ATI med surg content mastery practice EXAM VERIFIED
SOLUTIONS, SCORED A+
.
1. 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: .ACE
2. 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 .treat-
.ments.
D. "I .should .expect .some .blood .in .my .urine .after .each .brachytherapy .treat-
.ment.": .A
remain .on .bedrest .with .limited .movement .while .the .radioactive .implant .is .in .place .to
.prevent .dislodgement
3. A .nurse .is .providing .postoperative .discharge .teaching .to .a .client .following
.a .panhysterectomy .for .uterine .cancer. .Which .of .the .following .pieces .of .infor-
.mation .should .the .nurse .include .in .the .teaching?
A. "You .will .need .to .continue .to .use .some .form .of .birth .control .for .6 .months.
B. "You .might .experience .manifestations .of .menopause."
C. "Do .not .lift .anything .heavier .than .15 .lb."
D. "Pain .or .burning .with .urination .is .an .expected .outcome .of .this .surgery.: .B
.a .panhysterectomy .includes .the .removal .of .the .uterus .and .the .ovaries, .which .might
.cause, .manifestations .of .menopause .(e.g. .hot .flashes, .night .sweats, .and .vaginal
,.dryness).
4. 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 .i
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
A .nurse .should .never .borrow .a .dosimeter .film .badge .from .another .staff .member.
.Nurses .who .are .caring .for .the .client .should .each .have .a .personal .badge .and .wear
.it .while .in .the .client's .room. .The .badge .measures .the .radiation .exposure .that .the
.nurse .is .receiving, .and .each .film .badge .will .indicate .the .nurse's .cumulative .radiation
.exposure.
5. 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
.The .client .should .consume .a .full .or .clear .liquid .diet .for .24 .to .48 .hours .before .the
.surgery .to .decrease .bulk. .The .client .should .consume .a .low
residue .diet .for .several .days .prior .to .surgery .to .decrease .peristalsis.
6. 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
. Brachytherapy .is .a .type .of .radiation .therapy .during .which .the .radiation .source, .either
.an .implant .or .via .infusion, .is .in .direct .contact .with .the .client's .tumor .continuously .for
.a .specific .duration.
7. 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
Washing .the .areas .being .radiated .with .the .hand .is .gentler .than .using .a .washcloth.
SOLUTIONS, SCORED A+
.
1. 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: .ACE
2. 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 .treat-
.ments.
D. "I .should .expect .some .blood .in .my .urine .after .each .brachytherapy .treat-
.ment.": .A
remain .on .bedrest .with .limited .movement .while .the .radioactive .implant .is .in .place .to
.prevent .dislodgement
3. A .nurse .is .providing .postoperative .discharge .teaching .to .a .client .following
.a .panhysterectomy .for .uterine .cancer. .Which .of .the .following .pieces .of .infor-
.mation .should .the .nurse .include .in .the .teaching?
A. "You .will .need .to .continue .to .use .some .form .of .birth .control .for .6 .months.
B. "You .might .experience .manifestations .of .menopause."
C. "Do .not .lift .anything .heavier .than .15 .lb."
D. "Pain .or .burning .with .urination .is .an .expected .outcome .of .this .surgery.: .B
.a .panhysterectomy .includes .the .removal .of .the .uterus .and .the .ovaries, .which .might
.cause, .manifestations .of .menopause .(e.g. .hot .flashes, .night .sweats, .and .vaginal
,.dryness).
4. 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 .i
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
A .nurse .should .never .borrow .a .dosimeter .film .badge .from .another .staff .member.
.Nurses .who .are .caring .for .the .client .should .each .have .a .personal .badge .and .wear
.it .while .in .the .client's .room. .The .badge .measures .the .radiation .exposure .that .the
.nurse .is .receiving, .and .each .film .badge .will .indicate .the .nurse's .cumulative .radiation
.exposure.
5. 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
.The .client .should .consume .a .full .or .clear .liquid .diet .for .24 .to .48 .hours .before .the
.surgery .to .decrease .bulk. .The .client .should .consume .a .low
residue .diet .for .several .days .prior .to .surgery .to .decrease .peristalsis.
6. 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
. Brachytherapy .is .a .type .of .radiation .therapy .during .which .the .radiation .source, .either
.an .implant .or .via .infusion, .is .in .direct .contact .with .the .client's .tumor .continuously .for
.a .specific .duration.
7. 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
Washing .the .areas .being .radiated .with .the .hand .is .gentler .than .using .a .washcloth.
