ATI Medical Surgical Proctored Exam 4 2024 verified.
ADpatientDwhoDisDscheduledDforDaDrightDbreastDbiopsyDasksDtheDnurseDtheDdifferenceDbetweenDaD
benignDtumorDandDaDmalignantDtumor.DWhichDanswerDbyDtheDnurseDisDcorrect?D-
D"MalignantDtumorsDmayDspreadDtoDotherDtissuesDorDorgans."
TheDmajorDdifferenceDbetweenDbenignDandDmalignantDtumorsDisDthatDmalignantDtumorsDinvadeD
adjacentDtissuesDandDspreadDtoDdistantDtissuesDandDbenignDtumorsDneverDmetastasize.DTheDotherD
statementsDareDinaccurate.DBothDtypesDofDtumorsDmayDcauseDdamageDtoDadjacentDtissues.DMalign
antDcellsDdoDnotDreproduceDmoreDrapidlyDthanDnormalDcells.DBenignDtumorsDdoDnotDusuallyDrecu
r.
TheDnurseDisDcaringDforDaDpatientDreceivingDintravesicalDbladderDchemotherapy.DTheDnurseDshou
ldDmonitorDforDwhichDadverseDeffect?D-DHematuria
TheDadverseDeffectsDofDintravesicalDchemotherapyDareDconfinedDtoDtheDbladder.DTheDotherDadver
seDeffectsDareDassociatedDwithDsystemicDchemotherapy.
TheDnurseDisDcaringDforDaDpatientDwhoDsmokesD2Dpacks/day.DToDreduceDtheDpatient'sDriskDofD
lungDcancer,DwhichDactionDbyDtheDnurseDisDbest?D-
DDiscussDtheDrisksDassociatedDwithDcigarettesDduringDeveryDpatientDencounter.
TeachingDaboutDtheDrisksDassociatedDwithDcigaretteDsmokingDisDrecommendedDatDeveryDpatientD
encounterDbecauseDcigaretteDsmokingDisDassociatedDwithDmultipleDhealthDproblems.DADtumorDm
ustDbeDatDleastD0.5DcmDlargeDbeforeDitDisDdetectableDbyDcurrentDscreeningDmethodsDandDmayDalr
eadyDhaveDmetastasizedDbyDthatDtime.DOncofetalDantigensDsuchDasDCEADmayDbeDusedDtoDmonit
orDtherapyDorDdetectDtumorDreoccurrence,DbutDareDnotDhelpfulDinDscreeningDforDcancer.DTheDsev
enDwarningDsignsDofDcancerDareDactuallyDassociatedDwithDfairlyDadvancedDdisease
TheDnurseDshouldDincludeDwhichDfoodDchoiceDwhenDprovidingDdietaryDteachingDforDaDpatientDsch
eduledDtoDreceiveDexternalDbeamDradiationDforDabdominalDcancer?D-DRoastedDchicken
ToDminimizeDtheDdiarrheaDthatDisDcommonlyDassociatedDwithDbowelDradiation,DtheDpatientDshoul
dDavoidDfoodsDhighDinDroughage,DsuchDasDfruitsDandDwholeDgrains.DLactoseDintoleranceDmayDdev
elopDsecondaryDtoDradiation,DsoDdairyDproductsDshouldDalsoDbeDavoided.
DuringDaDroutineDhealthDexamination,DaD40-year-
oldDpatientDtellsDtheDnurseDaboutDaDfamilyDhistoryDofDcolonDcancer.DWhichDactionDshouldDtheDn
urseDtakeDnext?D-DObtainDmoreDinformationDfromDtheDpatientDaboutDtheDfamilyDhistory.
TheDpatientDmayDbeDatDincreasedDriskDforDcolonDcancer,DbutDtheDnurse'sDfirstDactionDshouldDbeDf
urtherDassessment.DTheDotherDactionsDmayDbeDappropriate,DdependingDonDtheDinformationDthatDi
sDobtainedDfromDtheDpatientDwithDfurtherDquestioning.
ADpatientDwhoDisDdiagnosedDwithDcervicalDcancerDthatDisDclassifiedDasDTis,DN0,DM0DasksDtheDnur
seDwhatDtheDlettersDandDnumbersDmean.DWhichDresponseDbyDtheDnurseDisDmostDappropriate?D-
D"TheDcancerDinvolvesDonlyDtheDcervix."
, CancerDinDsituDindicatesDthatDtheDcancerDisDlocalizedDtoDtheDcervixDandDisDnotDinvasiveDatDthisDti
me.DCellDdifferentiationDisDnotDindicatedDbyDclinicalDstaging.DBecauseDtheDcancerDisDinDsitu,DtheD
originDisDtheDcervix.DFurtherDtestingDisDnotDindicatedDgivenDthatDtheDcancerDhasDnotDspread.
TheDnurseDteachesDaDpatientDwhoDisDscheduledDforDaDprostateDneedleDbiopsyDaboutDtheDprocedur
e.DWhichDstatement,DifDmadeDbyDtheDpatient,DindicatesDthatDteachingDwasDeffective?D-
D"TheDbiopsyDwillDhelpDdecideDtheDtreatmentDforDmyDenlargedDprostate."
ADbiopsyDisDusedDtoDdetermineDwhetherDtheDprostateDenlargementDisDbenignDorDmalignant,DandD
determinesDtheDtypeDofDtreatmentDthatDwillDbeDneeded.DADbiopsyDdoesDnotDgiveDinformationDabo
utDmetastasis,DlifeDexpectancy,DorDtheDimpactDofDcancerDonDtheDpatient'sDlife.
TheDnurseDteachesDaDpostmenopausalDpatientDwithDstageDIIIDbreastDcancerDaboutDtheDexpectedDo
utcomesDofDcancerDtreatment.DWhichDpatientDstatementDindicatesDthatDtheDteachingDhasDbeenDeff
ective?D-D"IDwillDneedDtoDhaveDfollow-
upDexaminationsDforDmanyDyearsDafterDIDhaveDtreatmentDbeforeDIDcanDbeDconsideredDcured."
TheDriskDofDrecurrenceDvariesDbyDtheDtypeDofDcancer.DSomeDcancersDareDconsideredDcuredDafterD
aDshorterDtimeDspanDorDafterDsurgery,DbutDstageDIIIDbreastDcancerDwillDrequireDadditionalDtherapie
sDandDongoingDfollow-up.
ADpatientDwithDaDlargeDstomachDtumorDthatDisDattachedDtoDtheDliverDisDscheduledDtoDhaveDaDdebu
lkingDprocedure.DWhichDinformationDshouldDtheDnurseDteachDtheDpatientDaboutDtheDoutcomeDofDt
hisDprocedure?D-DTumorDsizeDwillDdecreaseDandDthisDwillDimproveDtheDeffectsDofDotherDtherapy.
ADdebulkingDsurgeryDreducesDtheDsizeDofDtheDtumorDandDmakesDradiationDandDchemotherapyDmo
reDeffective.DDebulkingDsurgeriesDdoDnotDcontrolDtumorDgrowth.DTheDtumorDisDdebulkedDbecause
DitDisDattachedDtoDtheDliver,DaDvitalDorganD(notDtoDrelieveDpressureDonDtheDstomach).DDebulkingDd
oesDnotDseverDtheDsensoryDnerves,DalthoughDpainDmayDbeDlessenedDbyDtheDreductionDinDpressure
DonDtheDabdominalDorgans.
External-
beamDradiationDisDplannedDforDaDpatientDwithDcervicalDcancer.DWhatDinstructionsDshouldDtheDn
urseDgiveDtoDtheDpatientDtoDpreventDcomplicationsDfromDtheDeffectsDofDtheDradiation?D-
DCleanDtheDperianalDareaDcarefullyDafterDeveryDbowelDmovement.
RadiationDtoDtheDabdomenDwillDaffectDorgansDinDtheDradiationDpath,DsuchDasDtheDbowel,DandDcau
seDfrequentDdiarrhea.DCarefulDcleaningDofDthisDareaDwillDhelpDdecreaseDtheDriskDforDskinDbreakd
ownDandDinfection.DStoolsDareDlikelyDtoDhaveDoccultDbloodDfromDtheDinflammationDassociatedD
withDradiation,DsoDroutineDtestingDofDstoolsDforDbloodDisDnotDindicated.DRadiationDtoDtheDabdom
enDwillDnotDcauseDstomatitis.DADlow-
residueDdietDisDrecommendedDtoDavoidDirritationDofDtheDbowelDwhenDpatientsDreceiveDabdomina
lDradiation.
ADpatientDwithDHodgkin'sDlymphomaDwhoDisDundergoingDexternalDradiationDtherapyDtellsDtheDnu
rse,D"IDamDsoDtiredDIDcanDhardlyDgetDoutDofDbedDinDtheDmorning."DWhichDinterventionDshouldDth
eDnurseDaddDtoDtheDplanDofDcare?D-DEstablishDtimeDtoDtakeDaDshortDwalkDalmostDeveryDday.
ADpatientDwhoDisDscheduledDforDaDrightDbreastDbiopsyDasksDtheDnurseDtheDdifferenceDbetweenDaD
benignDtumorDandDaDmalignantDtumor.DWhichDanswerDbyDtheDnurseDisDcorrect?D-
D"MalignantDtumorsDmayDspreadDtoDotherDtissuesDorDorgans."
TheDmajorDdifferenceDbetweenDbenignDandDmalignantDtumorsDisDthatDmalignantDtumorsDinvadeD
adjacentDtissuesDandDspreadDtoDdistantDtissuesDandDbenignDtumorsDneverDmetastasize.DTheDotherD
statementsDareDinaccurate.DBothDtypesDofDtumorsDmayDcauseDdamageDtoDadjacentDtissues.DMalign
antDcellsDdoDnotDreproduceDmoreDrapidlyDthanDnormalDcells.DBenignDtumorsDdoDnotDusuallyDrecu
r.
TheDnurseDisDcaringDforDaDpatientDreceivingDintravesicalDbladderDchemotherapy.DTheDnurseDshou
ldDmonitorDforDwhichDadverseDeffect?D-DHematuria
TheDadverseDeffectsDofDintravesicalDchemotherapyDareDconfinedDtoDtheDbladder.DTheDotherDadver
seDeffectsDareDassociatedDwithDsystemicDchemotherapy.
TheDnurseDisDcaringDforDaDpatientDwhoDsmokesD2Dpacks/day.DToDreduceDtheDpatient'sDriskDofD
lungDcancer,DwhichDactionDbyDtheDnurseDisDbest?D-
DDiscussDtheDrisksDassociatedDwithDcigarettesDduringDeveryDpatientDencounter.
TeachingDaboutDtheDrisksDassociatedDwithDcigaretteDsmokingDisDrecommendedDatDeveryDpatientD
encounterDbecauseDcigaretteDsmokingDisDassociatedDwithDmultipleDhealthDproblems.DADtumorDm
ustDbeDatDleastD0.5DcmDlargeDbeforeDitDisDdetectableDbyDcurrentDscreeningDmethodsDandDmayDalr
eadyDhaveDmetastasizedDbyDthatDtime.DOncofetalDantigensDsuchDasDCEADmayDbeDusedDtoDmonit
orDtherapyDorDdetectDtumorDreoccurrence,DbutDareDnotDhelpfulDinDscreeningDforDcancer.DTheDsev
enDwarningDsignsDofDcancerDareDactuallyDassociatedDwithDfairlyDadvancedDdisease
TheDnurseDshouldDincludeDwhichDfoodDchoiceDwhenDprovidingDdietaryDteachingDforDaDpatientDsch
eduledDtoDreceiveDexternalDbeamDradiationDforDabdominalDcancer?D-DRoastedDchicken
ToDminimizeDtheDdiarrheaDthatDisDcommonlyDassociatedDwithDbowelDradiation,DtheDpatientDshoul
dDavoidDfoodsDhighDinDroughage,DsuchDasDfruitsDandDwholeDgrains.DLactoseDintoleranceDmayDdev
elopDsecondaryDtoDradiation,DsoDdairyDproductsDshouldDalsoDbeDavoided.
DuringDaDroutineDhealthDexamination,DaD40-year-
oldDpatientDtellsDtheDnurseDaboutDaDfamilyDhistoryDofDcolonDcancer.DWhichDactionDshouldDtheDn
urseDtakeDnext?D-DObtainDmoreDinformationDfromDtheDpatientDaboutDtheDfamilyDhistory.
TheDpatientDmayDbeDatDincreasedDriskDforDcolonDcancer,DbutDtheDnurse'sDfirstDactionDshouldDbeDf
urtherDassessment.DTheDotherDactionsDmayDbeDappropriate,DdependingDonDtheDinformationDthatDi
sDobtainedDfromDtheDpatientDwithDfurtherDquestioning.
ADpatientDwhoDisDdiagnosedDwithDcervicalDcancerDthatDisDclassifiedDasDTis,DN0,DM0DasksDtheDnur
seDwhatDtheDlettersDandDnumbersDmean.DWhichDresponseDbyDtheDnurseDisDmostDappropriate?D-
D"TheDcancerDinvolvesDonlyDtheDcervix."
, CancerDinDsituDindicatesDthatDtheDcancerDisDlocalizedDtoDtheDcervixDandDisDnotDinvasiveDatDthisDti
me.DCellDdifferentiationDisDnotDindicatedDbyDclinicalDstaging.DBecauseDtheDcancerDisDinDsitu,DtheD
originDisDtheDcervix.DFurtherDtestingDisDnotDindicatedDgivenDthatDtheDcancerDhasDnotDspread.
TheDnurseDteachesDaDpatientDwhoDisDscheduledDforDaDprostateDneedleDbiopsyDaboutDtheDprocedur
e.DWhichDstatement,DifDmadeDbyDtheDpatient,DindicatesDthatDteachingDwasDeffective?D-
D"TheDbiopsyDwillDhelpDdecideDtheDtreatmentDforDmyDenlargedDprostate."
ADbiopsyDisDusedDtoDdetermineDwhetherDtheDprostateDenlargementDisDbenignDorDmalignant,DandD
determinesDtheDtypeDofDtreatmentDthatDwillDbeDneeded.DADbiopsyDdoesDnotDgiveDinformationDabo
utDmetastasis,DlifeDexpectancy,DorDtheDimpactDofDcancerDonDtheDpatient'sDlife.
TheDnurseDteachesDaDpostmenopausalDpatientDwithDstageDIIIDbreastDcancerDaboutDtheDexpectedDo
utcomesDofDcancerDtreatment.DWhichDpatientDstatementDindicatesDthatDtheDteachingDhasDbeenDeff
ective?D-D"IDwillDneedDtoDhaveDfollow-
upDexaminationsDforDmanyDyearsDafterDIDhaveDtreatmentDbeforeDIDcanDbeDconsideredDcured."
TheDriskDofDrecurrenceDvariesDbyDtheDtypeDofDcancer.DSomeDcancersDareDconsideredDcuredDafterD
aDshorterDtimeDspanDorDafterDsurgery,DbutDstageDIIIDbreastDcancerDwillDrequireDadditionalDtherapie
sDandDongoingDfollow-up.
ADpatientDwithDaDlargeDstomachDtumorDthatDisDattachedDtoDtheDliverDisDscheduledDtoDhaveDaDdebu
lkingDprocedure.DWhichDinformationDshouldDtheDnurseDteachDtheDpatientDaboutDtheDoutcomeDofDt
hisDprocedure?D-DTumorDsizeDwillDdecreaseDandDthisDwillDimproveDtheDeffectsDofDotherDtherapy.
ADdebulkingDsurgeryDreducesDtheDsizeDofDtheDtumorDandDmakesDradiationDandDchemotherapyDmo
reDeffective.DDebulkingDsurgeriesDdoDnotDcontrolDtumorDgrowth.DTheDtumorDisDdebulkedDbecause
DitDisDattachedDtoDtheDliver,DaDvitalDorganD(notDtoDrelieveDpressureDonDtheDstomach).DDebulkingDd
oesDnotDseverDtheDsensoryDnerves,DalthoughDpainDmayDbeDlessenedDbyDtheDreductionDinDpressure
DonDtheDabdominalDorgans.
External-
beamDradiationDisDplannedDforDaDpatientDwithDcervicalDcancer.DWhatDinstructionsDshouldDtheDn
urseDgiveDtoDtheDpatientDtoDpreventDcomplicationsDfromDtheDeffectsDofDtheDradiation?D-
DCleanDtheDperianalDareaDcarefullyDafterDeveryDbowelDmovement.
RadiationDtoDtheDabdomenDwillDaffectDorgansDinDtheDradiationDpath,DsuchDasDtheDbowel,DandDcau
seDfrequentDdiarrhea.DCarefulDcleaningDofDthisDareaDwillDhelpDdecreaseDtheDriskDforDskinDbreakd
ownDandDinfection.DStoolsDareDlikelyDtoDhaveDoccultDbloodDfromDtheDinflammationDassociatedD
withDradiation,DsoDroutineDtestingDofDstoolsDforDbloodDisDnotDindicated.DRadiationDtoDtheDabdom
enDwillDnotDcauseDstomatitis.DADlow-
residueDdietDisDrecommendedDtoDavoidDirritationDofDtheDbowelDwhenDpatientsDreceiveDabdomina
lDradiation.
ADpatientDwithDHodgkin'sDlymphomaDwhoDisDundergoingDexternalDradiationDtherapyDtellsDtheDnu
rse,D"IDamDsoDtiredDIDcanDhardlyDgetDoutDofDbedDinDtheDmorning."DWhichDinterventionDshouldDth
eDnurseDaddDtoDtheDplanDofDcare?D-DEstablishDtimeDtoDtakeDaDshortDwalkDalmostDeveryDday.
