ATI RN
ATI Nursing 135 Exam Spring 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Measuring girth monitors ascites, furosemide reduces fluid retention, and a low-sodium diet prevents fluid buildup in cirrhosis.
Question 2 of 5
A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?
Correct Answer: C
Rationale: An NG tube decompresses the stomach in pyloric obstruction by removing gastric contents, relieving pressure.
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, indicating a medical emergency.
Question 4 of 5
A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate action?
Correct Answer: C
Rationale: Encouraging ambulation post-cholecystectomy promotes recovery and prevents complications like atelectasis.
Question 5 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: B
Rationale: Lactulose reduces ammonia levels in cirrhosis by promoting its excretion, preventing hepatic encephalopathy.