ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Question 1 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.
Question 2 of 5
A nurse is caring for a client in the primary care office who has a recent diagnosis of a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the client?
Correct Answer: A
Rationale: A hiatal hernia can increase the risk of GERD by causing the lower esophageal sphincter to malfunction, leading to acid reflux into the esophagus.
Question 3 of 5
As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?
Correct Answer: C
Rationale: Rapid emptying of stomach contents into the small intestine causes dumping syndrome, leading to symptoms like nausea and diarrhea.
Question 4 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
Correct Answer: C
Rationale: Increasing fluid intake helps thin respiratory secretions by providing hydration, reducing the viscosity of sputum and aiding expectoration.
Question 5 of 5
A patient with anorexia nervosa shows signs of malnutrition and is prescribed parenteral nutrition. If the client develops refeeding syndrome, what laboratory tests does the nurse expect the healthcare provider to order? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Monitoring serum phosphorus, calcium, potassium, and magnesium is crucial to detect electrolyte imbalances associated with refeeding syndrome.