ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Helps maintain muscle tone and promotes overall well-being without overstressing the body during recovery from hepatitis B. Antibiotics are not effective against viruses like hepatitis B. There is generally no need to restrict fluids in hepatitis B; adequate hydration supports overall health and liver function. A high-fat diet is not recommended for liver disease; typically, a balanced, low-fat diet is more appropriate.
Question 2 of 5
The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?
Correct Answer: A
Rationale: Chronic pancreatitis can lead to a decrease in enzyme production necessary for digestion, leading to malabsorption. This does not typically cause malabsorption associated with chronic pancreatitis. While it can occur with chronic pancreatitis, it does not directly cause malabsorption. This is not related to the digestive malabsorption seen in chronic pancreatitis.
Question 3 of 5
The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?
Correct Answer: A
Rationale: These are dilated veins in the esophagus that can rupture and lead to life-threatening bleeding. While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed. Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices. This is a concern but does not represent an immediate life-threatening condition like esophageal varices.
Question 4 of 5
The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?
Correct Answer: B
Rationale: Bradycardia is not typically associated with hepatic encephalopathy. Asterixis is a characteristic finding in hepatic encephalopathy, known as 'flapping tremor,' indicating neuromuscular irritability due to elevated blood ammonia levels. Fever is not a common direct symptom of hepatic encephalopathy. Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.
Question 5 of 5
The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?
Correct Answer: A
Rationale: Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite. Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension. Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions. Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.