ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?
Correct Answer: A
Rationale: Chronic pancreatitis can lead to a decrease in enzyme production necessary for digestion, leading to malabsorption. This does not typically cause malabsorption associated with chronic pancreatitis. While it can occur with chronic pancreatitis, it does not directly cause malabsorption. This is not related to the digestive malabsorption seen in chronic pancreatitis.
Question 2 of 5
The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?
Correct Answer: C
Rationale: While important, it is not directly related to the coagulopathy indicated by the prolonged PT. Important for overall fluid management but not directly related to the risk of bleeding. With a significantly prolonged PT, assessing for signs of gastrointestinal bleeding is a priority. Important for safety, but the immediate risk of bleeding due to coagulopathy takes precedence.
Question 3 of 5
A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?
Correct Answer: A
Rationale: Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding. While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided. Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding. Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.
Question 4 of 5
The nurse is collecting a health history of a client admitted for possible acute pancreatitis. Which health history item would increase the client's risk for this diagnosis?
Correct Answer: A
Rationale: Gallstones are a leading cause of acute pancreatitis as they can block the pancreatic duct. While inflammation of the duodenum can cause abdominal symptoms, it does not directly lead to acute pancreatitis. Diabetes results from the dysfunction of the pancreas after damage but does not cause acute pancreatitis. Hepatitis C affects the liver and does not directly cause pancreatitis.
Question 5 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.