ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Limited activity is not typically necessary unless specified by a physician. A low-fat diet is usually recommended for a client with chronic pancreatitis. Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption. Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes. Elimination of alcohol intake is critical to prevent further damage to the pancreas.
Question 4 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 5 of 5
The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?
Correct Answer: A
Rationale: These are dilated veins in the esophagus that can rupture and lead to life-threatening bleeding. While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed. Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices. This is a concern but does not represent an immediate life-threatening condition like esophageal varices.