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ONS/ONCC Chemotherapy Immunotherapy Certification Exam 2025 | Questions & Detailed Answers

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This 2024 ONS/ONCC Chemotherapy Immunotherapy Certification Exam study guide contains the latest exam questions with detailed, verified answers to help you pass on your first attempt. Covering essential topics such as cell cycle, alkylating agents, antimetabolites, targeted therapies, immunotherapy, safe handling, and nursing management of side effects, this resource is designed for oncology nurses seeking certification. Each question is paired with clear rationales and clinical pearls to reinforce understanding of drug mechanisms, toxicities, administration guidelines, and patient education. Ideal for exam preparation and clinical reference.

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ONS/ONCC CHEMOTHERAPY
IMMUNOTHERAPY CERTIFICATION
LATEST EXAM 2024 QUESTIONS AND
CORRECT DETAILED ANSWERS |GRADED
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The Normal Cell Cycle - ANSWER --The cell cycle refers to the ordered seres of processes of DNA
replication and mitosis, or cell division



-Cell nucleus regulates these processes by gathering and processing complexes molecular
information



Interphase and Mitotic Phase - ANSWER -Cell division produces two identical cells through these
two major phases



During interphase: - ANSWER -Cell grows and DNA is replicated through the following three
steps:



1: First growth phase (G1 or first gap)



2: Synthesis phase (S phase)



3:Mitotic Phse (M phase)



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,First Growth Phase (G1 or first gap) - ANSWER --cells increase in size



-reproduce RNA



-"quality assurance" test that the cell will be ready to synthesis DNA



-Length of time is variable, can be from hours to days



Synthesis Phase (S phase) - ANSWER --DNA replicates



-Results in the formation of identical pairs of DNA (chromatids)



-which are attached a t the centromere



-lasts 2-10 hours



Mitotic Phase (M phase) - ANSWER --Replicated chromosomes are aligned, separated, and
move into 2 new, identical daughter cells



-takes about 30-60 minutes



Major points of cell regulation are entry and exit from - ANSWER --G1 checkpoint



-S Phase



-G2 checkpoint


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,-M phase



Restriction Point - ANSWER --The transition from the resting phase into an actively dividing
phase (G0-G1) is a point where cellular transformation can occur



-During this time, cells pass through a transition phase known as a restriction point



-Extracellular growth factors trigger reentry into G1, and GF are required to send the cells past
the restriction point, or the point of no return



G0 Phase (resting phase) - ANSWER --After mitosis, cells may enter back into the G1 phase or go
into a resting phase, known as G0



-Most cells in the human body reside in G0



-Exceptions to this are those that are (Resting in G0 phase) - ANSWER --Exceptions to this are
those that are metabollically active, such as



-granulocytes



-and the epithelium of the GI tract



Cell Cycling Time - ANSWER -Amount of time from mitosis to mitosis



Cell cycle video and image - ANSWER -
http://highered.mheducation.com/sites/0072495855/student_view0/chapter2/animation__ho
w_the_cell_cycle_works.html

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, Check points in the Cell Cycle: Keeping it All Under Control - ANSWER --The cell cycle is carefully
controlled through a series of checkpoints



-Variation in duplication or distribution of chromosomes during cell division can alter the
genetic information passed on to daughter cells, leading to cellular dysfunction and disease,
such as cancer



-These checkpoints monitor for DNA integrity and control progression through mitosis



Progression through the cell cycle is controlled through two proteins: - ANSWER -1. cyclines (D,
E, A, B)



2. Cyclin-dependent kinases (CDKs)



-Cyclin-CDK complex allows the cell to progress through each phase of the cell cycle



Locations of proteins Cyclins (D, E, A, B) and CDKs - ANSWER --(G0-G1) : Cyclin D and CDK 4/6



-Early S: Cyclin E and CDK 1/2



-Late S: Cyclin A and CDK 1/2



-G2: CDK 1/2 and cyclin A



-Before M: CDK 1 and Cyclin B




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