ATI RN
ATI Oncology Quiz
1. A nurse works on an oncology unit and delegates personal hygiene to assistive personnel (AP). What action by the AP requires intervention from the nurse?
- A. Allowing a very tired client to skip oral hygiene and sleep.
- B. Assisting clients with washing the perianal area every 12 hours.
- C. Helping the client use a soft-bristled toothbrush for oral care.
- D. Reminding the client to rinse the mouth with water or saline.
Correct answer: A
Rationale: Skipping oral hygiene is not appropriate for a client, even if they are tired, as it increases the risk of infection.
2. A client has a new prescription for Clopidogrel. Which of the following instructions should the nurse include?
- A. Take this medication with food.
- B. Avoid taking aspirin while on this medication.
- C. Avoid eating foods high in potassium.
- D. Take this medication at bedtime.
Correct answer: B
Rationale: The correct answer is B: 'Avoid taking aspirin while on this medication.' Clopidogrel is an antiplatelet medication that can increase the risk of bleeding. Aspirin and other NSAIDs also affect platelet function and can further increase the risk of bleeding when combined with Clopidogrel. Therefore, it is important for the client to avoid taking aspirin while on this medication to reduce the risk of excessive bleeding. Choices A, C, and D are incorrect because there is no specific requirement to take Clopidogrel with food, avoid foods high in potassium, or take it at bedtime. The key instruction here is to avoid aspirin to prevent potential bleeding complications.
3. A client with liver cirrhosis is experiencing confusion. Which of the following laboratory values should the nurse report to the provider?
- A. Bilirubin 0.8 mg/dL
- B. Ammonia 145 mcg/dL
- C. Albumin 4 g/dL
- D. Hemoglobin 13.5 g/dL
Correct answer: B
Rationale: The correct answer is B: Ammonia 145 mcg/dL. An elevated ammonia level can indicate hepatic encephalopathy in clients with liver cirrhosis, leading to confusion. Bilirubin (Choice A) is within the normal range, indicating adequate liver function. Albumin (Choice C) and Hemoglobin (Choice D) levels are also within normal limits and are not directly related to the client's confusion in this scenario.
4. What is the primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis?
- A. To promote healing and repair by ensuring an adequate and nutrient-dense diet
- B. To promote healing and repair by recommending consumption of only liquids for the first week
- C. To promote a balanced diet by recommending a variety of fibrous foods
- D. To encourage the patient to become accustomed to the prosthesis by eating as usual
Correct answer: A
Rationale: The primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis is to promote healing and repair. This can be achieved by ensuring the patient maintains an adequate and nutrient-dense diet. This is why option 'A' is the correct answer. Option 'B' is incorrect because while liquids are easier to consume with a new dental prosthesis, a diet consisting only of liquids for a week may not provide all necessary nutrients. Option 'C' is incorrect because while a variety of fibrous foods can contribute to a healthy diet, it's not specifically relevant to the healing and adjustment to a new dental prosthesis. Option 'D' is incorrect because eating as usual may not be feasible or comfortable for a patient with a new prosthesis, and it doesn't specifically focus on promoting healing and repair.
5. A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?
- A. To donate organs, a client must provide consent prior to death
- B. The transplant team will harvest the organs for donation from the donor client
- C. During admission, all clients over the age of 18 should be asked about their organ donor status
- D. The National Organ Transplant Act prohibits the sale and purchase of organs
Correct answer: C
Rationale: The correct answer is C. Asking clients over 18 about their organ donation status upon admission is essential to ensure their wishes are respected. Option A is incorrect because organ donation requires consent, not harvesting. Option B is incorrect because the transplant team, not the donor client's provider, is responsible for organ retrieval. Option D is incorrect because the National Organ Transplant Act prohibits the commercialization of organ transactions, not their donation.
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