ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is providing preoperative teaching about stool consistency to a client who will undergo a colectomy with the placement of an ileostomy. Which of the following information about stool consistency should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: The stool will have a high volume of liquid. Following a colectomy with an ileostomy, the client will have fecal output from the small intestine, resulting in a high volume of liquid stool. This is because the large intestine, responsible for absorbing water and forming solid stool, is bypassed with an ileostomy.
Choice A is incorrect because the stool will not be firm and well-formed.
Choice C is incorrect because the stool will not be similar to normal bowel movements due to the absence of the large intestine.
Choice D is incorrect as the stool will not be hard and difficult to pass.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it indicates the client understands the potential side effect of levothyroxine, which is palpitations or a racing heart. This shows awareness of the need to monitor and report adverse effects to the healthcare provider promptly. Taking the medication with food (
A) actually decreases its absorption. Dosage adjustments (
C) are common in thyroid medication but don't necessarily demonstrate immediate understanding. Stopping the medication once feeling better (
D) is incorrect as levothyroxine is usually a lifelong treatment. Taking medication at night (E) is not crucial for levothyroxine as long as it is taken consistently.
Question 3 of 5
A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the following quadrants should the nurse anticipate the client to be experiencing abdominal pain?
Correct Answer: B
Rationale: The correct answer is B: Left lower quadrant. Diverticular disease commonly causes pain in the left lower quadrant due to inflammation or infection of the diverticula, small pouches that can develop in the colon wall. This area corresponds to the location of the descending and sigmoid colon, where most diverticula occur. Pain in the right lower quadrant (choice
A) is more indicative of appendicitis. Upper left quadrant pain (choice
C) is more likely related to conditions involving the spleen or stomach. Mid-epigastric pain (choice
D) is typically associated with issues related to the stomach or pancreas.
Question 4 of 5
A nurse is planning care for a client who has a lump in their right breast. Which of the following findings increases the clients risk of developing breast cancer?
Correct Answer: C
Rationale: The correct answer is C: Oral contraceptives were taken for the last 6 years. Long-term use of oral contraceptives has been associated with a slightly increased risk of developing breast cancer. Estrogen and progesterone in oral contraceptives can stimulate the growth of breast tissue, potentially leading to cancer over time. Daily caffeine consumption (choice
A) and a history of seasonal allergies (choice
B) do not have a direct correlation with an increased risk of breast cancer. Routine use of multivitamins (choice
D) is generally not linked to an increased risk of breast cancer.
Question 5 of 5
A nurse is providing teaching for a client who has constipation-predominant irritable bowel syndrome (IBS-C). Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Increase water intake and use bulk-forming laxatives. This is because increasing water intake helps soften stool, making it easier to pass, and bulk-forming laxatives add bulk to stool, aiding in bowel movements for individuals with IBS-C. Stimulant laxatives (
A) can lead to dependency and worsen symptoms. Avoiding fiber-rich foods (
B) can exacerbate constipation. Eating a low-carbohydrate diet (
D) may not directly address the constipation associated with IBS-C.