FUNDAMENTALS OF CHEMOTHERAPY IMMUNOTHERAPY ADMINISTRATION EXAM LATEST 2024 ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS
Hematologic cancer (blood cancer) - (answer) -cancer that begins in bone marrow or immune system
cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia - (answer) cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma - (answer) -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 - (answer) Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma - (answer) -large, diverse group of cancers in immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma - (answer) Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy - (answer) 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? - (answer) Written and signed by licensed independent practitioners
(MD/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? - (answer) NO! Only when holding/stopping admin.
Who can mix Chemotherapy? - (answer) Pharmacist, Pharmacy tech, MD/DO, qualified RN
, FUNDAMENTALS OF CHEMOTHERAPY IMMUNOTHERAPY ADMINISTRATION EXAM LATEST 2024 ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS
Who can administer chemotherapy? - (answer) Registered Nurses with specialized education, prep and
training. See specific state laws and statutes
How often is chemo competency reassessed> - (answer) Annual continuing ed and competency
assessment is recommended
What is the dose verification process? - (answer) -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? - (answer) -Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) - (answer) Chemo BEFORE primary treatment (common in breast
and colon)
Adjuvant therapy - (answer) Chemo AFTER primary treatment (common in solid tumor)
Bone Marrow - (answer) soft, sponge-like tissue in center of most bones, produce WBC, RBC, and
platelets.
Myelosuppression - (answer) bone marrow activity is decreased, causing less RBC, WBC and Platelets.
Myeloablation - (answer) severe myelosuppression
Induction phase - (answer) initial phase, typically in hospital, intended myelosuppression
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS
Hematologic cancer (blood cancer) - (answer) -cancer that begins in bone marrow or immune system
cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia - (answer) cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma - (answer) -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 - (answer) Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma - (answer) -large, diverse group of cancers in immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma - (answer) Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy - (answer) 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? - (answer) Written and signed by licensed independent practitioners
(MD/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? - (answer) NO! Only when holding/stopping admin.
Who can mix Chemotherapy? - (answer) Pharmacist, Pharmacy tech, MD/DO, qualified RN
, FUNDAMENTALS OF CHEMOTHERAPY IMMUNOTHERAPY ADMINISTRATION EXAM LATEST 2024 ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS
Who can administer chemotherapy? - (answer) Registered Nurses with specialized education, prep and
training. See specific state laws and statutes
How often is chemo competency reassessed> - (answer) Annual continuing ed and competency
assessment is recommended
What is the dose verification process? - (answer) -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? - (answer) -Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) - (answer) Chemo BEFORE primary treatment (common in breast
and colon)
Adjuvant therapy - (answer) Chemo AFTER primary treatment (common in solid tumor)
Bone Marrow - (answer) soft, sponge-like tissue in center of most bones, produce WBC, RBC, and
platelets.
Myelosuppression - (answer) bone marrow activity is decreased, causing less RBC, WBC and Platelets.
Myeloablation - (answer) severe myelosuppression
Induction phase - (answer) initial phase, typically in hospital, intended myelosuppression
