Chemo Certification Renewal Exam

Chemo Certification Renewal Exam 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 recom ...

Chemo Certification Renewal Exam 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 - ✔✔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. - ✔✔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 - ✔✔B. Restriction of fresh fruits and vegetables Mutations in genetic material from exposure to chemotherapy are termed: A. Genotoxicity B. Organ toxicity C. Teratogenicity D. Carcinogenicity - ✔✔A. Genotoxicity Double gloving should be used when: A. handling patient waste B. cleaning up spills C. removing the chemotherapy D. all of the above E. a & b - ✔✔D. all of the above 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. - ✔✔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 - ✔✔B. Hold the dose Which of the following would likely be added to the treatment of some refractory immunerelated adverse events (i.e. colitis, pneumonitis)? A. Infliximab B. Ipilimumab C. Penicillin-based antibiotics D. Antifungals - ✔✔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. B. Development of a follow-up plan for workers who have shown health changes suggesting toxicity or who have been involved in a spill. C. Perform wipe testing routinely on an annual basis. D. Offer biologic monitoring when exposure is suspected or symptoms are observed. - ✔✔B. Development of a follow-up plan for workers who have shown health changes suggesting toxicity or who have been involved in a spill. Which of the following is true regarding immune-related response criteria? A. RECIST criteria is used routinely with all therapies and types of cancers, solid tumors or blood malignancies. B. Pseudoprogression is common with checkpoint inhibitors where there is initial tumor regression followed by an increase in tumor burden. C. Because of the pseudoprogression phenomenon, it is recommended that immune-mediated therapies have their own subset of RECIST criteria guidelines. D. Response to immune-mediated therapies occurs almost immediately and tumor response can be seen on scans within 4 weeks of therapy. - ✔✔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. - ✔✔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. - ✔✔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 - ✔✔A. TRUE Which of the following is the mainstay of treatment for immune-related adverse events (irAEs) with checkpoint inhibitors? A. Decreasing dose of therapy B. Corticosteroids C. Cytokine therapy D. Give smaller doses, more frequently - ✔✔B. Corticosteroids One of your nurses comes to you to make you aware that she is breastfeeding her baby. What is the most appropriate response to this employee? A. "You will need to be extra vigilant with safe handling and PPE since you are breastfeeding." B. "We will work and find you alternate duties that do not include HD preparation or administration while you are breastfeeding." C. "There is no increased risk of harm to babies once they are out of the womb, therefore no changes need to be made." D. "The risk for harm is only for those that prepare/mix the chemotherapy." - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔A. Taxanes