ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?
Correct Answer: C
Rationale: Dark and foamy urine reflects excess bilirubin due to gallbladder inflammation.
Question 2 of 5
Which measurement would provide the most specific information about the outcome of a paracentesis for a patient who has ascites?
Correct Answer: B
Rationale: Abdominal girth directly measures fluid removal from ascites post-paracentesis.
Question 3 of 5
Which finding in the patient's history increases the risk for acute pancreatitis?
Correct Answer: A
Rationale: Alcohol abuse is a well-known risk factor for acute pancreatitis due to its harmful effects on pancreatic cells.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Spironolactone, a diuretic, promotes sodium excretion, leading to decreased sodium levels.
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.