Practice Test Geeks(OCC) Oncology Chemotherapy Certification Practice Test
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OCC Chemotherapy-Induced Side Effects Management Flashcards

6 cards from real OCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 OCC Chemotherapy-Induced Side Effects Management flashcards as text

  1. A patient receiving cisplatin-based chemotherapy develops a serum creatinine of 2.1 mg/dL. Which intervention is the highest priority?

    Answer: Hold the next cisplatin dose and notify the oncologist

    Cisplatin is nephrotoxic, and a rising creatinine indicates renal impairment requiring dose hold and provider notification before proceeding.

  2. Which antiemetic class is MOST effective for preventing acute chemotherapy-induced nausea and vomiting (CINV) caused by highly emetogenic regimens?

    Answer: 5-HT3 receptor antagonists (ondansetron)

    5-HT3 receptor antagonists are first-line agents for preventing acute CINV from highly emetogenic chemotherapy regimens.

  3. A patient on doxorubicin complains of mouth sores and is unable to eat. The nurse grades the mucositis as Grade 3. Which intervention is appropriate?

    Answer: Initiate parenteral nutrition and notify the provider for dose modification

    Grade 3 mucositis (inability to eat) requires nutritional support and provider notification for possible chemotherapy dose modification.

  4. Which finding would MOST concern the oncology nurse when caring for a patient experiencing chemotherapy-induced peripheral neuropathy (CIPN)?

    Answer: Inability to button a shirt or walk without assistance

    Loss of fine motor control and gait instability indicate severe functional impairment from CIPN, requiring urgent provider notification and possible dose modification.

  5. A patient receiving irinotecan develops profuse watery diarrhea 12 hours after infusion. What is the nurse's priority action?

    Answer: Administer loperamide per protocol and monitor hydration status

    Late-onset diarrhea from irinotecan (>24 hours post-infusion) is managed with loperamide and vigilant hydration monitoring per protocol.

  6. Which lab value is the MOST critical to monitor for bone marrow suppression in a patient receiving myelosuppressive chemotherapy?

    Answer: Absolute neutrophil count (ANC)

    The ANC is the primary indicator of neutropenia risk and infection susceptibility in patients receiving myelosuppressive chemotherapy.

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