ATI RN
Oncology Questions Questions
Question 1 of 5
When preparing for the patient's subsequent care after completing the full course of treatment for acute lymphocytic leukemia without a significant response, what action should the nurse take?
Correct Answer: D
Rationale: In cases where a patient does not respond appreciably to therapy, it is crucial to identify and respect the patient's choices regarding treatment, including preferences for end-of-life care. Option A is incorrect because it focuses on spiritual support rather than the patient's care preferences. Option B is incorrect as it assumes non-adherence to treatment without evidence. Option C is incorrect as it suggests an alternative treatment approach without considering the patient's wishes for end-of-life care.
Question 2 of 5
A patient with non-Hodgkin lymphoma (NHL) is receiving treatment. What is the most important assessment for the nurse to make in this patient?
Correct Answer: C
Rationale: The correct answer is C: Respiratory function. In a patient with non-Hodgkin lymphoma (NHL), monitoring respiratory function is crucial due to the potential for complications such as pleural effusion or pneumonia. Assessing skin integrity (choice
A) is important but not as critical as monitoring respiratory function in this case. Nutritional status (choice
B) and cognitive function (choice
D) are also important aspects of care but do not take precedence over assessing respiratory function in a patient with NHL undergoing treatment.
Question 3 of 5
A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which condition?
Correct Answer: B
Rationale: The correct answer is B. A vesicovaginal fistula is an abnormal connection between the bladder and the vagina, leading to the passage of urine through the vagina. This condition can occur due to various reasons, including radiation therapy.
Choice A, rupture of the bladder, is incorrect because a rupture would present with more severe symptoms and is not consistent with the client's description.
Choice C, extreme stress, is incorrect as it does not explain the physical symptom of voiding through the vagina.
Choice D, altered perineal sensation, is incorrect as it does not involve a direct connection between the bladder and the vagina.
Question 4 of 5
Nurse Cecilia is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the following in the care of this client?
Correct Answer: A
Rationale: The correct answer is A. Elevating the knee gatch on the bed should be avoided in the care of a client who has undergone a vaginal hysterectomy. This action can inhibit venous return, increasing the risk of deep vein thrombosis or thrombophlebitis.
Choices B, C, and D are appropriate nursing interventions for postoperative care to prevent complications and promote circulation.
Question 5 of 5
An oncology nurse is caring for a patient who has developed erythema following radiation therapy. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D. When a patient develops erythema following radiation therapy, it is essential to avoid further irritation and potential infection. Using soap on the affected area can exacerbate the condition. Applying ice (choice
A) may provide temporary relief for discomfort but does not address the underlying issue. Keeping the area cleanly shaven (choice
B) is not necessary and may increase the risk of skin irritation. Applying petroleum jelly (choice
C) can trap heat and worsen the erythema, so it is not recommended.