ATI RN
ATI Oncology Questions
1. A nurse is caring for a client admitted for Non-Hodgkin’s lymphoma and chemotherapy. The client reports nausea, flank pain, and muscle cramps. What action by the nurse is most important?
- A. Request an order for serum electrolytes and uric acid.
- B. Increase the client’s IV infusion rate.
- C. Instruct assistive personnel to strain all urine.
- D. Administer an IV antiemetic.
Correct answer: A
Rationale: The client's symptoms of nausea, flank pain, and muscle cramps are suggestive of tumor lysis syndrome (TLS), a potentially life-threatening complication of chemotherapy in which cancer cells break down rapidly, releasing large amounts of intracellular components into the bloodstream. This leads to imbalances in electrolytes (elevated potassium, phosphate, and uric acid levels, with low calcium levels), which can cause severe metabolic disturbances, including kidney damage, arrhythmias, and muscle cramps. Checking serum electrolytes and uric acid levels is crucial for diagnosing and managing TLS early, preventing further complications.
2. Which parenting style is characterized by warmth, control, and communication?
- A. Authoritarian
- B. Permissive/indulgent
- C. Authoritative
- D. Neglectful/uninvolved
Correct answer: C
Rationale: The correct answer is C. The authoritative parenting style is characterized by a balance of warmth, control, and communication. This style promotes a nurturing environment where rules are established, but there is also room for open communication and understanding. Choice A, Authoritarian, is characterized by high control and low warmth, with strict rules and limited communication. Choice B, Permissive/indulgent, is characterized by high warmth and low control, with few rules and little discipline. Choice D, Neglectful/uninvolved, is characterized by low warmth, low control, and lack of communication or involvement in the child's life.
3. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?
- A. Intense cold therapy to the extremities
- B. Encourage ultraviolet (UV) light exposure
- C. Administer topical hydrocortisone
- D. Administer antibiotics
Correct answer: Administer topical hydrocortisone
Rationale:
4. The nurse is administering an ACE inhibitor to a client. What is the most common side effect?
- A. Cough
- B. Dizziness
- C. Hypotension
- D. Hyperkalemia
Correct answer: A
Rationale: The correct answer is A: Cough. Cough is a well-known side effect of ACE inhibitors due to an increase in bradykinin levels. This irritating cough can be bothersome to clients and should be monitored. Choice B, Dizziness, is not the most common side effect of ACE inhibitors. While ACE inhibitors can cause hypotension (Choice C), cough is more prevalent. Hyperkalemia (Choice D) is a possible side effect of ACE inhibitors but is less common compared to cough.
5. A nurse is completing an admission assessment on an adolescent client who is vegan. Which breakfast item should the nurse recommend as a protein combination with their diet restriction?
- A. Bagel with cream cheese
- B. Wheat toast with jelly
- C. Oatmeal pancakes with peanut butter
- D. Eggs with tofu bacon
Correct answer: C
Rationale: The correct answer is C: Oatmeal pancakes with peanut butter. For a vegan client, it is important to recommend plant-based protein sources. Oatmeal pancakes with peanut butter offer a good protein combination that aligns with their dietary restriction. Choices A, B, and D are not suitable as they all contain animal-derived products, which are not suitable for a vegan diet.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99