ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?
Correct Answer: C
Rationale: Adequate hydration is essential post-hemorrhoidectomy to prevent constipation, which can strain the surgical site; fluid restriction is incorrect.
Question 2 of 5
After receiving a tube feeding, a nurse assesses the patient to be sweaty with abdominal distention and diarrhea. What is the most likely cause of this response?
Correct Answer: B
Rationale: Dumping syndrome occurs when nutrients are rapidly infused into the small intestine, causing fluid shifts that lead to sweating, diarrhea, and abdominal distention.
Question 3 of 5
What is the mechanism of action of a stimulant laxative?
Correct Answer: D
Rationale: Stimulant laxatives, like bisacodyl and senna, irritate the intestinal lining, stimulating nerve endings to promote peristalsis and evacuation.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Correct Answer: A
Rationale: Decreasing fluid intake helps prevent further fluid accumulation in the abdomen (ascites) in cirrhosis, where the liver's ability to regulate fluid balance is impaired.
Question 5 of 5
A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?
Correct Answer: A
Rationale: A temperature of 102.4° F and abdominal rigidity suggest peritonitis, likely due to perforation of a diverticulum, causing leakage of intestinal contents.