ATI- Medical-Surgical: Oncology
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."
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.
, 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 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 manifestations is an expected finding of peripheral
neuropathy? - ANSWER: Tingling of the hands and feet
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."
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.
, 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 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 manifestations is an expected finding of peripheral
neuropathy? - ANSWER: Tingling of the hands and feet
