ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?
Correct Answer: C
Rationale: Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.
Question 2 of 5
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action should be to check the client's vital signs. Nausea and weakness are common symptoms of digoxin toxicity, which can cause bradycardia, arrhythmias, and other life-threatening complications. Checking the vital signs, particularly the heart rate, is critical to assess if the client is experiencing digoxin toxicity.
Question 3 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Enlarged distal extremities, hepatomegaly, and coarse facial features are hallmark signs of acromegaly due to excess growth hormone. Loss of color discrimination and moon face are not typically associated with this condition.
Question 4 of 5
Which finding in the patient's history increases the risk for acute pancreatitis?
Correct Answer: A
Rationale: Alcohol abuse is a major risk factor for acute pancreatitis. Chronic alcohol consumption can lead to inflammation of the pancreas and increase the likelihood of pancreatic injury.
Question 5 of 5
A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic. It helps retain - retain potassium while excreting sodium and water, which increases the risk for hyperkalemia (high potassium) and hyponatremia (low sodium) when used in combination with other medications that affect electrolyte balance.