ATI RN
ATI Oncology Quiz Questions
Question 1 of 9
A client with breast cancer is receiving doxorubicin (Adriamycin). The nurse monitors the client closely for:
Correct Answer: B
Rationale: Doxorubicin (Adriamycin) is an anthracycline chemotherapy agent commonly used to treat various cancers, including breast cancer. One of the significant side effects associated with doxorubicin is cardiotoxicity, which can lead to serious complications such as heart failure and arrhythmias. The risk of cardiotoxicity is dose-dependent, meaning that higher cumulative doses increase the likelihood of cardiac damage. Therefore, it is essential for nurses to monitor cardiac function closely through assessments such as echocardiograms or monitoring for signs and symptoms of heart failure, such as shortness of breath, fatigue, and edema.
Question 2 of 9
A patient with leukemia has developed stomatitis and is experiencing a nutritional deficit. An oral anesthetic has consequently been prescribed. What health education should the nurse provide to the patient?
Correct Answer: A
Rationale: If oral anesthetics are used, the patient must be warned to chew with extreme care to avoid inadvertently biting the tongue or buccal mucosa.
Question 3 of 9
A nurse works on an oncology unit and delegates personal hygiene to assistive personnel (AP). What action by the AP requires intervention from the nurse?
Correct Answer: A
Rationale: Skipping oral hygiene is not appropriate for a client, even if they are tired, as it increases the risk of infection.
Question 4 of 9
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: Avoiding spicy or acidic foods can help prevent irritation of the mucosa, which is already sensitive during mucositis.
Question 5 of 9
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 6 of 9
A client with long-standing heart failure being treated for cancer has received a dose of ondansetron for nausea. What action by the nurse is most important?
Correct Answer: B
Rationale: Ondansetron can prolong the QT interval, making cardiac monitoring essential in this scenario.
Question 7 of 9
An oncology nurse is providing health education for a patient who has recently been diagnosed with leukemia. What should the nurse explain about commonalities between all of the different subtypes of leukemia?
Correct Answer: A
Rationale: Leukemia commonly involves unregulated proliferation of white blood cells.
Question 8 of 9
Four clients are receiving tyrosine kinase inhibitors (TKIs). Which of these four clients would the nurse assess first?
Correct Answer: C
Rationale: A potassium level of 2.8 mEq/L is critically low and requires immediate intervention.
Question 9 of 9
A nurse is preparing to administer filgrastim to a client undergoing chemotherapy. What is the primary purpose of this medication?
Correct Answer: A
Rationale: Filgrastim is primarily used to increase white blood cell production in clients undergoing chemotherapy.