ATI LPN
ATI LPN Med Surg Exam 3 Questions
Question 1 of 5
The nurse is caring for a patient after a Bilroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which would the nurse clarify?
Correct Answer: D
Rationale: Irrigating the NG tube post-Billroth II risks disrupting the anastomosis and requires clarification.
Question 2 of 5
A nurse is providing care for a client who has recently been diagnosed with Clostridium difficile and is under contact precautions. What action should the nurse take?
Correct Answer: D
Rationale: Removing the gown before gloves follows proper PPE doffing sequence to prevent C. difficile spread.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Flushing the tube every 4 hours maintains patency and hydration.
Question 4 of 5
The nurse is providing care for a patient who had surgical repair of a paraesophageal (rolling) hernia. The nurse observes that the patient is having difficulty swallowing during the first postoperative meal. What action should the nurse take?
Correct Answer: C
Rationale: Dysphagia post-hernia repair may indicate a complication like a tight fundoplication, requiring HCP notification.
Question 5 of 5
A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?
Correct Answer: A,B,C,D
Rationale: A: Dietary changes like pureed foods prevent complications. B: Crushed/liquid medications aid absorption. C: Recognizing complications ensures timely intervention. D: Follow-ups monitor recovery.