ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance:
Correct Answer: D
Rationale: Emptying when 2/3 full prevents leakage and ensures comfort.
Question 2 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking for kinks in the tubing is the first step to identify and resolve simple obstructions.
Question 3 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.
Question 4 of 5
A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer Society recommendation that men and women beginning at age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonoscopy at which of the following intervals?
Correct Answer: C
Rationale: The American Cancer Society recommends a colonoscopy every ten years for average-risk adults starting at age 50, balancing effectiveness with procedure risks and costs.
Question 5 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: D
Rationale: Expelling air from the JP bulb re-establishes suction for effective drainage.