ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
When assisting with the admission of a new resident to a long-term care facility, a nurse notes a current history of peptic ulcer disease. What type of pain should the nurse expect the resident to describe?
Correct Answer: B
Rationale: Burning pain is characteristic of peptic ulcer disease due to acid irritation of the ulcerated tissue in the stomach or duodenum.
Question 2 of 5
A nurse is constructing a teaching plan for a patient with a hiatal hernia. What should be included in this plan to help reduce the complaints of heartburn, regurgitation, and eructation?
Correct Answer: C
Rationale: Avoiding food for several hours before bedtime allows the stomach to empty, reducing the risk of acid reflux, heartburn, and regurgitation in hiatal hernia.
Question 3 of 5
A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?
Correct Answer: B
Rationale: Nystatin should be applied directly to the affected areas in the mouth (e.g., tongue, cheeks) using a swab or applicator to ensure effective treatment of oral candidiasis.
Question 4 of 5
The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?
Correct Answer: C
Rationale: Methylnaltrexone, a peripherally acting opioid antagonist, specifically targets opioid-induced constipation without affecting pain relief, ideal for refractory cases.
Question 5 of 5
The nurse is performing a premedication assessment. For which patient would laxative use be contraindicated?
Correct Answer: C
Rationale: Laxative use is contraindicated in appendicitis because it can increase the risk of perforation by stimulating bowel motility, potentially leading to rupture and peritonitis.