ATI RN
Oncology Test Bank Questions
Question 1 of 5
The nurse is assessing a client with leukemia who is receiving chemotherapy. Which of the following findings would be of most concern?
Correct Answer: D
Rationale: The correct answer is D, 'Mouth sores.' Mouth sores (stomatitis) are a common and potentially serious side effect of chemotherapy. They can lead to difficulty eating, increased risk of infection, and overall decreased quality of life for the client. While alopecia, fatigue, and nausea/vomiting are also common side effects of chemotherapy, they are generally manageable and do not pose the same level of immediate concern as the development of mouth sores in a client undergoing chemotherapy.
Question 2 of 5
An emergency department nurse is triaging a 77-year-old man who presents with uncharacteristic fatigue as well as back and rib pain. The patient denies any recent injuries. The nurse should recognize the need for this patient to be assessed for what health problem?
Correct Answer: C
Rationale: The correct answer is multiple myeloma (choice
C). Back pain is a common presenting symptom in multiple myeloma, especially in older patients. This malignancy can lead to bone pain due to bone destruction and fractures. Hodgkin disease (choice
A) and Non-Hodgkin lymphoma (choice
B) typically present with symptoms like painless lymph node enlargement, fever, and weight loss. Acute thrombocythemia (choice
D) is characterized by an increase in platelet count but is not typically associated with the symptoms described by the patient.
Question 3 of 5
A nurse is caring for a patient diagnosed with chronic myeloid leukemia (CML) who is receiving the drug imatinib (Gleevec). What should the nurse monitor in this patient to assess for side effects of this therapy?
Correct Answer: A
Rationale: The correct answer is A: Cardiac function. Imatinib can cause fluid retention and heart failure, so cardiac function should be closely monitored. Renal function (choice
B) is not typically affected by imatinib. Liver function (choice
C) is not the primary concern with this medication. Pulmonary function (choice
D) is not directly impacted by imatinib therapy.
Question 4 of 5
A client with cancer is receiving palliative care. Which statement by the client indicates an understanding of palliative care?
Correct Answer: A
Rationale: The correct answer is A. Palliative care focuses on managing symptoms and improving the quality of life for clients with serious illnesses like cancer.
Choice B is incorrect as palliative care can be provided alongside curative treatments.
Choice C is incorrect because palliative care does not aim to prolong life at all costs; it focuses on improving the quality of life.
Choice D is partially correct but does not fully capture the essence of palliative care, which includes symptom management and holistic support for the client and their family.
Question 5 of 5
The nurse is caring for a client who is postoperative following a pelvic exenteration, and the health care provider changes the client's diet from NPO status to clear liquids. The nurse should check which priority item before administering the diet?
Correct Answer: A
Rationale: The correct answer is A: Bowel sounds. Checking for bowel sounds is crucial before administering any diet to ensure the gastrointestinal tract is functioning properly following surgery. This assessment helps prevent complications such as paralytic ileus.
Choices B, C, and D are not the priority in this situation. While the ability to ambulate, incision appearance, and urine specific gravity are important assessments, ensuring bowel function takes precedence in this postoperative scenario.