ATI RN
ATI Oncology Quiz Questions
Question 1 of 9
A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client's oral chemotherapy medications. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: Oral chemotherapy requires the same precautions as IV chemotherapy; personal protective equipment is necessary.
Question 2 of 9
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 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.
Question 4 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 5 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 6 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 7 of 9
Which of the following descriptions of chemotherapy is correct?
Correct Answer: C
Rationale: Chemotherapy drugs are typically administered systemically, meaning they circulate throughout the body via the bloodstream. This allows them to target cancer cells that may have spread beyond the original tumor site, making chemotherapy an effective treatment for cancers that are metastatic (have spread to other parts of the body). However, because chemotherapy is not selective, it can also affect healthy cells that divide rapidly, leading to a range of side effects.
Question 8 of 9
A patient has a diagnosis of multiple myeloma and the nurse is preparing health education in preparation for discharge from the hospital. What action should the nurse promote?
Correct Answer: B
Rationale: Renal function must be monitored closely in the patient with multiple myeloma.
Question 9 of 9
A patient with acute lymphocytic leukemia (ALL) is undergoing chemotherapy and develops neutropenia. What is the most important nursing intervention for this patient?
Correct Answer: C
Rationale: Maintaining a sterile environment is crucial to prevent infection in neutropenic patients.