ATI MED SURG | ONCOLOGY TEST | ACTUAL QUESTIONS AND
ANSWERS | 100% CORRECT
A nurse is developing a care plan for a client immediately following a bone marrow
transplant. Which of the following post transplact concerns should be the nurse's
highest priority?
a. pain
b. social isolation
c. risk for infection
d. graft-versus-host disease - C
The major cause of death in the first week to 10 days following a bone marrow
transplant is infection. A great deal of the client's care should be directed at maintaining
a micro-organism-free environment making this the priority concern.
A client with breast cancer is receiving a combination of chemotherapy agents. The
nurse identifies the rationale for this combined treatment modality is that the
a. risk for renal toxicity is lessened
b. agents act at different stages of cellular mitosis
c. length of treatment will be shorter
d. potential for bone marrow suppression is eliminated - B
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 client is receiving external radiation therapy. Which of the following statements
indicates to the nurse that the client understands the discharge teaching plan?
a. I need to protect the area from sunlight
b. I'm going to apply skin cream every day to the area
c. I'll massage the area once a day
d. I will wash the markings off after each therapy treatment - A
Areas of skin that have received radiation should be protected from sunlight. This
prevents skin irritation and subsequent breakdown
A client with multiple myeloma is admitted to the unit with a white blood cell count of
2,200/mm3. Which of the following foods should the nurse prohibit family members from
bringing to the client?
a. fried chicken from a fast food shop
b. a gift basket of bagels
c. a factory-sealed box of chocolates
, d. a fresh fruit basket - D
Raw fruits and vegetables are contraindicated for this client since the skin may harbor
bacteria that can cause an infection in this client. These foods should not be brought
into the client's room or consumed by the client.
A client with leukemia suffers a relapse, and the provider recommends a bone marrow
transplant. After the provider leaves, the client asks the nurse, "do they put the marrow
back in me the same way they took it out for a biopsy?" Which of the following
responses should the nurse make?
a. No, it's transfused just like any other blood component into your central IV line
b. Yes, it's replaced directly into the bone like a biopsy, but it requires several sites
c. Yes, however, you will not feel it because they will do it in the OR under anesthesia
d. I'll get the doctor back in here to answer the rest of your questions - A
Harvested marrow is transfused into the recipient like any other blood component via
the client's central IV line
A nurse is preparing to discharge a client who had a right radical mastectomy 2 days
ago and will be going home with drains still in the incision. When developing a
discharge plan of care for this client, which of the following is appropriate for the nurse
to include?
a. empty the reservoir bulb attached to the drain once a day
b. avoid exercises that raise the right arm over the head for 6 weeks
c. take your blood pressure on the left arm
d. report numbness of the inner right arm to the provider - C
Due to the risk of lymphedema from lymph node removal, the client's blood pressure
should never be taken in the right arm
aAnurse -
A nurse is caring for a client who has just begun chemotherapy for acute lymphoma.
The plan of care indicates that signs of tumor lysis syndrome should be part of the
nursing assessment. Which of the following assessment findings are consistent with
tumor lysis syndrome?
a. polyuria
b. muscle weakness
c. flank pain
d. hypotension - C
Tumor lysis syndrome is the development of electrolyte and metabolic disturbances that
may result in life-threatening complications if not managed appropriately. Tumor lysis
syndrome is caused by the sudden rapid death of cells, particularly cancer cells in
clients with leukemia or lymphoma, in response to chemotherapy. Lab results will show
high potassium, uric acid, and phosphorous levels and low calcium levels in the blood. If
untreated, progression of tumor lysis syndrome may cause acute kidney failure, cardiac
arrythmias, seizures, loss of muscle control, and death. Flank pain is a symptom of
tumor lysis syndrome secondary to the strain placed on the kidneys to excrete large
amounts of intracellular metabolites.
ANSWERS | 100% CORRECT
A nurse is developing a care plan for a client immediately following a bone marrow
transplant. Which of the following post transplact concerns should be the nurse's
highest priority?
a. pain
b. social isolation
c. risk for infection
d. graft-versus-host disease - C
The major cause of death in the first week to 10 days following a bone marrow
transplant is infection. A great deal of the client's care should be directed at maintaining
a micro-organism-free environment making this the priority concern.
A client with breast cancer is receiving a combination of chemotherapy agents. The
nurse identifies the rationale for this combined treatment modality is that the
a. risk for renal toxicity is lessened
b. agents act at different stages of cellular mitosis
c. length of treatment will be shorter
d. potential for bone marrow suppression is eliminated - B
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 client is receiving external radiation therapy. Which of the following statements
indicates to the nurse that the client understands the discharge teaching plan?
a. I need to protect the area from sunlight
b. I'm going to apply skin cream every day to the area
c. I'll massage the area once a day
d. I will wash the markings off after each therapy treatment - A
Areas of skin that have received radiation should be protected from sunlight. This
prevents skin irritation and subsequent breakdown
A client with multiple myeloma is admitted to the unit with a white blood cell count of
2,200/mm3. Which of the following foods should the nurse prohibit family members from
bringing to the client?
a. fried chicken from a fast food shop
b. a gift basket of bagels
c. a factory-sealed box of chocolates
, d. a fresh fruit basket - D
Raw fruits and vegetables are contraindicated for this client since the skin may harbor
bacteria that can cause an infection in this client. These foods should not be brought
into the client's room or consumed by the client.
A client with leukemia suffers a relapse, and the provider recommends a bone marrow
transplant. After the provider leaves, the client asks the nurse, "do they put the marrow
back in me the same way they took it out for a biopsy?" Which of the following
responses should the nurse make?
a. No, it's transfused just like any other blood component into your central IV line
b. Yes, it's replaced directly into the bone like a biopsy, but it requires several sites
c. Yes, however, you will not feel it because they will do it in the OR under anesthesia
d. I'll get the doctor back in here to answer the rest of your questions - A
Harvested marrow is transfused into the recipient like any other blood component via
the client's central IV line
A nurse is preparing to discharge a client who had a right radical mastectomy 2 days
ago and will be going home with drains still in the incision. When developing a
discharge plan of care for this client, which of the following is appropriate for the nurse
to include?
a. empty the reservoir bulb attached to the drain once a day
b. avoid exercises that raise the right arm over the head for 6 weeks
c. take your blood pressure on the left arm
d. report numbness of the inner right arm to the provider - C
Due to the risk of lymphedema from lymph node removal, the client's blood pressure
should never be taken in the right arm
aAnurse -
A nurse is caring for a client who has just begun chemotherapy for acute lymphoma.
The plan of care indicates that signs of tumor lysis syndrome should be part of the
nursing assessment. Which of the following assessment findings are consistent with
tumor lysis syndrome?
a. polyuria
b. muscle weakness
c. flank pain
d. hypotension - C
Tumor lysis syndrome is the development of electrolyte and metabolic disturbances that
may result in life-threatening complications if not managed appropriately. Tumor lysis
syndrome is caused by the sudden rapid death of cells, particularly cancer cells in
clients with leukemia or lymphoma, in response to chemotherapy. Lab results will show
high potassium, uric acid, and phosphorous levels and low calcium levels in the blood. If
untreated, progression of tumor lysis syndrome may cause acute kidney failure, cardiac
arrythmias, seizures, loss of muscle control, and death. Flank pain is a symptom of
tumor lysis syndrome secondary to the strain placed on the kidneys to excrete large
amounts of intracellular metabolites.
