ATI RN
Oncology Test Bank
1. While a patient is receiving IV doxorubicin hydrochloride for the treatment of cancer, the nurse observes swelling and pain at the IV site. The nurse should prioritize what action?
- A. Stopping the administration of the drug immediately
- B. Notifying the patient's physician
- C. Continuing the infusion but decreasing the rate
- D. Applying a warm compress to the infusion site
Correct answer: A
Rationale: The correct action for the nurse to take when observing swelling and pain at the IV site during the administration of doxorubicin hydrochloride is to stop the administration of the drug immediately. Doxorubicin hydrochloride can cause severe tissue damage, so discontinuing the infusion is crucial to prevent further harm to the patient. Notifying the physician is important, but it should not take precedence over stopping the drug. Continuing the infusion, even at a decreased rate, can exacerbate tissue damage. Applying a warm compress is not appropriate in this situation and may worsen the tissue injury caused by the drug.
2. James' illness can be classified as:
- A. Pneumonia
- B. Very severe illness
- C. Severe pneumonia
- D. No pneumonia
Correct answer: D
Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.
3. The nurse is planning to provide education about foods containing thiamine to a group of clients. Which food high in thiamine should the nurse include?
- A. Fish
- B. Pork
- C. Beef
- D. Eggs
Correct answer: B
Rationale: The correct answer is B: Pork. Pork is high in thiamine, which is important for preventing thiamine deficiency. Thiamine, also known as vitamin B1, is essential for the proper functioning of the nervous system and metabolism. While fish, beef, and eggs are nutritious foods, they are not as high in thiamine as pork. Fish is more commonly known for its omega-3 fatty acids, beef for its iron content, and eggs for being a good source of protein and other nutrients.
4. A client is starting therapy with bicalutamide. Which of the following adverse effects should the nurse instruct the client to monitor?
- A. Muscle pain
- B. Flushing
- C. Gynecomastia
- D. Hyperglycemia
Correct answer: C
Rationale: The correct answer is gynecomastia (Choice C). Bicalutamide is associated with gynecomastia due to its antiandrogenic properties. Gynecomastia, the development of breast tissue in males, is an important adverse effect to monitor when taking bicalutamide. Choices A, B, and D are incorrect. Muscle pain and flushing are not commonly associated with bicalutamide use. Hyperglycemia is not a typical adverse effect of bicalutamide therapy.
5. The ability to adapt successfully to even very difficult circumstances is called ________.
- A. resilience
- B. hardiness
- C. perseverance
- D. a challenge orientation
Correct answer: A
Rationale: Resilience is indeed the correct term for the ability to adapt successfully to difficult circumstances. Resilience involves bouncing back from setbacks, handling stress, and persevering in the face of adversity. Choice B, 'hardiness,' refers more to toughness or durability rather than adapting to difficult circumstances. Choice C, 'perseverance,' is about persistence and determination rather than adaptability. Choice D, 'a challenge orientation,' does not directly relate to the ability to adapt to difficult circumstances, making it an incorrect choice.
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