ONS ONCC CHEMO RENEWAL PRACTICE
EXAM WITH ALL CORRECT ANSWERS
GRADED A+
Constipation is not a likely side effect with the agents that Mrs.
Turner is to receive. Actually diarrhea is more likely when
receiving both of the targeted therapies in this regimen. Correct
Answer Knowing the most common side effects of these agents
(docetaxel, carboplatin, trastuzumab and pertuzumab), which of
the following side effects will you not be covering in your patient
teaching today since it is not usually seen with the chemotherapy
agents Mrs. Turner is going to receive?
ANC = (Neutrophils + Bands) x WBC / 100
To calculate the ANC:
Find the WBC, the polys/neutrophils and bands on your CBC
(neutrophils can be called many things in a differential including:
polymorphonuclear cells or polys, PMNs, granulocytes,
segmented neutrophils, or segs). WBC = 2.1
,Add the polys and bands (polys = 22%, bands = 4%). 22 + 4 = 26
Multiply the sum of the polys and bands by the WBC. 26 X 2.1 =
54.6
Multiply the product by 10. 54.6 X 10 = 546
Mrs. Turner's ANC is 546 Correct Answer ANC Calculation
Restriction of fresh fruits and vegetables is no longer necessary
based on the evidence (ONS PEP resource Prevention of
Infection https://www.ons.org/practice-resources/pep/prevention-
infection/prevention-infection-general) Correct Answer You meet
with Mrs. Turner to discuss neutropenia and her increased risk of
infections and to reinforce with her some ways that she can
prevent infections. You are familiar with the ONS PEP resources
including the resource Prevention of Infection.
You review with Mrs. Turner what the evidence recommends to
prevent infections. Which of the following is unlikely to be effective
for infection prevention?
Recommended for Practice:
Adherence to General Infection Control Recommendations
Antibiotic Prophylaxis in At-Risk Patients
, Antifungal Prophylaxis in At-Risk Patients
Antiviral Prophylaxis for Select At-Risk Patients
Catheter Care Bundle for Prevention of Central Line Associated
Infection (CLABSI)
Chlorhexidine Skin Prep
Colony-Stimulating Factors Including Biosimilars for At-Risk
Patients
Contact Precautions for Resistant Organisms
Environmental Interventions
Hand Hygiene With Alcohol Sanitizer
Influenza Vaccination
Pneumococcal and Meningococcal Vaccination
Likely to Be Effective:
Antibiotic Abdominal Lavage in Colorectal Surgery
Antimicrobial Coated CVC Catheters in Adults
Chlorhexidine Impregnated Washcloths—Chlorhexidine Bath
Institutional Initiatives
Positive Expiratory Pressure and Self-Monitoring
Pre-construction Planning
Preoperative Antibiotics Correct Answer Prevention of Infections:
Practice Recommended
EXAM WITH ALL CORRECT ANSWERS
GRADED A+
Constipation is not a likely side effect with the agents that Mrs.
Turner is to receive. Actually diarrhea is more likely when
receiving both of the targeted therapies in this regimen. Correct
Answer Knowing the most common side effects of these agents
(docetaxel, carboplatin, trastuzumab and pertuzumab), which of
the following side effects will you not be covering in your patient
teaching today since it is not usually seen with the chemotherapy
agents Mrs. Turner is going to receive?
ANC = (Neutrophils + Bands) x WBC / 100
To calculate the ANC:
Find the WBC, the polys/neutrophils and bands on your CBC
(neutrophils can be called many things in a differential including:
polymorphonuclear cells or polys, PMNs, granulocytes,
segmented neutrophils, or segs). WBC = 2.1
,Add the polys and bands (polys = 22%, bands = 4%). 22 + 4 = 26
Multiply the sum of the polys and bands by the WBC. 26 X 2.1 =
54.6
Multiply the product by 10. 54.6 X 10 = 546
Mrs. Turner's ANC is 546 Correct Answer ANC Calculation
Restriction of fresh fruits and vegetables is no longer necessary
based on the evidence (ONS PEP resource Prevention of
Infection https://www.ons.org/practice-resources/pep/prevention-
infection/prevention-infection-general) Correct Answer You meet
with Mrs. Turner to discuss neutropenia and her increased risk of
infections and to reinforce with her some ways that she can
prevent infections. You are familiar with the ONS PEP resources
including the resource Prevention of Infection.
You review with Mrs. Turner what the evidence recommends to
prevent infections. Which of the following is unlikely to be effective
for infection prevention?
Recommended for Practice:
Adherence to General Infection Control Recommendations
Antibiotic Prophylaxis in At-Risk Patients
, Antifungal Prophylaxis in At-Risk Patients
Antiviral Prophylaxis for Select At-Risk Patients
Catheter Care Bundle for Prevention of Central Line Associated
Infection (CLABSI)
Chlorhexidine Skin Prep
Colony-Stimulating Factors Including Biosimilars for At-Risk
Patients
Contact Precautions for Resistant Organisms
Environmental Interventions
Hand Hygiene With Alcohol Sanitizer
Influenza Vaccination
Pneumococcal and Meningococcal Vaccination
Likely to Be Effective:
Antibiotic Abdominal Lavage in Colorectal Surgery
Antimicrobial Coated CVC Catheters in Adults
Chlorhexidine Impregnated Washcloths—Chlorhexidine Bath
Institutional Initiatives
Positive Expiratory Pressure and Self-Monitoring
Pre-construction Planning
Preoperative Antibiotics Correct Answer Prevention of Infections:
Practice Recommended
