ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
A home health nurse is assigned to follow-up on a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which primary symptom should the nurse take into consideration when updating the nursing interventions on this patient's care plan?
Correct Answer: A
Rationale: Heartburn is the hallmark symptom of GERD, caused by the reflux of gastric contents into the esophagus.
Question 2 of 5
The nurse is assessing a patient taking lactulose to treat chronic constipation. Which adverse effect should the nurse immediately report to the healthcare provider?
Correct Answer: A
Rationale: Abdominal tenderness may indicate serious complications like bowel obstruction or perforation, requiring immediate reporting.
Question 3 of 5
A home health nurse is assigned to follow-up on a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which primary symptom should the nurse take into consideration when updating the nursing interventions on this patient's care plan?
Correct Answer: A
Rationale: Heartburn is the hallmark symptom of GERD, caused by the reflux of gastric contents into the esophagus.
Question 4 of 5
The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?
Correct Answer: C
Rationale: Methylnaltrexone, a peripherally acting opioid antagonist, specifically targets opioid-induced constipation without affecting pain relief, ideal for refractory cases.
Question 5 of 5
The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?
Correct Answer: A
Rationale: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of both medications.