ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?
Correct Answer: C
Rationale: These symptoms are more indicative of chronic conditions. These are not specific to acute pancreatitis. Elevated lipase and Turner's sign (bruising around the flanks) strongly suggest acute pancreatitis. Amylase within normal limits and steatorrhea do not support acute pancreatitis.
Question 2 of 5
The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?
Correct Answer: A
Rationale: Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates, and its use may lead to steatorrhea (fatty stools) as a common side effect. Pancrelipase is typically administered with meals or snacks to aid in digestion; there is no need to administer it prior to antacids. Pancrelipase is taken with meals or snacks to assist in digestion, so this statement is incorrect. There is no need to rinse the mouth after taking pancrelipase; it is a medication designed for oral ingestion.
Question 3 of 5
Which question would the nurse ask to identify a risk factor for liver disease?
Correct Answer: D
Rationale: While a high carbohydrate diet can contribute to fatty liver disease, it is less direct and specific compared to other risk factors. Heart disease is not directly linked to liver disease risk. Having a flu is unrelated to liver disease risk. Intravenous drug use is a known risk factor for hepatitis B and C, both of which can lead to liver disease.
Question 4 of 5
The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?
Correct Answer: B
Rationale: Ascites, the accumulation of fluid in the abdominal cavity, typically presents with weight gain rather than weight loss. Ascites often accompanies peripheral edema, particularly in the lower extremities. Ascites is not typically associated with flushed skin; rather, it may lead to pallor due to anemia or jaundice due to liver dysfunction. Ascites is not directly associated with vomiting blood; hematemesis may indicate complications such as esophageal varices, which can occur in advanced liver disease.
Question 5 of 5
The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?
Correct Answer: B
Rationale: Monitoring blood glucose is more relevant for diabetic care. A sodium diet is appropriate for managing fluid retention associated with liver disease. Bedrest may be prescribed but not as specific to the management of fluid retention. Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.