ATI- Medical-Surgical: Oncology Exam Questions and Answers |Complete Solutions Graded
A+ |100% Correct
A nurse is admitting a client who has multiple myeloma and a white blood cell count of
2,200/mm3. Which of the following foods should the nurse prohibit the family members from
bringing to the client? A fresh fruit basket
Rational: Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the
skin might harbor bacteria that can cause an infection. The nurse should prohibit these foods
from entering the client's room.
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to
undergo placement of a colostomy with a perineal wound. Which of the following statements
by the client indicates an understanding of the teaching? "I can have only liquids for 2 days
before the surgery."
Rational: The client should consume a full or clear liquid diet for 24 to 48 hr before the surgery
to decrease bulk. The client should consume a low-residue diet for several days prior to surgery
to decrease peristalsis.
A nurse is collecting a health history from a female client who is undergoing screening for
breast cancer. Which of the following factors should the nurse identify for placing the client at
the greatest risk for developing breast cancer? Over 50 years of age
Ration: A female client whose age is over 50 years has a high increased risk for developing
breast cancer.
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 information should the
nurse include in the teaching? (Select all that apply.) -"Take your temperature twice each
day"
-"It is important to always wear shoes" is correct.
-"Avoid using tampons" is correct
, Rational:Clients who are postoperative bone marrow transplants are immunosuppressed and
should continually monitor for manifestations of infection. A temperature that is greater than
38° C (100° F) should be reported immediately to the provider. A client who had a bone marrow
transplant is immunosuppressed and should wear shoes to prevent injury and decrease the risk
for infection.The use of tampons is discouraged because they can disrupt the mucosal layer of
the vagina and, if left in too long, can support the growth of bacteria.
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? "The chemotherapy medications act at
different stages of cell division so more tumor cells are destroyed."
Rational: Different chemotherapeutic agents act at various stages of cellular mitosis (division).
By combining agents, medication therapy is more effective in stopping or slowing the growth of
cancerous cells by interfering with their ability to multiply.
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the
following manifestations should the nurse expect? Vaginal bleeding
Rational: The most common manifestation of cancer of the cervix is painless vaginal bleeding.
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? Tingling of the hands and feet
Rational: Several chemotherapeutic agents might cause peripheral neuropathy. One of the
major manifestations of peripheral neuropathy is numbness and tingling of an extremity.
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? Stop the infusion.
A+ |100% Correct
A nurse is admitting a client who has multiple myeloma and a white blood cell count of
2,200/mm3. Which of the following foods should the nurse prohibit the family members from
bringing to the client? A fresh fruit basket
Rational: Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the
skin might harbor bacteria that can cause an infection. The nurse should prohibit these foods
from entering the client's room.
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to
undergo placement of a colostomy with a perineal wound. Which of the following statements
by the client indicates an understanding of the teaching? "I can have only liquids for 2 days
before the surgery."
Rational: The client should consume a full or clear liquid diet for 24 to 48 hr before the surgery
to decrease bulk. The client should consume a low-residue diet for several days prior to surgery
to decrease peristalsis.
A nurse is collecting a health history from a female client who is undergoing screening for
breast cancer. Which of the following factors should the nurse identify for placing the client at
the greatest risk for developing breast cancer? Over 50 years of age
Ration: A female client whose age is over 50 years has a high increased risk for developing
breast cancer.
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 information should the
nurse include in the teaching? (Select all that apply.) -"Take your temperature twice each
day"
-"It is important to always wear shoes" is correct.
-"Avoid using tampons" is correct
, Rational:Clients who are postoperative bone marrow transplants are immunosuppressed and
should continually monitor for manifestations of infection. A temperature that is greater than
38° C (100° F) should be reported immediately to the provider. A client who had a bone marrow
transplant is immunosuppressed and should wear shoes to prevent injury and decrease the risk
for infection.The use of tampons is discouraged because they can disrupt the mucosal layer of
the vagina and, if left in too long, can support the growth of bacteria.
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? "The chemotherapy medications act at
different stages of cell division so more tumor cells are destroyed."
Rational: Different chemotherapeutic agents act at various stages of cellular mitosis (division).
By combining agents, medication therapy is more effective in stopping or slowing the growth of
cancerous cells by interfering with their ability to multiply.
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the
following manifestations should the nurse expect? Vaginal bleeding
Rational: The most common manifestation of cancer of the cervix is painless vaginal bleeding.
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? Tingling of the hands and feet
Rational: Several chemotherapeutic agents might cause peripheral neuropathy. One of the
major manifestations of peripheral neuropathy is numbness and tingling of an extremity.
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? Stop the infusion.
