ATI RN
ATI Med Surg N241 Exam Questions
Question 1 of 5
A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?
Correct Answer: D
Rationale: While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case. Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms. This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss. This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.
Question 2 of 5
What does the nurse identify as a potential complication of chronic pancreatitis?
Correct Answer: A
Rationale: Chronic damage to the pancreas can lead to diabetes mellitus due to the destruction of insulin-producing cells. Jaundice is typically associated with liver disease, not directly linked with chronic pancreatitis. Ascites is a complication of liver disease, not typically a direct result of chronic pancreatitis. While steatorrhea is a symptom of chronic pancreatitis due to malabsorption of fats, it is not a complication but rather a direct effect of the enzyme insufficiency.
Question 3 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 4 of 5
A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?
Correct Answer: B
Rationale: Bowel pattern changes are not typically associated with hepatitis C. Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus. Travel history is not directly relevant to assessing for hepatitis C transmission. While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.
Question 5 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.