ATI- Medical-Surgical: Oncology Exam Questions and Answers 100% Pass

ATI- Medical-Surgical: Oncology Exam Questions and Answers 100% Pass 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? - ANSWER-The client uses tobacco. Rational: The nurse should apply the safety and risk reduction priority-setting framework. 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 tobacco use as being the greatest risk factor for developing bladder 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 drains. Which of the following information should the nurse include in the teaching? - ANSWER-"The drainage tubes often are removed at the same time as the stitches." Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/10 Rational: 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 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? - ANSWER-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? - ANSWER-"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. Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/10 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? - ANSWER-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.) - ANSWER--"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 Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 4/10 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? - ANSWER-"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? - ANSWER-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 Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 5/10 manifestations is an expected finding of peripheral neuropathy? - ANSWER- 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? - ANSWER-Stop the infusion. The nurse should apply