ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
What is pruritus related to in the patient diagnosed with hepatitis?
Correct Answer: D
Rationale: In hepatitis, liver dysfunction impairs bile salt excretion, leading to their accumulation in the skin, which causes pruritus (itching).
Question 2 of 5
A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?
Correct Answer: A
Rationale: A temperature of 102.4° F and abdominal rigidity suggest peritonitis, likely due to perforation of a diverticulum, causing leakage of intestinal contents.
Question 3 of 5
What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?
Correct Answer: A
Rationale: Encouraging turning, coughing, and deep breathing every 2 hours helps prevent respiratory complications like atelectasis and pneumonia, which are risks during prolonged bed rest.
Question 4 of 5
What is the mechanism of action of a stimulant laxative?
Correct Answer: D
Rationale: Stimulant laxatives, like bisacodyl and senna, irritate the intestinal lining, stimulating nerve endings to promote peristalsis and evacuation.
Question 5 of 5
A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?
Correct Answer: D
Rationale: Clarithromycin is a commonly prescribed antibiotic for H. pylori infections, a frequent cause of gastric ulcers, as part of combination therapy.