ATI ONCOLOGY 20 EXAM QUESTIONS
AND ANSWERS 2024
1. A nurse anticipates that a client who is receiving antineoplastic
medications may manifest what side effects? a. gingival hyperplasia
b. hirsutism
c. aplastic anemia
d. weight gain: Aplastic Anemia:
it is a sign of bone marrow suppression, which is a common side effect of
chemotherapeutic agents. Aplastic anemia results in pancytopenia, a
decrease in white blood cells, red blood cells, and platelet count.
2. A nurse is caring for a client who has just begun chemo for acute
lymphoma. The plan of care indicates that signs of tumor lysis
syndrome should be part of the nursing assessment. What asssessment
finding is consistent with tumor lysis syndrome? a. polyuria
b. muscle weakness
c. flank pain
d. hypotension: Flank Pain:
Tumor lysis syndrome is caused by the sudden, rapid death of cells,
particularly cancer cells in clients with leukemia or lymphoma. lab
results will show high potassium, uric acid, and phosphorous levels and
low calcium levels. progression of the syndrome may cause acute kidney
failure, cardiac arrhythmias, seizures, loss of muscle control, and death.
1/8
, flank pain is a symptom of tumor lysis syndrome secondary to the strain
placed on the kidneys to excrete large amounts of intracellular
metabolites.
3. A sibling of a client recently diagnosed with colon cancer questions
the nurse in regard to the CEA blood test. Info the nurse should include:
"The CEA test is:
a. most helpful in monitoring progress of the disease in clients already
being treated for colon cancer.
b. an effective screening test and is indicated because of family history
c. recommended by the american cancer association to be performed
yearly starting at age 50
d. used to confirm the diagnosis if a client has symptoms consistent with
colon or rectal cancer: Most helpful in monitoring progress of the
disease in clients already being treated for colon cancer.
CEA is a substance produced by the cels of most colon and rectal cancers
and released into the blood stream. CEA levels should return to normal
following successful treatment. It is not used as a screening test for colon
cancer in clients who have not been diagnosed with cancer and appear to
be healthy.
4. A client is receiving external radiation therapy. What statement
indicates to the nurse that the client understands the discharge
teaching plan? a. I need to protect the area from sunlight
b. I'm going to apply skin cream every day to the area
c. I'll massage the area once a day
d. I'll wash the markings off after each therapy treatment: I need to
protect the area from sunlight.
2/8
AND ANSWERS 2024
1. A nurse anticipates that a client who is receiving antineoplastic
medications may manifest what side effects? a. gingival hyperplasia
b. hirsutism
c. aplastic anemia
d. weight gain: Aplastic Anemia:
it is a sign of bone marrow suppression, which is a common side effect of
chemotherapeutic agents. Aplastic anemia results in pancytopenia, a
decrease in white blood cells, red blood cells, and platelet count.
2. A nurse is caring for a client who has just begun chemo for acute
lymphoma. The plan of care indicates that signs of tumor lysis
syndrome should be part of the nursing assessment. What asssessment
finding is consistent with tumor lysis syndrome? a. polyuria
b. muscle weakness
c. flank pain
d. hypotension: Flank Pain:
Tumor lysis syndrome is caused by the sudden, rapid death of cells,
particularly cancer cells in clients with leukemia or lymphoma. lab
results will show high potassium, uric acid, and phosphorous levels and
low calcium levels. progression of the syndrome may cause acute kidney
failure, cardiac arrhythmias, seizures, loss of muscle control, and death.
1/8
, flank pain is a symptom of tumor lysis syndrome secondary to the strain
placed on the kidneys to excrete large amounts of intracellular
metabolites.
3. A sibling of a client recently diagnosed with colon cancer questions
the nurse in regard to the CEA blood test. Info the nurse should include:
"The CEA test is:
a. most helpful in monitoring progress of the disease in clients already
being treated for colon cancer.
b. an effective screening test and is indicated because of family history
c. recommended by the american cancer association to be performed
yearly starting at age 50
d. used to confirm the diagnosis if a client has symptoms consistent with
colon or rectal cancer: Most helpful in monitoring progress of the
disease in clients already being treated for colon cancer.
CEA is a substance produced by the cels of most colon and rectal cancers
and released into the blood stream. CEA levels should return to normal
following successful treatment. It is not used as a screening test for colon
cancer in clients who have not been diagnosed with cancer and appear to
be healthy.
4. A client is receiving external radiation therapy. What statement
indicates to the nurse that the client understands the discharge
teaching plan? a. I need to protect the area from sunlight
b. I'm going to apply skin cream every day to the area
c. I'll massage the area once a day
d. I'll wash the markings off after each therapy treatment: I need to
protect the area from sunlight.
2/8
