ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Limited activity is not typically necessary unless specified by a physician. A low-fat diet is usually recommended for a client with chronic pancreatitis. Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption. Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes. Elimination of alcohol intake is critical to prevent further damage to the pancreas.
Question 2 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 3 of 5
A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?
Correct Answer: A
Rationale: Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding. While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided. Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding. Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.
Question 4 of 5
What does the nurse identify as a potential complication of chronic pancreatitis?
Correct Answer: A
Rationale: Chronic damage to the pancreas can lead to diabetes mellitus due to the destruction of insulin-producing cells. Jaundice is typically associated with liver disease, not directly linked with chronic pancreatitis. Ascites is a complication of liver disease, not typically a direct result of chronic pancreatitis. While steatorrhea is a symptom of chronic pancreatitis due to malabsorption of fats, it is not a complication but rather a direct effect of the enzyme insufficiency.
Question 5 of 5
A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?
Correct Answer: D
Rationale: While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case. Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms. This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss. This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.