ATI RN
Nursing Process Practice Questions Quizlet Questions
Question 1 of 5
After a transsphenoidal adenohypophysectomy, a client is likely to undergo hormone replacement therapy. A transsphenoidal adenohypophysectomy is performed to treat which type of cancer?
Correct Answer: C
Rationale: After a transsphenoidal adenohypophysectomy, hormone replacement therapy is needed due to the removal of the pituitary gland. This surgery is typically done to treat pituitary carcinoma, making choice C the correct answer. Pituitary carcinoma is a type of cancer that affects the pituitary gland. Choices A, B, and D are incorrect because they do not involve the pituitary gland. Esophageal carcinoma affects the esophagus, laryngeal carcinoma affects the larynx, and colorectal carcinoma affects the colon and rectum. Therefore, the correct choice, C, is the only one related to the pituitary gland and the procedure described.
Question 2 of 5
As part of primary cancer prevention program, an oncology nurse answers questions from the public at health fair. When someone asks about the laryngeal cancer, the nurse should explain that:
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Laryngeal cancer is strongly linked to smoking and alcohol consumption. 2. Both smoking and alcohol use are modifiable risk factors, meaning they can be prevented. 3. By avoiding smoking and excessive alcohol intake, individuals can significantly reduce their risk of developing laryngeal cancer. 4. Therefore, laryngeal cancer is considered one of the most preventable types of cancer. Summary of why the other choices are incorrect: B. Inhaling polluted air can be a risk factor for laryngeal cancer, so this statement is inaccurate. C. Laryngeal cancer occurs more frequently in men than women, so this statement is incorrect. D. Squamous cell carcinoma, not adenocarcinoma, is the most common type of laryngeal cancer, making this statement incorrect.
Question 3 of 5
To combat the most common adverse effects of chemotherapy, the nurse would administer an:
Correct Answer: A
Rationale: The correct answer is A: Antiemetic. Chemotherapy commonly causes nausea and vomiting as adverse effects. Antiemetics are medications specifically designed to prevent or alleviate nausea and vomiting. Administering an antiemetic helps to manage these side effects and improve the patient's comfort and compliance with treatment. Antibiotics (choice B) are used to treat bacterial infections and are not directly related to combating chemotherapy side effects. Antimetabolites (choice C) are a type of chemotherapy drug, not used to combat its side effects. Anticoagulants (choice D) are used to prevent blood clots and are not indicated for managing chemotherapy-related nausea and vomiting.
Question 4 of 5
A client with cancer that has metastazised to the liver is started on chemotherapy- His physician has specified divided doses of the antimetabolite. The client asks why he could take the drug in divided doses. The appropriate response is:
Correct Answer: C
Rationale: The correct answer is C: "Divided doses produce greater cytotoxic effects on the diseased cells." Dividing the doses of the antimetabolite allows for more consistent levels of the drug in the bloodstream, ensuring sustained exposure to the cancer cells. This continuous exposure enhances the drug's cytotoxic effects, increasing its efficacy in targeting and destroying the diseased cells. Options A and B provide vague or incorrect information, while option D is misleading as antimetabolites do not prevent cell division, but rather disrupt DNA synthesis.
Question 5 of 5
Which of the ff is a reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy?
Correct Answer: C
Rationale: Step 1: Most clients are not hospitalized long after a mastectomy - Correct. This is because mastectomy is often performed as an outpatient procedure, and clients are discharged home shortly after surgery. Step 2: The adverse effects of mastectomy are not immediate - Incorrect. Adverse effects may occur post-surgery, but early discharge is not solely due to immediate adverse effects. Step 3: The wound of the surgery is not highly contagious - Incorrect. Mastectomy wounds are not contagious, and isolation precautions are not necessary. Step 4: Suicidal tendencies in women undergoing mastectomy are not high - Incorrect. While emotional support is crucial, early discharge is not primarily due to suicidal tendencies. Summary: Choice C is correct because mastectomy clients are typically not hospitalized long, making early discharge instructions and home care arrangements necessary. Choices A, B, and D are incorrect as they do not directly relate to the primary reason for early discharge and home care planning.