INTERMEDIATE MEDICAL-SURGICAL NURSING: MEDICAL-SURGICAL:
ONCOLOGY (ATI TESTING - LEARNING SYSTEM RN 2.0)
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? - CORRECT ANSWER-"I can only have liquids for 2 days before the
surgery."
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.
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? - CORRECT ANSWER-Tingling of the hands and feet
*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 collecting a health history from a client. Which of the following
findings is the highest risk factor for the client developing skin cancer? -
CORRECT ANSWER-Overexposure to sun light
*The nurse should apply the safety and risk reduction priority-setting
framework when caring for this client. This framework assigns priority to the
factor or situation posing the greatest safety risk to the client. When there are
several risks to client safety, the one posing the greatest threat is the highest
priority. The nurse should use Maslow's hierarchy of needs, the ABC priority
setting framework, or nursing knowledge to identify which risk poses the
, greatest threat to the client. Therefore, the nurse should identify the client's
overexposure to sun as being the greatest risk factor for developing skin cancer.
A nurse is providing discharge teaching to a client who is postoperative
following a right mastectomy for breast cancer. The client will be discharged
with two Jackson-Pratt drainage tubes. Which of the following information
should the nurse include in the teaching? - CORRECT ANSWER-"The drainage
tubes often are removed at the same time as the stitches."
The nurse should instruct the client that the provider will remove the drainage
tubes at the same time the stitches are removed, usually within 7 to 10 days.
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? -
CORRECT ANSWER-Enlarged lymph nodes
*Hodgkin's lymphoma is a malignancy of lymphoid tissue found in the lymph
nodes, spleen, liver, and bone marrow. The first manifestation of this cancer is
often an enlarged painless lymph node, or nodes, which appear without a
known cause. Other early manifestations include night sweats, unexplained
weight loss, fever, and pruritus. The disease can spread to adjacent lymph
nodes and later might spread outside the lymph nodes to the lungs, liver,
bones, or bone marrow. The spread of Hodgkin's lymphoma is usually in an
ordered pattern.
A nurse is providing discharge teaching to a client following open radical
prostatectomy. The client is going home with an indwelling urinary catheter.
Which of the following statements by the client indicates an understanding of
the teaching? - CORRECT ANSWER-"I will change the catheter drainage bag
once each week."
ONCOLOGY (ATI TESTING - LEARNING SYSTEM RN 2.0)
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? - CORRECT ANSWER-"I can only have liquids for 2 days before the
surgery."
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.
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? - CORRECT ANSWER-Tingling of the hands and feet
*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 collecting a health history from a client. Which of the following
findings is the highest risk factor for the client developing skin cancer? -
CORRECT ANSWER-Overexposure to sun light
*The nurse should apply the safety and risk reduction priority-setting
framework when caring for this client. This framework assigns priority to the
factor or situation posing the greatest safety risk to the client. When there are
several risks to client safety, the one posing the greatest threat is the highest
priority. The nurse should use Maslow's hierarchy of needs, the ABC priority
setting framework, or nursing knowledge to identify which risk poses the
, greatest threat to the client. Therefore, the nurse should identify the client's
overexposure to sun as being the greatest risk factor for developing skin cancer.
A nurse is providing discharge teaching to a client who is postoperative
following a right mastectomy for breast cancer. The client will be discharged
with two Jackson-Pratt drainage tubes. Which of the following information
should the nurse include in the teaching? - CORRECT ANSWER-"The drainage
tubes often are removed at the same time as the stitches."
The nurse should instruct the client that the provider will remove the drainage
tubes at the same time the stitches are removed, usually within 7 to 10 days.
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? -
CORRECT ANSWER-Enlarged lymph nodes
*Hodgkin's lymphoma is a malignancy of lymphoid tissue found in the lymph
nodes, spleen, liver, and bone marrow. The first manifestation of this cancer is
often an enlarged painless lymph node, or nodes, which appear without a
known cause. Other early manifestations include night sweats, unexplained
weight loss, fever, and pruritus. The disease can spread to adjacent lymph
nodes and later might spread outside the lymph nodes to the lungs, liver,
bones, or bone marrow. The spread of Hodgkin's lymphoma is usually in an
ordered pattern.
A nurse is providing discharge teaching to a client following open radical
prostatectomy. The client is going home with an indwelling urinary catheter.
Which of the following statements by the client indicates an understanding of
the teaching? - CORRECT ANSWER-"I will change the catheter drainage bag
once each week."
