Fundamentals of Chemotherapy Immunotherapy
Administration – Test Questions And Correct Answers –
Best Scored!!
Hematologic cancer (blood cancer) Correct ans - -cancer that begins
in bone marrow or immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia Correct ans - cancer starts in blood-forming tissues like
bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma Correct 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 Correct ans - Reed-Sternberg cell (cancer cells in
classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma Correct ans - -large, diverse group of
cancers in immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma Correct ans - Cancer in plasma cells (WBC that produce
antibodies)
Chemotherapy Correct 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? Correct ans - Written and signed by
licensed independent practitioners (MD/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? Correct ans - NO! Only
when holding/stopping admin.
Who can mix Chemotherapy? Correct ans - Pharmacist, Pharmacy
tech, MD/DO, qualified RN
, Who can administer chemotherapy? Correct ans - Registered Nurses
with specialized education, prep and training. See specific state laws and
statutes
How often is chemo competency reassessed> Correct ans - Annual
continuing ed and competency assessment is recommended
What is the dose verification process? Correct 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? Correct ans - -Gloves: two
pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) Correct ans - Chemo BEFORE
primary treatment (common in breast and colon)
Adjuvant therapy Correct ans - Chemo AFTER primary treatment
(common in solid tumor)
Bone Marrow Correct ans - soft, sponge-like tissue in center of most
bones, produce WBC, RBC, and platelets.
Myelosuppression Correct ans - bone marrow activity is decreased,
causing less RBC, WBC and Platelets.
Myeloablation Correct ans - severe myelosuppression
Induction phase Correct ans - initial phase, typically in hospital,
intended myelosuppression
Consolidation phase (intensification/postremission therapy) Correct ans
- after successful induction, kills cancer cells left in body (ex radiation, stem
cell transplant)
Synergy Correct ans - when one chemo drug helps another work
better at the same time
Complete response Correct ans - no identifiable cancer present for at
least one month or longer
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