ATI RN
ATI Oncology Quiz
1. A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client’s oral chemotherapy medications. What action by the nurse is most appropriate?
- A. Crush the medications if the client cannot swallow them.
- B. Give one medication at a time with a full glass of water.
- C. No special precautions are needed for these medications.
- D. Wear personal protective equipment when handling the medications.
Correct answer: D
Rationale: Oral chemotherapy requires the same precautions as IV chemotherapy; personal protective equipment is necessary.
2. A patient with COPD is admitted with shortness of breath and a productive cough. Which of the following interventions should the nurse implement first?
- A. Administer oxygen at 4 L/min via nasal cannula
- B. Encourage the patient to cough and deep breathe
- C. Place the patient in a high-Fowler’s position
- D. Administer a bronchodilator as prescribed
Correct answer: C
Rationale: Placing the patient in a high-Fowler’s position should be implemented first. This intervention helps improve lung expansion, making it easier for the patient to breathe. Elevating the head of the bed reduces the work of breathing and can alleviate symptoms of respiratory distress. Administering oxygen, encouraging coughing and deep breathing, and administering a bronchodilator are important interventions in the care of a patient with COPD, but positioning the patient for optimal lung expansion takes precedence in this scenario.
3. Which of the following is NOT required on a food label or nutrition facts panel?
- A. Nutrition facts panel
- B. Ingredients in descending order by weight
- C. The % RDA of ALL the vitamins and minerals in the product
- D. Essential warnings, such as common allergies
Correct answer: C
Rationale: According to food labeling regulations, every food label or nutrition facts panel must include a nutrition facts panel, list of ingredients in descending order by weight, and essential warnings such as common allergies. However, it is not mandatory to list the % Recommended Daily Allowance (RDA) of ALL the vitamins and minerals in the product. Only certain vitamins and minerals, deemed significant to public health, are required to be listed. Therefore, the notion that the % RDA of ALL vitamins and minerals must be displayed is incorrect. Choices A, B, and D are required elements on a food label, making them incorrect answers.
4. The parent of an 8.2-kg (18-lb) 9-month-old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what?
- A. Front facing in back seat
- B. Rear facing in back seat
- C. Front facing in front seat with air bag on passenger side
- D. Rear facing in front seat if an air bag is on the passenger side
Correct answer: B
Rationale: Infants should be placed rear-facing in the back seat until they are at least 2 years old or exceed the weight/height limit of their car seat for optimal safety.
5. A client reports severe pain unrelieved by pain medication in a limb with traction. What is the nurse's priority?
- A. Increase the dosage of pain medication.
- B. Assess for compartment syndrome.
- C. Wait for the healthcare provider to address the issue.
- D. Reposition the client to alleviate the pain.
Correct answer: B
Rationale: The correct answer is B: Assess for compartment syndrome. Severe unrelieved pain in a limb with traction can be a sign of compartment syndrome, a surgical emergency. Prompt assessment is crucial to prevent potential complications. Increasing pain medication dosage without addressing the underlying cause may delay necessary interventions. Waiting for the healthcare provider may lead to a critical delay in treatment. Repositioning the client may not alleviate the pain if it is due to compartment syndrome, and it is crucial to assess for this condition first.
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