ATI Medical Surgical Proctored Exam 3 2024 .100% CORRECT
QUESTIONS AND ANSWERS
ABpatientBwhoBisBscheduledBforBaBbreastBbiopsyBasksBtheBnurseBtheBdifferenceBbetweenBaBbenig
nBtumorBandBaBmalignantBtumor.BWhichBanswerBbyBtheBnurseBisBcorrect?
a. "BenignBtumorsBdoBnotBcauseBdamageBtoBotherBtissues."
b. "BenignBtumorsBareBlikelyBtoBrecurBinBtheBsameBlocation."
c. "MalignantBtumorsBmayBspreadBtoBotherBtissuesBorBorgans."
d. "MalignantBcellsBreproduceBmoreBrapidlyBthanBnormalBcells." ANS:BC
TheBmajorBdifferenceBbetweenBbenignBandBmalignantBtumorsBisBthatBmalignantBtumorsBinvadeB
adjacentBtissuesBandBspreadBtoBdistantBtissuesBandBbenignBtumorsBdoBnotBmetastasize.BTheBothe
rBstatementsBareBinaccurate.BBothBtypesBofBtumorsBmayBcauseBdamageBtoBadjacentBtissues.
MalignantBcellsBdoBnotBreproduceBmoreBrapidlyBthanBnormalBcells.BBenignBtumorsBdoBnotBusua
llyBrecur.
DIF:BCognitiveBLevel:BUnderstandB(comprehension)BREF:B240
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBisBcaringBforBaBpatientBreceivingBintravesicalBbladderBchemotherapy.BTheBnurseBsho
uldBmonitorBforBwhichBadverseBeffect?
a. NauseaBc.BHematuria
b. AlopeciaBd.BXerostomia ANS:BC
TheBadverseBeffectsBofBintravesicalBchemotherapyBareBconfinedBtoBtheBbladder.BTheBotherBadve
rseBeffectsBareBassociatedBwithBsystemicBchemotherapy.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B252
TOP:BNursingBProcess:BEvaluationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBisBcaringBforBaBpatientBwhoBsmokesBtwoBpacks/day.BWhichBactionBbyBtheBnurseBcoul
dBhelpBreduceBtheBpatient'sBriskBofBlungBcancer?
a. TeachBtheBpatientBaboutBtheBsevenBwarningBsignsBofBcancer.
b. PlanBtoBmonitorBtheBpatient'sBcarcinoembryonicBantigenB(CEA)Blevel.
c. TeachBtheBpatientBaboutBannualBchestBx-raysBforBlungBcancerBscreening.
d. DiscussBrisksBassociatedBwithBcigaretteBsmokingBduringBeachBpatientBencounter.B ANS:BDB
TeachingBaboutBtheBrisksBassociatedBwithBcigaretteBsmokingBisBrecommendedBatBeveryBpatien
tBencounterBbecauseBcigaretteBsmokingBisBassociatedBwithBmultipleBhealthBproblems.BTheBoth
erBoptionsBmayBdetectBlungBcancerBthatBisBalreadyBpresentBbutBdoBnotBreduceBtheBrisk.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B237
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BHealthBPromotionBandBMaintenanceB
TheBnurseBshouldBsuggestBwhichBfoodBchoiceBwhenBprovidingBdietaryBteachingBforBaBpatientBs
cheduledBtoBreceiveBexternal-beamBradiationBforBabdominalBcancer?
a. FruitBsaladBc.BCreamedBbroccoli
b. BakedBchickenBd.BToastedBwheatBbread ANS:BB
ProteinBisBneededBforBwoundBhealing.BToBminimizeBtheBdiarrheaBthatBisBcommonlyBassociatedB
withBbowelBradiation,BtheBpatientBshouldBavoidBfoodsBhighBinBroughage,BsuchBasBfruitsBandBwh
oleBgrains.BLactoseBintoleranceBmayBdevelopBsecondaryBtoBradiation,BsoBdairyBproductsBshould
Balso BbeBavoided.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B254
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BPhysiologicalBIntegrity
DuringBaBroutineBhealthBexamination,BaB40-yr-oldBpatientBtellsBtheBnurseBaboutBaBfamilyBhistory
, ofBcolonBcancer.BWhichBactionBshouldBtheBnurseBtakeBnext?
a. ObtainBmoreBinformationBaboutBtheBfamilyBhistory.
b. ScheduleBaBsigmoidoscopyBtoBprovideBbaselineBdata.
c. TeachBtheBpatientBaboutBtheBneedBforBaBcolonoscopyBatBageB50.
d. TeachBtheBpatientBhowBtoBdoBhomeBtestingBforBfecalBoccultBblood.B ANS:BA
TheBpatientBmayBbeBatBincreasedBriskBforBcolonBcancer,BbutBtheBnurse'sBfirstBactionBshouldBbeBfu
rtherBassessment.BTheBotherBactionsBmayBbeBappropriate,BdependingBonBtheBinformationBthatBisB
obtainedBfromBtheBpatientBwithBfurtherBquestioning.
DIF:BCognitiveBLevel:BAnalyzeB(analysis)BREF:B241
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BHealthBPromotionBandBMaintenanceB
ABpatientBwhoBisBdiagnosedBwithBcervicalBcancerBclassifiedBasBTis,BN0,BM0BasksBtheBnurseBwha
tBtheBlettersBandBnumbersBmean.BWhichBresponseBbyBtheBnurseBisBaccurate?
a. "TheBcancerBinvolvesBonlyBtheBcervix."
b. "TheBcancerBcellsBlookBlikeBnormalBcells."
c. "FurtherBtestingBisBneededBtoBdetermineBtheBspreadBofBtheBcancer."
d. "ItBisBdifficultBtoBdetermineBtheBoriginalBsiteBofBtheBcervicalBcancer."
ANS:BABCancerBinBsituBindicatesBthatBtheBcancerBisBlocalizedBtoBtheBcervixBandBisBnotBin
vasiveBatBthis
time.BCellBdifferentiationBisBnotBindicatedBbyBclinicalBstaging.BBecauseBtheBcancerBisBinBsitu,Bth
eBoriginBisBtheBcervix.BFurtherBtestingBisBnotBindicatedBgivenBthatBtheBcancerBhasBnotBspread.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B241
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBteachesBaBpatientBwhoBisBscheduledBforBaBprostateBneedleBbiopsyBaboutBtheBprocedure.B
WhichBstatement,BifBmadeBbyBtheBpatient,BindicatesBthatBteachingBwasBeffective?
a. "TheBbiopsyBwillBremoveBtheBcancerBinBmyBprostateBgland."
b. "TheBbiopsyBwillBdetermineBhowBmuchBlongerBIBhaveBtoBlive."
c. "TheBbiopsyBwillBhelpBdecideBtheBtreatmentBforBmyBenlargedBprostate."
d. "TheBbiopsyBwillBindicateBwhetherBtheBcancerBhasBspreadBtoBotherBorgans." ANS:BC
ABbiopsyBisBusedBtoBdetermineBwhetherBtheBprostateBenlargementBisBbenignBorBmalignantBandBd
eterminesBtheBtypeBofBtreatmentBthatBwillBbeBneeded.BABbiopsyBdoesBnotBgiveBinformationBabo
utBmetastasis,BlifeBexpectancy,BorBtheBimpactBofBcancerBonBtheBpatient'sBlife.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B238
TOP:BNursingBProcess:BEvaluationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBteachesBaBpostmenopausalBpatientBwithBstageBIIIBbreastBcancerBaboutBtheBexpecte
dBoutcomesBofBcancerBtreatment.BWhichBpatientBstatementBindicatesBthatBtheBteachingBhasBbe
enBeffective?
a. "AfterBcancerBhasBnotBrecurredBforB5Byears,BitBisBconsideredBcured."
b. "TheBcancerBwillBbeBcuredBifBtheBentireBtumorBisBsurgicallyBremoved."
c. "IBwillBneedBfollow-
upBexaminationsBforBmanyByearsBafterBtreatmentBbeforeBIBcanBbeBconsideredBcured."
d. "CancerBisBneverBcured,BbutBtheBtumorBcanBbeBcontrolledBwithBsurgery
,Bchemotherapy,BandBradiation." ANS:BC
TheBriskBofBrecurrenceBvariesBbyBtheBtypeBofBcancer.BSomeBcancersBareBconsideredBcuredBafterB
aBshorterBtimeBspanBorBafterBsurgery,BbutBstageBIIIBbreastBcancerBwillBrequireBadditionalBtherapi
esBandBongoingBfollow-up.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B243
QUESTIONS AND ANSWERS
ABpatientBwhoBisBscheduledBforBaBbreastBbiopsyBasksBtheBnurseBtheBdifferenceBbetweenBaBbenig
nBtumorBandBaBmalignantBtumor.BWhichBanswerBbyBtheBnurseBisBcorrect?
a. "BenignBtumorsBdoBnotBcauseBdamageBtoBotherBtissues."
b. "BenignBtumorsBareBlikelyBtoBrecurBinBtheBsameBlocation."
c. "MalignantBtumorsBmayBspreadBtoBotherBtissuesBorBorgans."
d. "MalignantBcellsBreproduceBmoreBrapidlyBthanBnormalBcells." ANS:BC
TheBmajorBdifferenceBbetweenBbenignBandBmalignantBtumorsBisBthatBmalignantBtumorsBinvadeB
adjacentBtissuesBandBspreadBtoBdistantBtissuesBandBbenignBtumorsBdoBnotBmetastasize.BTheBothe
rBstatementsBareBinaccurate.BBothBtypesBofBtumorsBmayBcauseBdamageBtoBadjacentBtissues.
MalignantBcellsBdoBnotBreproduceBmoreBrapidlyBthanBnormalBcells.BBenignBtumorsBdoBnotBusua
llyBrecur.
DIF:BCognitiveBLevel:BUnderstandB(comprehension)BREF:B240
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBisBcaringBforBaBpatientBreceivingBintravesicalBbladderBchemotherapy.BTheBnurseBsho
uldBmonitorBforBwhichBadverseBeffect?
a. NauseaBc.BHematuria
b. AlopeciaBd.BXerostomia ANS:BC
TheBadverseBeffectsBofBintravesicalBchemotherapyBareBconfinedBtoBtheBbladder.BTheBotherBadve
rseBeffectsBareBassociatedBwithBsystemicBchemotherapy.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B252
TOP:BNursingBProcess:BEvaluationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBisBcaringBforBaBpatientBwhoBsmokesBtwoBpacks/day.BWhichBactionBbyBtheBnurseBcoul
dBhelpBreduceBtheBpatient'sBriskBofBlungBcancer?
a. TeachBtheBpatientBaboutBtheBsevenBwarningBsignsBofBcancer.
b. PlanBtoBmonitorBtheBpatient'sBcarcinoembryonicBantigenB(CEA)Blevel.
c. TeachBtheBpatientBaboutBannualBchestBx-raysBforBlungBcancerBscreening.
d. DiscussBrisksBassociatedBwithBcigaretteBsmokingBduringBeachBpatientBencounter.B ANS:BDB
TeachingBaboutBtheBrisksBassociatedBwithBcigaretteBsmokingBisBrecommendedBatBeveryBpatien
tBencounterBbecauseBcigaretteBsmokingBisBassociatedBwithBmultipleBhealthBproblems.BTheBoth
erBoptionsBmayBdetectBlungBcancerBthatBisBalreadyBpresentBbutBdoBnotBreduceBtheBrisk.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B237
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BHealthBPromotionBandBMaintenanceB
TheBnurseBshouldBsuggestBwhichBfoodBchoiceBwhenBprovidingBdietaryBteachingBforBaBpatientBs
cheduledBtoBreceiveBexternal-beamBradiationBforBabdominalBcancer?
a. FruitBsaladBc.BCreamedBbroccoli
b. BakedBchickenBd.BToastedBwheatBbread ANS:BB
ProteinBisBneededBforBwoundBhealing.BToBminimizeBtheBdiarrheaBthatBisBcommonlyBassociatedB
withBbowelBradiation,BtheBpatientBshouldBavoidBfoodsBhighBinBroughage,BsuchBasBfruitsBandBwh
oleBgrains.BLactoseBintoleranceBmayBdevelopBsecondaryBtoBradiation,BsoBdairyBproductsBshould
Balso BbeBavoided.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B254
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BPhysiologicalBIntegrity
DuringBaBroutineBhealthBexamination,BaB40-yr-oldBpatientBtellsBtheBnurseBaboutBaBfamilyBhistory
, ofBcolonBcancer.BWhichBactionBshouldBtheBnurseBtakeBnext?
a. ObtainBmoreBinformationBaboutBtheBfamilyBhistory.
b. ScheduleBaBsigmoidoscopyBtoBprovideBbaselineBdata.
c. TeachBtheBpatientBaboutBtheBneedBforBaBcolonoscopyBatBageB50.
d. TeachBtheBpatientBhowBtoBdoBhomeBtestingBforBfecalBoccultBblood.B ANS:BA
TheBpatientBmayBbeBatBincreasedBriskBforBcolonBcancer,BbutBtheBnurse'sBfirstBactionBshouldBbeBfu
rtherBassessment.BTheBotherBactionsBmayBbeBappropriate,BdependingBonBtheBinformationBthatBisB
obtainedBfromBtheBpatientBwithBfurtherBquestioning.
DIF:BCognitiveBLevel:BAnalyzeB(analysis)BREF:B241
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BHealthBPromotionBandBMaintenanceB
ABpatientBwhoBisBdiagnosedBwithBcervicalBcancerBclassifiedBasBTis,BN0,BM0BasksBtheBnurseBwha
tBtheBlettersBandBnumbersBmean.BWhichBresponseBbyBtheBnurseBisBaccurate?
a. "TheBcancerBinvolvesBonlyBtheBcervix."
b. "TheBcancerBcellsBlookBlikeBnormalBcells."
c. "FurtherBtestingBisBneededBtoBdetermineBtheBspreadBofBtheBcancer."
d. "ItBisBdifficultBtoBdetermineBtheBoriginalBsiteBofBtheBcervicalBcancer."
ANS:BABCancerBinBsituBindicatesBthatBtheBcancerBisBlocalizedBtoBtheBcervixBandBisBnotBin
vasiveBatBthis
time.BCellBdifferentiationBisBnotBindicatedBbyBclinicalBstaging.BBecauseBtheBcancerBisBinBsitu,Bth
eBoriginBisBtheBcervix.BFurtherBtestingBisBnotBindicatedBgivenBthatBtheBcancerBhasBnotBspread.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B241
TOP:BNursingBProcess:BImplementationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBteachesBaBpatientBwhoBisBscheduledBforBaBprostateBneedleBbiopsyBaboutBtheBprocedure.B
WhichBstatement,BifBmadeBbyBtheBpatient,BindicatesBthatBteachingBwasBeffective?
a. "TheBbiopsyBwillBremoveBtheBcancerBinBmyBprostateBgland."
b. "TheBbiopsyBwillBdetermineBhowBmuchBlongerBIBhaveBtoBlive."
c. "TheBbiopsyBwillBhelpBdecideBtheBtreatmentBforBmyBenlargedBprostate."
d. "TheBbiopsyBwillBindicateBwhetherBtheBcancerBhasBspreadBtoBotherBorgans." ANS:BC
ABbiopsyBisBusedBtoBdetermineBwhetherBtheBprostateBenlargementBisBbenignBorBmalignantBandBd
eterminesBtheBtypeBofBtreatmentBthatBwillBbeBneeded.BABbiopsyBdoesBnotBgiveBinformationBabo
utBmetastasis,BlifeBexpectancy,BorBtheBimpactBofBcancerBonBtheBpatient'sBlife.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B238
TOP:BNursingBProcess:BEvaluationBMSC:BNCLEX:BPhysiologicalBIntegrity
TheBnurseBteachesBaBpostmenopausalBpatientBwithBstageBIIIBbreastBcancerBaboutBtheBexpecte
dBoutcomesBofBcancerBtreatment.BWhichBpatientBstatementBindicatesBthatBtheBteachingBhasBbe
enBeffective?
a. "AfterBcancerBhasBnotBrecurredBforB5Byears,BitBisBconsideredBcured."
b. "TheBcancerBwillBbeBcuredBifBtheBentireBtumorBisBsurgicallyBremoved."
c. "IBwillBneedBfollow-
upBexaminationsBforBmanyByearsBafterBtreatmentBbeforeBIBcanBbeBconsideredBcured."
d. "CancerBisBneverBcured,BbutBtheBtumorBcanBbeBcontrolledBwithBsurgery
,Bchemotherapy,BandBradiation." ANS:BC
TheBriskBofBrecurrenceBvariesBbyBtheBtypeBofBcancer.BSomeBcancersBareBconsideredBcuredBafterB
aBshorterBtimeBspanBorBafterBsurgery,BbutBstageBIIIBbreastBcancerBwillBrequireBadditionalBtherapi
esBandBongoingBfollow-up.
DIF:BCognitiveBLevel:BApplyB(application)BREF:B243