- | Page
ONS ONCC CHEMO RENEWAL
EXAM WITH 100% CORRECT
ANSWERS
Question :Which of the following are recommended
as standard PPE when there is any potential exposure for hazardous drugs? (select all that apply)
Correct answer: Single gown use with back closure
Two pairs of chemotherapy gloves
Question :Mrs. Kearns is receiving her first dose of
paclitaxel and about 20 minutes into the infusion, you notice that she begins to start clearing her throat a lot. She also states that she is having some lower back pain. You decide that you will take another set of vital signs. While you are waiting for the monitor to reveal her blood pressure, she begins to breathe heavier and appears short of breath. What is the first/immediate thing you need to do for Mrs.Kearns?
- | Page
Correct answer: a. Stop the paclitaxel infusion
Question :Main benefit of neoadjuvant
chemotherapy (breast cancer patient)
Correct answer: Neoadjuvant therapy does not
increase survival when compared to adjuvant therapy. It only changes the timing of treatment and can change surgical options if the tumor is shrunk enough. If this occurs, the patient may only require a lumpectomy plus radiation therapy instead of needing a mastectomy
Question :A comprehensive geriatric assessment
(CGA) is a multidisciplinary evaluation to assess life expectancy and risk of morbidity and mortality in the older patient. This assessment tool would
evaluate and include the following areas: functional
status, socioeconomic issues, psychosocial distress, comorbidities, cognitive function, nutritional status, polypharmacy, and a medication review (NCCN
- | Page
Older Adult Oncology Guidelines, version 1.2015).Due to Mrs. Turner's age and comorbidities, her oncologist performs a comprehensive geriatric assessment. You know that this assessment covers
all but which of the following:
Correct answer: A comprehensive geriatric
assessment (CGA) is a multidisciplinary evaluation to assess life expectancy and risk of morbidity and mortality in the older patient. This assessment tool
would evaluate and include the following areas:
functional status, socioeconomic issues, psychosocial distress, comorbidities, cognitive function, nutritional status, polypharmacy, and a medication review (NCCN Older Adult Oncology Guidelines, version 1.2015).
Question :According to the NCCN Older Adult
Oncology Guidelines (version 1.2015), more than 60% of cancers in the United States occur in people age ______and older...
- | Page
Correct answer: 65
Question :Two of the agents (docetaxel and
carboplatin) that Mrs. Turner will receive are categorized as irritants. Docetaxel can cause a significant reaction if it extravasates. It can lead to edema, erythema, occasional pain and blister formation (ONS Chemo/Bio guidelines, 2014). That is the most likely reason that Mrs. Turner was given a port for her treatments. Some patients will receive their treatments through a peripheral IV without incident. Just because they are intravenous agents does not mean that a port is required and needing a port has nothing to do with her being older in age.Since none of these agents are vesicants, they likely could have been given safely via peripheral route but having a port placed is OK as well. What is your best explanation for why Mrs. Turner was given a port to receive her chemotherapy?