OCC Administration & Safety Protocols 5

Question 1

Oral chemotherapy agents such as capecitabine should be dispensed to patients with which instruction regarding handling?

Accepted Answer

Tablets should be handled with gloves or handled indirectly; do not crush or split unless specifically formulated to do so

Answer

Oral chemotherapy tablets should not be crushed or split (unless formulated as such) and caregivers should use gloves when handling them to prevent hazardous skin contact.

Question 2

Which action is required before administering intrathecal chemotherapy to comply with safe handling standards?

Accepted Answer

Sequester intrathecal preparations separately and label clearly; administer in a dedicated procedure separate from IV chemotherapy

Answer

Intrathecal chemotherapy must be prepared in a syringe, clearly labeled, sequestered, and administered in a dedicated procedure completely separate from any IV chemotherapy to prevent fatal route errors.

Question 3

A closed-system drug transfer device (CSTD) is MOST beneficial for which scenario?

Accepted Answer

Transferring liquid hazardous drugs between vials and syringes to prevent aerosol and spill exposure

Answer

CSTDs mechanically prevent the escape of hazardous drug aerosols and liquid during drug transfer and administration, making them essential for IV hazardous drug preparation.

Question 4

According to ASCO/ONS standards, who is responsible for verifying a patient's informed consent for chemotherapy before administration begins?

Accepted Answer

The prescribing physician or advanced practice provider

Answer

Informed consent for chemotherapy is the legal and ethical responsibility of the prescribing physician or APP who discussed the risks, benefits, and alternatives with the patient.

Question 5

A patient's port is accessed but there is no blood return. Which action should the nurse take BEFORE infusing a vesicant chemotherapy agent?

Accepted Answer

Attempt to reposition the patient (arm raise, deep breath) and reassess; if still no blood return, do not infuse and report to the physician

Answer

Lack of blood return from a port indicates uncertain placement and is an absolute contraindication to vesicant administration until position is confirmed, to prevent extravasation.

(OCC) Oncology Chemotherapy Certification Practice Test

(OCC) Oncology Chemotherapy Certification Practice Test

OCC Administration & Safety Protocols 5