Chemotherapy/Immunotherapy Questions with
Correct Answers
*A patient is scheduled to begin cetuximab. The nurse should teach the
patient about the importance of using:
A. Alcohol based cleansers
B. Hypoallergenic moisturizers
C. Pure petrolleum*
D. Benzoyl peroxide gel Correct Ans ✓✓ C. Pure petrolleum*
*Which of the following medications is known to be carcinogenic to
humans?
A. Streptozocin
B. Bleomycin
C. Melphalan*
D. Daunorubicin Correct Ans ✓✓ C. Melphalan
*Which of the following actions could help improve adherence to oral
chemotherapeutic medications?
A. Providing the benefits of adherence at the first clinic appointment.*
B. Teaching the patient how to use a pillbox to store medication.
C. Encouraging the patient to move in with a family member.
D. Ongoing collaboration between the patient and healthcare team.
Correct Ans ✓✓ B. Teaching the patient how to use a pillbox to store
medication.
,*A patient with a history of receiving chest radiation is scheduled to
receive a second cycle of doxorubicin. The nurse notes that the patient's
cumulative dose of doxorubicin before this cycle is 440mg/m2. The
nurse's initial response is to:
A. Anticipate a referral for the patient to cardiology
B. Notify the physician of the cumulative dose.*
C. Cancel the patient's chemotherapy appointment
D. Administer the chemotherapy as ordered. Correct Ans ✓✓ A.
Anticipate a referral for the patient to cardiology
What type of analgesia is used to access an implanted port for vesicant
administration?
A. Subcutaneous lidocaine
B. Intradermal bacteriostatic saline
C. Intradermal lidocaine
D. Topical short acting anesthesic* Correct Ans ✓✓ D. Topical short
acting anesthesic*
A patient receiving an infusion of mitomycin reports slight discomfort
above the peripheral IV site. What is an appropriate action for the nurse
to take?
A. Restart the IV below the previous site.
B. Wrap the arm in a warm blanket
C. Reduce the infusion rate and monitor the site.
, D. Stop the infusion and aspirate for a blood return.* Correct Ans ✓✓
D. Stop the infusion and aspirate for a blood return.*
A patient's IV infiltrates. The nurse restarts the IV in:
A. A site proximal to the previous site.
B. A lower extremity.
C. The ventral surface of the wrist.
D. The antecubital fossa.* Correct Ans ✓✓ D. The antecubital fossa.*
*Which statement by a patient indicates the need for additional teaching
regarding the side effects doxorubicin? "I need to report any..."
A. Fever above 100.5
B. Shortness of breath
C. Changes in the color of urine*
D. Sudden weight gain Correct Ans ✓✓ C. Changes in the color of
urine*
A patient reports leaking at the chemotherapy infusion site. After
assessing and warning others, the nurse:
A. Consults the pharmacist for instructions
B. Relocates the patient to another room
C. Contacts the physician for additional orders.
D. Retrieves the hazardous medication spill kit.* Correct Ans ✓✓ D.
Retrieves the hazardous medication spill kit.*
Correct Answers
*A patient is scheduled to begin cetuximab. The nurse should teach the
patient about the importance of using:
A. Alcohol based cleansers
B. Hypoallergenic moisturizers
C. Pure petrolleum*
D. Benzoyl peroxide gel Correct Ans ✓✓ C. Pure petrolleum*
*Which of the following medications is known to be carcinogenic to
humans?
A. Streptozocin
B. Bleomycin
C. Melphalan*
D. Daunorubicin Correct Ans ✓✓ C. Melphalan
*Which of the following actions could help improve adherence to oral
chemotherapeutic medications?
A. Providing the benefits of adherence at the first clinic appointment.*
B. Teaching the patient how to use a pillbox to store medication.
C. Encouraging the patient to move in with a family member.
D. Ongoing collaboration between the patient and healthcare team.
Correct Ans ✓✓ B. Teaching the patient how to use a pillbox to store
medication.
,*A patient with a history of receiving chest radiation is scheduled to
receive a second cycle of doxorubicin. The nurse notes that the patient's
cumulative dose of doxorubicin before this cycle is 440mg/m2. The
nurse's initial response is to:
A. Anticipate a referral for the patient to cardiology
B. Notify the physician of the cumulative dose.*
C. Cancel the patient's chemotherapy appointment
D. Administer the chemotherapy as ordered. Correct Ans ✓✓ A.
Anticipate a referral for the patient to cardiology
What type of analgesia is used to access an implanted port for vesicant
administration?
A. Subcutaneous lidocaine
B. Intradermal bacteriostatic saline
C. Intradermal lidocaine
D. Topical short acting anesthesic* Correct Ans ✓✓ D. Topical short
acting anesthesic*
A patient receiving an infusion of mitomycin reports slight discomfort
above the peripheral IV site. What is an appropriate action for the nurse
to take?
A. Restart the IV below the previous site.
B. Wrap the arm in a warm blanket
C. Reduce the infusion rate and monitor the site.
, D. Stop the infusion and aspirate for a blood return.* Correct Ans ✓✓
D. Stop the infusion and aspirate for a blood return.*
A patient's IV infiltrates. The nurse restarts the IV in:
A. A site proximal to the previous site.
B. A lower extremity.
C. The ventral surface of the wrist.
D. The antecubital fossa.* Correct Ans ✓✓ D. The antecubital fossa.*
*Which statement by a patient indicates the need for additional teaching
regarding the side effects doxorubicin? "I need to report any..."
A. Fever above 100.5
B. Shortness of breath
C. Changes in the color of urine*
D. Sudden weight gain Correct Ans ✓✓ C. Changes in the color of
urine*
A patient reports leaking at the chemotherapy infusion site. After
assessing and warning others, the nurse:
A. Consults the pharmacist for instructions
B. Relocates the patient to another room
C. Contacts the physician for additional orders.
D. Retrieves the hazardous medication spill kit.* Correct Ans ✓✓ D.
Retrieves the hazardous medication spill kit.*
