ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
Correct Answer: C
Rationale: Confusion is a classic symptom of pneumonia in older adults, often due to hypoxia or infection-related mental status changes.
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
A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of:
Correct Answer: B
Rationale: Esophageal perforation with fistula formation causes pain, fever, and dyspnea due to leakage into the pleural space or lungs.
Question 4 of 5
A patient has a nasogastric (NG) tube following esophagectomy. Following standards of practice, which of the following postoperative instructions should the nurse question the surgeon about?
Correct Answer: C
Rationale: A temperature under 100.5°F is not typically concerning post-surgery, so notifying the physician for this is unnecessary.
Question 5 of 5
A nurse is teaching student nurses about different types of medical conditions that affect the gastrointestinal system, when a student asks her about the cause of esophageal varices. What is an appropriate answer by the nurse when asked about a potential cause of esophageal varices?
Correct Answer: D
Rationale: Chronic liver disease, particularly cirrhosis, causes portal hypertension, leading to engorged esophageal veins and varices.