ATI LPN
ATI LPN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A patient with Crohn's disease has recently undergone surgery to create an ileostomy. For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?
Correct Answer: B
Rationale: Ileostomy surgery risks fluid and electrolyte loss due to ileum diversion.
Question 2 of 5
A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?
Correct Answer: D
Rationale: Soap and water remove C. difficile spores, unlike alcohol-based antiseptics.
Question 3 of 5
After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection. After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?
Correct Answer: D
Rationale: Waiting for the gag reflex to return prevents aspiration post-EGD.
Question 4 of 5
A nurse is providing care for an elderly patient who is experiencing constipation. What action should the nurse take?
Correct Answer: A
Rationale: Increased fluid and fiber soften stool and promote bowel movements in constipation.
Question 5 of 5
A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?
Correct Answer: C
Rationale: Monitoring the gag reflex is critical post-endoscopy to prevent aspiration due to impaired reflexes from anesthesia.