ATI Medical Surgical Proctored Exam 1 2024
What is the highest incidence of cancer in men? Prostate cancer
The nurse is teaching a wellness class to a group of women at their workplace. Which findings
represent the highest risk for developing cancer?
Body mass index of 35 kg/m2 and smoking cigarettes for 20 years
Family history of colorectal cancer and consumes a high-fiber diet
Limits fat consumption and has regular mammography and Pap screenings
Exercises five times every week and does not consume alcoholic beverages Body mass
index of 35 kg/m2 and smoking cigarettes for 20 years
The nurse is caring for an 18-yr-old female patient with acute lymphocytic leukemia that is
scheduled for hematopoietic stem cell transplantation (HSCT). Which patient statement indicates
a correct understanding of the procedure?
"I understand the transplant procedure has no dangerous side effects."
"After the transplant, I will feel better and can go home in 5 to 7 days."
"My brother will be a 100% match for the cells used during the transplant."
"Before the transplant, I will have chemotherapy and possibly full-body radiation."
"Before the transplant, I will have chemotherapy and possibly full-body radiation."
The nurse assesses a 76-yr-old man with chronic myeloid leukemia receiving chemotherapy
using a kinase inhibitor medication. Which question is most important for the nurse to ask?
"Have you had a fever?"
"Have you lost any weight?"
"Has diarrhea been a problem?"
"Have you noticed any hair loss?" "Have you had a fever?"
A 64-yr-old male patient who is receiving radiation to the head and neck as treatment for an
invasive malignant tumor complains of mouth sores and pain. Which intervention should the
nurse add to the plan of care?
Provide ice chips to soothe the irritation.
Weigh the patient every month to monitor for weight loss.
Cleanse the mouth every 2 to 4 hours with hydrogen peroxide.
Provide high-protein and high-calorie, soft foods every 2 hours. Provide high-protein and
high-calorie, soft foods every 2 hours.
A 70-yr-old man who has end-stage lung cancer is admitted to the hospital with confusion and
oliguria for 2 days. Which finding would the nurse report immediately to the health care
provider?
Weight gain of 6 lb
Nausea and vomiting
Urine specific gravity of 1.004
Serum sodium level of 118 mEq/L Serum sodium level of 118 mEq/L
The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly
growing metastatic colon cancer. The nurse is aware that the patient is at risk for tumor lysis
syndrome (TLS) and will monitor for which abnormality associated with this oncologic
emergency?
Hypokalemia
Hypocalcemia
Hypouricemia
, Hypophosphatemia Hypouricemia
The nurse is caring for a patient suffering from anorexia secondary to chemotherapy. Which
strategy would be most appropriate to increase the patient's nutritional intake?
Increase intake of liquids at mealtime to stimulate the appetite.
Serve three large meals per day plus snacks between each meal.
Avoid the use of liquid protein supplements to encourage eating at mealtimes.
Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods. Add
items such as skim milk powder, cheese, honey, or peanut butter to selected foods. Correct
Which item would be most beneficial when providing oral care to a patient with metastatic
cancer who is at risk for oral tissue injury secondary to chemotherapy?
Firm-bristle toothbrush
Hydrogen peroxide rinse
Alcohol-based mouthwash
1 tsp salt in 1 L water mouth rinse 1 tsp salt in 1 L water mouth rinse
Which nursing diagnosis is most appropriate for a patient experiencing myelosuppression
secondary to chemotherapy for cancer treatment?
Acute pain
Hypothermia
Powerlessness
Risk for infection Risk for infection
Previous administrations of chemotherapy agents to a cancer patient have resulted in diarrhea.
Which dietary modification should the nurse recommend?
A bland, low-fiber diet
A high-protein, high-calorie diet
A diet high in fresh fruits and vegetables
A diet emphasizing whole and organic foods A bland, low-fiber diet
A 33-yr-old patient has recently been diagnosed with stage II cervical cancer. Which statement
by the nurse best explains the diagnosis?
"The cancer is found at the point of origin only."
"Tumor cells have been identified in the cervical region."
"The cancer has been identified in the cervix and the liver."
"Your cancer was identified in the cervix and has limited local spread." Your cancer was
identified in the cervix and has limited local spread."
A patient has been diagnosed with Burkitt's lymphoma. In the initiation stage of cancer, the cells
genetic structure is mutated. Exposure to what may have functioned as a carcinogen for this
patient?
Bacteria
Sun exposure
Most chemicals
Epstein-Barr virus Epstein-Barr virus
Which statement by the nurse most facilitates patient cancer prevention during the promotion
stage of cancer development?
"Exercise every day for 30 minutes."
"Follow smoking cessation recommendations."
"Following a vitamin regime is highly recommended."
What is the highest incidence of cancer in men? Prostate cancer
The nurse is teaching a wellness class to a group of women at their workplace. Which findings
represent the highest risk for developing cancer?
Body mass index of 35 kg/m2 and smoking cigarettes for 20 years
Family history of colorectal cancer and consumes a high-fiber diet
Limits fat consumption and has regular mammography and Pap screenings
Exercises five times every week and does not consume alcoholic beverages Body mass
index of 35 kg/m2 and smoking cigarettes for 20 years
The nurse is caring for an 18-yr-old female patient with acute lymphocytic leukemia that is
scheduled for hematopoietic stem cell transplantation (HSCT). Which patient statement indicates
a correct understanding of the procedure?
"I understand the transplant procedure has no dangerous side effects."
"After the transplant, I will feel better and can go home in 5 to 7 days."
"My brother will be a 100% match for the cells used during the transplant."
"Before the transplant, I will have chemotherapy and possibly full-body radiation."
"Before the transplant, I will have chemotherapy and possibly full-body radiation."
The nurse assesses a 76-yr-old man with chronic myeloid leukemia receiving chemotherapy
using a kinase inhibitor medication. Which question is most important for the nurse to ask?
"Have you had a fever?"
"Have you lost any weight?"
"Has diarrhea been a problem?"
"Have you noticed any hair loss?" "Have you had a fever?"
A 64-yr-old male patient who is receiving radiation to the head and neck as treatment for an
invasive malignant tumor complains of mouth sores and pain. Which intervention should the
nurse add to the plan of care?
Provide ice chips to soothe the irritation.
Weigh the patient every month to monitor for weight loss.
Cleanse the mouth every 2 to 4 hours with hydrogen peroxide.
Provide high-protein and high-calorie, soft foods every 2 hours. Provide high-protein and
high-calorie, soft foods every 2 hours.
A 70-yr-old man who has end-stage lung cancer is admitted to the hospital with confusion and
oliguria for 2 days. Which finding would the nurse report immediately to the health care
provider?
Weight gain of 6 lb
Nausea and vomiting
Urine specific gravity of 1.004
Serum sodium level of 118 mEq/L Serum sodium level of 118 mEq/L
The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly
growing metastatic colon cancer. The nurse is aware that the patient is at risk for tumor lysis
syndrome (TLS) and will monitor for which abnormality associated with this oncologic
emergency?
Hypokalemia
Hypocalcemia
Hypouricemia
, Hypophosphatemia Hypouricemia
The nurse is caring for a patient suffering from anorexia secondary to chemotherapy. Which
strategy would be most appropriate to increase the patient's nutritional intake?
Increase intake of liquids at mealtime to stimulate the appetite.
Serve three large meals per day plus snacks between each meal.
Avoid the use of liquid protein supplements to encourage eating at mealtimes.
Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods. Add
items such as skim milk powder, cheese, honey, or peanut butter to selected foods. Correct
Which item would be most beneficial when providing oral care to a patient with metastatic
cancer who is at risk for oral tissue injury secondary to chemotherapy?
Firm-bristle toothbrush
Hydrogen peroxide rinse
Alcohol-based mouthwash
1 tsp salt in 1 L water mouth rinse 1 tsp salt in 1 L water mouth rinse
Which nursing diagnosis is most appropriate for a patient experiencing myelosuppression
secondary to chemotherapy for cancer treatment?
Acute pain
Hypothermia
Powerlessness
Risk for infection Risk for infection
Previous administrations of chemotherapy agents to a cancer patient have resulted in diarrhea.
Which dietary modification should the nurse recommend?
A bland, low-fiber diet
A high-protein, high-calorie diet
A diet high in fresh fruits and vegetables
A diet emphasizing whole and organic foods A bland, low-fiber diet
A 33-yr-old patient has recently been diagnosed with stage II cervical cancer. Which statement
by the nurse best explains the diagnosis?
"The cancer is found at the point of origin only."
"Tumor cells have been identified in the cervical region."
"The cancer has been identified in the cervix and the liver."
"Your cancer was identified in the cervix and has limited local spread." Your cancer was
identified in the cervix and has limited local spread."
A patient has been diagnosed with Burkitt's lymphoma. In the initiation stage of cancer, the cells
genetic structure is mutated. Exposure to what may have functioned as a carcinogen for this
patient?
Bacteria
Sun exposure
Most chemicals
Epstein-Barr virus Epstein-Barr virus
Which statement by the nurse most facilitates patient cancer prevention during the promotion
stage of cancer development?
"Exercise every day for 30 minutes."
"Follow smoking cessation recommendations."
"Following a vitamin regime is highly recommended."
