ATI RN
ATI Oncology Quiz Questions
Question 1 of 5
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: In this scenario, the correct answer is option A) Allowing a very tired client to skip oral hygiene and sleep. This action requires intervention from the nurse because maintaining proper oral hygiene is crucial for oncology patients to prevent complications such as oral mucositis, infections, and discomfort. Skipping oral hygiene can lead to oral health issues that could exacerbate the patient's condition and quality of life. Option B) Assisting clients with washing the perianal area every 12 hours is an appropriate task for the assistive personnel on an oncology unit to maintain skin integrity and prevent infections, so it does not require intervention. Option C) Helping the client use a soft-bristled toothbrush for oral care is also a suitable action as it is gentle on the sensitive oral tissues of oncology patients, promoting oral hygiene without causing harm. Option D) Reminding the client to rinse the mouth with water or saline is another important aspect of oral care for oncology patients to prevent dryness, infections, and mucositis. This action does not require intervention as it contributes to the overall oral hygiene regimen. In an educational context, this question highlights the importance of proper oral hygiene in oncology care and the role of healthcare professionals in ensuring that all aspects of patient care are addressed, even when tasks are delegated to assistive personnel. It underscores the critical thinking and decision-making skills required in nursing practice to prioritize patient needs and intervene when necessary to maintain patient well-being.
Question 2 of 5
A nurse is preparing to administer filgrastim to a client undergoing chemotherapy. What is the primary purpose of this medication?
Correct Answer: A
Rationale: In the context of oncology, the primary purpose of administering filgrastim to a client undergoing chemotherapy is to increase white blood cell production. Chemotherapy often leads to a decrease in white blood cell count, which can leave the patient vulnerable to infections due to compromised immune function. Filgrastim, a granulocyte colony-stimulating factor, works by stimulating the bone marrow to produce more white blood cells, specifically neutrophils, to help prevent infections and maintain immune function during chemotherapy. Option A, increasing white blood cell production, is the correct answer because it directly addresses the main goal of using filgrastim in this scenario. Options B, C, and D are incorrect because: B) Reducing the risk of infection is a secondary outcome of increasing white blood cell production with filgrastim, not the primary purpose. C) Enhancing red blood cell production is not the function of filgrastim; it primarily targets white blood cell production. D) Controlling chemotherapy-induced nausea and vomiting is typically managed with antiemetic medications and is not the primary purpose of administering filgrastim. Understanding the rationale behind using filgrastim in chemotherapy patients is crucial for nurses to provide safe and effective care, ensuring optimal outcomes for their oncology patients. By grasping the mechanism of action and primary purpose of medications, nurses can contribute significantly to the holistic care of patients undergoing chemotherapy.
Question 3 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 4 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 5 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.