ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A purplish stoma indicates compromised blood flow, requiring urgent attention.
Question 2 of 5
Which subjective description of pain would the nurse expect from a patient who has cholecystitis?
Correct Answer: B
Rationale: Right upper-quadrant pain radiating to the shoulder is characteristic of cholecystitis.
Question 3 of 5
A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?
Correct Answer: B
Rationale: Discussion encourages clients to express feelings and concerns about their colostomy.
Question 4 of 5
The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?
Correct Answer: A
Rationale: Oliguria is defined as urine output less than 400-500 ml/day; 350 ml/day indicates oliguria.
Question 5 of 5
The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?
Correct Answer: A
Rationale: Dumping syndrome is a common complication after a gastroduodenostomy, where food moves too quickly from the stomach to the small intestine, causing fluid shifts and hormone release leading to the described symptoms.