ATI RN
ATI Oncology Quiz Questions
Question 1 of 5
A client undergoing chemotherapy is at risk for developing mucositis. What nursing intervention is most appropriate to help manage this condition?
Correct Answer: C
Rationale: In the context of a client undergoing chemotherapy at risk for developing mucositis, the most appropriate nursing intervention to help manage this condition is option C: Teach the client to avoid spicy or acidic foods. This intervention is correct because spicy or acidic foods can further irritate and inflame the oral mucosa, exacerbating mucositis symptoms. By advising the client to avoid these types of foods, we aim to reduce irritation and promote healing of the oral mucosa during chemotherapy. Option A (Encourage the client to drink plenty of fluids) is a good general recommendation for overall health but may not directly address the specific issue of mucositis. Option B (Administer antifungal mouthwash) is not the best choice for managing mucositis unless there is a specific fungal infection present. Option D (Apply a topical anesthetic to the oral mucosa before meals) may provide symptomatic relief but does not address the underlying cause of mucositis. In an educational context, it's crucial for nurses to understand the pathophysiology of mucositis and how chemotherapy can lead to this condition. Teaching clients about proper oral care, including avoiding irritating foods, is essential in managing mucositis and improving their quality of life during cancer treatment.
Question 2 of 5
The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to:
Correct Answer: C
Rationale: In clients experiencing neutropenia due to chemotherapy, the immune system is significantly compromised, leaving the client highly susceptible to infections. Meticulous hand hygiene is one of the most effective ways to prevent infections in neutropenic patients. Teaching the client and their family the importance of frequent and proper handwashing helps reduce the transmission of harmful pathogens that could lead to severe infections in the neutropenic client. This simple but essential intervention is crucial in maintaining a safe environment.
Question 3 of 5
Nurse Kent is teaching a male client to perform monthly testicular self-examinations. Which of the following points would be appropriate to make?
Correct Answer: A
Rationale: Testicular cancer is indeed highly treatable and curable, particularly when detected early through regular self-examinations. The survival rates for testicular cancer are very high, with many cases being treatable even if the cancer has spread, thanks to effective treatment options such as surgery, chemotherapy, and radiation therapy. Educating clients on the importance of early detection through monthly testicular self-examinations can empower them to recognize any changes early, increasing the likelihood of successful treatment.
Question 4 of 5
Nurse Meredith is instructing a premenopausal woman about breast self-examination. The nurse should tell the client to do her self-examination:
Correct Answer: D
Rationale: For premenopausal women, the best time to perform a breast self-examination (BSE) is immediately after their menstrual period ends. This timing is ideal because hormonal fluctuations during the menstrual cycle can cause breast tissue to become swollen and tender, making it more difficult to detect any lumps or changes. After the menstrual period, breast tissue is usually softer and less lumpy, allowing for a more accurate assessment of any abnormalities.
Question 5 of 5
The nurse is reviewing the medication record for a client receiving chemotherapy and notes that the client is receiving epoetin alfa (Epogen). The nurse determines that this medication has been prescribed to:
Correct Answer: B
Rationale: Epoetin alfa (Epogen) is a synthetic form of erythropoietin, a hormone that stimulates the production of red blood cells in the bone marrow. Chemotherapy often leads to anemia due to its effects on rapidly dividing cells, including those in the bone marrow responsible for red blood cell production. By administering epoetin alfa, the healthcare provider aims to increase the red blood cell count and improve hemoglobin levels, thereby alleviating symptoms associated with anemia, such as fatigue and weakness.