OCN Chemotherapy Administration

Question 1

Which chemotherapy agent is classified as a vesicant and requires careful monitoring for extravasation?

Accepted Answer

Vincristine

Answer

Vincristine is a vesicant that can cause severe tissue necrosis if it extravasates from the vein.

Question 2

What is the correct action if extravasation of a vesicant chemotherapy agent is suspected?

Accepted Answer

Stop the infusion immediately and leave the needle in place

Answer

The infusion must be stopped immediately and the needle left in place so residual drug can be aspirated before further intervention.

Question 3

Which personal protective equipment (PPE) is required when handling hazardous chemotherapy drugs?

Accepted Answer

Double gloves, gown, and eye protection

Answer

NIOSH and ONS guidelines require double chemotherapy-rated gloves, a protective gown, and eye/face protection when handling hazardous drugs.

Question 4

A patient receiving cisplatin needs prehydration primarily to prevent which toxicity?

Accepted Answer

Nephrotoxicity

Answer

Cisplatin is highly nephrotoxic, and aggressive IV hydration before and after administration is required to protect renal function.

Question 5

Which route of administration bypasses the blood-brain barrier most effectively for CNS tumors?

Accepted Answer

Intrathecal

Answer

Intrathecal administration delivers chemotherapy directly into the cerebrospinal fluid, bypassing the blood-brain barrier.

OCN Exam Practice Test