ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?
Correct Answer: A
Rationale: Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates, and its use may lead to steatorrhea (fatty stools) as a common side effect. Pancrelipase is typically administered with meals or snacks to aid in digestion; there is no need to administer it prior to antacids. Pancrelipase is taken with meals or snacks to assist in digestion, so this statement is incorrect. There is no need to rinse the mouth after taking pancrelipase; it is a medication designed for oral ingestion.
Question 2 of 5
When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?
Correct Answer: B
Rationale: Pancreatic enzymes are typically used to aid in digestion rather than pain control in acute pancreatitis. Decompression of the gastrointestinal tract through nasogastric suction can help reduce pancreatic stimulation and alleviate pain in acute pancreatitis. While ambulation may help prevent complications, it is not directly related to pain control in acute pancreatitis. A clear liquid diet may be initiated once the acute phase has resolved, but it does not directly contribute to pain control.
Question 3 of 5
The nurse receives report for a client with acute pancreatitis on hospital day 2: NPO with NGT to low intermittent suction, VS: 110/60, 99.2°F-97- 22, 0.9% NS infusing at 125 mL/hour, and IV antibiotics have been started. Chart review reveals the following current laboratory results. Which is a priority for the nurse to report to the healthcare provider?
Correct Answer: D
Rationale: While an elevated WBC count may indicate infection, it is not unexpected in acute pancreatitis. Serum potassium within normal range does not require immediate intervention. Serum albumin within normal range does not require immediate intervention. Lipase levels significantly elevated above the normal range indicate ongoing pancreatic inflammation and may require intervention or adjustment of treatment.
Question 4 of 5
The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?
Correct Answer: B
Rationale: Monitoring blood glucose is more relevant for diabetic care. A sodium diet is appropriate for managing fluid retention associated with liver disease. Bedrest may be prescribed but not as specific to the management of fluid retention. Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.
Question 5 of 5
The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?
Correct Answer: A
Rationale: These are dilated veins in the esophagus that can rupture and lead to life-threatening bleeding. While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed. Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices. This is a concern but does not represent an immediate life-threatening condition like esophageal varices.