ONS ONCC Chemo Renewal II Exam
2024 With 100% Correct Answers
Key Points for Combination Therapy - correct answer Oncology Nurses must consider
Consider the potential toxicity related to each drug.
Understand the monitoring guidelines for each drug.
Have knowledge of clinically significant signs and symptoms
ONS Evidence-Based Practice Resources - correct answer Evidence-based practice can have positive
effects, such as:
Improved patient outcomes
Increased nurse satisfaction
Potential cost savings
Risk Factors For Colon Cancer - correct answer Increased age is a risk factor for developing colorectal
cancer. The chance of developing colorectal cancer increases markedly after age 50. Roughly 9 out of 10
people diagnosed with colorectal cancer are at least 50 years old. Smoking, alcohol intake, and a
personal history of polyps are all things that increase risk. Other risk factors for the development of
colorectal cancer include:
Racial and ethnic backgrounds (African Americans and Jews of Eastern European descent [Ashkenazi
Jews] have highest incidence)
Diet high in red and processed meats
Physical inactivity, obesity
Type 2 diabetes
Family history of colon cancer or inflammatory bowel disease
Inherited familial syndromes (FAP, HNPCC)
, Patient Education on Chemotherapy - correct answer Patients are provided with verbal and written or
electronic information as part of an education process before the first administration of treatment of
each treatment plan. The content of this educational material will be documented. Educational
information includes the following at a minimum:
Patient's diagnosis
Goals of treatment; that is, cure disease, prolong life, or reduce symptoms
Planned duration of treatment, schedule of treatment administration, drug names and supportive
medications, drug-drug and drug-food interactions, and plan for missed doses
Potential long-term and short-term adverse effects of therapy, including infertility risks for appropriate
patients
Symptoms or adverse effects that require the patient to contact the healthcare setting or to seek
immediate attention
Symptoms or events that require immediate discontinuation of oral or other self-administered
treatments
Procedures for handling medications in the home, including storage, safe handling, and management of
unused medication
Procedures for handling body secretions and waste in the home
Follow-up plans, including laboratory and provider visits
Contact information for the healthcare setting, with availability and instructions on when and who to call
The missed appointment policy of the healthcare setting and expectations for rescheduling or cancelling
Education includes family, caregivers, or others based on the patient's ability to assume responsibility for
managing therapy. Educational activities will be performed based on the patient's learning needs,
abilities, preferences, and readiness to learn.
Folfox 6 - correct answer he treatment regimen, FOLFOX6, consists of chemotherapy in two-week cycles
over a six-month period. Ensuring patient understanding of the treatment and anticipated side effects
before initiation of therapy is an important safety standard and should be documented in the patient
record (Neuss et al., 2016). Mr. Patterson is also provided written information regarding his
chemotherapy regimen to review at home. Mr. Patterson's treatment plan with FOLFOX6 consists of the
following:
Oxaliplatin 100 mg/m2 and Leucovorin 400 mg/m2 IV over two hours, then
5-fluorouracil (5-FU) 400 mg/m2 IV bolus, followed by
2024 With 100% Correct Answers
Key Points for Combination Therapy - correct answer Oncology Nurses must consider
Consider the potential toxicity related to each drug.
Understand the monitoring guidelines for each drug.
Have knowledge of clinically significant signs and symptoms
ONS Evidence-Based Practice Resources - correct answer Evidence-based practice can have positive
effects, such as:
Improved patient outcomes
Increased nurse satisfaction
Potential cost savings
Risk Factors For Colon Cancer - correct answer Increased age is a risk factor for developing colorectal
cancer. The chance of developing colorectal cancer increases markedly after age 50. Roughly 9 out of 10
people diagnosed with colorectal cancer are at least 50 years old. Smoking, alcohol intake, and a
personal history of polyps are all things that increase risk. Other risk factors for the development of
colorectal cancer include:
Racial and ethnic backgrounds (African Americans and Jews of Eastern European descent [Ashkenazi
Jews] have highest incidence)
Diet high in red and processed meats
Physical inactivity, obesity
Type 2 diabetes
Family history of colon cancer or inflammatory bowel disease
Inherited familial syndromes (FAP, HNPCC)
, Patient Education on Chemotherapy - correct answer Patients are provided with verbal and written or
electronic information as part of an education process before the first administration of treatment of
each treatment plan. The content of this educational material will be documented. Educational
information includes the following at a minimum:
Patient's diagnosis
Goals of treatment; that is, cure disease, prolong life, or reduce symptoms
Planned duration of treatment, schedule of treatment administration, drug names and supportive
medications, drug-drug and drug-food interactions, and plan for missed doses
Potential long-term and short-term adverse effects of therapy, including infertility risks for appropriate
patients
Symptoms or adverse effects that require the patient to contact the healthcare setting or to seek
immediate attention
Symptoms or events that require immediate discontinuation of oral or other self-administered
treatments
Procedures for handling medications in the home, including storage, safe handling, and management of
unused medication
Procedures for handling body secretions and waste in the home
Follow-up plans, including laboratory and provider visits
Contact information for the healthcare setting, with availability and instructions on when and who to call
The missed appointment policy of the healthcare setting and expectations for rescheduling or cancelling
Education includes family, caregivers, or others based on the patient's ability to assume responsibility for
managing therapy. Educational activities will be performed based on the patient's learning needs,
abilities, preferences, and readiness to learn.
Folfox 6 - correct answer he treatment regimen, FOLFOX6, consists of chemotherapy in two-week cycles
over a six-month period. Ensuring patient understanding of the treatment and anticipated side effects
before initiation of therapy is an important safety standard and should be documented in the patient
record (Neuss et al., 2016). Mr. Patterson is also provided written information regarding his
chemotherapy regimen to review at home. Mr. Patterson's treatment plan with FOLFOX6 consists of the
following:
Oxaliplatin 100 mg/m2 and Leucovorin 400 mg/m2 IV over two hours, then
5-fluorouracil (5-FU) 400 mg/m2 IV bolus, followed by
