ATI RN
ATI Oncology Quiz
1. Which of the following is considered correct in dealing with a patient who has gastric cancer?
- A. After total gastrectomy, patient will have to increase fluids during meals
- B. After total gastrectomy, patient will need lots of fiber in the diet
- C. After total gastrectomy, patient will have to walk about after meals
- D. After total gastrectomy, patient will have to lie flat on bed after meals
Correct answer: D
Rationale: After a total gastrectomy, where the entire stomach is removed, patients can experience dumping syndrome due to the rapid passage of food into the small intestine. This condition can lead to symptoms such as nausea, vomiting, diarrhea, and abdominal cramps. Lying flat after meals can help slow down the movement of food into the intestines, reducing the risk of dumping syndrome. It's important for patients to follow dietary recommendations and positioning strategies to manage symptoms effectively.
2. Fatty acids may differ from one another:
- A. in chain length
- B. in degree of saturation
- C. in number of calories
- D.
Correct answer: D
Rationale: Fatty acids vary in chain length and degree of saturation, affecting their physical properties and health effects.
3. A nurse is preparing to teach a client about the use of a peak flow meter. Which of the following instructions should the nurse include?
- A. Place the mouthpiece in your mouth and blow out as quickly as you can.
- B. Exhale slowly into the mouthpiece over 5 seconds.
- C. Take a slow deep breath before blowing into the mouthpiece.
- D. Blow into the mouthpiece at a steady rate for 3 seconds.
Correct answer: A
Rationale: The correct instruction for using a peak flow meter is to place the mouthpiece in your mouth and blow out as quickly as you can. This action helps measure the peak expiratory flow of the client. Choice B is incorrect because exhaling slowly does not provide an accurate peak flow reading. Choice C is incorrect as taking a slow deep breath before blowing interferes with obtaining an accurate measurement. Choice D is incorrect as blowing at a steady rate for 3 seconds may not reflect the peak expiratory flow accurately.
4. A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the child’s prognosis is related to what factor?
- A. Admission blood pressure
- B. Creatinine clearance
- C. Amount of protein in urine
- D. Response to steroid therapy
Correct answer: D
Rationale: The prognosis for children with MCNS is closely related to their response to steroid therapy. A favorable response to steroids usually indicates a better prognosis, while poor response may require alternative treatments and can indicate a more complicated disease course.
5. Which of the following is a common side effect of electroconvulsive therapy (ECT)?
- A. Memory loss
- B. Weight gain
- C. Insomnia
- D. Increased appetite
Correct answer: A
Rationale: Memory loss, particularly short-term memory loss, is a common side effect of electroconvulsive therapy (ECT). ECT can affect memory due to its impact on brain function during and after treatment. While the memory issues are often temporary and tend to improve over time, they are important considerations when discussing the risks and benefits of ECT with patients. Choices B, C, and D are incorrect as weight gain, insomnia, and increased appetite are not common side effects of ECT.
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