ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Which screening test for colorectal cancer should the nurse recommend?
Correct Answer: D
Rationale: The nurse should recommend a proctosigmoidoscopy for colorectal cancer screening in individuals over the age of 50. This procedure allows for the visualization of the lower part of the colon and rectum, which are common sites for precancerous and cancerous lesions to develop. Proctosigmoidoscopy can help identify abnormalities early on, allowing for prompt intervention and treatment. This screening method helps in detecting colorectal cancer or pre-cancerous polyps at an early stage when they are more easily treatable. Regular screening is essential for early detection and prevention of colorectal cancer. Other screening tests such as carcinoembryonic antigen (CEA) test, annual digital examination, and barium enema are not recommended as primary screening methods for colorectal cancer.
Question 2 of 5
The nurse administers chemotherapeutic drugs to a client with cancer. What adverse effects are most common?
Correct Answer: B
Rationale: Nausea and vomiting are common adverse effects experienced by clients undergoing chemotherapy. Chemotherapeutic drugs can irritate the lining of the digestive system, leading to these symptoms. Nausea and vomiting can significantly impact a client's quality of life and may also affect their ability to continue with treatment. Healthcare providers often prescribe anti-nausea medications to help manage these side effects and improve the client's comfort during chemotherapy treatment. It is essential for nurses to assess, monitor, and address nausea and vomiting promptly to provide optimal care for clients undergoing chemotherapy.
Question 3 of 5
To treat cervical cancer, a client has had an applicator of radioactive material placed in the vagina. Which observation by the nurse indicates a radiation hazard?
Correct Answer: B
Rationale: Keeping the head of the bed at a 30-degree angle can dislodge the applicator of radioactive material placed in the vagina. When caring for a client with a radioactive applicator, it is important to ensure that the position of the applicator is maintained to prevent radiation exposure to staff and other clients. This can be achieved by keeping the head of the bed flat without elevation. The other options are appropriate measures in caring for a client with a radioactive applicator.
Question 4 of 5
A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (sub-arachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia?
Correct Answer: B
Rationale: Special positioning is required for a spinal (sub-arachnoid) block to prevent cerebrospinal fluid (CSF) leakage. The client is usually positioned in either a sitting or lateral decubitus position to allow for easier access to the spinal canal and ensure proper administration of the anesthesia. Maintaining the correct positioning helps to minimize the risk of CSF leakage, which can result in headaches and potential complications postoperatively. By positioning the client appropriately during the procedure, healthcare providers can optimize the effectiveness of the spinal block while reducing the risk of adverse effects.
Question 5 of 5
A client with advanced liver cancer is scheduled for chemotherapy. As part of the chemotherapy regimen, the nurse expects the physician to prescribe:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.