ATI RN
ATI Oncology Questions
1. A patient who is undergoing consolidation therapy for the treatment of leukemia has been experiencing debilitating fatigue. How can the nurse best meet this patients needs for physical activity?
- A. Teach the patient about the risks of immobility and the benefits of exercise.
- B. Assist the patient to a chair during awake times, as tolerated.
- C. Collaborate with the physical therapist to arrange for stair exercises.
- D. Teach the patient to perform deep breathing and coughing exercises.
Correct answer: B
Rationale: For patients undergoing consolidation therapy for leukemia, severe fatigue is a common side effect of treatment due to factors such as anemia, decreased nutritional intake, and the body’s response to chemotherapy. While exercise is beneficial, the patient's fatigue may limit their ability to engage in strenuous activity. Assisting the patient to sit in a chair during awake times is a practical way to encourage some physical activity while respecting their fatigue levels. This intervention helps prevent complications associated with immobility, such as muscle atrophy and venous stasis, without overwhelming the patient. It allows the patient to engage in light activity that is manageable and promotes recovery.
2. A staff nurse describes the unit manager as 'a born leader.' The nurse ascribes to which theory of leadership?
- A. Trait theories
- B. Behavioral theories
- C. Formal leadership theories
- D. Democratic leadership theories
Correct answer: A
Rationale: The correct answer is A: Trait theories. The nurse describing the unit manager as 'a born leader' aligns with trait theories of leadership, which suggest that certain inborn characteristics or traits contribute to effective leadership. This theory emphasizes that leaders possess natural qualities that make them suitable for leadership roles. Choices B, C, and D are incorrect. Behavioral theories focus on the actions and behaviors of leaders, formal leadership theories emphasize organizational structure and roles, and democratic leadership theories pertain to a style of leadership that involves participative decision-making.
3. A healthcare provider is teaching a client who has a new prescription for Bisacodyl suppositories. Which of the following information should the provider include?
- A. Expect results within 15 to 60 minutes.
- B. Insert the suppository as directed by the healthcare provider.
- C. Keep the suppository at room temperature.
- D. Expect rectal burning.
Correct answer: D
Rationale: When educating a client about Bisacodyl suppositories, it is important to include information about the common side effects. Rectal burning is a frequent side effect that can occur after using Bisacodyl suppositories, so the client should be informed to expect this discomfort. The onset of action for Bisacodyl suppositories is typically within 15 to 60 minutes, so the client should expect results relatively quickly, not in 6 to 12 hours. It is essential to follow the healthcare provider's instructions on how to insert the suppository correctly. Keeping the suppository at room temperature is sufficient; refrigeration is not required. Therefore, option D is the correct choice as it addresses a common side effect and prepares the client for potential discomfort. Options A, B, and C are incorrect as they do not focus on a significant side effect, proper administration, or storage requirements.
4. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.
- A. Look for kids who are very popular because they are class clowns.
- B. Silent, depressed, loners tend to be dropouts because they are often depressed.
- C. There is no way to predict juvenile delinquency as early as elementary school.
- D. The best predictor is aggression toward peers, which leads to peer rejection.
Correct answer: D
Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.
5. Which individual would be at the greatest risk for deficiencies in water-soluble vitamins?
- A. An individual who regularly consumes fruits and vegetables.
- B. An individual with a high intake of dairy products.
- C. An individual who consumes a diet high in processed foods.
- D. An individual who frequently eats organ meats.
Correct answer: An individual who consumes a diet high in processed foods.
Rationale: The correct answer is 'An individual who consumes a diet high in processed foods.' Processed foods are often deficient in water-soluble vitamins such as vitamin C and B vitamins, which can lead to deficiencies. On the other hand, fruits, vegetables, and organ meats are rich sources of these vitamins, so individuals who consume these regularly are less likely to develop deficiencies. While dairy products do contain some water-soluble vitamins, they are not depleted as quickly as they are in a diet high in processed foods, making a deficiency less likely.
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