ATI RN
ATI Oncology Quiz
1. A client with long-standing heart failure being treated for cancer has received a dose of ondansetron for nausea. What action by the nurse is most important?
- A. Assess the client for a headache or dizziness.
- B. Request a prescription for cardiac monitoring.
- C. Instruct the client to change positions slowly.
- D. Weigh the client daily before eating.
Correct answer: B
Rationale: Ondansetron can prolong the QT interval, making cardiac monitoring essential in this scenario.
2. Normal human cells have ________.
- A. twenty-two chromosome pairs and one pair of sex chromosomes.
- B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
- C. twenty-one chromosome pairs and two trisomy chromosome pairs.
- D. twenty-three chromosome pairs.
Correct answer: A
Rationale: The correct answer is A. Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This adds up to a total of 46 chromosomes. Choice B is incorrect as it mentions twenty-one trisomy chromosome pairs, which is not a characteristic of normal human cells. Choice C is also incorrect as it states twenty-one chromosome pairs and two trisomy chromosome pairs, which is not accurate for normal human cells. Choice D is incorrect as it mentions twenty-three chromosome pairs, which is not the correct number for normal human cells.
3. A healthcare provider is providing dietary teaching to a client who has a new diagnosis of hypertension. Which of the following foods should the provider recommend?
- A. Bananas
- B. Whole grains
- C. Lean beef
- D. Canned soup
Correct answer: C
Rationale: The correct answer is lean beef because it is a good source of protein and essential nutrients. When providing dietary recommendations to clients with hypertension, it is important to focus on lean protein sources to promote a balanced diet. Bananas, although a healthy fruit, may not be the best choice due to their high potassium content, which can sometimes be a concern for individuals with hypertension. Whole grains are generally a good choice, but lean protein like beef is more suitable in this scenario. Canned soup often contains high levels of sodium, which is not recommended for individuals with hypertension.
4. A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the following dietary recommendations should the nurse make?
- A. Increase your intake of high-fiber foods.
- B. Avoid foods that are high in fat.
- C. Increase your intake of dairy products.
- D. Drink carbonated beverages to help with bloating.
Correct answer: B
Rationale: The correct answer is B: "Avoid foods that are high in fat." Clients with IBS should avoid foods high in fat as they can exacerbate symptoms such as abdominal pain, bloating, and diarrhea. High-fiber foods, choice A, can sometimes worsen symptoms in individuals with IBS. Increasing intake of dairy products, choice C, may also worsen symptoms for some individuals with IBS, especially if they are lactose intolerant. Drinking carbonated beverages, choice D, can contribute to bloating and gas, making symptoms worse for individuals with IBS.
5. A client has a new prescription for Methotrexate. Which of the following instructions should be included in the teaching?
- A. Avoid drinking alcohol while taking this medication.
- B. Take the medication with a high-fat meal.
- C. Expect increased hair growth.
- D. You should never stop taking the medication without consulting your healthcare provider.
Correct answer: A
Rationale: The correct instruction for a client taking Methotrexate is to avoid drinking alcohol. Methotrexate can cause liver toxicity, and alcohol consumption can increase this risk. It is important to emphasize the avoidance of alcohol while on this medication to prevent adverse effects and ensure treatment effectiveness. The other options are incorrect: Taking Methotrexate with a high-fat meal is not necessary as it can be taken with or without food. Increased hair growth is not an expected effect of Methotrexate; in fact, hair loss is a potential side effect. Stopping the medication without consulting a healthcare provider can be dangerous and may lead to worsening of symptoms or relapse, making option D incorrect.
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