ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?
Correct Answer: C
Rationale: Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is to reduce gastric acid secretion. Omeprazole does not specifically affect carbohydrate digestion. Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which can help alleviate symptoms and promote healing in acute pancreatitis. Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is primarily used to decrease gastric acid production.
Question 2 of 5
The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?
Correct Answer: B
Rationale: Bradycardia is not typically associated with hepatic encephalopathy. Asterixis is a characteristic finding in hepatic encephalopathy, known as 'flapping tremor,' indicating neuromuscular irritability due to elevated blood ammonia levels. Fever is not a common direct symptom of hepatic encephalopathy. Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.
Question 3 of 5
When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?
Correct Answer: C
Rationale: Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube. Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes. Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly. Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.
Question 4 of 5
A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?
Correct Answer: D
Rationale: While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case. Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms. This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss. This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.
Question 5 of 5
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Helps maintain muscle tone and promotes overall well-being without overstressing the body during recovery from hepatitis B. Antibiotics are not effective against viruses like hepatitis B. There is generally no need to restrict fluids in hepatitis B; adequate hydration supports overall health and liver function. A high-fat diet is not recommended for liver disease; typically, a balanced, low-fat diet is more appropriate.