ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?
Correct Answer: A
Rationale: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of both medications.
Question 2 of 5
Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?
Correct Answer: A
Rationale: Psyllium, a bulk-forming laxative, requires sufficient hydration to prevent obstruction, making a full glass of water essential.
Question 3 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 4 of 5
Order: Colace 25 mg PO PRN for constipation. Available: Colace 20mg/5ml. How much will the nurse give?
Correct Answer: B
Rationale: Since 20 mg is in 5ml, to administer 25mg: 25mg × 5ml/20mg = 6.25ml.
Question 5 of 5
The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?
Correct Answer: B
Rationale: Sucralfate should be administered 1 hour before meals to allow it to form a protective barrier in the stomach lining without interference from food, as an empty stomach enhances its effectiveness.