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CHEMO CERTIFICATION RENEWAL
Exam | Questions & 100% Correct
Answers (Verified) | Latest Update |
Grade A+
The standard states that gowns must: A. be disposable B. not have any closures or seams that HDs can pass through C. be changed every shift if there are no specific manufacturer recommendations D. both a & b Correct Answer: D. both a & b Which of the following is a general recommendation regarding the administration of hazardous drugs? A. A NIOSH-approved respirator is required for all intravenous administration.
B. Reuse of gowns is appropriate if the gown remains hung up in the same area all the time. C. Wash hands with soap and water instead of using alcohol-based hand gel. D. Unspike hazardous drug bottles or bags and place in hazardous container with tubing separate. Correct Answer: C. Wash hands with soap and water instead of using alcohol-based hand gel. According to evidence, such as the ONS PEP resources, which of the following is no longer likely to be effective in preventing infection? A. Antibiotic prophylaxis B. Restriction of fresh fruits and vegetables C. Use of IVIG D. Antimicrobial coated central venous catheters Correct Answer: B. Restriction of fresh fruits and vegetables Mutations in genetic material from exposure to chemotherapy are termed:
Which of the following is an important educational component for patients who go home after receiving hazardous drugs? A. Patients should avoid all contact with loved ones for at least 3 days post-treatment. B. Education on spill management should only be given when a spill occurs. C. Any contaminated waste items (i.e. gloves, diapers) can go in the patient's regular trash. D. Special precautions may be necessary during intimacy because chemotherapy may be present in vaginal fluid or semen for up to 48 hours following treatment. Correct Answer: D. Special precautions may be necessary during intimacy because chemotherapy may be present in vaginal fluid or semen for up to 48 hours following treatment. Which of the following is the only time that a verbal order should be accepted with regards to chemotherapy and biotherapy treatment? A. Decrease in the dose B. Hold the dose
C. Initial treatment dose D. Clarification of a written dose Correct Answer: B. Hold the dose Which of the following would likely be added to the treatment of some refractory immune-related adverse events (i.e. colitis, pneumonitis)? A. Infliximab B. Ipilimumab C. Penicillin-based antibiotics D. Antifungals Correct Answer: A. Infliximab Which of the following is a new specific medical surveillance recommendation from the USP <800> requirements? A. Obtain a medical and exposure history plus a physical examination without any laboratory tests.
Correct Answer: C. Because of the pseudoprogression phenomenon, it is recommended that immune-mediated therapies have their own subset of RECIST criteria guidelines. Which of the following is true regarding informed consent to receive chemotherapy? A. Informed consent must be verbally affirmed prior to administration but can be documented at any time after initiation of therapy. B. All institutions will accept the general "consent to treat" document as the required form. C. The role of the nurse in informed consent often includes patient education and providing detailed explanation involving the administration process, roles and expectations. D. Informed consent cannot be reversed once treatment is agreed upon. Correct Answer: C. The role of the nurse in informed consent often includes patient education and providing detailed explanation involving the administration process, roles and expectations. Which of the following is true regarding dose calculation in oncology?
A. A height and weight that was measured within the last 5 days can be used to calculate dose. B. Rechecking and recalculating the drug dose and comparing it to the current chemotherapy order is part of the safety steps with administration. C. Dosing of a drug will always be the same whether administered with the goal of cure or if given in a palliative setting. D. Area under the curve is the most common method used to calculate chemotherapy dosing. Correct Answer: B. Rechecking and recalculating the drug dose and comparing it to the current chemotherapy order is part of the safety steps with administration. Exposure to HDs can take place through a variety of routes, including dermal contact with contaminated surfaces. A. TRUE B. FALSE Correct Answer: A. TRUE
D. "The risk for harm is only for those that prepare/mix the chemotherapy." Correct Answer: B. "We will work and find you alternate duties that do not include HD preparation or administration while you are breastfeeding." Which of the following types of chemotherapy crosses the blood-brain barrier and therefore is often used to treat brain tumors? A. Nitrosoureas B. Camptothecins C. Plant alkaloids D. Antimetabolites Correct Answer: A. Nitrosoureas According to evidence, such as the ONS PEP resources, which of the following is likely to be effective for the management of chemotherapy-induced diarrhea? A. Prophylactic octreotide B. Loperamide
C. Amifostine D. Gluten free diet Correct Answer: B. Loperamide Which of the following classes of antineoplastic drugs has a high risk for causing a hypersensitivity reaction? A. Taxanes B. Antimetabolites C. Alkylating agents D. Nitrosoureas Correct Answer: A. Taxanes
