FUNDAMENTALS OF CHEMOTHERAPY
IMMUNOTHERAPY ADMINISTRATION EXAM
LATEST 2025 ACTUAL EXAM ALL 130 QUESTIONS
AND ANSWERS (ALREADY GRADED A+) | LATEST
EDITION
Hematologic cancer (blood cancer) - ANS --cancer that begins in bone marrow or
immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia - ANS -cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma - ANS --cancer that begins in immune system (WBC=lymphocytes)
-hodgkin and non-hodgkins
-B lymphocytes (B cells) - make antibodies (bacteria and viruses, most common
lymphoma
-T lymphocytes (T cells) - boost/slow immune, destroy germs and abnormal cells
Hodgkin lymphoma - ANS -Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma - ANS --large, diverse group of cancers in immune
system cells
-indolent (slow growing) or aggressive (fast)
Myeloma - ANS -Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy - ANS -All antineoplastic agents used to treat cancer, given
through oral and parenteral routes or other routes as specified in the standard,
not including hormonal therapies.
Who can order chemotherapy? - ANS -Written and signed by licensed
independent practitioners (MD/DO, PA, Oncology NP)
, Can you use verbal orders for chemotherapy? - ANS -NO! Only when
holding/stopping admin.
Who can mix Chemotherapy? - ANS -Pharmacist, Pharmacy tech, MD/DO,
qualified RN
Who can administer chemotherapy? - ANS -Registered Nurses with specialized
education, prep and training. See specific state laws and statutes
How often is chemo competency reassessed> - ANS -Annual continuing ed and
competency assessment is recommended
What is the dose verification process? - ANS --confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration date,
appearance
-document verification in chart
What PPE is required for IV Chemotherapy? - ANS --Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) - ANS -Chemo BEFORE primary treatment
(common in breast and colon)
Adjuvant therapy - ANS -Chemo AFTER primary treatment (common in solid
tumor)
Bone Marrow - ANS -soft, sponge-like tissue in center of most bones, produce
WBC, RBC, and platelets.
Myelosuppression - ANS -bone marrow activity is decreased, causing less RBC,
WBC and Platelets.
Myeloablation - ANS -severe myelosuppression
IMMUNOTHERAPY ADMINISTRATION EXAM
LATEST 2025 ACTUAL EXAM ALL 130 QUESTIONS
AND ANSWERS (ALREADY GRADED A+) | LATEST
EDITION
Hematologic cancer (blood cancer) - ANS --cancer that begins in bone marrow or
immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia - ANS -cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma - ANS --cancer that begins in immune system (WBC=lymphocytes)
-hodgkin and non-hodgkins
-B lymphocytes (B cells) - make antibodies (bacteria and viruses, most common
lymphoma
-T lymphocytes (T cells) - boost/slow immune, destroy germs and abnormal cells
Hodgkin lymphoma - ANS -Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma - ANS --large, diverse group of cancers in immune
system cells
-indolent (slow growing) or aggressive (fast)
Myeloma - ANS -Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy - ANS -All antineoplastic agents used to treat cancer, given
through oral and parenteral routes or other routes as specified in the standard,
not including hormonal therapies.
Who can order chemotherapy? - ANS -Written and signed by licensed
independent practitioners (MD/DO, PA, Oncology NP)
, Can you use verbal orders for chemotherapy? - ANS -NO! Only when
holding/stopping admin.
Who can mix Chemotherapy? - ANS -Pharmacist, Pharmacy tech, MD/DO,
qualified RN
Who can administer chemotherapy? - ANS -Registered Nurses with specialized
education, prep and training. See specific state laws and statutes
How often is chemo competency reassessed> - ANS -Annual continuing ed and
competency assessment is recommended
What is the dose verification process? - ANS --confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration date,
appearance
-document verification in chart
What PPE is required for IV Chemotherapy? - ANS --Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) - ANS -Chemo BEFORE primary treatment
(common in breast and colon)
Adjuvant therapy - ANS -Chemo AFTER primary treatment (common in solid
tumor)
Bone Marrow - ANS -soft, sponge-like tissue in center of most bones, produce
WBC, RBC, and platelets.
Myelosuppression - ANS -bone marrow activity is decreased, causing less RBC,
WBC and Platelets.
Myeloablation - ANS -severe myelosuppression
