,Chemo Test EXAM QUESTIONS AND
ANSWERS 100% CORRECT!
T or F: Chemotherapy consenting is to be performed by the patient's attending
physician - ANSWER True
A _______ consent is required if the chemo is being used in a new way and/or a new
drug is added to the regimen - ANSWER new
T or F: A patient can leave their shoes on when height and weight are obtained only if
the patient is suffering from peripheral neuropathy - ANSWER False
Who determines if actual, ideal, or adjusted body weight is to be used in chemo dosing?
- ANSWER the physician
The Calvert formula is used to calculate the dose of what drug? - ANSWER Carboplatin
What does the AUC measure? - ANSWER Area under the curve/Drug exposure
T or F: Mrs. S is receiving Carboplatin dosed with an AUC of 6 and Mrs. H is receiving
Carboplatin with AUC of 2. The nurse knows Mrs. S may have more toxicity to the drug
since her AUC is higher than Mrs. H. - ANSWER True
A UPMC fellow cannot write orders independently in the first_______ - ANSWER Three
months
T or F: The nurse should avoids bruised sites, the use of hand/antecubital veins, and
sites distal to veins that have experienced venipuncture in the past 24 hours when
assessing where to place a new intravenous site for chemotherapy administration -
ANSWER True
__________ chemotherapy administered IV push should be administered at a rate of
5ml/min and blood return should be assessed after every 2 to ______ml of drug
administered - ANSWER Vesicant; 3
T or F: The most accurate method to measure creatinine clearance is to collect urine for
24 hours to measure level - ANSWER True
, T or F: When administering an IV push medication the nurse should open the clamp of
compatible intravenous solution until increased flow is seen to dilute the agent during
administration - ANSWER True
During the 2 RN check, the correct patient and dose is to verified at the ________ -
ANSWER Bedside/Chairside
Continuous infusion of vesicants must be through a ________ - ANSWER Central line
Family and __________ of the patient need taught about excretion safety precautions -
ANSWER Friends
Excretion safety precautions last for _________ or _________ days - ANSWER 3; 7
T or F: When evaluating a patient prior to chemotherapy, the nurse notes the patient
recently had weight loss. The nurse recalculates the dose and discovers a change in
the dose greater than 10%. The next step for the nurse is to notify the attending
physician that the patient will need re-consented because of the dose adjustment -
ANSWER False
Alkylating agents are cell cycle non-specific. They work on __________ and resting
cells - ANSWER Dividing
Alkylating agents are effective in slow growing tumors and large tumors that have few
actively ___________ cells - ANSWER Dividing
List three toxicities common in all alkylating agents: - ANSWER Nausea, vomiting,
myelosuppression, infertility, hypersensitivity reactions, alopecia, secondary
malignancies, tumor lysis syndrome, pregnancy category D
Which class of drugs can cross the blood brain barrier, increasing a patient's risk for
CNS toxicities? - ANSWER Nitrosureas
__________ is the solvent for carmustine (BCNU) - ANSWER Sterile alcohol
The ________ formula is used to calculate Carboplatin dosage - ANSWER Calvert
T or F: Temozolamide effectively crosses the blood brain barrier - ANSWER True
Patients may feel intoxicated during the administration of _________ - ANSWER
Carmustine (BCNU)
ANSWERS 100% CORRECT!
T or F: Chemotherapy consenting is to be performed by the patient's attending
physician - ANSWER True
A _______ consent is required if the chemo is being used in a new way and/or a new
drug is added to the regimen - ANSWER new
T or F: A patient can leave their shoes on when height and weight are obtained only if
the patient is suffering from peripheral neuropathy - ANSWER False
Who determines if actual, ideal, or adjusted body weight is to be used in chemo dosing?
- ANSWER the physician
The Calvert formula is used to calculate the dose of what drug? - ANSWER Carboplatin
What does the AUC measure? - ANSWER Area under the curve/Drug exposure
T or F: Mrs. S is receiving Carboplatin dosed with an AUC of 6 and Mrs. H is receiving
Carboplatin with AUC of 2. The nurse knows Mrs. S may have more toxicity to the drug
since her AUC is higher than Mrs. H. - ANSWER True
A UPMC fellow cannot write orders independently in the first_______ - ANSWER Three
months
T or F: The nurse should avoids bruised sites, the use of hand/antecubital veins, and
sites distal to veins that have experienced venipuncture in the past 24 hours when
assessing where to place a new intravenous site for chemotherapy administration -
ANSWER True
__________ chemotherapy administered IV push should be administered at a rate of
5ml/min and blood return should be assessed after every 2 to ______ml of drug
administered - ANSWER Vesicant; 3
T or F: The most accurate method to measure creatinine clearance is to collect urine for
24 hours to measure level - ANSWER True
, T or F: When administering an IV push medication the nurse should open the clamp of
compatible intravenous solution until increased flow is seen to dilute the agent during
administration - ANSWER True
During the 2 RN check, the correct patient and dose is to verified at the ________ -
ANSWER Bedside/Chairside
Continuous infusion of vesicants must be through a ________ - ANSWER Central line
Family and __________ of the patient need taught about excretion safety precautions -
ANSWER Friends
Excretion safety precautions last for _________ or _________ days - ANSWER 3; 7
T or F: When evaluating a patient prior to chemotherapy, the nurse notes the patient
recently had weight loss. The nurse recalculates the dose and discovers a change in
the dose greater than 10%. The next step for the nurse is to notify the attending
physician that the patient will need re-consented because of the dose adjustment -
ANSWER False
Alkylating agents are cell cycle non-specific. They work on __________ and resting
cells - ANSWER Dividing
Alkylating agents are effective in slow growing tumors and large tumors that have few
actively ___________ cells - ANSWER Dividing
List three toxicities common in all alkylating agents: - ANSWER Nausea, vomiting,
myelosuppression, infertility, hypersensitivity reactions, alopecia, secondary
malignancies, tumor lysis syndrome, pregnancy category D
Which class of drugs can cross the blood brain barrier, increasing a patient's risk for
CNS toxicities? - ANSWER Nitrosureas
__________ is the solvent for carmustine (BCNU) - ANSWER Sterile alcohol
The ________ formula is used to calculate Carboplatin dosage - ANSWER Calvert
T or F: Temozolamide effectively crosses the blood brain barrier - ANSWER True
Patients may feel intoxicated during the administration of _________ - ANSWER
Carmustine (BCNU)
