ATI RN
ATI Oncology Questions Questions
Question 1 of 5
A client is having a catheter placed to deliver chemotherapy beads into a liver tumor via the femoral artery. What action by the nurse is most important?
Correct Answer: B
Rationale: Before any invasive procedure, such as placing a catheter to deliver chemotherapy beads into a liver tumor, it is essential to ensure that informed consent has been obtained from the client. This is a legal and ethical requirement that ensures the client understands the procedure, its risks, benefits, and alternatives. Ensuring that the signed consent is on the chart is the most important action the nurse can take before the procedure, as the procedure cannot legally proceed without it.
Question 2 of 5
A client has been prescribed epoetin alfa for anemia related to chemotherapy. What lab value should the nurse monitor to determine the effectiveness of this medication?
Correct Answer: A
Rationale: Epoetin alfa is a medication used to treat anemia, particularly anemia related to chemotherapy or chronic kidney disease. It stimulates the bone marrow to produce more red blood cells, which increases the hemoglobin level. Monitoring hemoglobin is the best way to assess the effectiveness of epoetin alfa, as an increase in hemoglobin indicates that the body is producing more red blood cells and the anemia is improving.
Question 3 of 5
Mina, who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instruction to the client?
Correct Answer: D
Rationale: A pelvic ultrasound requires the client to have a full bladder because the bladder acts as a window through which pelvic organs, such as the uterus and ovaries, can be visualized more clearly. The full bladder pushes the intestines out of the way and provides a better acoustic pathway for the ultrasound waves. Without this, the pelvic organs might be obscured, and the images would be less accurate.
Question 4 of 5
Nurse Joy is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles?
Correct Answer: B
Rationale: Clients with internal radiation implants (also known as brachytherapy) emit a small amount of radiation, which can pose a risk to others. Pregnant women are particularly vulnerable to the harmful effects of radiation because it can affect both the mother and the developing fetus. Radiation exposure can lead to birth defects, miscarriage, or other developmental issues, so pregnant women should avoid any exposure by not entering the client's room.
Question 5 of 5
The nurse is instructing the 35 year old client to perform a testicular self-examination. The nurse tells the client:
Correct Answer: B
Rationale: The correct answer is B) That the best time for the examination is after a shower. This is because the warmth from the shower helps relax the scrotal sac, making it easier to detect any abnormalities in the testicles. Performing the testicular self-exam after a shower increases the sensitivity of touch, making it more effective in detecting any lumps or changes in the testicles. Option A is incorrect because testicular self-examination should be performed while standing, not lying down, as it allows for better evaluation of the testicles' size and shape. Option C is incorrect because the client should use the thumb and fingers of both hands to roll each testicle gently between the fingers to feel for any abnormalities, not just one finger. Option D is incorrect because testicular self-examination should be done monthly, not every 6 months, to ensure early detection of any potential issues. Educationally, it is crucial for nurses to provide accurate and detailed instructions on self-examinations to empower clients to take charge of their health and detect any abnormalities early. Proper technique and timing are essential in ensuring the effectiveness of self-examinations in detecting testicular cancer or other issues.