ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
A patient is receiving morphine for pain control. What will the nurse emphasize about preventing constipation?
Correct Answer: D
Rationale: Stool softeners are the standard prevention for opioid-induced constipation, maintaining stool consistency without causing dependency.
Question 2 of 5
A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia. What nursing intervention will best help to improve the resident's condition?
Correct Answer: D
Rationale: The chin-tuck position (tilting the head forward) improves swallowing by aligning the airway and esophagus, reducing aspiration risk.
Question 3 of 5
The nurse is assessing a patient with constipation. Which situation(s) would cause constipation?
Correct Answer: C,D,E
Rationale: A diet low in fiber, iron supplements, and morphine use are all known to cause constipation by slowing bowel motility or reducing stool bulk.
Question 4 of 5
A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?
Correct Answer: B
Rationale: Smaller meals reduce stomach overfilling, minimizing regurgitation and pressure on the esophageal stent.
Question 5 of 5
A home health nurse is assigned to follow-up on a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which primary symptom should the nurse take into consideration when updating the nursing interventions on this patient's care plan?
Correct Answer: A
Rationale: Heartburn is the hallmark symptom of GERD, caused by the reflux of gastric contents into the esophagus.