ATI RN
ATI Oncology Questions Questions
Question 1 of 5
Mina, who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instruction to the client?
Correct Answer: D
Rationale: A pelvic ultrasound requires the client to have a full bladder because the bladder acts as a window through which pelvic organs, such as the uterus and ovaries, can be visualized more clearly. The full bladder pushes the intestines out of the way and provides a better acoustic pathway for the ultrasound waves. Without this, the pelvic organs might be obscured, and the images would be less accurate.
Question 2 of 5
The nurse is instructing the 35 year old client to perform a testicular self-examination. The nurse tells the client:
Correct Answer: B
Rationale: The correct answer is B) That the best time for the examination is after a shower. This is because the warmth from the shower helps relax the scrotal sac, making it easier to detect any abnormalities in the testicles. Performing the testicular self-exam after a shower increases the sensitivity of touch, making it more effective in detecting any lumps or changes in the testicles. Option A is incorrect because testicular self-examination should be performed while standing, not lying down, as it allows for better evaluation of the testicles' size and shape. Option C is incorrect because the client should use the thumb and fingers of both hands to roll each testicle gently between the fingers to feel for any abnormalities, not just one finger. Option D is incorrect because testicular self-examination should be done monthly, not every 6 months, to ensure early detection of any potential issues. Educationally, it is crucial for nurses to provide accurate and detailed instructions on self-examinations to empower clients to take charge of their health and detect any abnormalities early. Proper technique and timing are essential in ensuring the effectiveness of self-examinations in detecting testicular cancer or other issues.
Question 3 of 5
Nurse Casey is preparing to administer chemotherapy to a client with leukemia. The nurse wears gloves and a gown to administer the medication and to prevent exposure to the agent by which of the following routes?
Correct Answer: D
Rationale: Chemotherapeutic agents can be hazardous to healthcare workers if they are exposed to the drugs during preparation or administration. One of the primary risks is inhalation, where small particles or aerosols of the drug can become airborne and be inhaled, potentially causing harm to the nurse. Protective gear such as gloves and a gown, as well as masks or respirators in some cases, helps prevent this type of exposure.
Question 4 of 5
The nurse is caring for a client who is at risk for tumor lysis syndrome. Which laboratory value requires the nurse to intervene?
Correct Answer: C
Rationale: Tumor lysis syndrome (TLS) is a potentially life-threatening condition that occurs when large numbers of cancer cells die rapidly, releasing their contents into the bloodstream. This can overwhelm the kidneys and lead to acute kidney injury. Creatinine is a waste product filtered out of the blood by the kidneys, and an elevated creatinine level is a sign of kidney dysfunction or damage. In TLS, increased creatinine levels indicate that the kidneys are struggling to filter out the excess waste products from cell breakdown, requiring immediate intervention to prevent further complications, such as acute renal failure.
Question 5 of 5
Nurse Mandy is teaching a client about the side effects of radiation therapy. Which of the following should the nurse emphasize?
Correct Answer: C
Rationale: Fatigue is one of the most frequent and profound side effects of radiation therapy. It often occurs because radiation can damage both cancerous and healthy cells, and the body requires energy to repair the damage caused by the treatment. Fatigue from radiation can be cumulative, meaning it may worsen as treatments progress, and can significantly affect the client's daily activities, requiring the nurse to educate the client on energy conservation techniques.