ATI RN
ATI Oncology Quiz
1. The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America?
- A. Monthly self-breast exams
- B. Smoking cessation
- C. Annual colonoscopies
- D. Monthly testicular exams
Correct answer: B
Rationale: In North America, lung cancer is the leading cause of cancer deaths among both men and women, and the primary risk factor for lung cancer is smoking. Therefore, promoting smoking cessation is a critical public health intervention that directly addresses this significant health issue. By helping individuals quit smoking, healthcare providers can significantly reduce the incidence of lung cancer and associated deaths, making this intervention a priority in cancer prevention efforts.
2. Interacting with the patient and their family to obtain subjective information is part of which of the following steps for determining and fulfilling the nursing care needs of the patient?
- A. Evaluation
- B. Planning
- C. Implementation
- D. Assessment
Correct answer: D
Rationale: The correct answer is D, Assessment. Assessment in nursing involves obtaining subjective information from the patient and their family to gather data about the patient's health status. This step is crucial as it helps identify the patient's needs, strengths, and areas requiring intervention. Choice A, Evaluation, is incorrect as evaluation comes after the implementation of the care plan to determine its effectiveness. Choice B, Planning, is also incorrect as it involves developing a plan of care based on the assessment data. Choice C, Implementation, is the phase where the nursing interventions are carried out based on the established care plan.
3. The client on clopidogrel (Plavix) should be monitored for which adverse effect?
- A. Bleeding
- B. Hypertension
- C. Tachycardia
- D. Bradycardia
Correct answer: A
Rationale: Correct! Clopidogrel (Plavix) is an antiplatelet medication that helps prevent blood clots. As a side effect, it can increase the risk of bleeding. Monitoring for signs of bleeding, such as easy bruising, blood in urine or stools, or prolonged bleeding from cuts, is crucial. Choices B, C, and D are incorrect as hypertension, tachycardia, and bradycardia are not typically associated with clopidogrel use.
4. What is the initial major sign of acute renal failure?
- A. Oliguria
- B. Hematuria
- C. Proteinuria
- D. Glycosuria
Correct answer: A
Rationale: Oliguria, or reduced urine output, is often the initial major sign of acute renal failure. This reduction in urine output indicates that the kidneys are not functioning properly. Hematuria (blood in urine), proteinuria (presence of protein in urine), and glycosuria (presence of glucose in urine) are not typically the initial major signs of acute renal failure. While they may be present in certain conditions, oliguria is the most common and critical indicator of acute renal failure.
5. Which statement about the harm done by teratogens is true?
- A. Passive smoking can be harmful to the developing fetus.
- B. The genetic makeup of the mother and the developing organism plays an important role.
- C. The negative impact of teratogens is usually reversible.
- D. The most serious defects occur in the germinal period.
Correct answer: B
Rationale: The statement that the genetic makeup of the mother and the developing organism plays an important role in the harm done by teratogens is true. Genetic factors can influence susceptibility to teratogens, and the interaction between genetic and environmental factors plays a significant role in determining the impact on the developing fetus. This highlights the importance of considering both genetic and environmental influences when assessing risks to prenatal development. Choice A is incorrect as passive smoking can indeed be harmful to the developing fetus. Choice C is incorrect as the negative impact of teratogens is often not reversible. Choice D is incorrect as serious defects can occur throughout prenatal development, not just in the germinal period.
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