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ONS ONCC CHEMO RENEWAL II EXAM 2024 QUESTIONS WITH CORRECT ANSWERS!!
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ONS ONCC CHEMO RENEWAL II EXAM 2024 QUESTIONS WITH CORRECT ANSWERS!!
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Name: Score:59 Multiple choice questions
Definition 1 of 59
Which of the following are recommended as standard PPE when there is any potential exposure
for hazardous drugs? (select all that apply)
Risk factors for mucositis that are not from the agents themselves include the following:
dental disease and poor oral hygiene, ill-fitting dentures, advanced age and youth age,
history of alcohol and tobacco use, poor nutrition, intake of irritating foods (spicy or acidic
foods), and dehydration (Information from the chemo/bio guidelines page 214-215). Mr. P.
has both a poor diet and also uses tobacco (both chewing tobacco and cigarettes) and
alcohol. The use of tobacco products is a big risk factor for development of mucositis.
Per the NCCN guidelines
(http://www.nccn.org/professionals/physician_gls/pdf/antiemesis.pdf) on Antiemesis, the
most likely classes of agents that would be used as premedication for a moderately emetic
risk regimen include: Steroids usually dexamethasone, 5HT3 antagonists like palonosetron
or ondansetron, with or without neurokinin 1 antagonists like aprepitant or fosaprepitant.
Prokinetic agents like metoclopramide are sometimes used PRN for low risk regimens and
breakthrough CINV. Other classes of agents like proton pump inhibitors, H2 blockers, and
benzodiazepines are utilized for CINV prevention and control as well and sometimes are
included as premedications prior to chemotherapy.
Cold sensory neuropathy
Single gown use with back closure
Two pairs of chemotherapy gloves
,Definition 2 of 59
Key Points for Combination Therapy
Consider the potential toxicity related to each drug.
Understand the monitoring guidelines for each drug.
Have knowledge of clinically significant signs and symptoms.
Burning, stinging pain around the administration site, although it is important to note that
some patients do not experience any pain with vesicant extravasation and may in fact
experience a feeling of coolness at the site (Polovich et al., 2014).
Oncovin (vincristine) can cause neurotoxicity of the smooth muscle of the GI tract which
can lead to decreased peristalsis and paralytic ileus. Constipation, abdominal pain, and
paralytic ileus can be seen with vincristine use.
Bendamustinea
Dactinomycin
Daunorubicin
Doxorubicin
Epirubicin
Idarubicin
Mechlorethamine
Mitomycin
,Term 3 of 59
When receiving chemotherapy in the home (in Mr. Patterson..'s case he is getting continuous 5-
FU) it is recommended to send the patient home with and instruct them on the use of a spill kit
(see Figure 13 from the Guidelines). Other important things to include in your education is that
everyone, not just caregivers, should wear gloves when touching the chemotherapy or anything
soiled by chemotherapy. Visitors are welcome and encouraged when patients are going through
chemotherapy. Hugging and kissing are safe post chemotherapy. Sexual activity is usually
considered safe as well with the use of barrier protection. However, it is recommended that
patients discuss this issue with their physician or nurse first to discuss specific precautions that
may be necessary.
Which of the following offers the highest risk for developing cardiotoxicity?
Which of the following classes of agents would you not anticipate to be a part of Mr. Rylan's
orders for premedication to prevent CINV?
Which of the following related to doxorubicin is most important to include in Mr. Rylan's
comprehensive care summary due to potential late effects of this agent?
Which of the following is of utmost importance to include in your education to Mr.
Patterson since he will be receiving HDs at home (continuous 5-FU)?
Term 4 of 59
include aching and tightness along a peripheral vein above the administration site that occurs as
the drug infuses, as well as potential redness or darkening of the vein without swelling and
ulceration. Blood return is typically present; if not, an infiltration may have occurred
Other risk factors for the development of colorectal cancer include:
Which of the following medications is the likely cause of Mr. Rylan's constipation?
Signs of symptoms of venous irritation:
Cold sensory neuropathy symptoms
, Definition 5 of 59
Effective treatments for peripheral neuropathy
A. Stop the Paclitaxel Infusion
Duloxetine
Gabapentin and Opioid Combination
Heart Function
Restriction of Fresh Fruits and Vegetables is no Longer Necessary Based on the Evidence
(ons Pep Resource Prevention of Infection Https://www.ons.org/practice-
resources/pep/prevention-infection/prevention-infection-general)
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