ATI Medical Surgical Proctored Exam 2 2024 VERIFIED

ATI Medical Surgical Proctored Exam 2 2024 VERIFIED


WhileFbeingFpreparedFforFaFbiopsyFofFaFlumpFinFtheFrightFbreast,FtheFpatientFasksFtheFnurseFaboutFth
eFdifferenceFbetweenFaFbenignFtumorFandFaFmalignantFtumor.FWhichFanswerFbyFtheFnurseFisFcorrect
?
a.
BenignFtumorsFdoFnotFcauseFdamageFtoFotherFtissues.F
b.
BenignFtumorsFareFlikelyFtoFrecurFinFtheFsameFlocation.F
c.
MalignantFtumorsFmayFspreadFtoFotherFtissuesForForgans.Fd
.
MalignantFcellsFreproduceFmoreFrapidlyFthanFnormalFcells.F F ANS:FC
TheFmajorFdifferenceFbetweenFbenignFandFmalignantFtumorsFisFthatFmalignantFtumorsFinvadeFadja
centFtissuesFandFspreadFtoFdistantFtissuesFandFbenignFtumorsFneverFmetastasize.FTheFotherFstatemen
tsFareFinaccurate.FBothFtypesFofFtumorsFmayFcauseFdamageFtoFadjacentFtissues.FMalignantFcellsFdoF
notFreproduceFmoreFrapidlyFthanFnormalFcells.FBenignFtumorsFdoFnotFusuallyFrecur.
.FAFpatientFisFreceivingFintravesicalFbladderFchemotherapy.FTheFnurseFwillFmonitorFforFa
.
nausea.F
b.Falopec
ia.Fc.
mucositis.F
d.
hematuria. ANS:FD
TheFadverseFeffectsFofFintravesicalFchemotherapyFareFconfinedFtoFtheFbladder.FTheFotherFadverseFef
fectsFareFassociatedFwithFsystemicFchemotherapy.
TheFnurseFinFtheFoutpatientFclinicFisFcaringFforFaF50-year-
oldFwhoFsmokesFheavily.FToFreduceFtheFpatientsFriskFofFdyingFfromFlungFcancer,FwhichFactionFwillF
beFbestFforFtheFnurseFtoFtake?
a.
EducateFtheFpatientFaboutFtheFsevenFwarningFsignsFofFcancer.F
b.
PlanFtoFmonitorFtheFpatientsFcarcinoembryonicFantigenF(CEA)Flevel.F
c.
DiscussFtheFrisksFassociatedFwithFcigarettesFduringFeveryFpatientFencounter.F
d.
TeachFtheFpatientFaboutFtheFuseFofFannualFchestFx-raysFforFlungFcancerFscreening.
ANS:FCFEduc
ationFaboutFtheFrisksFassociatedFwithFcigaretteFsmokingFisFrecommendedFatFeveryFpatientFencount
er,FsinceFcigaretteFsmokingFisFassociatedFwithFmultipleFhealthFproblems.FAFtumorFmustFbeFatFleastF
0.5FcmFlargeFbeforeFitFisFdetectableFbyFcurrentFscreeningFmethodsFandFmayFalreadyFhaveFmetastasi
zedFbyFthatFtime.FOncofetalFantigensFsuchFasFCEAFmayFbeFusedFtoFmonitorFtherapyForFdetectFtumo
rFreoccurrence,FbutFareFnotFhelpfulFinFscreeningFforFcancer.FTheFsevenFwarningFsignsFofFcancerFare
FactuallyFassociatedFwithFfairlyFadvancedFdisease.

,AfterFtheFnurseFhasFfinishedFteachingFaFpatientFwhoFisFscheduledFtoFreceiveFexternalFbeamFradiatio
nFforFabdominalFcancerFaboutFappropriateFdiet,FwhichFdietaryFselectionFbyFtheFpatientFindicatesFthat
FtheFteachingFhasFbeenFeffective?

a.
FreshFfruitFsaladF
b.
RoastedFchicken
Fc.

WholeFwheatFtoastF
d.
CreamFofFpotatoFsoupF ANS:FB
ToFminimizeFtheFdiarrheaFthatFisFcommonlyFassociatedFwithFbowelFradiation,FtheFpatientFshouldFav
oidFfoodsFhighFinFroughage,FsuchFasFfruitsFandFwholeFgrains.FLactose-
intoleranceFmayFdevelopFsecondaryFtoFradiation,FsoFdairyFproductsFalsoFshouldFbeFavoided.
DuringFaFroutineFhealthFexamination,FaF30-year-
oldFpatientFtellsFtheFnurseFaboutFaFfamilyFhistoryFofFcolonFcancer.FWhichFactionFshouldFtheFnurseFt
akeFnext?
a.
EducateFtheFpatientFaboutFtheFneedFforFaFcolonoscopyFatFageF50.Fb
.
TeachFtheFpatientFhowFtoFdoFhomeFtestingFforFfecalFoccultFblood.F
c.
ObtainFmoreFinformationFfromFtheFpatientFaboutFtheFfamilyFhistory.Fd
.
ScheduleFaFsigmoidoscopyFtoFprovideFbaselineFdataFaboutFtheFpatient. ANS:FC
TheFpatientFmayFbeFatFincreasedFriskFforFcolonFcancer,FbutFtheFnursesFfirstFactionFshouldFbeFfurtherF
assessment.FTheFotherFactionsFmayFbeFappropriate,FdependingFonFtheFinformationFthatFisFobtainedFf
romFtheFpatientFwithFfurtherFquestioning.
WhenFreviewingFtheFchartFforFaFpatientFwithFcervicalFcancer,FtheFnurseFnotesFthatFtheFcancerFisFstag
edFasFTis,FN0,FM0.FTheFnurseFwillFteachFtheFpatientFthat
a.
theFcancerFisFlocalizedFtoFtheFcervix.F
b.
theFcancerFcellsFareFwell-
differentiated.Fc.
furtherFtestingFisFneededFtoFdetermineFtheFspreadFofFtheFcancer.F
d.
itFisFdifficultFtoFdetermineFtheForiginalFsiteFofFtheFcervicalFcancer. ANS:FA
CancerFinFsituFindicatesFthatFtheFcancerFisFlocalizedFtoFtheFcervixFandFisFnotFinvasiveFatFthisFtime.FC
ellFdifferentiationFisFnotFindicatedFbyFclinicalFstaging.FBecauseFtheFcancerFisFinFsitu,FtheForiginFisFthe
Fcervix.FFurtherFtestingFisFnotFindicatedFgivenFthatFtheFcancerFhasFnotFspread.

WhichFstatementFbyFaFpatientFwhoFisFscheduledFforFaFneedleFbiopsyFofFtheFprostateFindicatesFthatFth
eFnursesFteachingFaboutFtheFpurposeFofFtheFbiopsyFhasFbeenFeffective?
a.
TheFbiopsyFwillFremoveFtheFcancerFinFmyFprostateFgland.F
b.
TheFbiopsyFwillFdetermineFhowFmuchFlongerFIFhaveFtoFlive.

,c.
TheFbiopsyFwillFhelpFdecideFtheFtreatmentFforFmyFenlargedFprostate.F
d.
TheFbiopsyFwillFindicateFwhetherFtheFcancerFhasFspreadFtoFotherForgans. ANS:FC
AFbiopsyFisFusedFtoFdetermineFwhetherFtheFprostateFenlargementFisFbenignForFmalignantFandFdeter
minesFtheFtypeFofFtreatmentFthatFwillFbeFneeded.FBiopsyFdoesFnotFgiveFinformationFaboutFmetastasi
s,FlifeFexpectancy,ForFtheFimpactFofFcancerFonFtheFpatientsFlife;FtheFthreeFremainingFstatementsFindi
cateFaFneedFforFpatientFteaching.
TheFnurseFisFteachingFaFpostmenopausalFpatientFwithFstageFIIIFbreastFcancerFaboutFtheFexpectedF
outcomesFofFherFcancerFtreatment.FWhichFpatientFstatementFindicatesFthatFtheFteachingFhasFbeenF
effective?
a.
AfterFcancerFhasFnotFrecurredFforF5Fyears,FitFisFconsideredFcured.F
b.
TheFcancerFwillFbeFcuredFifFtheFentireFtumorFisFsurgicallyFremoved.Fc
.
CancerFisFneverFconsideredFcured,FbutFtheFtumorFcanFbeFcontrolledFwithFsurgery,Fchemotherapy,Fan
dFradiation.
d.
IFwillFneedFtoFhaveFfollow-
upFexaminationsFforFmanyFyearsFafterFIFhaveFtreatmentFbeforeFIFcanFbeFconsideredFcured.
ANS:FD
TheFriskFofFrecurrenceFvariesFbyFtheFtypeFofFcancer.FForFbreastFcancerFinFpostmenopausalFwomenFt
heFpatientFneedsFatFleastF20Fdisease-
freeFyearsFtoFbeFconsideredFcured.FSomeFcancersFareFconsideredFcuredFafterFaFshorterFtimeFspan,Fo
rFafterFsurgery,FbutFstageFIIIFbreastFcancerFwillFrequireFadditionalFtherapiesFandFongoingFfollow-
up.
AFpatientFwithFaFlargeFstomachFtumorFthatFisFattachedFtoFtheFliverFisFscheduledFtoFhaveFaFdebulkingF
procedure.FTheFnurseFexplainsFthatFtheFexpectedFoutcomeFofFthisFsurgeryFis
a.
reliefFofFpainFbyFcuttingFsensoryFnervesFinFtheFstomach.F
b.
controlFofFtheFtumorFgrowthFbyFremovalFofFmalignantFtissue.F
c.
decreaseFinFtumorFsizeFtoFimproveFtheFeffectsFofFotherFtherapy.F
d.
promotionFofFbetterFnutritionFbyFrelievingFtheFpressureFinFtheFstomach. ANS:FC
AFdebulkingFsurgeryFreducesFtheFsizeFofFtheFtumorFandFmakesFradiationFandFchemotherapyFmoreFef
fective.FDebulkingFsurgeriesFdoFnotFcontrolFtumorFgrowth.FTheFtumorFisFdebulkedFbecauseFitFisFatta
chedFtoFtheFliver,FaFvitalForganF(notFtoFrelieveFpressureFonFtheFstomach).FDebulkingFdoesFnotFseverF
theFsensoryFnerves,FalthoughFpainFmayFbeFlessenedFbyFtheFreductionFinFpressureFonFtheFabdominalF
organs.
External-
beamFradiationFisFplannedFforFaFpatientFwithFendometrialFcancer.FTheFnurseFteachesFtheFpatientFth
atFanFimportantFmeasureFtoFpreventFcomplicationsFfromFtheFeffectsFofFtheFradiationFisFtoFa.
testFallFstoolsFforFtheFpresenceFofFblood.F
b.
maintainFaFhigh-residue,Fhigh-fiberFdiet.

, c.
cleanFtheFperianalFareaFcarefullyFafterFeveryFbowelFmovement.F
d.
inspectFtheFmouthFandFthroatFdailyFforFtheFappearanceFofFthrush. ANS:FC
RadiationFtoFtheFabdomenFwillFaffectForgansFinFtheFradiationFpath,FsuchFasFtheFbowel,FandFcauseFfr
equentFdiarrhea.FCarefulFcleaningFofFthisFareaFwillFhelpFdecreaseFtheFriskFforFskinFbreakdownFandFi
nfection.FStoolsFareFlikelyFtoFhaveFoccultFbloodFfromFtheFinflammationFassociatedFwithFradiation,F
soFroutineFtestingFofFstoolsFforFbloodFisFnotFindicated.FRadiationFtoFtheFabdomenFwillFnotFcauseFsto
matitis.FAFlow-
residueFdietFisFrecommendedFtoFavoidFirritationFofFtheFbowelFwhenFpatientsFreceiveFabdominalFrad
iation.
AFpatientFwithFHodgkinsFlymphomaFwhoFisFundergoingFexternalFradiationFtherapyFtellsFtheFnurse,F
IFamFsoFtiredFIFcanFhardlyFgetFoutFofFbedFinFtheFmorning.FAnFappropriateFinterventionFforFtheFnurseFt
oFplanFwithFtheFpatientFisFto
a.
minimizeFactivityFuntilFtheFtreatmentFisFcompleted.F
b.
exerciseFvigorouslyFwhenFfatigueFisFnotFasFnoticeable.F
c.
establishFaFtimeFtoFtakeFaFshortFwalkFalmostFeveryFday.Fd
.
consultFwithFaFpsychiatristFforFtreatmentFofFdepression. ANS:FC
WalkingFprogramsFareFusedFtoFkeepFtheFpatientFactiveFwithoutFexcessiveFfatigue.FVigorousFexercis
eFwhenFtheFpatientFisFlessFtiredFmayFleadFtoFincreasedFfatigue.FFatigueFisFexpectedFduringFtreatment
FandFisFnotFanFindicationFofFdepression.FMinimizingFactivityFmayFleadFtoFweaknessFandFotherFcomp

licationsFofFimmobility.
WhichFinformationFobtainedFbyFtheFnurseFaboutFaFpatientFwithFcolonFcancerFwhoFisFscheduledFforFe
xternalFradiationFtherapyFtoFtheFabdomenFindicatesFaFneedFforFpatientFteaching?
a.
TheFpatientFswimsFaFmileF5FdaysFaFweek.Fb
.
TheFpatientFhasFaFhistoryFofFdentalFcaries.F
c.
TheFpatientFeatsFfrequentlyFduringFtheFday.Fd
.
TheFpatientFshowersFwithFDoveFsoapFdaily. ANS:FA
TheFpatientFisFinstructedFtoFavoidFswimmingFinFsaltFwaterForFchlorinatedFpoolsFduringFtheFtreatmen
tFperiod.FTheFpatientFdoesFnotFneedFtoFchangeFtheFhabitsFofFeatingFfrequentlyForFshoweringFwithFaF
mildFsoap.FAFhistoryFofFdentalFcariesFwillFnotFimpactFtheFpatientFwhoFisFscheduledFforFabdominalFr
adiation
AFpatientFundergoingFexternalFradiationFhasFdevelopedFaFdryFdesquamationFofFtheFskinFinFtheFtreat
mentFarea.FWhichFpatientFstatementFindicatesFthatFtheFnursesFteachingFaboutFmanagementFofFtheFski
nFreactionFhasFbeenFeffective?
a.
IFcanFbuyFsomeFaloeFveraFgelFtoFuseFonFtheFarea.Fb
.
IFwillFexposeFtheFtreatmentFareaFtoFaFsunFlampFdaily.