ATI Oncology Dynamic Quiz

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

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?

"Breast cancer tends to metastasize to the bones."

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?

"I will change the catheter drainage bag once each week."

A nurse is providing discharge teaching to a client following an 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 continue to talk to him, even when he's sleeping."

A hospice nurse is providing education 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?

enlarged lymph nodes

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 fresh fruit basket

A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2200. Which of the following foods should the nurse prohibit the family members from bringing to the client?

"The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed."

A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide?

facial edema

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?

Tingling of the hands and feet

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?

Change the collection pouch in the early morning.

A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?

Keep the door to the client's room closed

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?

Pancytopenia

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?

Offer mints

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?

Use gravies or sauces to soften food

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?

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

A nurse is caring for a client who recently had chemotherapy and now has myelosuppression. Which of the following interventions should the nurse initiate? SATA

Radioactive infusions or insertions into or near the tumor

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?

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

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 his information?

Increased breast density BMI 32 Undergoing hormonal replacement therapy for 10 years

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? SATA

overexposure to sunlight

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?

The client uses tobacco

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

Age over 50 years

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?

Stop the infusion

A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral IV infusion. The client reports pain at the insertion site, and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first?

vaginal bleeding

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

abdominal cramps

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?

prostrate

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?

Weakened immune responses

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?

Begin exercises with the client 1 day after the procedure

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?

Mix powdered skim milk into liquid milkAdd a slice of cheese to hot vegetablesMix yogurt into fresh fruit

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? SATA

Jackson-Pratt drain

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?

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

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 2 Jackson-Pratt drains. Which of the following pieces of information should the nurse include in the teaching?

"You might experience manifestations of menopause."

A nurse is providing postoperative discharge teaching to a client following panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse include in the teaching?

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

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?

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

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?

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

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?

"I will use lemon and glycerin swabs after meals."

A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements by the client indicates a need for further teaching?

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

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?

"I need to protect the area from sunlight."

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?

Begin annual mammograms at age 40

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 nontender, hard lump that is palpated in a breast

A nurse is teaching a client how to perform a breast self-examination (BSE). The nurse should identify which of the following findings as an indication of breast cancer?

"Use an electric razor when shaving."

A nurse is teaching a client who has leukemia and has developed thrombocytopenia. Which of the following instructions should the nurse include in the teaching?

Use an electric razor when shaving."

A nurse is teaching a client who has leukemia and has developed thrombocytopenia. Which of the following instructions should the nurse include in the teaching?

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

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? SATA