ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?
Correct Answer: A
Rationale: Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite. Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension. Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions. Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.
Question 3 of 5
When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?
Correct Answer: B
Rationale: Pancreatic enzymes are typically used to aid in digestion rather than pain control in acute pancreatitis. Decompression of the gastrointestinal tract through nasogastric suction can help reduce pancreatic stimulation and alleviate pain in acute pancreatitis. While ambulation may help prevent complications, it is not directly related to pain control in acute pancreatitis. A clear liquid diet may be initiated once the acute phase has resolved, but it does not directly contribute to pain control.
Question 4 of 5
A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?
Correct Answer: A
Rationale: Elevated serum ammonia levels can lead to hepatic encephalopathy, which affects mental status and consciousness, making this the priority assessment. The PT is slightly prolonged but not alarmingly high; bleeding is less of a concern compared to the elevated ammonia. This action is important in assessing fluid accumulation but is not as critical as assessing mental status in this scenario. While part of a comprehensive abdominal assessment, this is not the most critical action given the elevated ammonia level.
Question 5 of 5
A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: C
Rationale: Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase. While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis. Pantoprazole, **C**. Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing. In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.