ATI Med Surg Content Mastery Practice Questions with Answers Rated A
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 ACE
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
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 need to lie still in bed during my brachytherapy
A. A
treatment."
remain on bedrest with limited movement while the ra-
B. "I will have an implant placed once a month during my
dioactive implant is in place to prevent dislodgement
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."
A nurse is providing postoperative discharge teaching to
a client following a panhysterectomy for uterine cancer.
Which of the following pieces of information should the
B
nurse include in the teaching?
a panhysterectomy includes the removal of the uterus
A. "You will need to continue to use some form of birth
and the ovaries, which might cause, manifestations of
control for 6 months.
menopause (e.g. hot flashes, night sweats, and vaginal
B. "You might experience manifestations of menopause."
dryness).
C. "Do not lift anything heavier than 15 lb."
D. "Pain or burning with urination is an expected outcome
of this surgery.
, ATI Med Surg Content Mastery Practice Questions with Answers Rated A
A charge nurse is observing a newly licensed nurse pro-
vide 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 C
the charge nurse intervene? A nurse should never borrow a dosimeter film badge from
A. Leaving soiled linens in a container in the client's room another statt member. Nurses who are caring for the client
i should each have a personal badge and wear it while
B. Instructing visitors to remain 2 m (6 feet) away from the in the client's room. The badge measures the radiation
client exposure that the nurse is receiving, and each film badge
C. Borrowing a dosimeter film badge from another nurse will indicate the nurse's cumulative radiation exposure.
before entering the client's room
D. Removing an extra IV pole from the client's room to be
used for another client
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
C
statements by the client indicates an understanding of the
The client should consume a full or clear liquid diet for 24
teaching?
to 48 hours before the surgery to decrease bulk. The client
A. "Not having any more rectal pain will be a relief."
should consume a low
B. "I will need to sit on a rubber donut when I am in the
residue diet for several days prior to surgery to decrease
chair"
peristalsis.
C. "I can have only liquids for 2 days before the surgery."
D. "The colostomy will start working about 7 days after the
surgery."
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 D
interventions? Brachytherapy is a type of radiation therapy during which
A. Chemotherapy via a central venous access device the radiation source, either an implant or via infusion, is
B. Radiation to the tumor from an external source
C. Precise delivery of high-dose radiation after tumor
, imaging
in direct contact with the client's tumor continuously for a
D. Radioactive infusions or insertions into or near the
specific duration.
tumor
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 under-
standing of the teaching?
A. "I should use petroleum-based lotions on the areas
D
being radiated."
Washing the areas being radiated with the hand is gentler
B. "I will dry the areas being radiated by rubbing in a
than using a washcloth.
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."
A nurse on an oncology unit is providing discharge teach- ACE
ing to an adolescent female client who received a bone Clients who are postoperative from bone marrow trans-
marrow transplant for leukemia. Which of the following plants are immunosuppressed and should continually
pieces of information should the nurse include in the monitor for manifestations of infection. A temperature that
teaching? (Select all that apply.) is greater than 38°C (100°F) should be reported imme-
A. "Take your temperature twice each day." diately to the provider. The client should wear shoes to
B. "You may return to school if you feel strong enough." prevent injury and decrease the risk of infection. The use
C. "It is important to wear shoes always." of tampons is discouraged because they can disrupt the
D. "Clean your toothbrush weekly with isopropyl alcohol." mucosal layer of the vagina and may support the growth
E. "Avoid using tampons." of bacteria if left in place for too long.
A nurse is providing teaching to a client who has stomatitis
due to chemotherapy and radiation therapy. Which of the
B
following statements by the client indicates a need for
This client statement indicates a need for further teaching.
further teaching?
The nurse should instruct the client who has stomatitis to
A. "I will use a soft toothbrush or foam swab for oral care."
B. "I will use lemon and glycerin swabs after meals."
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 ACE
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
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 need to lie still in bed during my brachytherapy
A. A
treatment."
remain on bedrest with limited movement while the ra-
B. "I will have an implant placed once a month during my
dioactive implant is in place to prevent dislodgement
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."
A nurse is providing postoperative discharge teaching to
a client following a panhysterectomy for uterine cancer.
Which of the following pieces of information should the
B
nurse include in the teaching?
a panhysterectomy includes the removal of the uterus
A. "You will need to continue to use some form of birth
and the ovaries, which might cause, manifestations of
control for 6 months.
menopause (e.g. hot flashes, night sweats, and vaginal
B. "You might experience manifestations of menopause."
dryness).
C. "Do not lift anything heavier than 15 lb."
D. "Pain or burning with urination is an expected outcome
of this surgery.
, ATI Med Surg Content Mastery Practice Questions with Answers Rated A
A charge nurse is observing a newly licensed nurse pro-
vide 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 C
the charge nurse intervene? A nurse should never borrow a dosimeter film badge from
A. Leaving soiled linens in a container in the client's room another statt member. Nurses who are caring for the client
i should each have a personal badge and wear it while
B. Instructing visitors to remain 2 m (6 feet) away from the in the client's room. The badge measures the radiation
client exposure that the nurse is receiving, and each film badge
C. Borrowing a dosimeter film badge from another nurse will indicate the nurse's cumulative radiation exposure.
before entering the client's room
D. Removing an extra IV pole from the client's room to be
used for another client
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
C
statements by the client indicates an understanding of the
The client should consume a full or clear liquid diet for 24
teaching?
to 48 hours before the surgery to decrease bulk. The client
A. "Not having any more rectal pain will be a relief."
should consume a low
B. "I will need to sit on a rubber donut when I am in the
residue diet for several days prior to surgery to decrease
chair"
peristalsis.
C. "I can have only liquids for 2 days before the surgery."
D. "The colostomy will start working about 7 days after the
surgery."
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 D
interventions? Brachytherapy is a type of radiation therapy during which
A. Chemotherapy via a central venous access device the radiation source, either an implant or via infusion, is
B. Radiation to the tumor from an external source
C. Precise delivery of high-dose radiation after tumor
, imaging
in direct contact with the client's tumor continuously for a
D. Radioactive infusions or insertions into or near the
specific duration.
tumor
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 under-
standing of the teaching?
A. "I should use petroleum-based lotions on the areas
D
being radiated."
Washing the areas being radiated with the hand is gentler
B. "I will dry the areas being radiated by rubbing in a
than using a washcloth.
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."
A nurse on an oncology unit is providing discharge teach- ACE
ing to an adolescent female client who received a bone Clients who are postoperative from bone marrow trans-
marrow transplant for leukemia. Which of the following plants are immunosuppressed and should continually
pieces of information should the nurse include in the monitor for manifestations of infection. A temperature that
teaching? (Select all that apply.) is greater than 38°C (100°F) should be reported imme-
A. "Take your temperature twice each day." diately to the provider. The client should wear shoes to
B. "You may return to school if you feel strong enough." prevent injury and decrease the risk of infection. The use
C. "It is important to wear shoes always." of tampons is discouraged because they can disrupt the
D. "Clean your toothbrush weekly with isopropyl alcohol." mucosal layer of the vagina and may support the growth
E. "Avoid using tampons." of bacteria if left in place for too long.
A nurse is providing teaching to a client who has stomatitis
due to chemotherapy and radiation therapy. Which of the
B
following statements by the client indicates a need for
This client statement indicates a need for further teaching.
further teaching?
The nurse should instruct the client who has stomatitis to
A. "I will use a soft toothbrush or foam swab for oral care."
B. "I will use lemon and glycerin swabs after meals."
