ATI RN Concept-Based Assessment
Level 3 Study Guide
1. A nurse is caring for a client who is undergoing chemotherapy and reports
severe nausea. Which of the following statements should the nurse make?
A. "Your nausea will lessen with each course of chemotherapy."
B. "Hot food is better tolerated due to the aroma."
C."Try eating several small meals throughout the day."
D."Increase your intake of red meat as tolerated." - ANSWER ✅ A. Nausea
usually occurs to the same extent with each session of chemotherapy.
B. Cold foods are better tolerated than warm or hot foods because odors
from heated foods can induce nausea.
C. CORRECT: Several small meals a day are usually better tolerated by the
client who has nausea.
D. Red meat is not tolerated well by the client undergoing chemotherapy
because the taste of meat is frequently altered and unpalatable.
2. A nurse is caring for a client who has cervical cancer and is scheduled for
brachytherapy. Which of the following actions should the nurse take? (Select
all that apply.)
A. Permit visitors to stay with the client 30 min at a time.
B. Place the client on bed rest.
C. Insert an indwelling urinary catheter.
D. Administer fiber laxatives.
E. Dispose soiled linens in hamper outside client's room. - ANSWER ✅
A. CORRECT: The client who has cervical cancer will have a vaginal
radiation implant. Visitors should remain for no more than 30 min at a
time and maintain a distance of at least 6 ft.
B. CORRECT: The client who has cervical cancer will have a vaginal
radiation implant. Bed rest is needed to prevent displacement of the implant.
, C. CORRECT: The client who has cervical cancer will have a vaginal
radiation implant. A catheter is needed to prevent displacement of the
implant during ambulation.
D. Fiber laxatives, which stimulate bowel movements, are not used to
prevent displacing the vaginal radiation implant.
E. The nurse should dispose all the client's linens in a metal container inside
the client's room due to the exposure of radiation.
3. A nurse is caring for a client who has leukemia and has developed
thrombocytopenia. Which of the following actions should the nurse take
first?
A. Plan for the client to take rest periods throughout the day.
B. Encourage the client to cough, turn, and deep breath every 2 hr.
C. Assess temperature every 4 hr.
D. Monitor platelet counts. - ANSWER ✅ A. The nurse should offer the
client rest periods throughout the day. However, another action is the
priority.
B. The nurse should encourage the client to cough, turn and deep breathe
every 2 hr. However, another action is the priority.
C. The nurse should assess the client's temperature every 4 hr. However,
another action is the priority.
D. CORRECT: The greatest risk to the client who has thrombocytopenia is
injury due to bleeding. The priority action for the nurse to take is to initiate
bleeding precautions, such monitoring platelet count.
4. A nurse is reviewing the health record of a client who has suspected ovarian
cancer. Which of the following findings supports this diagnosis? (Select all
that apply.)
A. Previous treatment for endometriosis
B. Family history of colon cancer
C. First pregnancy at age 24
D. Report of scant menses
E. Use of oral contraceptives for 10 years - ANSWER ✅ A. CORRECT:
Endometriosis is a risk factor for ovarian cancer.
, B. CORRECT: A family history of breast, ovarian, or colon cancer is a risk
factor for ovarian cancer.
C. A first pregnancy after 30 years of age or
nulliparity is a risk factor for ovarian cancer.
D. Dysmenorrhea or heavy bleeding is a risk factor for ovarian cancer.
E. Birth control pills offer protection against ovarian cancer.
5. A nurse is caring for a client 24 hr following a liver lobectomy for
hepatocellular carcinoma. Which of the following laboratory reports should
the nurse monitor?
A. Urine specific gravity
B. Blood glucose
C. Serum amylase
D. D‑dimer - ANSWER ✅ A. Alterations in urine specific gravity
following a liver lobectomy are not expected.
B. CORRECT: Blood glucose should be monitored during the first 24 to 48
hr following a liver lobectomy due to decreased
gluconeogenesis and stress to the liver from surgery.
C. Alterations in serum amylase following a
liver lobectomy are not expected.
D. Alterations in the D‑dimer following a liver lobectomy are not expected.
6. A nurse is providing teaching about colon cancer to a group of women 45 to
65 years of age. Which of the following statements should the nurse include
in the teaching?
A. "Colonoscopies for individuals with no family history of cancer
should begin at age 40."
B. "A sigmoidoscopy is recommended every 5 years beginning at age
60."
C."Fecal occult blood tests should be done annually beginning at age 50."
D."An endoscopy provides a definitive diagnosis
of colon cancer." - ANSWER ✅ A. A colonoscopy is recommended every
10 years beginning at age 50 for a client who has no family history of
cancer.
B. A sigmoidoscopy is recommended every 5 years beginning at age 50.
, C. CORRECT: Fecal occult blood tests should be done annually by clients
ages 50 to 75.
D. A biopsy performed during an endoscopic
procedure confirms this diagnosis.
7. A nurse is caring for a client who has multiple types of skin lesions. Which
of the following skin lesions are indicative of a malignant melanoma?
(Select all that apply.)
A. Diffuse vesicles
B. Uniformly colored papule
C. Area with asymmetric borders
D. Rough, scaly patch
E. Irregular colored mole - ANSWER ✅ A. Diffuse vesicles are
consistent with an allergic reaction.
B. A uniformly colored papule is consistent with a birthmark or skin injury.
C. CORRECT: A lesion with asymmetric borders is considered suspicious
for a melanoma.
D. A rough, scaly patch is consistent with skin irritation due to friction.
E. CORRECT: A lack of uniformity of pigmentation of a mole is considered
suspicious for a melanoma.
8. A nurse is caring for a client who has chronic cancer pain and has a
permanent epidural catheter for administration of a fentanyl/bupivacaine
solution. The nurse should monitor the client for which of the following
findings? (Select all that apply.)
A.Respiratory depression
B.Hypotension
C.Sedation
D.Muscle spasticity
E.Sensory blockage - ANSWER ✅ A.Respiratory depression
B.Hypotension
C.Sedation
E.Sensory blockage
Level 3 Study Guide
1. A nurse is caring for a client who is undergoing chemotherapy and reports
severe nausea. Which of the following statements should the nurse make?
A. "Your nausea will lessen with each course of chemotherapy."
B. "Hot food is better tolerated due to the aroma."
C."Try eating several small meals throughout the day."
D."Increase your intake of red meat as tolerated." - ANSWER ✅ A. Nausea
usually occurs to the same extent with each session of chemotherapy.
B. Cold foods are better tolerated than warm or hot foods because odors
from heated foods can induce nausea.
C. CORRECT: Several small meals a day are usually better tolerated by the
client who has nausea.
D. Red meat is not tolerated well by the client undergoing chemotherapy
because the taste of meat is frequently altered and unpalatable.
2. A nurse is caring for a client who has cervical cancer and is scheduled for
brachytherapy. Which of the following actions should the nurse take? (Select
all that apply.)
A. Permit visitors to stay with the client 30 min at a time.
B. Place the client on bed rest.
C. Insert an indwelling urinary catheter.
D. Administer fiber laxatives.
E. Dispose soiled linens in hamper outside client's room. - ANSWER ✅
A. CORRECT: The client who has cervical cancer will have a vaginal
radiation implant. Visitors should remain for no more than 30 min at a
time and maintain a distance of at least 6 ft.
B. CORRECT: The client who has cervical cancer will have a vaginal
radiation implant. Bed rest is needed to prevent displacement of the implant.
, C. CORRECT: The client who has cervical cancer will have a vaginal
radiation implant. A catheter is needed to prevent displacement of the
implant during ambulation.
D. Fiber laxatives, which stimulate bowel movements, are not used to
prevent displacing the vaginal radiation implant.
E. The nurse should dispose all the client's linens in a metal container inside
the client's room due to the exposure of radiation.
3. A nurse is caring for a client who has leukemia and has developed
thrombocytopenia. Which of the following actions should the nurse take
first?
A. Plan for the client to take rest periods throughout the day.
B. Encourage the client to cough, turn, and deep breath every 2 hr.
C. Assess temperature every 4 hr.
D. Monitor platelet counts. - ANSWER ✅ A. The nurse should offer the
client rest periods throughout the day. However, another action is the
priority.
B. The nurse should encourage the client to cough, turn and deep breathe
every 2 hr. However, another action is the priority.
C. The nurse should assess the client's temperature every 4 hr. However,
another action is the priority.
D. CORRECT: The greatest risk to the client who has thrombocytopenia is
injury due to bleeding. The priority action for the nurse to take is to initiate
bleeding precautions, such monitoring platelet count.
4. A nurse is reviewing the health record of a client who has suspected ovarian
cancer. Which of the following findings supports this diagnosis? (Select all
that apply.)
A. Previous treatment for endometriosis
B. Family history of colon cancer
C. First pregnancy at age 24
D. Report of scant menses
E. Use of oral contraceptives for 10 years - ANSWER ✅ A. CORRECT:
Endometriosis is a risk factor for ovarian cancer.
, B. CORRECT: A family history of breast, ovarian, or colon cancer is a risk
factor for ovarian cancer.
C. A first pregnancy after 30 years of age or
nulliparity is a risk factor for ovarian cancer.
D. Dysmenorrhea or heavy bleeding is a risk factor for ovarian cancer.
E. Birth control pills offer protection against ovarian cancer.
5. A nurse is caring for a client 24 hr following a liver lobectomy for
hepatocellular carcinoma. Which of the following laboratory reports should
the nurse monitor?
A. Urine specific gravity
B. Blood glucose
C. Serum amylase
D. D‑dimer - ANSWER ✅ A. Alterations in urine specific gravity
following a liver lobectomy are not expected.
B. CORRECT: Blood glucose should be monitored during the first 24 to 48
hr following a liver lobectomy due to decreased
gluconeogenesis and stress to the liver from surgery.
C. Alterations in serum amylase following a
liver lobectomy are not expected.
D. Alterations in the D‑dimer following a liver lobectomy are not expected.
6. A nurse is providing teaching about colon cancer to a group of women 45 to
65 years of age. Which of the following statements should the nurse include
in the teaching?
A. "Colonoscopies for individuals with no family history of cancer
should begin at age 40."
B. "A sigmoidoscopy is recommended every 5 years beginning at age
60."
C."Fecal occult blood tests should be done annually beginning at age 50."
D."An endoscopy provides a definitive diagnosis
of colon cancer." - ANSWER ✅ A. A colonoscopy is recommended every
10 years beginning at age 50 for a client who has no family history of
cancer.
B. A sigmoidoscopy is recommended every 5 years beginning at age 50.
, C. CORRECT: Fecal occult blood tests should be done annually by clients
ages 50 to 75.
D. A biopsy performed during an endoscopic
procedure confirms this diagnosis.
7. A nurse is caring for a client who has multiple types of skin lesions. Which
of the following skin lesions are indicative of a malignant melanoma?
(Select all that apply.)
A. Diffuse vesicles
B. Uniformly colored papule
C. Area with asymmetric borders
D. Rough, scaly patch
E. Irregular colored mole - ANSWER ✅ A. Diffuse vesicles are
consistent with an allergic reaction.
B. A uniformly colored papule is consistent with a birthmark or skin injury.
C. CORRECT: A lesion with asymmetric borders is considered suspicious
for a melanoma.
D. A rough, scaly patch is consistent with skin irritation due to friction.
E. CORRECT: A lack of uniformity of pigmentation of a mole is considered
suspicious for a melanoma.
8. A nurse is caring for a client who has chronic cancer pain and has a
permanent epidural catheter for administration of a fentanyl/bupivacaine
solution. The nurse should monitor the client for which of the following
findings? (Select all that apply.)
A.Respiratory depression
B.Hypotension
C.Sedation
D.Muscle spasticity
E.Sensory blockage - ANSWER ✅ A.Respiratory depression
B.Hypotension
C.Sedation
E.Sensory blockage
