ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a patient with constipation. Which situation(s) would cause constipation?
Correct Answer: C,D,E
Rationale: A diet low in fiber, iron supplements, and morphine use are all known to cause constipation by slowing bowel motility or reducing stool bulk.
Question 2 of 5
The nurse is performing a premedication assessment. For which patient would laxative use be contraindicated?
Correct Answer: C
Rationale: Laxative use is contraindicated in appendicitis because it can increase the risk of perforation by stimulating bowel motility, potentially leading to rupture and peritonitis.
Question 3 of 5
A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?
Correct Answer: B
Rationale: Smaller meals reduce stomach overfilling, minimizing regurgitation and pressure on the esophageal stent.
Question 4 of 5
A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?
Correct Answer: A
Rationale: A temperature of 102.4° F and abdominal rigidity suggest peritonitis, likely due to perforation of a diverticulum, causing leakage of intestinal contents.
Question 5 of 5
A patient is receiving morphine for pain control. What will the nurse emphasize about preventing constipation?
Correct Answer: D
Rationale: Stool softeners are the standard prevention for opioid-induced constipation, maintaining stool consistency without causing dependency.