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