ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?
Correct Answer: D
Rationale:
Total bilirubin levels are primarily associated with liver function and hemolysis. While malnutrition can impact liver function, total bilirubin is not a direct indicator of nutritional status or malnutrition. Creatine kinase (CK) is an enzyme found in the heart, brain, and skeletal muscles. Its levels are typically associated with muscle damage or myocardial infarction. While malnutrition can impact muscle mass, CK is not specifically altered due to malnutrition alone. Troponin is a protein released when the heart muscle is damaged. It is primarily used as a biomarker for myocardial injury. Malnutrition does not directly affect troponin levels, so this is not a relevant finding in the context of malnutrition. Albumin is a protein produced by the liver and is a key indicator of nutritional status. Low albumin levels can indicate malnutrition, particularly protein deficiency. In cases of anorexia and malnutrition, albumin levels are often decreased due to inadequate protein intake and poor nutritional status.
Question 2 of 5
The patient reports experiencing frequent watery stools after eating undercooked meat at a restaurant. Which health care provider prescription would the nurse implement first?
Correct Answer: D
Rationale: Metronidazole is an antibiotic used for certain infections, but it is not the first action without evaluation. Loperamide can worsen infectious diarrhea by retaining pathogens. A CBC provides health information but is not an immediate intervention. Collecting a stool sample is crucial to identify the causative organism, guiding appropriate treatment.
Question 3 of 5
When scheduling diagnostic tests, which of the following would the nurse schedule last?
Correct Answer: D
Rationale: EGD requires fasting but can be scheduled flexibly. Barium enema requires bowel prep and is done earlier. Ultrasound is non-invasive with minimal prep. CT scans should be last as residual barium from other tests can interfere with imaging.
Question 4 of 5
What manifestation is not present in dumping syndrome following a gastrectomy?
Correct Answer: D
Rationale: Borborygmi refers to the audible sounds produced by the movement of gas and fluid in the intestines. This can occur in dumping syndrome due to increased intestinal motility and rapid gastric emptying, making this a present manifestation. Nausea and vomiting can occur in dumping syndrome, particularly shortly after eating, due to the rapid movement of food into the small intestine, which can irritate the gut.
Therefore, this is a present manifestation. Dizziness can occur in dumping syndrome, often as a result of rapid shifts in blood volume and blood sugar levels after eating. This symptom can be attributed to the body's response to the sudden influx of food and fluid into the intestines, leading to symptoms like weakness and dizziness. Hence, this is a present manifestation. Hypertension is not typically associated with dumping syndrome. In fact, many individuals may experience hypotension (low blood pressure) due to the rapid shift of fluid to the intestines, which can reduce circulating blood volume.
Question 5 of 5
Which of the following increase the risk of developing Clostridium Difficile.
Correct Answer: B,C
Rationale: Living independently does not increase C. diff risk. A weakened immune system increases susceptibility. Antibiotics disrupt gut flora, promoting C. diff. Diarrhea and fever are symptoms, not risk factors.