ONS ONCC CHEMO RENEWAL EXAM LATEST
2024-2025 ACTUAL EXAM 60 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
Terms in this set (59)
Neoadjuvant therapy does Main benefit of neoadjuvant chemotherapy (breast
not increase survival when cancer patient)
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
,A comprehensive geriatric Due to Mrs. Turner's age and comorbidities, her
assessment (CGA) is a oncologist performs a comprehensive geriatric
multidisciplinary evaluation assessment. You know that this assessment covers all but
to assess life expectancy which of the following:
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).
The NCCN Older Adult Oncology Guidelines (version
1.2015) provides information on what is included in a
comprehensive geriatric assessment. Currently, more
65 than 60% of cancers in the United States occur in people
age ______and older and as the oncology world ages,
nearly half (46%) of cancer survivors are 70 years of age
or older
, Two of the agents What is your best explanation for why Mrs. Turner was
(docetaxel and carboplatin) given a port to receive her chemotherapy?
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.
_____________can cause inflammation, pain, and burning but
rarely cause tissue necrosis comparable to a vesicant
Irrirtants
(unless a large amount or a very high concentration of
the irritant is extravasated).
_____________can cause blistering and significant pain and
Vesicants
tissue damage and destruction, leading to tissue death.
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