ATI RN
ATI Med Surg Exam Midterm RN 36 1125 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has peripheral venous disease about the management of symptoms. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Inspecting the legs daily for changes is a key part of self-management for peripheral venous disease, aiding in early detection of complications.
Question 2 of 5
A nurse is preparing to administer a dose of lactulose to a client who has 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: Ammonia is produced by the breakdown of proteins in the intestines and is normally processed by the liver. In cirrhosis, the liver's ability to convert ammonia to urea is impaired, leading to increased levels in the blood. Lactulose helps reduce blood ammonia levels by converting it into ammonium, which is then excreted.
Question 3 of 5
A nurse is giving a presentation about preventing deep vein thrombosis (DVT). Which of the following should the nurse include as risk factors for this disorder?
Correct Answer: A,C,E
Rationale: Immobility, oral contraceptive use, and hypertension (via associated conditions) increase DVT risk.
Question 4 of 5
A nurse is teaching a client who has hepatitis A about preventing the transmission of the virus. Which of the following strategies should the nurse include in the teaching?
Correct Answer: D
Rationale: Practicing effective hand hygiene is the most effective way to prevent the transmission of hepatitis A, which is spread through the fecal-oral route.
Question 5 of 5
Which laboratory finding indicates the resolution of a patient's acute pancreatitis?
Correct Answer: B
Rationale: During an episode of acute pancreatitis, serum concentrations of amylase and lipase rise significantly, often within hours of pancreatic injury. These elevated enzyme levels are key components in diagnosing the condition. As the inflammation subsides and the pancreas begins to heal, the levels of these enzymes typically decrease, returning to normal ranges.