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ATI MED SURG ONCOLOGY DYNAMIC QUESTIONS WITH CORRECT ANSWERS
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ATI MED SURG ONCOLOGY DYNAMIC QUESTIONS WITH CORRECT ANSWERS
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ATI MED SURG ONCOLOGY DYNAMICQUESTIONS WITH CORRECT ANSWERS
A hospice nurse is reinforcing teaching about palliative care to the partner of a client
who has end-stage liver cancer. Which of the following statements by the partner
indicates an understanding of teaching? - Answer "I will continue to talk to him, even
when he's sleeping."
Hearing is thought to be the last sense lost in the dying process; therefore, the partner
should continue to communicate with the client.
Incorrect Answers: A. Clients who are approaching death often refuse nourishment and
should not be forced to eat or drink.
B. Clients who are approaching death should be positioned with the head elevated or on
a side.
C. Clients should be covered with a non-electric blanket to keep the extremities warm.
A nurse is reinforcing teaching with a client who has leukemia and has developed
thrombocytopenia. Which of the following instructions should the nurse include in the
teaching? - Answer "Use an electric razor when shaving."
The nurse should instruct the client to use an electric razor to prevent nicks and cuts
caused by conventional razors that can increase the risk of bleeding.
Incorrect Answers: A. The nurse should instruct the client not to floss because of the
increased risk of bleeding of the gums.
B. The nurse should instruct the client not to blow or put anything up the nose because
of the risk for causing a nosebleed.
D. The nurse should instruct the client to wear shoes that have a firm sole to avoid an
accidental puncture of the sole that could prompt bleeding from a cut to the foot.
A nurse is collecting data from a female client who is undergoing screening for breast
cancer. Which of the following factors places the client at an increased risk for
developing breast cancer? - Answer Over 50 years of age
A female client who is over 50 years of age has a high risk of developing breast cancer.
Incorrect Answers: A. Obesity places a client at a low but increased risk for developing
breast cancer.
B. Oral contraceptive use places a client at a low but increased risk of developing breast
cancer.
, C. The risk from alcohol use is dose-dependent. Consumption of 3 to 14 drinks a week
creates a slight risk of developing breast cancer.
A nurse is contributing to the plan of care for a client who has thrombocytopenia due to
chemotherapy. Which of the following interventions should the nurse include? - Answer
Avoid IM injections
A client who has thrombocytopenia is at risk for bleeding; therefore, the nurse should
avoid invasive procedures such as an IM injection.
Incorrect Answers: B. The nurse should avoid any procedures, such as obtaining a
rectal temperature, that can cause trauma to the rectum and increase the client's risk of
rectal bleeding.
C. The nurse should limit visitors for a client who has neutropenia.
D. The nurse should promote safe oral hygiene but should instruct the client to avoid
flossing due to the risk of bleeding.
A nurse is contributing to the plan of care for a client who is receiving chemotherapy
and has a protein deficiency. Which of the following interventions should the nurse
include in the plan of care? (Select all that apply.) - Answer Correct Answers:
A. Mix powdered skim milk into milk C. Add a slice of cheese to hot vegetables
E. Mix yogurt into fresh fruit
Dairy products are good sources of protein.
Mixing powdered skim milk into milk, adding cheese to vegetables, and mixing yogurt
into fresh fruit can provide the client with additional protein.
Incorrect Answers: B. Clients who are immunocompromised should avoid foods that
contain raw eggs because they are a potential source of infection. D. Adding honey to
hot tea can increase the client's caloric intake, but it will not increase his protein intake.
Honey is not a good source of protein.
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of
the following adverse effects should the nurse anticipate from the chemotherapy? -
Answer C. Pancytopenia Bone marrow suppression (a deficiency of WBCs, RBCs, and
platelet counts) is an expected adverse effect of chemotherapy.
Incorrect Answers: A. Gingival hyperplasia (overgrowth of gingival tissue in the mouth)
is caused by poor oral hygiene, leading to bacterial plaque and tartar accumulation. It is
not an adverse effect of chemotherapy.
B. Hirsutism (excessive body or facial hair) is generally caused by Cushing syndrome,
especially in women. The nurse should expect to see alopecia (hair loss) when the
client receives chemotherapy.
D. The client might have an inability or lack of desire to eat, causing weight loss due to
the adverse effects of chemotherapy (e.g. a metallic taste in the mouth, nausea, and
vomiting).
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