ATI RN
ATI Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with hepatic encephalopathy. The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep and has rigid extremities. Based on these clinical findings, the nurse should document what stage of hepatic encephalopathy?
Correct Answer: A
Rationale: Severe confusion, difficulty arousing, and rigid extremities indicate Stage 4 hepatic encephalopathy, the most advanced stage.
Question 2 of 5
A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?
Correct Answer: C
Rationale: Confirming the placement of the NG tube prior to each medication administration is crucial to ensure safe and effective delivery of medications and nutrition, preventing complications such as aspiration.
Question 3 of 5
A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
Correct Answer: A
Rationale: Chronic blood loss from inflamed ulcers in ulcerative colitis is a primary cause of iron deficiency anemia.
Question 4 of 5
A nurse is performing an abdominal assessment of an older adult patient. When collecting and analyzing data, the nurse should be cognizant of what age-related change in gastrointestinal structure and function?
Correct Answer: C
Rationale: Aging leads to decreased mucus secretion in the gastrointestinal tract, increasing the risk of dryness and discomfort.
Question 5 of 5
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Avoiding high-fat foods is essential for managing biliary colic in chronic cholecystitis, as fatty foods can trigger gallbladder contractions and exacerbate symptoms.