ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Question 1 of 5
A client diagnosed with ulcerative colitis has a new ileostomy. Which statement indicates the client needs more teaching concerning the ileostomy?
Correct Answer: D
Rationale: Changing the ostomy bag daily is unnecessary unless leakage occurs; typically, it's changed every 3-7 days, indicating a need for more teaching.
Question 2 of 5
A client is admitted to the nursing unit with a diagnosis of gastric ulcer. Which assessment finding by the nurse supports the client's diagnosis of gastric ulcer?
Correct Answer: D
Rationale: Epigastric pain that worsens with eating is a hallmark symptom of a gastric ulcer, aggravated by increased acid during digestion.
Question 3 of 5
A patient is being treated for bleeding esophageal varices with balloon tamponade. Which of the following nursing actions will the nurse include in the plan of care?
Correct Answer: B
Rationale: Monitoring vital signs frequently is critical in patients with bleeding esophageal varices, as they are at risk for hypovolemic shock. Vital signs should be monitored closely to assess for signs of bleeding, hemodynamic instability, and response to interventions.
Question 4 of 5
A nurse is teaching student nurses about different types of medical conditions that affect the gastrointestinal system, when a student asks her about the cause of esophageal varices. What is an appropriate answer by the nurse when asked about a potential cause of esophageal varices?
Correct Answer: D
Rationale: Chronic liver disease, particularly cirrhosis, causes portal hypertension, leading to engorged esophageal veins and varices.
Question 5 of 5
A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?
Correct Answer: D
Rationale: Monitoring daily laboratory values assesses nutritional status and detects complications like electrolyte imbalances or liver dysfunction.