ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?
Correct Answer: D
Rationale: Checking blood glucose daily is not directly relevant unless the client also has diabetes. While this can indicate other health issues, it is not specific post-paracentesis advice. A low carbohydrate diet is not typically related to post-paracentesis care unless specified by the healthcare provider for other underlying conditions. Change positions slowly is important to prevent postural hypotension and falls after fluid removal during paracentesis. It prevents dizziness or lightheadedness due to fluid shifts or blood pressure changes after the procedure.
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
The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?
Correct Answer: A
Rationale: HBV can be transmitted from an infected mother to her child during childbirth. The importance of screening and vaccination should be emphasized. While important for general health, this is not specifically related to the transmission of HBV, which is primarily spread through blood and bodily fluids. These are not typical symptoms of HBV; common symptoms include jaundice, fatigue, and abdominal pain. History of gallstones is not a risk factor for HBV.
Question 4 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 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.