ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?
Correct Answer: C
Rationale: Sucralfate works by forming a protective barrier over the ulcer and is best taken on an empty stomach. Antacids can interfere with the effectiveness of sucralfate if taken simultaneously. It’s usually recommended to wait at least 30 minutes to 1 hour after taking sucralfate before taking an antacid. Sucralfate should be stored at room temperature, away from moisture and heat, but it does not need to be refrigerated. This guidance is essential to ensure that the medication maintains its effectiveness. Sucralfate is typically taken 1 hour before meals and at bedtime to optimize its protective effect on the stomach lining and ulcers. This timing allows it to coat the ulcer effectively before food intake. Sucralfate tablets should be swallowed whole and not crushed or chewed, as doing so may affect how the medication works. This instruction helps ensure that the sucralfate can properly adhere to the ulcer surface.
Question 2 of 5
A nurse is performing the initial history and physical examination of a patient diagnosed with a duodenal ulcer. Which type of pain does the nurse expect the patient to describe?
Correct Answer: C
Rationale: Antacids typically relieve ulcer pain. Pain worse after eating is typical of gastric ulcers. Duodenal ulcer pain is relieved with eating due to acid buffering. Pain relief with sleep is not characteristic.
Question 3 of 5
A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. difficile) infection. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Masks are not needed for C. diff, which is not airborne. Contact precautions prevent spore spread. Blood tests are not used for C. diff diagnosis; stool tests are standard. Alcohol-based sanitizers are ineffective; soap and water are required.
Question 4 of 5
What is the most common cause of chronic gastritis?
Correct Answer: A
Rationale: Helicobacter pylori (H. pylori) is a type of bacteria that infects the stomach lining and is the most common cause of chronic gastritis. Aspirin and other NSAIDs can cause gastritis but are not the most common cause. Chronic alcohol consumption can lead to gastritis but is less common than H. pylori. Smoking exacerbates gastric conditions but is not a direct cause.
Question 5 of 5
Which signs and symptoms would the nurse expect to find in the history of a patient that is going for a Nissen Fundoplication surgery?
Correct Answer: D
Rationale: Nausea and belching are not primary indications for Nissen Fundoplication; weight gain is unrelated. Reflux is relevant, but flatulence and cough are less specific. Epigastric pain, hoarseness, and diarrhea are not primary symptoms. Heartburn, reflux, and chest pain are classic GERD symptoms prompting surgery.