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ONS/ONCC Chemotherapy Immunotherapy
Certificate 2026
- What dietary recommendation should a nurse give to a patient experiencing cramping and diarrhea after meals? eliminating all carbohydrates consuming large meals less often increasing dietary fat intake eating small, frequent meals
- Which term best describes a medication that is highly similar to an original biologic product with no clinically meaningful differences in safety and efficacy? Authorized generic Biosimilar Bioequivalent Follow-up
- A bone marrow biopsy is performed to determine which of the following? vitamin deficiency cytogenetic analysis bone density hormone status
- If a patient undergoing chemotherapy with paclitaxel develops nail brittleness, what alternative nail care advice could you provide? Recommend the use of acrylic nails to protect natural nails.
Suggest soaking nails in hot water to improve flexibility. Advise the patient to apply nail polish frequently to strengthen nails. Encourage the patient to keep nails trimmed and moisturized to prevent breakage.
- What is the primary purpose of a bone marrow biopsy in oncology nursing? Bone density Cytogenetic analysis Vitamin deficiency Hormone status
- If a patient is hesitant to communicate with their spouse about their body image after surgery, what intervention could the nurse implement to facilitate this conversation? Role-play a conversation to help the patient express their feelings. Encourage the patient to focus only on physical recovery. Suggest the patient avoid discussing their feelings with their spouse. Provide the patient with pamphlets on body image.
- What is the primary characteristic of a biosimilar medication? A similar medication that is unable to guarantee the same amount of safety. A medication with the same ingredients, but manufactured at a lower cost.
- Describe how a compression garment aids in the management of lymphedema. A compression garment increases blood flow to the heart. A compression garment maintains the position of lymph nodes post-surgery. A compression garment helps to prevent the accumulation of lymph fluid in the soft tissue, thereby reducing swelling. A compression garment enhances the absorption of nutrients in the tissue.
- Describe how biosimilar medications differ from generic medications in terms of their development and approval. Biosimilar medications are chemically identical to their reference products, while generics have different active ingredients. Biosimilar medications are less effective than their reference products, while generics are always equally effective. Biosimilar medications are only available in injectable forms, while generics can be oral or injectable. Biosimilar medications are developed based on biologics and may have minor differences, while generics are identical copies of chemical drugs.
- The nurse should instruct a patient to use barrier contraception to protect the sexual partner with which of the following medications? paclitaxel rasburicase filgrastim fulvestrant
- Why is it important for the nurse to check the serum potassium level before starting an infusion of arsenic trioxide? To confirm the QTc interval is within normal limits. To verify the patient's pulmonary function is adequate. To prevent potential cardiac complications associated with low potassium levels during treatment. To ensure the infusion duration is correct.
- Prior to initiating an infusion of arsenic trioxide, the nurse should ensure which of the following? Order indicates the duration of the infusion is 30 mins Serum K is > 4mEq/L Baseline pulmonary function testing results are documented Qtc interval is > 500 milliseconds
- Describe the relationship between hepatocellular carcinoma and portal hypertension in the context of gastrointestinal bleeding. Hepatocellular carcinoma directly causes gastrointestinal bleeding without any vascular complications. Hepatocellular carcinoma can lead to portal hypertension, which increases pressure in the portal vein and can cause gastrointestinal bleeding. Portal hypertension is unrelated to hepatocellular carcinoma and does not affect gastrointestinal health. Gastrointestinal bleeding in hepatocellular carcinoma is primarily due to splenic dysfunction.
over the last 24 hours. the nurse suspects the pt may be developing? SIADH DKA HHS DI
- What type of polish remover should a patient receiving paclitaxel use for a manicure? alcohol-based remover non-acetone polish remover water-based remover acetone polish remover
- Which medication is commonly prescribed to manage anxiety and depression in cancer patients receiving palliative care? methylphenidate diphenhydramine mirtazapine citalopram
- What is the most likely condition a patient with diffuse large B-cell lymphoma may experience after chemotherapy if they have muscle cramps, diarrhea, and lethargy? tumor lysis syndrome superior vena cava syndrome SIADH
organ metastasis
- A 65-year-old female patient on aromatase inhibitors presents with back pain. What should the oncology nurse assess for in relation to her medication? Signs of pericarditis Signs of osteoporosis or vertebral fractures Signs of metabolic syndrome Signs of peripheral neuropathy
- A nurse is caring for a patient with advanced hepatocellular carcinoma who develops new-onset gastrointestinal bleeding. What nursing intervention should be prioritized to address the suspected underlying cause? Perform a thorough abdominal assessment for gallbladder issues. Administer antiemetics to control nausea. Increase fluid intake to prevent dehydration. Monitor for signs of portal hypertension and assess vital signs closely.
- Describe the significance of transmucosal fentanyl in the management of cancer-related pain. Transmucosal fentanyl is significant because it provides rapid relief for breakthrough pain in cancer patients. Transmucosal fentanyl is only used in terminal stages of cancer. Transmucosal fentanyl is less effective than oral medications. Transmucosal fentanyl is primarily used for long-term pain management.
Because diarrhea indicates that the medication is not effective.
- During what time frame after Hematopoeietic Stem Cell Transplant is a patient most at risk for serious complications? First 2 years post-transplant First year post-transplant 0 - 100 days post-transplant 0 - 200 days post-transplant
- Describe the role of pancrealipase in the care of a patient who has undergone a Whipple procedure. Pancrealipase is an antibiotic used to prevent infections post- surgery. Pancrealipase is a pain reliever for post-operative discomfort. Pancrealipase helps in the digestion of fats, proteins, and carbohydrates due to the loss of pancreatic function after the surgery. Pancrealipase is used to manage diarrhea caused by the surgery.
- What term describes the emotional response a patient may have after receiving a cancer diagnosis, which can manifest as frequent interruptions during teaching sessions? reactive anxiety cognitive impairment symptoms of depression suspicion of the treatment
- A patient with a history of hypercalcemia is prescribed a new medication regimen that includes a thiazide diuretic. What should the nurse do? Advise the patient to stop all medications immediately. Monitor the patient for signs of dehydration only. Instruct the patient to increase their calcium intake. Consult the healthcare provider about the appropriateness of the thiazide diuretic.
- What is the recommended response for a nurse when a patient expresses fear about showing their body after a mastectomy? There are many options for prostheses and reconstruction. Let's practice discussing your concerns with your spouse. I am sure your spouse loves you just the way you are. Do not worry, things will look better in a few weeks.
- If a patient with late-stage cancer insists on a filtered communication style, what should the oncology nurse do to ensure effective care while respecting the patient's wishes? Ignore the patient's request and communicate directly with the family members. Facilitate communication through the patient’s preferred method while ensuring all necessary information is conveyed. Encourage the patient to accept direct communication from the healthcare team. Provide all information only to the family members to avoid confusion.
- A patient with an insulinoma would be most likely to experience which
treatment plan start date
- Discuss why female to male donation is associated with a higher incidence of acute graft-versus-host disease compared to other donor types. Reduced intensity conditioning regimens do not affect the incidence of acute graft-versus-host disease. HLA identical related donors are less likely to cause acute graft- versus-host disease because they share all antigens. Female to male donation can lead to a higher incidence of acute graft-versus-host disease due to differences in HLA antigens and the presence of maternal antibodies. T cell depleted grafts are always safe and do not cause any complications.
- Discuss why a new 18 - gauge peripheral IV might present a higher risk for venous irritation compared to other types of access. A midline catheter is designed to minimize irritation due to its placement in larger veins. An implanted vascular access device is less likely to irritate because it is placed surgically. A peripherally inserted central catheter is always safe and does not cause irritation. A new 18-gauge peripheral IV may cause irritation due to repeated attempts and potential trauma to the vein.
- Which of following agent is usually given with ifosfamide to prevent hemorrhagic cystitis? Mesna Famotidine
Diphenhydramine Leucovorin
- If a patient with an implanted vascular access device is unable to achieve blood return after repositioning and coughing, what should the nurse do next? Document the incident and wait for the next scheduled assessment. Re-access the device with a new needle immediately. Instill low-dose heparin and monitor for changes. Contact the physician for further evaluation and possible intervention.
- Why is it important for the nurse to encourage the patient to discuss their concerns with their spouse after a mastectomy? It focuses solely on physical recovery rather than emotional well-being. Encouraging discussion helps address emotional concerns and fosters support in the relationship. It allows the nurse to avoid dealing with the patient's feelings. It minimizes the patient's feelings about their body image.
- If a patient on chlorambucil begins to show signs of nausea and vomiting after administration, what should the nurse do next? Document the symptoms and wait for the physician to arrive. Administer antiemetic medication immediately without assessment. Assess the patient's symptoms and notify the physician.
assesses the ostomy, she notes that the adhesive backing on the appliance has buckled. What is the nurse's immediate concern? Local discomfort Skin breakdown Tissue swelling Skin infection
- What is the first action a nurse should take when a patient scheduled for a blood transfusion has a history of receiving daratumumab? Administer diphenhydramine and acetaminophen immediately. Notify the transfusion center of the patient's medication history. Obtain verbal consent from the patient for the blood transfusion. Initiate an infusion of 5% dextrose in water through a 20 gauge peripheral IV catheter.
- If the patient in the scenario develops further complications, what immediate nursing intervention should be prioritized to address the suspected septic shock? Monitor vital signs every hour without intervention. Perform a complete blood count and wait for results before acting. Administer intravenous fluids and broad-spectrum antibiotics. Provide comfort measures and wait for the physician's orders.
- Describe why it is important to verify the absence of an anastomic leak after a patient undergoes a gastrectomy.
It is important to ensure the patient can tolerate a general diet after surgery. It is essential to check for any obstructions to ensure normal digestive function. It is crucial to verify the absence of an anastomic leak to prevent complications such as infection and ensure proper healing. It is necessary to confirm that all surgical margins are clear to prevent cancer recurrence.
- The nurse is caring for four clients who require pain relief. Which client would be the best candidate for the use of a transdermal fentanyl patch? A post-operative client who is experiencing acute pain after undergoing a bowel resection. A teenager requiring pain relief while a humerus fracture is reduced and casted. An adult lung cancer patient taking opioids who is experiencing tolerance and having breakthrough pain. An elderly client who has undergone surgery for the placement of a prosthetic knee and is having muscle spasms.
- What is the primary purpose of using a compression garment in patients with lymphedema? preventing the accumulation of lymph in the soft tissue helping to keep the blood flowing back to the heart maintaining lymph nodes in the proper location after a mastectomy increasing the transit time of venous return
absolute risk attributable risk
- A patient with a brain tumor reports headaches that are worse in the morning. What explanation does the nurse give for the morning headaches? "You are most likely dehydrated" "The tumor is shrinking" "You may have an increase in intracranial pressure" "You are probably experiencing migraine headaches"
- What does carcinoma in situ refer to in terms of cellular behavior? Well-differentiated cells with no abnormalities Poorly differentiated cells in lymph nodes Cancerous cells that have metastasized Abnormal cells without spread to nearby tissue
- Which of the following interventions would be MOST appropriate for a patient who has lymphedema? 2. Use of a compression garment
- Vigorous exercise
- Deep tissue massage
- Deep heat modalities
- The nurse receives a patient from the operating room after he undergoes a Whipple procedure. The nurse recognizes that this procedure is indicated for the patient who has which disorder?
pancreatic cancer acute pancreatitis cholecytitis peritonitis
- The nurse is caring for a client with cancer who has developed an epidural tumor with spinal cord compression. Which physical assessment findings would be consistent with this diagnosis? Increased range of motion Increased deep tendon reflexes Lower back pain Increased urinary frequency
- If a patient presents with symptoms of leukemia, how would a bone marrow biopsy assist in their diagnosis? By determining bone density to assess skeletal health. By providing cytogenetic analysis to identify genetic markers associated with leukemia. By assessing vitamin levels to rule out deficiencies. By measuring hormone levels to evaluate endocrine function.
- Why is it important for the nurse to ask the patient to reposition by raising their hands and coughing when there is no blood return from the vascular access device? It allows the nurse to assess the device's integrity. It ensures the patient is comfortable during the procedure. It prepares the patient for potential medication administration.
