ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?
Correct Answer: C
Rationale: NSAID use is a well-established risk factor for peptic ulcers. NSAIDs inhibit the production of prostaglandins, which protect the stomach lining from acid damage. Chronic use of NSAIDs can lead to ulcer formation due to this inhibition.
Question 2 of 5
As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?
Correct Answer: C
Rationale: Rapid emptying of stomach contents into the small intestine causes dumping syndrome, leading to symptoms like nausea and diarrhea.
Question 3 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: A
Rationale: Brushing the client's teeth with a suction toothbrush every 12 hours is a key intervention to reduce the risk of ventilator-associated pneumonia (VAP). Oral hygiene helps to decrease the accumulation of bacteria in the mouth, which could potentially be aspirated into the lungs and cause infection.
Question 4 of 5
A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining a sputum culture is a priority to identify the specific pathogen causing the pneumonia and guide antibiotic treatment, especially in an immunocompromised client with AIDS.
Question 5 of 5
The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?
Correct Answer: D
Rationale: Some foods may cause blockages or discomfort post-ileostomy, requiring dietary modifications, indicating a need for further teaching.