pain associated with a SC injection?
A. Use of ice and insuflon catheter
B. Use of LMX cream
C. Use of distraction
D. Use of buffered lidocaine - ANSWER D
The preferred intramuscular site for a child wo is three-years-old and walks is:
A. Deltoid muscle
B. Vastus lateralis muscle
C. Ventogluteal muscle
D. Dorsogluteal muscle - ANSWER A
Which statement best describes the nursing assessment for patency with a direct-push
method of administering a chemotherapy vesicant:
,A. Assess for blood return before the infusion, every 2-5ml, and for blood return and pain at
the end of the infusion
B. Assess for blood return before the infusion and at the completion of the infusion
C. Assess for blood return before the infusion and for pain at the completion of the infusion
D. Assess for blood return before infusion, every 5-10ml, during the infusion, and at the end of
the infusion - ANSWER A
A strategy to prevent chemo errors includes:
A. Verification of patient's height in inches
B. Independent dose calculation
C. Use of full trade name of the drug
D. Use of abbreviations for drug clarification - ANSWER B
Which chemo agent is associated with a maximum cumulative lifetime dose?
A. Cyclophosphamide
B. Etoposide
C. Daunorubicin
D. Nitrogen mustard - ANSWER C
After administering the first drug for a dermatologiv reaction after peg-Asparaginase, Sam
starts to complain of throat tightening and he starts wheezing. The MD orders Epiniphrine.
What is the preferred route?
A. PO
B. Sub-Q
C. IV
D. IM - ANSWER D
You are giving Doxorubicin peripherally IV push and based on the patient's complaints and
loss of blood return, you suspect that the Doxorubicin has extravasated. Your immediate
nursing intervention will involve:
A. SLAPP: Stop the infusion, leave the needle, aspirate as much drug as possible, pull the
, needle, provider notification
B. SLAPP: Slow the infusion, leave the needle, attempt to flush, push the remainder of the
flush into the vein, pull the needle
C. STOP: Stop the infusion, treat the site, oncology team notification, provide follow up
D. STOP: Slow the infusion, treat the symptoms, oncology team notification, provide follow up
- ANSWER A
The immediate temperature application for a Doxorubicin/Daunorubicin extravasation
involves:
A. Hot application
B. Warm application
C. Cold application
D. None of the above - ANSWER C
The primary goal of phase III clinical trials is to determine:
A. The efficacy of a new agent in the treatment of specific types of cancer and to validate
toxicity and dosage data
B. The maximum tolerated dose of an investigational drug or combination of drugs using a
recommended administration schedule and to identify dose-limiting toxicities
C. The value of a new agent in relation to existing treatments
D. The interactions of a new agent with other drugs or population groups - ANSWER C
In order for researchers to perform clinical trials, all protocols must be in compliance with
guidelines established by:
A. The institutional Review Board (IRB)
B. The US food and drug administration
C. The designated states board of nurse examiners
D. Both A and B - ANSWER D
Alex was diagnosed with neuroblastoma and has been enrolled in a Phase I clinical trial. Prior
to administering the investigational agent the nurse must FIRST:
Which Chemo agent is associated with a high risk for hypersensitivity reaction?
A. Methotrexate
B. Carboplatin
C. Cytarabine
D. Busulfan - ANSWER B
Before a patient is to receive intrathecal Chemo:
A. Ensure developmentally appropriate patient teaching is completed
B. Verify the patient's white blood cell count
C. Ensure other chemo agents are available to administer
D. Apply LMX cream between L5-L7 - ANSWER A
John is a 3-year-old who is scheduled to receive his first subQ injection of Neupogen. What
would NOT be an appropriate strategy to decrease the pain associated with a SC injection?
A. Use of ice and insuflon catheter
B. Use of LMX cream
C. Use of distraction
D. Use of buffered lidocaine - ANSWER D
The preferred intramuscular site for a child wo is three-years-old and walks is:
A. Deltoid muscle
B. Vastus lateralis muscle
C. Ventogluteal muscle
D. Dorsogluteal muscle - ANSWER A
Which statement best describes the nursing assessment for patency with a direct-push
method of administering a chemotherapy vesicant:
,A. Assess for blood return before the infusion, every 2-5ml, and for blood return and pain at
the end of the infusion
B. Assess for blood return before the infusion and at the completion of the infusion
C. Assess for blood return before the infusion and for pain at the completion of the infusion
D. Assess for blood return before infusion, every 5-10ml, during the infusion, and at the end of
the infusion - ANSWER A
A strategy to prevent chemo errors includes:
A. Verification of patient's height in inches
B. Independent dose calculation
C. Use of full trade name of the drug
D. Use of abbreviations for drug clarification - ANSWER B
Which chemo agent is associated with a maximum cumulative lifetime dose?
A. Cyclophosphamide
B. Etoposide
C. Daunorubicin
D. Nitrogen mustard - ANSWER C
After administering the first drug for a dermatologiv reaction after peg-Asparaginase, Sam
starts to complain of throat tightening and he starts wheezing. The MD orders Epiniphrine.
What is the preferred route?
A. PO
B. Sub-Q
C. IV
D. IM - ANSWER D
You are giving Doxorubicin peripherally IV push and based on the patient's complaints and
loss of blood return, you suspect that the Doxorubicin has extravasated. Your immediate
nursing intervention will involve:
A. SLAPP: Stop the infusion, leave the needle, aspirate as much drug as possible, pull the
, needle, provider notification
B. SLAPP: Slow the infusion, leave the needle, attempt to flush, push the remainder of the
flush into the vein, pull the needle
C. STOP: Stop the infusion, treat the site, oncology team notification, provide follow up
D. STOP: Slow the infusion, treat the symptoms, oncology team notification, provide follow up
- ANSWER A
The immediate temperature application for a Doxorubicin/Daunorubicin extravasation
involves:
A. Hot application
B. Warm application
C. Cold application
D. None of the above - ANSWER C
The primary goal of phase III clinical trials is to determine:
A. The efficacy of a new agent in the treatment of specific types of cancer and to validate
toxicity and dosage data
B. The maximum tolerated dose of an investigational drug or combination of drugs using a
recommended administration schedule and to identify dose-limiting toxicities
C. The value of a new agent in relation to existing treatments
D. The interactions of a new agent with other drugs or population groups - ANSWER C
In order for researchers to perform clinical trials, all protocols must be in compliance with
guidelines established by:
A. The institutional Review Board (IRB)
B. The US food and drug administration
C. The designated states board of nurse examiners
D. Both A and B - ANSWER D
Alex was diagnosed with neuroblastoma and has been enrolled in a Phase I clinical trial. Prior
to administering the investigational agent the nurse must FIRST:
