ATI RN
ATI Med Surg N241 Exam Questions
Extract:
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
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Helps maintain muscle tone and promotes overall well-being without overstressing the body during recovery from hepatitis B. Antibiotics are not effective against viruses like hepatitis B. There is generally no need to restrict fluids in hepatitis B; adequate hydration supports overall health and liver function. A high-fat diet is not recommended for liver disease; typically, a balanced, low-fat diet is more appropriate.
Question 3 of 5
An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?
Correct Answer: C
Rationale: These symptoms are more indicative of chronic conditions. These are not specific to acute pancreatitis. Elevated lipase and Turner's sign (bruising around the flanks) strongly suggest acute pancreatitis. Amylase within normal limits and steatorrhea do not support acute pancreatitis.
Question 4 of 5
When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?
Correct Answer: B
Rationale: Pancreatic enzymes are typically used to aid in digestion rather than pain control in acute pancreatitis. Decompression of the gastrointestinal tract through nasogastric suction can help reduce pancreatic stimulation and alleviate pain in acute pancreatitis. While ambulation may help prevent complications, it is not directly related to pain control in acute pancreatitis. A clear liquid diet may be initiated once the acute phase has resolved, but it does not directly contribute to pain control.
Question 5 of 5
The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.
Correct Answer: A,B,C
Rationale: PT is prolonged in cirrhosis due to impaired synthesis of clotting factors by the liver, making it important to monitor for bleeding risk. Serum albumin levels decrease in cirrhosis due to impaired liver function, reflecting the client's nutritional status and liver synthetic function. Elevated serum ammonia levels can indicate hepatic encephalopathy, a complication of cirrhosis characterized by altered mental status. Troponin is not typically evaluated in cirrhosis assessment; it is a cardiac marker used to assess for myocardial infarction. Serum lipase is not typically evaluated in cirrhosis assessment; it is a pancreatic enzyme used to diagnose pancreatitis.