ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The healthcare provider prescribes lactulose for a patient with hepatic encephalopathy. Which data would the nurse monitor for effectiveness of this medication?
Correct Answer: D
Rationale: Increased stool frequency indicates lactulose is promoting ammonia excretion.
Question 2 of 5
Which condition causes the formation of biliary sludge?
Correct Answer: B
Rationale: Bile stasis leads to biliary sludge formation due to stagnant bile thickening.
Question 3 of 5
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: D
Rationale: Avoiding high-fat foods prevents gallbladder stimulation and biliary colic.
Question 4 of 5
A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A rigid abdomen is a hallmark sign of peritonitis due to abdominal muscle tightening from peritoneal inflammation.
Question 5 of 5
The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?
Correct Answer: A
Rationale: Dumping syndrome is a common complication after a gastroduodenostomy, where food moves too quickly from the stomach to the small intestine, causing fluid shifts and hormone release leading to the described symptoms.