ONS/ONCC Chemotherapy
Immunotherapy Certificate Prep Exam
2025/2026 100% Correct Answers
Which of the following is a primary preventative method to prevent the
development of cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels -
A premenopausal patient with metastatic breast cancer is receiving letrozole.
Which other medication is also expected to be prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen - c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone
agonist therapy, such as goserelin, is recommended in the adjuvant, recurrent,
or metastatic settings for women with breast cancer who are premenopausal.
A patient with an insulinoma would be most likely to experience which of the
following signs and symptoms?
a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
,d. hypoglycemia, confusion, vision changes - d. hypoglycemia, confusion, vision
changes
4. A patient with esophageal cancer reports cramping and diarrhea after eating
meals. What should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals - d. eating small, freqeunt meals aka prevent
dumping syndrome
5. What is the absolute neutrophil count for a patient who has a white blood
cell count of 500/mm3 with 32% polysegmented neutrophils and 7% bands?
a. 100/mm3
b. 125/mm3
c. 195/mm3
d. 223/mm3 - c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented
neutrophils and bands, converting to a percentage, and multiplying by the
white blood cell count (0.32 +0.07 = 0.39) x 500 = 195/mm3.
6. A patient with cancer receiving palliative services reports poor sleep, fatigue,
and frequently feeling worried. Which medication should the nurse expect to
be prescribed for the patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate - c. citalopram
, The symptoms described are consistent with generalized anxiety. Selective
serotonin reuptake inhibitors, such as citalopram, are considered first-line for
the management of generalized anxiety disorder.
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is
erythematous, excoriated, and bleeding. Which of the following complications
should the nurse first suspect?
a. stenosis requiring revision
b. improper pouch fit
c. increased output over baseline
d. allergy to device - b. improper pouch fit
8. Which of these factors is most likely to result in a higher incidence of acute
graft-versus- host disease?
a. female to male donation
b. HLA identical related donors
c. reduced intensity conditioning regimen
d. T cell depleted grafts - a. female to male donation
A male recipient receiving the stem cells of a female increases the risk for the
development of acute graft-versus-host disease.
9. A patient with cancer has a new onset of confusion, acute nausea, and
blurred vision. The nurse anticipates the physician to order which diagnostic
test?
a. U/S of gallblader & bile ducts
b. CXR
c. Skeletal scintigraphy
d. MRI of brain - d. MRI of brain
Immunotherapy Certificate Prep Exam
2025/2026 100% Correct Answers
Which of the following is a primary preventative method to prevent the
development of cancers?
a. receiving an annual Pap test
b. perform monthly breast self exam
c. avoid use of tobacco products
d obtain biannual serum tumor marker levels -
A premenopausal patient with metastatic breast cancer is receiving letrozole.
Which other medication is also expected to be prescribed for ovarian ablation?
a. degarelix
b. exemestane
c. goserelin
d. tamoxifen - c. goserelin
Concomitant ovarian ablation with a luteinizing hormone-releasing hormone
agonist therapy, such as goserelin, is recommended in the adjuvant, recurrent,
or metastatic settings for women with breast cancer who are premenopausal.
A patient with an insulinoma would be most likely to experience which of the
following signs and symptoms?
a. hypoK, aclorhydria, vasoconstriction
b. glucose interolerance, diarrhea, anemia
c. abd pain, reflux, vit b6 deficiency
,d. hypoglycemia, confusion, vision changes - d. hypoglycemia, confusion, vision
changes
4. A patient with esophageal cancer reports cramping and diarrhea after eating
meals. What should the nurse recommend?
a. chewing thoroughly
b. drinking at least 20oz of water during meals
c. decreasing dietary protein intake
d. eating small, freqeunt meals - d. eating small, freqeunt meals aka prevent
dumping syndrome
5. What is the absolute neutrophil count for a patient who has a white blood
cell count of 500/mm3 with 32% polysegmented neutrophils and 7% bands?
a. 100/mm3
b. 125/mm3
c. 195/mm3
d. 223/mm3 - c. 195/mm3
The absolute neutrophil count can be calculated by adding polysegmented
neutrophils and bands, converting to a percentage, and multiplying by the
white blood cell count (0.32 +0.07 = 0.39) x 500 = 195/mm3.
6. A patient with cancer receiving palliative services reports poor sleep, fatigue,
and frequently feeling worried. Which medication should the nurse expect to
be prescribed for the patient?
a. miratazapine
b. diphenhydramine
c. citalopram
d. methylphenidate - c. citalopram
, The symptoms described are consistent with generalized anxiety. Selective
serotonin reuptake inhibitors, such as citalopram, are considered first-line for
the management of generalized anxiety disorder.
7. The nurse is assessing a patient with an ileostomy. The peristomal skin is
erythematous, excoriated, and bleeding. Which of the following complications
should the nurse first suspect?
a. stenosis requiring revision
b. improper pouch fit
c. increased output over baseline
d. allergy to device - b. improper pouch fit
8. Which of these factors is most likely to result in a higher incidence of acute
graft-versus- host disease?
a. female to male donation
b. HLA identical related donors
c. reduced intensity conditioning regimen
d. T cell depleted grafts - a. female to male donation
A male recipient receiving the stem cells of a female increases the risk for the
development of acute graft-versus-host disease.
9. A patient with cancer has a new onset of confusion, acute nausea, and
blurred vision. The nurse anticipates the physician to order which diagnostic
test?
a. U/S of gallblader & bile ducts
b. CXR
c. Skeletal scintigraphy
d. MRI of brain - d. MRI of brain
