ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 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 2 of 5
An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?
Correct Answer: C
Rationale: These symptoms are more indicative of chronic conditions. These are not specific to acute pancreatitis. Elevated lipase and Turner's sign (bruising around the flanks) strongly suggest acute pancreatitis. Amylase within normal limits and steatorrhea do not support acute pancreatitis.
Question 3 of 5
The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?
Correct Answer: B
Rationale: Bradycardia is not typically associated with hepatic encephalopathy. Asterixis is a characteristic finding in hepatic encephalopathy, known as 'flapping tremor,' indicating neuromuscular irritability due to elevated blood ammonia levels. Fever is not a common direct symptom of hepatic encephalopathy. Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.
Question 4 of 5
The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?
Correct Answer: A
Rationale: Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite. Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension. Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions. Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.
Question 5 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.