ATI Medical-Surgical: Oncology, Exam Questions Answers

ATI Medical-Surgical: Oncology, Exam Questions & Answers

A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo placement of a colostomy with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching?

"It will be a relief to not have any further rectal pain." "I will need to sit on a rubber donut when I am out of bed in the chair." "I can have only liquids for 2 days before the surgery." "The colostomy will start working about 7 days after the surgery." - "I can have only liquids for 2 days before the surgery."

The client should consume a full or clear liquid diet for 24 to 48 hr before the surgery to decrease bulk. The client should consume a low-residue diet for several days prior to surgery to decrease peristalsis.

A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy?

Thinning of the scalp hair Tingling of the hands and feet Reduced ability to concentrate Sores in the mucous membranes - Tingling of the hands and feet

Several chemotherapeutic agents might cause peripheral neuropathy. One of the major manifestations of peripheral neuropathy is numbness and tingling of an extremity.

A nurse is collecting a health history from a client. Which of the following findings is the highest risk factor for the client developing skin cancer?

Age over 60 Genetic predisposition Light-skinned race Overexposure to sunlight - Overexposure to sun light

The nurse should apply the safety and risk reduction priority-setting framework when caring for this client. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one

posing the greatest threat is the highest priority. The nurse should use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the nurse should identify the client's overexposure to sun as being the greatest risk factor for developing skin cancer.

A nurse is providing discharge teaching to a client who is postoperative following a right mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt drains.Which of the following information should the nurse include in the teaching?

Cloudy drainage is normal.Showering is permitted before the drainage tubes are removed.Avoid wearing deodorant until the drains are removed and the incision heals.Do not begin exercising the arm until the provider removes the drainage tubes. - "The drainage tubes often are removed at the same time as the stitches."

The nurse should instruct the client to avoid applying deodorants and talcum powder to the affected underarm until the drainage tubes are removed and the incision is healed.

A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Bone and joint pain Enlarged lymph nodes Intermittent hematuria Productive cough - Enlarged lymph nodes

Hodgkin's lymphoma is a malignancy of lymphoid tissue found in the lymph nodes, spleen, liver, and bone marrow. The first manifestation of this cancer is often an enlarged painless lymph node, or nodes, which appear without a known cause. Other early manifestations include night sweats, unexplained weight loss, fever, and pruritus. The disease can spread to adjacent lymph nodes and later might spread outside the lymph nodes to the lungs, liver, bones, or bone marrow. The spread of Hodgkin's lymphoma is usually in an ordered pattern.

A nurse is providing discharge teaching to a client following open radical prostatectomy.the client is going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

"I will be able to take a tub bath in 1 week."

"I will take acetaminophen if I have any pain." "I will use suppositories to prevent constipation." "I will regain my bladder control once the catheter is removed." - "I will take acetaminophen if I have any pain"

The nurse should teach the client to avoid aspirin and NSAIDs for at least 2 weeks following surgery to prevent the risk of bleeding.

A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3. Which of the following foods should the nurse prohibit the family members from bringing to the client?

Fried chicken from a fast food restaurant A case of canned nutritional supplements A factory-sealed box of chocolates A fresh fruit basket - A fresh fruit basket

Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin might harbor bacteria that can cause an infection. The nurse should prohibit these foods from entering the client's room.

A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received a bone marrow transplant for leukemia. Which of the following information should the nurse include in the teaching? (Select all that apply.)

"You should take your temperature at least once a day." "You may return to school if you feel strong enough." "Examine your feet every day." "Clean your toothbrush weekly with isopropyl alcohol." "Eat plenty of fresh fruits and vegetables." - "You should take your temperature at least once a day" is correct. Clients who are postoperative following bone marrow transplants are immunosuppressed and should continually monitor for manifestations of infection. A temperature that is greater than 38° C (100° F) should be reported immediately to the provider.

"Examine your feet every day" is correct. A client who had a bone marrow transplant is immunosuppressed. The client should examine his feet daily to identify injuries that might increase the risk for infection.

A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the following manifestations should the nurse expect?

Weight gain Oliguria Back pain Vaginal bleeding - Vaginal bleeding

The most common manifestation of cancer of the cervix is painless vaginal bleeding.

A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome?

Irregular cardiac rhythm Numbness in the hands Muscle cramps Facial edema - Facial edema

Superior vena cava syndrome is a medical emergency resulting from a partial occlusion of the superior vena cava, leading to a decreased blood flow through the vein. Most cases of superior vena cava syndrome are associated with cancers involving the client's upper chest, such as advanced lung and breast cancers and lymphoma. The earliest manifestations of superior vena cava syndrome are facial and upper extremity edema.Death can result if the compression is not corrected.

A nurse is collecting a health history from a female client who is undergoing screening for breast cancer. Which of the following factors should the nurse identify for placing the client at the greatest risk for developing breast cancer?

Obesity Oral contraceptive use Alcohol use Over 50 years of age - Over 50 years of age

A female client whose age is over 50 years has a high increased risk for developing breast cancer.