ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?
Correct Answer: C
Rationale: Methylnaltrexone, a peripherally acting opioid antagonist, specifically targets opioid-induced constipation without affecting pain relief, ideal for refractory cases.
Question 2 of 5
A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?
Correct Answer: C
Rationale: Adequate hydration is essential post-hemorrhoidectomy to prevent constipation, which can strain the surgical site; fluid restriction is incorrect.
Question 3 of 5
A home health nurse is assigned to follow-up on a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which primary symptom should the nurse take into consideration when updating the nursing interventions on this patient's care plan?
Correct Answer: A
Rationale: Heartburn is the hallmark symptom of GERD, caused by the reflux of gastric contents into the esophagus.
Question 4 of 5
Which is a common adverse effect of magnesium-based antacid preparations?
Correct Answer: B
Rationale: Magnesium-based antacids, like magnesium hydroxide, commonly cause diarrhea due to their osmotic effect, drawing water into the bowel.
Question 5 of 5
Order: Zofran 8 mg po before chemotherapy available: Zofran 4mg/5ml how much will the nurse give?
Correct Answer: A
Rationale:
To administer 8mg of Zofran (4mg/5ml): (8mg / 4mg) × 5ml = 10ml.