Welcome to Preparing for the CPHON^® Exam: eLearning Case Studies

This resource has been developed to be used together with the Essentials of Pediatric Hematology/Oncology Nursing: A Core Curriculum, 4th Edition. This program includes eight modules that start with a set of reading assignments. After reading the assignments, participants review case studies and practice answering questions. At the end of the program, participants can take a scored practice post-test and review their correct and incorrect answers to continuously improve their score and confidence level.

The first module reviews basic content about cancer and provides advice about how to prepare for the CPHON^® exam and strategies that can be used while taking the test. The other seven modules each focus a particular type of cancer. These modules provide:

• Case studies about children who had that type of cancer
• Questions about that cancer type interspersed within the case studies
• Plus additional practice questions about each cancer type!

Module List

1. Introduction and Oncology & Hematology Basics
2. Leukemia Cases
3. Lymphoma Cases
4. Brain Tumor Case
5. Neuroblastoma Cases
6. Solid Tumor Cases
7. Sickle Cell Disease
8. Other Hematology Cases

At the end of the program, there is a post-test that you can take as many times as you want.

Disclaimer: ONCC does not develop, provide, sponsor, or endorse any review courses. Participation in a review course is not required to apply for or take an ONCC certification examination. Participation in a review course does not guarantee a passing score on an ONCC certification examination.

Target Audience Description
The target audience for this course is the same as the target audience for the CPHON^® certification. For more information, go to https://www.oncc.org/certifications/certified-pediatric-hematology-oncology-nurse-cphon. 

Length
15 hours, including 7 to 8 hours of reading assignments

Learning Objectives

The Learning Objectives for this program are the based on the CPHON^® test blueprint, with the addition of a test-taking strategy objective at the end of this list. For more information about the test content outline, see https://www.oncc.org/files/CPHONTestContentOutline.pdf.

For pediatric, adolescent and young adult patients, nurses will be able to:

• Describe aspects of psychosocial adaptation and health maintenance of the patient and family during the acute/chronic disease process
• Identify the diagnosis, treatment and outcomes for oncologic disorders
• Identify the diagnosis, treatment and outcomes for hematologic disorders
• Recognize and anticipate late effects and survivorship issues associated with treatment for oncologic and hematologic disorders
• Evaluate the classifications of chemotherapeutic agents and their mechanisms of action
• Describe administration guidelines, monitoring and precautions for antineoplastic chemotherapeutic and biotherapeutic agents.
• Identify supportive care interventions related to side effects and toxicities of therapy
• Recognize and anticipate hematologic and oncologic emergencies and important nursing interventions for each
• Describe the philosophy, core concepts, and challenges of palliative and end of life care
• Utilize best practices for studying and test-taking

Preparing for the CPHON Exam: eLearning Case Studies Project Team Members

Project Leader
Terri L. Boyce, DNP APRN CPNP-AC CPHON^®

Board Liaison
Dyane Bunnell, MSN RN AOCNS CPON^®

Content Developers
Janet K. Cavitt, BSN RN CPON^®
Colleen M. Nixon, MSN RN CPHON^®
Carol Rossetto, CPNP CPON^®
Anne Marie Sterk, MSN RN CPON^®
Anthony Yost, CPHON^®

Reviewers
Erin Friedman, BSN RN CPHON^®
Amy Haskamp, MSN RN PCNS CHPPN CPON^®
Janice Nuuhiwa, MSN APN/CNS NPD-BC CPHON^®
Mary Lynn Rae, MSN RN CPHON^®
Kristin M. Belderson, DNP MS RN CPON^®
Joan O’Hanlon Curry, MS RN CPNP CPON^®

Course Overview

The Transplant Foundations course is designed to teach nurses learners how to care for pediatric transplant patients at their institution. This course emphasizes:

• Core foundational concepts that are required before learning specific institutional practices
• A multi-disciplinary team approach and plan of care
• Providing psycho-social support and education for patients, parents and family members about what to do/expect during their care

This course is meant to be paired with classroom training about institutional-specific pediatric transplant practices. Providing these online modules reduces the nurse educator preparation time and time in the classroom.

Target Audience

This course is written for the following target audiences.

• Novice nurses with limited pediatric clinical experience and no stem cell transplant experience.
• Experienced nurses who don’t have hematology, oncology, bone marrow transplant (BMT), or pediatric experience. These nurses may know adult stem cell transplant, but have not cared for pediatric patients.
• Nurse Practitioners who may have some experience, but not extensive transplant experience.

Prerequisite

Nurses should complete the APHON Chemo/Bio curriculum prior to taking this course.

Course Objectives

After completing the Transplant Foundations course, the nurse will be able to:

• Identify and define the types and source of transplants
• Identify indications for transplants and ethical considerations
• Identify the types of conditioning regimens for BMT and their potential adverse effects
• Administer and manage cellular therapy infusions
• Conduct assessments specific to pediatric BMT patients
• Manage symptoms as needed and required (pain, mucositis, nausea, vomiting, skin integrity, etc.)
• Recognize the complications for each type of transplant regardless of donor source or conditioning regimen
  • In the event of an emergency, immediately intervene
  • For non-emergencies, notify/escalate to the appropriate provider who should intervene
• Describe post-transplantation immune re-constitution and late effects after BMT
• Plan for safe discharge including home and follow-up care
• Maintain professional boundaries and care for self
• Care for an initial, small cohort, less complicated stem cell patient

Module List

This course has nine modules.

1. Transplant Types and Sources
2. Transplant Indications and Ethical Considerations
3. Conditioning Regimens
4. Administration and Management of Infusions
5. Recognize and Manage Toxicities and Side Effects
6. Recognize and Manage Complications
7. Discharge Planning and Education
8. Immune Re-Constitution and Late Effects
9. Boundaries and Self-Care

Terms of Use

The APHON Foundations of Pediatric Hematopoietic Stem Cell Transplantation, 3rd Edition (“APHON Foundations Courses”), including copyright therein, are owned exclusively by APHON and may not be used except for the limited license as provided below. APHON grants Purchaser of the APHON Foundations Courses a limited license to use the APHON Foundations Courses in a classroom setting and for the individual Purchaser’s independent study.

Without limiting the specific nature of the license above, APHON only grants Purchaser the permission to use the APHON Foundations Courses to teach employees in Purchaser’s institution in an in-person or virtual instruction setting. The APHON Foundations Courses may not be loaded into Purchaser’s or their institution’s learning management system, and Purchaser may not create any derivative works of the APHON Foundations Courses, including any modifications, recorded voiceovers, or other additions or changes to the APHON Foundations Courses. Purchaser may place the PowerPoint^® slides contained within the APHON Foundations Courses exactly in their original form on the institution’s shared network to allow central access within the institution only. Purchaser may print the presenter notes and slide handouts within the APHON Foundations Courses for use in conjunction with instruction within Purchaser’s institution.

Purchaser may offer continuing nursing education (CNE) contact hours by working with an ANCC-accredited approver of CNE contact hours. APHON does not grant CNE contact hours for completion of the course material within Purchaser’s institution. Purchasers that are affiliated with an ANCC-accredited provider of CNE contact hours may also provide CNE contact hours for completion of the course material within the Purchaser’s institution.

All other use of the APHON Foundations Courses is expressly prohibited.

Copyright © 2022 Association of Pediatric Hematology/Oncology Nurses

All rights reserved. No part of this content, except for brief quotations in critical articles and reviews, may be used or reproduced in any manner whatsoever without written permission.

PowerPoint versions of each module can be downloaded from each module page for use in didactic teaching.

Contributors

Content Developers:

Misty Evans, DNP APRN CPNP-AC BMTCN^®
Nurse Practitioner, Assistant Professor
Vanderbilt University
Nashville, Tennessee

Janice Nuuhiwa, MSN RN NPD-BC CPHON^®
Nursing Professional Development Specialist
Ann & Robert H. Lurie Children’s Hospital of Chicago
Chicago, Illinois

Rita L. Secola, PhD RN NEA-BC CPON^® FAAN
Clinical Service Director
Children’s Hospital Los Angeles
Los Angeles, California

Karen Wolownik, MSN RN CPNP CPHON^®
Pediatric Nurse Practitioner and Clinical Educator
Maria Fareri Children’s Hospital New York Medical College
Valhalla, New York

Reviewers:

Caroline Costello, MBA BSN RN CPON^® BMTCN^® NPD-BC
Nursing Education Coordinator
Boston Children’s Hospital
Boston, Massachusetts

Ellen Olson, MS RN CPNP CPHON^® BMTCN^®
Blood and Marrow Transplant Nurse Practitioner
Children’s Healthcare of Atlanta/Aflac Cancer Center & Blood Disorders
Atlanta, Georgia

Program Overview

This course is designed to provide participants with an overview of nursing issues involved in caring for children, adolescents, and young adults with cancer and blood disorders. Common pediatric hematological and oncological diagnoses are presented, along with treatment approaches, nursing care, and supportive care principles. Case studies providing clinical scenarios are included to enhance the learning process.

This course contains 21 modules that can be used as individual lectures or as part of a comprehensive course taught by a nurse educator/instructor. They appear in the recommended order of presentation as a 2–3-day course. Contributing authors and suggested teaching times are indicated for each module. The actual length of each module can be modified depending on the audience, presentation detail, and discussion degree.

Module List

1. The Big Picture: Hematologic & Oncologic Diseases in Children 46 Slides | 45 Minutes to Teach
2. Nursing Assessment in Pediatric Oncology 55 Slides | 75 Minutes to Teach
3. Childhood Leukemias 118 Slides | 150 Minutes to Teach
4. Childhood Lymphomas 75 Slides | 75 Minutes to Teach
5. CNS Tumors in Children, Adolescents, and Young Adults 78 Slides | 90 Minutes to Teach
6. Neuroblastoma 50 Slides | 60 Minutes to Teach
7. Pediatric Solid Tumors 96 Slides | 120 Minutes to Teach
8. Hematologic Diseases of Childhood 105 Slides | 120 Minutes to Teach
9. Research and Treatment Protocols 41 Slides | 45 Minutes to Teach
10. Immunology in Pediatric Hematology and Oncology 65 Slides | 75 Minutes to Teach
11. Principles of Chemotherapy and Biotherapy 64 Slides | 60 Minutes to Teach
12. Radiation Therapy 42 Slides | 45 Minutes to Teach
13. Hematopoietic Stem Cell Transplant (HSCT) and Chimeric Antigen Receptor (CAR) T-Cell Therapy 76 Slides | 90 Minutes to Teach
14. Central Venous Access Devices 52 Slides | 145 Minutes to Teach
15. Management of Treatment Side Effects: Supportive Care Issues 72 Minutes | 90 Minutes to Teach
16. Oncologic Emergencies 76 Slides | 90 Minutes to Teach
17. Pain Management 85 Slides | 90 Minutes to Teach
18. Pediatric Palliative Care and End-of-Life Issues 63 Slides | 60 Minutes to Teach
19. Childhood Cancer Survivorship: Long-Term Effects of Treatment 58 Slides | 60 Minutes to Teach
20. Fertility Preservation 41 Slides | 45 Minutes to Teach
21. AYAs with Cancer 29 Slides | 45 Minutes to Teach

Terms of Use

The APHON Foundations of Pediatric Hematology/Oncology Nursing: A Comprehensive Orientation and Review Course, 3rd Edition (“APHON Foundations Courses”), including copyright therein, are owned exclusively by APHON and may not be used except for the limited license as provided below. APHON grants Purchaser of the APHON Foundations Courses a limited license to use the APHON Foundations Courses in a classroom setting and for the individual Purchaser’s independent study. 

Without limiting the specific nature of the license above, APHON only grants Purchaser the permission to use the APHON Foundations Courses to teach employees in Purchaser’s institution in an in-person or virtual instruction setting. The APHON Foundations Courses may not be loaded into Purchaser’s or their institution’s learning management system, and Purchaser may not create any derivative works of the APHON Foundations Courses, including any modifications, recorded voiceovers, or other additions or changes to the APHON Foundations Courses. Purchaser may place the PowerPoint^® slides contained within the APHON Foundations Courses exactly in their original form on the institution’s shared network to allow central access within the institution only. Purchaser may print the presenter notes and slide handouts within the APHON Foundations Courses for use in conjunction with instruction within Purchaser’s institution.

Purchaser may offer continuing nursing education (CNE) contact hours by working with an ANCC-accredited approver of CNE contact hours. APHON does not grant CNE contact hours for completion of the course material within Purchaser’s institution. Purchasers that are affiliated with an ANCC-accredited provider of CNE contact hours may also provide CNE contact hours for completion of the course material within the Purchaser’s institution. 

All other use of the APHON Foundations Courses is expressly prohibited.

© 2023 Association of Pediatric Hematology/Oncology Nurses. All rights reserved.

Welcome to Preparing for the CPHON^® Exam: eLearning Case Studies

This resource has been developed to be used together with the Essentials of Pediatric Hematology/Oncology Nursing: A Core Curriculum, 4th Edition. This program includes eight modules that start with a set of reading assignments. After reading the assignments, participants review case studies and practice answering questions. At the end of the program, participants can take a scored practice post-test and review their correct and incorrect answers to continuously improve their score and confidence level.

The first module reviews basic content about cancer and provides advice about how to prepare for the CPHON^® exam and strategies that can be used while taking the test. The other seven modules each focus a particular type of cancer. These modules provide:

• Case studies about children who had that type of cancer
• Questions about that cancer type interspersed within the case studies
• Plus additional practice questions about each cancer type!

Module List

1. Introduction and Oncology & Hematology Basics
2. Leukemia Cases
3. Lymphoma Cases
4. Brain Tumor Case
5. Neuroblastoma Cases
6. Solid Tumor Cases
7. Sickle Cell Disease
8. Other Hematology Cases

At the end of the program, there is a post-test that you can take as many times as you want, and evaluation.

Disclaimer: ONCC does not develop, provide, sponsor, or endorse any review courses. Participation in a review course is not required to apply for or take an ONCC certification examination. Participation in a review course does not guarantee a passing score on an ONCC certification examination.

Target Audience Description
The target audience for this course is the same as the target audience for the CPHON^® certification. For more information, go to https://www.oncc.org/certifications/certified-pediatric-hematology-oncology-nurse-cphon. 

Length
15 hours, including 7 to 8 hours of reading assignments

Learning Objectives

The Learning Objectives for this program are the based on the CPHON^® test blueprint, with the addition of a test-taking strategy objective at the end of this list. For more information about the test content outline, see https://www.oncc.org/files/CPHONTestContentOutline.pdf.

For pediatric, adolescent and young adult patients, nurses will be able to:

• Describe aspects of psychosocial adaptation and health maintenance of the patient and family during the acute/chronic disease process
• Identify the diagnosis, treatment and outcomes for oncologic disorders
• Identify the diagnosis, treatment and outcomes for hematologic disorders
• Recognize and anticipate late effects and survivorship issues associated with treatment for oncologic and hematologic disorders
• Evaluate the classifications of chemotherapeutic agents and their mechanisms of action
• Describe administration guidelines, monitoring and precautions for antineoplastic chemotherapeutic and biotherapeutic agents.
• Identify supportive care interventions related to side effects and toxicities of therapy
• Recognize and anticipate hematologic and oncologic emergencies and important nursing interventions for each
• Describe the philosophy, core concepts, and challenges of palliative and end of life care
• Utilize best practices for studying and test-taking

Preparing for the CPHON Exam: eLearning Case Studies Project Team Members

Project Leader
Terri L. Boyce, DNP APRN CPNP-AC CPHON^®

Board Liaison
Dyane Bunnell, MSN RN AOCNS CPON^®

Content Developers
Janet K. Cavitt, BSN RN CPON^®
Colleen M. Nixon, MSN RN CPHON^®
Carol Rossetto, CPNP CPON^®
Anne Marie Sterk, MSN RN CPON^®
Anthony Yost, CPHON^®

Reviewers
Erin Friedman, BSN RN CPHON^®
Amy Haskamp, MSN RN PCNS CHPPN CPON^®
Janice Nuuhiwa, MSN APN/CNS NPD-BC CPHON^®
Mary Lynn Rae, MSN RN CPHON^®
Kristin M. Belderson, DNP MS RN CPON^®
Joan O’Hanlon Curry, MS RN CPNP CPON^®

Course Overview

The Transplant Foundations course is designed to teach nurses learners how to care for pediatric transplant patients at their institution. This course emphasizes:

• Core foundational concepts that are required before learning specific institutional practices
• A multi-disciplinary team approach and plan of care
• Providing psycho-social support and education for patients, parents and family members about what to do/expect during their care

This course is meant to be paired with classroom training about institutional-specific pediatric transplant practices. Providing these online modules reduces the nurse educator preparation time and time in the classroom.

Target Audience

This course is written for the following target audiences.

• Novice nurses with limited pediatric clinical experience and no stem cell transplant experience.
• Experienced nurses who don’t have hematology, oncology, bone marrow transplant (BMT), or pediatric experience. These nurses may know adult stem cell transplant, but have not cared for pediatric patients.
• Nurse Practitioners who may have some experience, but not extensive transplant experience.

Prerequisite

Nurses should complete the APHON Chemo/Bio curriculum prior to taking this course.

Course Objectives

After completing the Transplant Foundations course, the nurse will be able to:

• Identify and define the types and source of transplants
• Identify indications for transplants and ethical considerations
• Identify the types of conditioning regimens for BMT and their potential adverse effects
• Administer and manage cellular therapy infusions
• Conduct assessments specific to pediatric BMT patients
• Manage symptoms as needed and required (pain, mucositis, nausea, vomiting, skin integrity, etc.)
• Recognize the complications for each type of transplant regardless of donor source or conditioning regimen
  • In the event of an emergency, immediately intervene
  • For non-emergencies, notify/escalate to the appropriate provider who should intervene
• Describe post-transplantation immune re-constitution and late effects after BMT
• Plan for safe discharge including home and follow-up care
• Maintain professional boundaries and care for self
• Care for an initial, small cohort, less complicated stem cell patient

Module List

This course has nine modules.

1. Transplant Types and Sources
2. Transplant Indications and Ethical Considerations
3. Conditioning Regimens
4. Administration and Management of Infusions
5. Recognize and Manage Toxicities and Side Effects
6. Recognize and Manage Complications
7. Discharge Planning and Education
8. Immune Re-Constitution and Late Effects
9. Boundaries and Self-Care

Terms of Use

The APHON Foundations of Pediatric Hematopoietic Stem Cell Transplantation, 3rd Edition (“APHON Foundations Courses”), including copyright therein, are owned exclusively by APHON and may not be used except for the limited license as provided below. APHON grants Purchaser of the APHON Foundations Courses a limited license to use the APHON Foundations Courses in a classroom setting and for the individual Purchaser’s independent study.

Without limiting the specific nature of the license above, APHON only grants Purchaser the permission to use the APHON Foundations Courses to teach employees in Purchaser’s institution in an in-person or virtual instruction setting. The APHON Foundations Courses may not be loaded into Purchaser’s or their institution’s learning management system, and Purchaser may not create any derivative works of the APHON Foundations Courses, including any modifications, recorded voiceovers, or other additions or changes to the APHON Foundations Courses. Purchaser may place the PowerPoint^® slides contained within the APHON Foundations Courses exactly in their original form on the institution’s shared network to allow central access within the institution only. Purchaser may print the presenter notes and slide handouts within the APHON Foundations Courses for use in conjunction with instruction within Purchaser’s institution.

Purchaser may offer continuing nursing education (CNE) contact hours by working with an ANCC-accredited approver of CNE contact hours. APHON does not grant CNE contact hours for completion of the course material within Purchaser’s institution. Purchasers that are affiliated with an ANCC-accredited provider of CNE contact hours may also provide CNE contact hours for completion of the course material within the Purchaser’s institution.

All other use of the APHON Foundations Courses is expressly prohibited.

Copyright © 2022 Association of Pediatric Hematology/Oncology Nurses

All rights reserved. No part of this content, except for brief quotations in critical articles and reviews, may be used or reproduced in any manner whatsoever without written permission.

PowerPoint versions of each module can be downloaded from each module page for use in didactic teaching.

Contributors

Content Developers:

Misty Evans, DNP APRN CPNP-AC BMTCN^®
Nurse Practitioner, Assistant Professor
Vanderbilt University
Nashville, Tennessee

Janice Nuuhiwa, MSN RN NPD-BC CPHON^®
Nursing Professional Development Specialist
Ann & Robert H. Lurie Children’s Hospital of Chicago
Chicago, Illinois

Rita L. Secola, PhD RN NEA-BC CPON^® FAAN
Clinical Service Director
Children’s Hospital Los Angeles
Los Angeles, California

Karen Wolownik, MSN RN CPNP CPHON^®
Pediatric Nurse Practitioner and Clinical Educator
Maria Fareri Children’s Hospital New York Medical College
Valhalla, New York

Reviewers:

Caroline Costello, MBA BSN RN CPON^® BMTCN^® NPD-BC
Nursing Education Coordinator
Boston Children’s Hospital
Boston, Massachusetts

Ellen Olson, MS RN CPNP CPHON^® BMTCN^®
Blood and Marrow Transplant Nurse Practitioner
Children’s Healthcare of Atlanta/Aflac Cancer Center & Blood Disorders
Atlanta, Georgia