OCC Administration & Safety Protocols 4

Question 1

A patient asks why they must use a condom during chemotherapy. The nurse's best explanation is:

Accepted Answer

Chemotherapy agents can be excreted in bodily fluids and may expose the partner

Answer

Many chemotherapy agents are excreted in semen, vaginal secretions, and other body fluids, posing a hazardous exposure risk to sexual partners.

Question 2

Which is the correct disposal container for used IV bags, tubing, and gloves contaminated with chemotherapy?

Accepted Answer

Yellow chemotherapy waste container (RCRA hazardous waste)

Answer

Items contaminated with chemotherapy must be disposed of in designated yellow chemotherapy (cytotoxic) waste containers that comply with RCRA hazardous waste regulations.

Question 3

When administering rituximab, premedication is given to reduce which type of reaction?

Accepted Answer

Infusion-related reactions (IRRs) including cytokine release

Answer

Rituximab frequently causes cytokine release-mediated infusion-related reactions, so acetaminophen, diphenhydramine, and sometimes corticosteroids are given as premedication.

Question 4

Which situation warrants holding a chemotherapy dose and notifying the physician BEFORE administration?

Accepted Answer

ANC of 450 cells/mm³ and platelets of 60,000/mm³

Answer

An ANC below 500 cells/mm³ and platelets below 75,000–100,000/mm³ typically meet hold parameters that require physician reassessment before proceeding.

Question 5

A pregnant healthcare worker should take which precaution related to chemotherapy handling?

Accepted Answer

Request reassignment away from tasks involving hazardous drug preparation and administration

Answer

Reproductive risk from chemotherapy exposure is well established; pregnant workers should be reassigned from hazardous drug handling tasks per NIOSH and institutional policy.

(OCC) Oncology Chemotherapy Certification Practice Test

(OCC) Oncology Chemotherapy Certification Practice Test

OCC Administration & Safety Protocols 4