OCC Administration & Safety Protocols 2

Question 1

When preparing chemotherapy agents in the pharmacy, which type of biological safety cabinet (BSC) is required?

Accepted Answer

Class II Type B2 BSC

Answer

NIOSH and USP 800 require a Class II Type B2 BSC for hazardous drug compounding because it provides 100% exhaust to the outdoors with no air recirculation.

Question 2

A patient receives vincristine 2 mg IV. The nurse notes the order did not specify a route. Which action is most appropriate?

Accepted Answer

Hold the dose and clarify the route with the prescriber

Answer

Vincristine is fatal if given intrathecally, so any ambiguity in the route must be clarified before administration to prevent a catastrophic medication error.

Question 3

Which personal protective equipment (PPE) component is specifically required when administering aerosolized or nebulized hazardous drugs?

Accepted Answer

N95 respirator or powered air-purifying respirator (PAPR)

Answer

Aerosolized hazardous drugs require respiratory protection beyond a surgical mask; an N95 respirator or PAPR is required to prevent inhalation exposure.

Question 4

A nurse is administering paclitaxel when the patient reports flushing, urticaria, and shortness of breath. What is the FIRST action?

Accepted Answer

Stop the infusion immediately and call for help

Answer

Signs of hypersensitivity reaction require immediate cessation of the infusion to prevent anaphylaxis progression before any other interventions.

Question 5

According to OSHA guidelines, chemotherapy spill kits must contain which item for absorbing liquid spills?

Accepted Answer

Absorbent pads or towels designed for chemotherapy spills

Answer

Chemotherapy spill kits must contain chemotherapy-specific absorbent materials that capture and contain the hazardous agent without spreading contamination.

(OCC) Oncology Chemotherapy Certification Practice Test

(OCC) Oncology Chemotherapy Certification Practice Test

OCC Administration & Safety Protocols 2