which risk factor would the nurse expect to find in the client diagnosed with pancreatic cancer

ATI RN

ATI RN Custom Exams Set 4

1. Which risk factor would the nurse expect to find in the client diagnosed with pancreatic cancer?

A. Chewing tobacco
B. Low-fat diet
C. Chronic alcoholism
D. Exposure to industrial chemicals

Correct answer: C

Rationale: The correct answer is chronic alcoholism. Chronic alcoholism is a significant risk factor for pancreatic cancer due to its impact on the pancreas. Chewing tobacco (choice A) is more associated with oral and throat cancers, not pancreatic cancer. A low-fat diet (choice B) is actually considered a protective factor against pancreatic cancer. Exposure to industrial chemicals (choice D) may be a risk factor for other types of cancer but is not strongly linked to pancreatic cancer.

2. Which of the following is a common side effect of the drug metformin?

A. Weight loss
B. Weight gain
C. Drowsiness
D. Hypertension

Correct answer: A

Rationale: The correct answer is A, weight loss. Metformin is commonly associated with weight loss as a side effect rather than weight gain. Metformin works by decreasing glucose production in the liver and improving insulin sensitivity, which can lead to weight loss. Choices B, C, and D are incorrect because weight gain, drowsiness, and hypertension are not typically common side effects of metformin.

3. The client has failed to conceive after many attempts over a three-year time period and asks the nurse, “I have tried everything. What should I do now?” Which statement is the nurse’s best response?

A. Assess the intravenous fluids for rate and volume
B. Change the surgical dressing every day at the same time
C. Monitor the client’s medication levels daily
D. Monitor the percentage of each meal eaten

Correct answer: A

Rationale: The correct response is to assess the intravenous fluids for rate and volume. In this situation, the client is seeking guidance on fertility issues, not related to intravenous fluids, surgical dressing changes, medication levels, or meal monitoring. The nurse should provide supportive and empathetic guidance, suggesting further options like consulting fertility specialists or exploring additional treatments.

4. The nurse is told in report that the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?

A. Second intercostal space, right sternal border
B. Erb’s point
C. Second intercostal space, left sternal border
D. Fourth intercostal space, left sternal border

Correct answer: A

Rationale: The correct anatomical position for auscultating the murmur of aortic stenosis is the second intercostal space, right sternal border. This is where the aortic valve is best auscultated, and the murmur of aortic stenosis is heard most clearly. Choices B, C, and D are incorrect as the murmur of aortic stenosis is best heard at the second intercostal space on the right side of the sternum.

5. Enteral feedings may be appropriate for patients with:

A. Acute cholecystitis
B. Hepatic encephalopathy
C. Ulcerative colitis in remission
D. Acute exacerbation of Crohn’s disease

Correct answer: D

Rationale: Enteral feedings are commonly utilized for patients experiencing acute exacerbations of Crohn’s disease to provide necessary nutrition and rest the bowel. Choices A, B, and C are incorrect because enteral feedings are not typically indicated for acute cholecystitis, hepatic encephalopathy, or ulcerative colitis in remission.