ATI- MEDICAL-SURGICAL: ONCOLOGY PROCTORED EXAM VERSIONS
COMPLETE QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer.
Which of the following interventions should the nurse include in the plan of care? - CORRECT
ANSWERS-Change the collection pouch in the early morning.
Raional:
The nurse should plan to change the urinary collection pouch in the early morning when urine output is
reduced.
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings
indicates the client is developing superior vena cava syndrome? - CORRECT ANSWERS-Facial
edema
Rational: Superior vena cava syndrome is a medical emergency resulting from a partial occlusion of the
superior vena cava, leading to a decreased blood flow through the vein. Most cases of superior vena
cava syndrome are associated with cancers involving the client's upper chest, such as advanced lung and
breast cancers and lymphoma. The earliest manifestations of superior vena cava syndrome are facial and
upper extremity edema. Death can result if the compression is not corrected.
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following
chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse
effects of thrombocytopenia? - CORRECT ANSWERS-Remind the client to use an electric razor.
Rational:
Thrombocytopenia is a decrease in the client's blood platelet count, which places the client at an
increased risk of bleeding due to the blood's inability to clot. Therefore, the nurse should institute
bleeding precautions, which includes the use of an electric razor.
A nurse is collecting a health history from a female client who is undergoing screening for breast cancer.
Which of the following factors should the nurse identify for placing the client at the greatest risk for
developing breast cancer? - CORRECT ANSWERS-Over 50 years of age
, Ration: A female client whose age is over 50 years has a high increased risk for developing breast cancer.
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received
a bone marrow transplant for leukemia. Which of the following information should the nurse include in
the teaching? (Select all that apply.) - CORRECT ANSWERS--"Take your temperature twice
each day"
-"It is important to always wear shoes" is correct.
-"Avoid using tampons" is correct
Rational:Clients who are postoperative bone marrow transplants are immunosuppressed and should
continually monitor for manifestations of infection. A temperature that is greater than 38° C (100° F)
should be reported immediately to the provider. A client who had a bone marrow transplant is
immunosuppressed and should wear shoes to prevent injury and decrease the risk for infection.The use
of tampons is discouraged because they can disrupt the mucosal layer of the vagina and, if left in too
long, can support the growth of bacteria.
A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy
medications. The client expresses confusion about the therapy. Which of the following explanations
should the nurse provide? - CORRECT ANSWERS-"The chemotherapy medications act at
different stages of cell division so more tumor cells are destroyed."
Rational: Different chemotherapeutic agents act at various stages of cellular mitosis (division). By
combining agents, medication therapy is more effective in stopping or slowing the growth of cancerous
cells by interfering with their ability to multiply.
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the following
manifestations should the nurse expect? - CORRECT ANSWERS-Vaginal bleeding
Rational: The most common manifestation of cancer of the cervix is painless vaginal bleeding.
A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an
adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of
peripheral neuropathy? - CORRECT ANSWERS-Tingling of the hands and feet
COMPLETE QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer.
Which of the following interventions should the nurse include in the plan of care? - CORRECT
ANSWERS-Change the collection pouch in the early morning.
Raional:
The nurse should plan to change the urinary collection pouch in the early morning when urine output is
reduced.
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings
indicates the client is developing superior vena cava syndrome? - CORRECT ANSWERS-Facial
edema
Rational: Superior vena cava syndrome is a medical emergency resulting from a partial occlusion of the
superior vena cava, leading to a decreased blood flow through the vein. Most cases of superior vena
cava syndrome are associated with cancers involving the client's upper chest, such as advanced lung and
breast cancers and lymphoma. The earliest manifestations of superior vena cava syndrome are facial and
upper extremity edema. Death can result if the compression is not corrected.
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following
chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse
effects of thrombocytopenia? - CORRECT ANSWERS-Remind the client to use an electric razor.
Rational:
Thrombocytopenia is a decrease in the client's blood platelet count, which places the client at an
increased risk of bleeding due to the blood's inability to clot. Therefore, the nurse should institute
bleeding precautions, which includes the use of an electric razor.
A nurse is collecting a health history from a female client who is undergoing screening for breast cancer.
Which of the following factors should the nurse identify for placing the client at the greatest risk for
developing breast cancer? - CORRECT ANSWERS-Over 50 years of age
, Ration: A female client whose age is over 50 years has a high increased risk for developing breast cancer.
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received
a bone marrow transplant for leukemia. Which of the following information should the nurse include in
the teaching? (Select all that apply.) - CORRECT ANSWERS--"Take your temperature twice
each day"
-"It is important to always wear shoes" is correct.
-"Avoid using tampons" is correct
Rational:Clients who are postoperative bone marrow transplants are immunosuppressed and should
continually monitor for manifestations of infection. A temperature that is greater than 38° C (100° F)
should be reported immediately to the provider. A client who had a bone marrow transplant is
immunosuppressed and should wear shoes to prevent injury and decrease the risk for infection.The use
of tampons is discouraged because they can disrupt the mucosal layer of the vagina and, if left in too
long, can support the growth of bacteria.
A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy
medications. The client expresses confusion about the therapy. Which of the following explanations
should the nurse provide? - CORRECT ANSWERS-"The chemotherapy medications act at
different stages of cell division so more tumor cells are destroyed."
Rational: Different chemotherapeutic agents act at various stages of cellular mitosis (division). By
combining agents, medication therapy is more effective in stopping or slowing the growth of cancerous
cells by interfering with their ability to multiply.
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the following
manifestations should the nurse expect? - CORRECT ANSWERS-Vaginal bleeding
Rational: The most common manifestation of cancer of the cervix is painless vaginal bleeding.
A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an
adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of
peripheral neuropathy? - CORRECT ANSWERS-Tingling of the hands and feet
