ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.
Correct Answer: A,B,C
Rationale: PT is prolonged in cirrhosis due to impaired synthesis of clotting factors by the liver, making it important to monitor for bleeding risk. Serum albumin levels decrease in cirrhosis due to impaired liver function, reflecting the client's nutritional status and liver synthetic function. Elevated serum ammonia levels can indicate hepatic encephalopathy, a complication of cirrhosis characterized by altered mental status. Troponin is not typically evaluated in cirrhosis assessment; it is a cardiac marker used to assess for myocardial infarction. Serum lipase is not typically evaluated in cirrhosis assessment; it is a pancreatic enzyme used to diagnose pancreatitis.
Question 2 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 3 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 4 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 5 of 5
A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?
Correct Answer: B
Rationale: Bowel pattern changes are not typically associated with hepatitis C. Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus. Travel history is not directly relevant to assessing for hepatitis C transmission. While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.