ATI RN
ATI Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?
Correct Answer: A
Rationale: Asterixis, characterized by a flapping tremor of the hands, is a hallmark sign of hepatic encephalopathy due to impaired ammonia metabolism affecting the brain.
Question 2 of 5
A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?
Correct Answer: B
Rationale: Taking lansoprazole 30 minutes before breakfast maximizes its effectiveness in reducing stomach acid production during digestion.
Question 3 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 4 of 5
A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?
Correct Answer: D
Rationale: Crohn's disease is characterized by a pattern of distinct exacerbations and remissions, unlike ulcerative colitis, which typically presents with continuous symptoms.
Question 5 of 5
A patient with a peptic ulcer disease has had metronidazole (Flagyl) added to his current medication regimen. What health education related to this medication should the nurse provide?
Correct Answer: D
Rationale: Avoiding alcohol is critical with metronidazole to prevent severe reactions like nausea, vomiting, and flushing.