ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
The nurse is providing teaching to a patient following a gastric bypass. Which statement by the patient indicates an understanding of the need for lifelong monitoring and lifestyle changes?
Correct Answer: C
Rationale: Docusate may not be needed for all patients. Gastric bypass does not eliminate cholesterol risk. Regular electrolyte checks are necessary due to absorption changes. Daily blood sugar monitoring depends on individual risk factors.
Question 2 of 5
The nurse is assessing a patient prior to surgery for oral cancer. Which of the following would be considered a risk factor for the development of this disease?
Correct Answer: D
Rationale: Spicy foods may cause irritation but are not linked to oral cancer. NSAIDs are not a direct risk factor. Cholecystitis is unrelated. HPV is a significant risk factor for oral cancers.
Question 3 of 5
Which signs and symptoms would the nurse expect to find in the history of a patient that is going for a Nissen Fundoplication surgery?
Correct Answer: D
Rationale: Nausea and belching are not primary indications for Nissen Fundoplication; weight gain is unrelated. Reflux is relevant, but flatulence and cough are less specific. Epigastric pain, hoarseness, and diarrhea are not primary symptoms. Heartburn, reflux, and chest pain are classic GERD symptoms prompting surgery.
Question 4 of 5
Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?
Correct Answer: C
Rationale: A vagotomy does not repair a perforation. It does not involve removing ulcerated tissue. It cuts the vagus nerve to decrease acid production, promoting ulcer healing. It is unrelated to preventing stomach sliding, which is addressed by fundoplication.
Question 5 of 5
Which of the following increase the risk of developing Clostridium Difficile.
Correct Answer: B,C
Rationale: Living independently does not increase C. diff risk. A weakened immune system increases susceptibility. Antibiotics disrupt gut flora, promoting C. diff. Diarrhea and fever are symptoms, not risk factors.