ATI RN
ATI Med Surg N241 Exam Questions
Question 1 of 5
The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?
Correct Answer: B
Rationale: Ascites, the accumulation of fluid in the abdominal cavity, typically presents with weight gain rather than weight loss. Ascites often accompanies peripheral edema, particularly in the lower extremities. Ascites is not typically associated with flushed skin; rather, it may lead to pallor due to anemia or jaundice due to liver dysfunction. Ascites is not directly associated with vomiting blood; hematemesis may indicate complications such as esophageal varices, which can occur in advanced liver disease.
Question 2 of 5
When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?
Correct Answer: C
Rationale: Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube. Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes. Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly. Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.
Question 3 of 5
The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?
Correct Answer: C
Rationale: Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is to reduce gastric acid secretion. Omeprazole does not specifically affect carbohydrate digestion. Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which can help alleviate symptoms and promote healing in acute pancreatitis. Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is primarily used to decrease gastric acid production.
Question 4 of 5
The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?
Correct Answer: A
Rationale: Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates, and its use may lead to steatorrhea (fatty stools) as a common side effect. Pancrelipase is typically administered with meals or snacks to aid in digestion; there is no need to administer it prior to antacids. Pancrelipase is taken with meals or snacks to assist in digestion, so this statement is incorrect. There is no need to rinse the mouth after taking pancrelipase; it is a medication designed for oral ingestion.
Question 5 of 5
A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: C
Rationale: Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase. While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis. Pantoprazole, **C**. Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing. In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.