ATI RN
ATI RN NSG Adult Medical-Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Emptying the pouch at 1/3 full prevents leakage and maintains skin integrity.
Question 2 of 5
A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Smoking cessation, blood pressure control, cholesterol reduction, and exercise reduce diabetic complications; sustaining hyperglycemia is incorrect as it worsens outcomes.
Question 3 of 5
A nurse is caring for a client diagnosed with peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: D
Rationale: Sudden abdominal pain is a hallmark sign of gastrointestinal perforation due to the abrupt release of gastric contents into the peritoneal cavity.
Question 4 of 5
A nurse is preparing to administer a dose of lactulose to a client diagnosed with cirrhosis. The client states, 'I don't need this medication. I am not constipated.' The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Correct Answer: A
Rationale: Lactulose reduces ammonia levels in cirrhosis by promoting its excretion in the stool, preventing hepatic encephalopathy.
Question 5 of 5
A nurse is caring for a client diagnosed with acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: Withholding oral intake rests the pancreas, reducing stimulation and aiding recovery in acute pancreatitis.