ATI - Oncology Dynamic Quizzing

A nurse is performing an admission assessment for a client who has colorectal cancer. Which of the following manifestations should the nurse expect to find? A. Hematuria B. Abdominal cramps C. Weight gain D. Polycythemia

B. Abdominal cramps

A nurse is providing preoperative teaching for a client with colorectal cancer who is scheduled to undergo colostomy placement with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching? A. "Not having any more rectal pain will be a relief. B. "I will need to sit on a rubber donut when I am in the chair." C. "I can have only liquids for 2 days before the surgery." D. "The colostomy will start working about 7 days after the surgery."

C. "I can have only liquids for 2 days before the surgery."

A nurse is providing teaching to a client who is receiving chemotherapy and has developed neutropenia. Which of the following statements indicates that the client needs further instructions? A. "I'll keep an antibacterial hand gel in my purse." B. "My partner will have to take care of the cat's litter boxes for awhile." C. "I'm planning a large gathering of friends and family for the holidays." D. "' will eat canned fruits and vegetables."

C. "I'm planning a large gathering of friends and family for the holidays."

A nurse is talking with a group of women at a community center about the current recommendations for early detection of breast cancer. The nurse should explain which of the following options? A. Begin monthly breast self-examinations at age 40 B. Have a clinical breast examination each year after age 30 C. Begin annual mammograms at age 40 D. Have breast magnetic resonance imaging every 5 years after age 50

C. Begin annual mammograms at age 40

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? A. Bone and joint pain B. Enlarged lymph nodes C. Intermittent hematuria D. Productive cough

B. Enlarged lymph nodes

A nurse is planning care for a client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia? A. Monitor visitors for manifestations of infection B. Remind the client to use an electric razor C. Encourage frequent rest periods D. Instruct the client to rinse mouth daily with normal saline

B. Remind the client to use an electric razor

A nurse is planning a presentation at a community center about risk factors for cancer. Which of the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer? A. Skin B. Prostate C. Bone D. Bladder

B.Prostate

A client who has stage II breast cancer asks the nurse about sites of metastasis for this cancer. Which of the following responses should the nurse provide? A. "It's too soon to worry about something that might not happen. B. "Breast cancer tends to metastasize to the stomach." C. "Metastasis is unlikely since we detected your cancer early." D. "Breast cancer tends to metastasize to the bones."

D. "Breast cancer tends to metastasize to the bones."

A nurse is providing teaching to a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use petroleum-based lotions on the areas being radiated." B. "I will dry the areas being radiated by rubbing in a circular pattern." C. "I will apply sunscreen to the areas being radiated when I spend time in the sun." D. "I should use my hand, instead of a washcloth, to wash the areas being radiated."

D. "I should use my hand, instead of a washcloth, to wash the areas being radiated."

A nurse is collecting a health history from a female client who is undergoing screening for breast cancer. Which of the following factors increases the client's risk of developing breast cancer? A. Obesity B. Oral contraceptive use C. Alcohol use D. Age over 50 years

D. Age over 50 years

A nurse is caring for a client whose surgeon informed him postoperatively that he has a metastasizing malignant neoplasm in the colon. Which of the following statements by the client should the nurse identify as an indication that the client understands this information? A. "I have cancer of the colon that has begun to spread." B. "I have growths in my bowel that the doctor can treat easily." C. "As long as my tumor doesn't get any bigger, I'll be okay." D. ""There is not much point in having more treatments.

A. "I have cancer of the colon that has begun to spread."

A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching? A. "I need to lie still in bed during my brachytherapy treatment." B. "I will have an implant placed once a month during my brachytherapy treatment." C. "I must stay at least 3 feet away from others between brachytherapy treatments." D. "I should expect some blood in my urine after each brachytherapy treatment."

A. "I need to lie still in bed during my brachytherapy treatment."

A nurse is providing teaching to a client with cancer who is receiving external radiation therapy. Which of the following statements by the client indicates an understanding of the teaching? A. "I need to protect the area from sunlight" B. "I'm going to apply a heating pad to the area after each treatment." C. "I'll massage the area once per day." D. "I'll wash off the markings after each therapy treatment"

A. "I need to protect the area from sunlight"

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 pieces of information should the nurse include in the teaching? (Select all that apply.) A. "Take your temperature twice each day." B. 'You may return to school if you feel strong enough. C. "It is important to wear shoes always." D. "Clean your toothbrush weekly with isopropyl alcohol" E. "Avoid using tampons."

A. "Take your temperature twice each day." C. "It is important to wear shoes always." E. "Avoid using tampons."

A nurse is caring for a postmenopausal client who is concerned that she might have an elevated risk of breast cancer. After conducting a risk assessment, the nurse should identify which of the following factors as increasing the client's breast cancer risk? (Select all that apply.) A. Increased breast density B. BMI of 32 C. Having given birth to 5 children D. Undergoing hormonal replacement therapy for 10 years E. Having 1-2 alcoholic drinks per week

A. Increased breast density B. BMI of 32 D. Undergoing hormonal replacement therapy for 10 years

A nurse is planning 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.) A. Mix powdered skim milk into liquid milk B. Add a raw egg to fruit smoothies C. Add a slice of cheese to hot vegetables D. Add honey to hot tea E. Mix yogurt into fresh fruit

A. Mix powdered skim milk into liquid milk C. Add a slice of cheese to hot vegetables E. Mix yogurt into fresh fruit

A nurse is caring for a client who recently had chemotherapy and now has myelosuppression. Which of the following interventions should the nurse initiate? (Select all that apply.) A. Prohibit visitors from bringing fresh flowers and plants into the client's room. B. Encourage frequent visits from family and friends. C. Ensure thorough cleaning of the client's room and bathroom daily. D. Replace wound dressings every other day. E. Use dedicated equipment such as stethoscopes.

A. Prohibit visitors from bringing fresh flowers and plants into the client's room. C. Ensure thorough cleaning of the client's room and bathroom daily. E. Use dedicated equipment such as stethoscopes.

A nurse is providing discharge teaching to a client who is post-operative following a right mastectomy for breast cancer. The client will be discharged with 2 Jackson-Pratt drains. Which of the following pieces of information should the nurse include in the teaching? A. "Empty the drainage tubes once per day." B. "Showering is permitted before the drainage tubes are removed." C. "The drainage tubes often are removed at the same time as the stitches." D. "Do not begin exercising your arm until the provider removes the drainage tubes."

C. "The drainage tubes often are removed at the same time as the stitches."

A nurse is planning care for a client who is postoperative following a radical mastectomy. Which of the following interventions should the nurse include in the plan? A. Rest the arm on the affected side on the bed when the client is sleeping B. Instruct the client to keep the affected arm flexed when ambulating C. Begin exercises with the client 1 day after the procedure D. Maintain the client on bed rest for 2 days after the procedure

C. Begin exercises with the client I day after the procedure

A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge nurse intervene? A. Leaving soiled linens in a container in the client's room B. Instructing visitors to remain 2 m (6 feet) away from the client C. Borrowing a dosimeter film badge from another nurse before entering the client's room D. Removing an extra IV pole from the client's room to be used for another client

C. Borrowing a dosimeter film badge from another nurse before entering the client's room

A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse include in the client's plan of care? A. Plan to spend extra time with the client to provide emotional support. B. Ensure that chemotherapy medications do not extravasate into the client's tissues. C. Keep the door to the client's room closed. D. Encourage family members and friends to visit for at least 1 hr per day.

C. Keep the door to the client's room closed.

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? A. Gingival hyperplasia B. Hirsutism C. Pancytopenia D. Weight gain

C. Pancytopenia

A nurse is preparing a plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following invasive devices should the nurse expect the client to have? A. Chest tube B. Indwelling urinary catheter C. Nasogastrictube D. Jackson-Pratt drain

D. Jackson-Pratt drain

A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. Which of the following dietary recommendations should the nurse share with the client? A. Eat with metal utensils B. Limit coffee C. Avoid citrus foods D. Offer mints

D. Offer mints

A nurse is collecting a client's health history. Which of the following findings is the highest risk factor for the client developing skin cancer? A. Age over60 B. Genetic predisposition C. Light-skinned race D. Overexposure to sunlight

D. Overexposure to sunlight

A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understands that she will receive which of the following interventions? A. Chemotherapy via a central venous access device B. Radiation to the tumor from an external source C. Precise delivery of high-dose radiation after tumor imaging D. Radioactive infusions or insertions into or near the tumor

D. Radioactive infusions or insertions into or near the tumor

A nurse is caring for a client who is receiving radiation therapy for mouth cancer and reports a dry mouth. Which of the following dietary recommendations should the nurse provide? A. Offer graham crackers as a snack B. Avoid foods containing citrus C. Rinse the mouth with an alcohol-based mouthwash before eating D. Use gravies or sauces to soften food

D. Use gravies or sauces to soften food

A nurse is planning a presentation for a group of older adults at a community center about risk factors for cancer. Which of the following factors increases the risk of developing cancer after age 60? A. High-protein diet B. Insufficient calcium intake C. Declining muscle mass D. Weakened immune responses

D. Weakened immune responses