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
The nurse is caring for a patient who has just been given a 6-month prognosis following a diagnosis of extensive-stage small-cell lung cancer. The patient states that he would like to die at home, but the team believes that the patient's care needs are unable to be met in a home environment. What might you suggest as an alternative?
Correct Answer: D
Rationale: In this scenario, the most appropriate alternative to address the patient's desire to die at home while ensuring proper care is hospice care. Hospice care is specifically designed to provide support to patients and families in situations where the patient's needs cannot be met at home. Rehabilitation hospital (
Choice
A), personal care home (
Choice
B), and acute care (
Choice
C) are not the most suitable options in this case as they do not focus on end-of-life care and support like hospice care does.
Question 3 of 5
You are caring for a patient who has just been told that her stage IV colon cancer has recurred and metastasized to the liver. The oncologist offers the patient the option of surgery to treat the progression of this disease. What type of surgery does the oncologist offer?
Correct Answer: A
Rationale: The correct answer is A: Palliative. Palliative surgery is aimed at relieving symptoms and improving quality of life when a cure is not possible. In this scenario, where the cancer has recurred and metastasized, the goal of surgery would be to alleviate symptoms rather than to cure the disease.
Choices B, C, and D are incorrect because reconstructive surgery aims to restore function or appearance, salvage surgery aims to remove or salvage tissue to prevent further complications, and prophylactic surgery aims to prevent the development of a condition rather than treat its progression.
Question 4 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 5 of 5
What is a characteristic of normal cells?
Correct Answer: C
Rationale: The correct answer is that normal cells undergo apoptosis, which is a programmed cell death process essential for maintaining tissue homeostasis.
Choice A is incorrect as normal cells do have specific functions.
Choice B is incorrect as the size of the nucleus may vary but is not a defining characteristic of normal cells.
Choice D is incorrect as the color of the nucleus is not a standard characteristic of normal cells.