ATI RN
ATI Oncology Quiz
1. A patient with advanced leukemia is responding poorly to treatment. The nurse finds the patient tearful and trying to express his feelings, but he is clearly having difficulty. What is the nurses most appropriate action?
- A. Tell him that you will give him privacy and leave the room.
- B. Offer to call pastoral care.
- C. Ask if he would like you to sit with him while he collects his thoughts.
- D. Tell him that you can understand how hes feeling.
Correct answer: C
Rationale: Providing emotional support and discussing the uncertain future are crucial.
2. A nurse is caring for a client who has a prescription for warfarin. Which of the following laboratory values should the nurse monitor?
- A. Prothrombin time (PT)
- B. Hemoglobin
- C. aPTT
- D. INR
Correct answer: D
Rationale: The correct answer is D, INR. The International Normalized Ratio (INR) is used to monitor the therapeutic effect of warfarin and to adjust the dose as needed. While Prothrombin time (PT) and activated Partial Thromboplastin Time (aPTT) are also related to coagulation studies, monitoring INR specifically helps in managing warfarin therapy. Hemoglobin, on the other hand, is not typically monitored in relation to warfarin therapy.
3. What is the primary cause of angina?
- A. Increased oxygen demand by the heart
- B. Obstruction of the coronary arteries
- C. Lack of oxygen in the lungs
- D. Decreased blood supply to the liver
Correct answer: B
Rationale: The correct answer is B: Obstruction of the coronary arteries. Angina is primarily caused by a reduced blood flow to the heart due to blockages or narrowing in the coronary arteries. Choice A is incorrect because while increased oxygen demand can contribute to angina symptoms, it is not the primary cause. Choice C is incorrect as angina is not caused by a lack of oxygen in the lungs. Choice D is also incorrect as angina is not related to decreased blood supply to the liver.
4. What is the term for the age of an unborn baby, usually dated from the first day of an expectant mother's last menstrual cycle?
- A. Mental age
- B. Chronological age
- C. Functional age
- D. Gestational age
Correct answer: D
Rationale: The correct answer is D, Gestational age. Gestational age is calculated from the first day of the expectant mother's last menstrual cycle, providing an estimate of how far along the pregnancy is. Mental age (choice A), refers to an individual's level of cognitive functioning in relation to others of the same age group. Chronological age (choice B) is a person's actual age in years. Functional age (choice C) refers to how well a person is able to perform various activities compared to their chronological age.
5. A nurse is teaching a client who has heart failure about managing fluid intake. Which of the following instructions should the nurse include?
- A. Drink 2 liters of water per day.
- B. You should restrict your fluid intake to 1 liter per day.
- C. You can drink as much fluid as you want throughout the day.
- D. Limit your fluid intake to 3 liters per day.
Correct answer: B
Rationale: The correct answer is B: "You should restrict your fluid intake to 1 liter per day." Clients with heart failure should limit their fluid intake to prevent fluid overload, which can worsen their condition. Choice A is incorrect because 2 liters of water per day may be excessive for someone with heart failure. Choice C is incorrect as unlimited fluid intake is not suitable for individuals with heart failure. Choice D is also incorrect as 3 liters per day may be too much fluid for a client with heart failure.
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