ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Helps maintain muscle tone and promotes overall well-being without overstressing the body during recovery from hepatitis B. Antibiotics are not effective against viruses like hepatitis B. There is generally no need to restrict fluids in hepatitis B; adequate hydration supports overall health and liver function. A high-fat diet is not recommended for liver disease; typically, a balanced, low-fat diet is more appropriate.
Question 3 of 5
While assessing the client with acute pancreatitis the nurse notes the following: skin warm and dry with inelastic turgor, hypoactive bowel sounds, nausea and vomiting for 24 hours, and amber-colored urine. Which action would the nurse take next?
Correct Answer: B
Rationale: Monitoring intake and output (I&O) is crucial for understanding the patient's fluid balance, especially after 24 hours of vomiting, which could lead to dehydration. However, it is important for fluid balance but not the immediate next step. Checking blood pressure can provide immediate information on the patient's hemodynamic status and potential hypovolemia due to fluid loss; thus, it should be assessed immediately. Assessing pain level is important for comfort, but stabilization of vital signs takes precedence. Measuring oxygen saturation is useful but less critical than assessing for potential hypotension due to dehydration.
Question 4 of 5
A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?
Correct Answer: B
Rationale: Bowel pattern changes are not typically associated with hepatitis C. Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus. Travel history is not directly relevant to assessing for hepatitis C transmission. While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.
Question 5 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.