ATI Advanced Med-Surg Exam with Complete Solution 2025 Rated A+

Oncology 1. 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? A. The client is a hairdresser. B. The client uses tobacco. C. The client is over 60 years of age. D. The client has frequent urinary tract infections (UTIs) 2. 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 3. 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? A. "I will use a soft toothbrush or foam swab for oral care." B. "I will use lemon and glycerin swabs after meals." C. "I will remove my dentures except while eating." D. "I will rinse my mouth frequently with hydrogen peroxide solution." 4. A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm^3. Which of the following foods should the nurse prohibit the family members from bringing to the client? A. Fried chicken from a fast food restaurant B. A case of canned nutritional supplements C. A factory-sealed box of chocolates D. A fresh fruit basket 5. 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? A. "The risk of renal toxicity is lessened when a combination of chemotherapy medications is used." B. "The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed." C. "The use of more chemotherapy medications will shorten the time you have to be in treatment." D. "The combination of chemotherapy medications will eliminate the potential for bone marrow suppression." 6. 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." 7. 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? A. Thinning of the scalp hair B. Tingling of the hands and feet C. Reduced ability to concentrate D. Sores in mucous membranes 8. 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 9. 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 10. 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 a while." C. "I’m planning a large gathering of friends and family for the holidays." D. "I will eat canned fruits and vegetables." 11. 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." 12. 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." 13. 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 year 14. 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." 15. 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? A. Irregular cardiac rhythm B. Numbness in the hands C. Muscle cramps D. Facial edema