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COMPLETE CHEMO CERTIFICATION TEST LATEST 2025 EXAM 100 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |A+ GRADED.

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COMPLETE CHEMO CERTIFICATION TEST LATEST 2025 EXAM 100 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |A+ GRADED. Mutations in genetic material from exposure to chemotherapy are termed? -Correct - Genotoxicity The Vinca Alkaloids act in which phase where they prevent cell division? -Correct - M Phase Which of the following is likely the best way to ensure patient adherence to oral chemotherapy? -Correct - Schedule a phone call with the patient 3-5 days after therapy is initiated To address the dose-limiting toxicity of cyclophosphamide, what should discharge education for the patient include? -Correct - Encourage the intake of 2-3 liters of fluid per day Which of the following is true and should always be included in your discussion with patients when they go home after completing chemotherapy? -Correct - Sexual relations are often allowed as long as special precautions are taken Your patient asks if it is okay to have contact with family members during chemotherapy treatments. your best response is: -Correct - Normal contact and hugging and kissing are safe Your patient had an extravasation, which is a vinca alkaloid class of chemotherapy. What do you teach them about caring for the site when they get home? -Correct - Apply a warm compress for 15 minutes, 4 times a day Which of the following actions reflect an understanding of safe-handling procedures? -Correct - Wear two pairs of chemotherapy-tested gloves and gown when handling HD exposed bodily fluids When chemotherapy is used before primary treatment (surgery) to reduce the size of a solid tumor, it is called what? -Correct - Neoadjuvant Therapy Which of the following class of drugs is cell cycle non-specific and therefore can affect the cancer in any phase of the cell cycle? -Correct - Alkylating Agents Which of the following is TRUE about the use of chemotherapy gowns with administration of chemotherapy/biotherapy? -Correct - Gowns should be worn while administering chemotherapy by IV, oral (if splashing is likely), topical, intracavitary, and if giving aerosolized drugs Because of the possibility of exposure through bodily fluids, what is the minimum amount of time to maintain hazardous drug precautions? -Correct - 48 hours The nurse wearing a chemotherapy gown and gloves has assisted in cleaning an incontinent patient with chemotherapy infusing. The gown does not appear soiled. What should be done with the gown? -Correct - Dispose in a yellow chemotherapy waste container Which of the following is true about pregnant nurses who care for patients receiving chemotherapy? -Correct - Employee has the responsibility to notify employer of pregnancy PPE is required when administering chemotherapy using which of the following routes of administration? SATA -Correct - 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? -Correct - Remove unnecessary people from the area Which of the following may be included in a medical surveillance program? -Correct - 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: 5-HT3 Antagonist NK1 Antagonist Corticosteroid -Correct - High emetic risk Prior to beginning any chemotherapy treatment, the nurse must perform an assessment where which of the following should occur? -Correct - 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? -Correct - Vincristine What is the very first thing you should do if you suspect a drug extravasation? -Correct - Stop the infusion Prevention of infection is so important for most oncology patients. Which of the following is no longer recommended to prevent infection? -Correct - Neutropenic Diet Which of the following is true about closed-system transfer devices? -Correct - 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? -Correct - Treat an extravasation like it is a vesicant Out of the following, which is the safest way to administer vesicant therapy? -Correct - 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? -Correct - 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? -Correct - 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: -Correct - 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? -Correct - 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? -Correct - 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? -Correct - 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/ -Correct - 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? -Correct - 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? -Correct - 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? -Correct - Stop or hold chemotherapy Which statement describes how chemotherapy works? -Correct - Disrupts the cell cycle during reproduction The benefits of combination therapy include: -Correct - Synergistic effect between drugs According to the ONS chemotherapy and biotherapy guidelines and recommendations for practice and the ONS/ASCO chemotherapy administration safety standards, how often should education and competency evaluation regarding chemotherapy administration be performed? -Correct - When hired and annually thereafter You are scheduling a meeting to remind the staff about the proper use of PPE to ensure decrea

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COMPLETE CHEMO CERTIFICATION TEST LATEST 2025
EXAM 100 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |A+ GRADED.
Mutations in genetic material from exposure to chemotherapy are termed? -Correct - Genotoxicity

The Vinca Alkaloids act in which phase where they prevent cell division? -Correct - M Phase

Which of the following is likely the best way to ensure patient adherence to oral chemotherapy? -Correct
- Schedule a phone call with the patient 3-5 days after therapy is initiated

To address the dose-limiting toxicity of cyclophosphamide, what should discharge education for the
patient include? -Correct - Encourage the intake of 2-3 liters of fluid per day

Which of the following is true and should always be included in your discussion with patients when they
go home after completing chemotherapy? -Correct - Sexual relations are often allowed as long as special
precautions are taken

Your patient asks if it is okay to have contact with family members during chemotherapy treatments. your
best response is: -Correct - Normal contact and hugging and kissing are safe

Your patient had an extravasation, which is a vinca alkaloid class of chemotherapy. What do you teach
them about caring for the site when they get home? -Correct - Apply a warm compress for 15 minutes, 4
times a day

Which of the following actions reflect an understanding of safe-handling procedures? -Correct - Wear
two pairs of chemotherapy-tested gloves and gown when handling HD exposed bodily fluids
When chemotherapy is used before primary treatment (surgery) to reduce the size of a solid tumor, it is
called what? -Correct - Neoadjuvant Therapy

Which of the following class of drugs is cell cycle non-specific and therefore can affect the cancer in any
phase of the cell cycle? -Correct - Alkylating Agents


Which of the following is TRUE about the use of chemotherapy gowns with administration of
chemotherapy/biotherapy? -Correct - Gowns should be worn while administering chemotherapy by IV,
oral (if splashing is likely), topical, intracavitary, and if giving aerosolized drugs

Because of the possibility of exposure through bodily fluids, what is the minimum amount of time to
maintain hazardous drug precautions? -Correct - 48 hours

The nurse wearing a chemotherapy gown and gloves has assisted in cleaning an incontinent patient with
chemotherapy infusing. The gown does not appear soiled. What should be done with the gown? -Correct -
Dispose in a yellow chemotherapy waste container

Which of the following is true about pregnant nurses who care for patients receiving chemotherapy? -
Correct - Employee has the responsibility to notify employer of pregnancy

PPE is required when administering chemotherapy using which of the following routes of administration?
SATA -Correct - 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? -Correct - Remove unnecessary people from the

, area

Which of the following may be included in a medical surveillance program? -Correct - 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:
5-HT3 Antagonist
NK1 Antagonist
Corticosteroid -Correct - High emetic risk

Prior to beginning any chemotherapy treatment, the nurse must perform an assessment where which of the
following should occur? -Correct - 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? -Correct - Vincristine
What is the very first thing you should do if you suspect a drug extravasation? -Correct - Stop the
infusion

Prevention of infection is so important for most oncology patients. Which of the following is no longer
recommended to prevent infection?
-Correct - Neutropenic Diet

Which of the following is true about closed-system transfer devices? -Correct - 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? -Correct - Treat an extravasation like it is a vesicant

Out of the following, which is the safest way to administer vesicant therapy? -Correct - 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? -Correct - 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? -Correct - 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: -Correct - 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? -Correct - 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

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Subido en
8 de enero de 2025
Número de páginas
6
Escrito en
2024/2025
Tipo
Examen
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