ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?
Correct Answer: A
Rationale: Dumping syndrome is a common complication after a gastroduodenostomy, where food moves too quickly from the stomach to the small intestine, causing fluid shifts and hormone release leading to the described symptoms.
Question 2 of 5
A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?
Correct Answer: C
Rationale: Using the cleansing wipe from front to back prevents contamination from bacteria in the genital area, ensuring an accurate urine sample.
Question 3 of 5
A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing this client's laboratory values?
Correct Answer: C
Rationale: A WBC count of 17,000/mm indicates an acute bacterial infection like appendicitis, reflecting the body's response to the infection.
Question 4 of 5
Which finding is the most common indication of esophageal cancer?
Correct Answer: C
Rationale: Progressive dysphagia is the most common and specific symptom of esophageal cancer, caused by tumor growth obstructing the esophagus.
Question 5 of 5
A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer Society recommendation that men and women beginning at age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonoscopy at which of the following intervals?
Correct Answer: C
Rationale: The American Cancer Society recommends a colonoscopy every ten years for average-risk adults starting at age 50, balancing effectiveness with procedure risks and costs.