ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?
Correct Answer: C
Rationale: Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube. Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes. Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly. Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.
Question 2 of 5
The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?
Correct Answer: A
Rationale: Chronic pancreatitis can lead to a decrease in enzyme production necessary for digestion, leading to malabsorption. This does not typically cause malabsorption associated with chronic pancreatitis. While it can occur with chronic pancreatitis, it does not directly cause malabsorption. This is not related to the digestive malabsorption seen in chronic pancreatitis.
Question 3 of 5
The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?
Correct Answer: B
Rationale: Monitoring blood glucose is more relevant for diabetic care. A sodium diet is appropriate for managing fluid retention associated with liver disease. Bedrest may be prescribed but not as specific to the management of fluid retention. Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.
Question 4 of 5
The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?
Correct Answer: C
Rationale: Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is to reduce gastric acid secretion. Omeprazole does not specifically affect carbohydrate digestion. Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which can help alleviate symptoms and promote healing in acute pancreatitis. Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is primarily used to decrease gastric acid production.
Question 5 of 5
When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?
Correct Answer: A
Rationale: Chronic and excessive alcohol consumption is a well-established risk factor for the development of chronic pancreatitis. While contributing to other health issues, it is not directly linked to chronic pancreatitis. Smoking is a risk factor, but alcohol abuse is more significantly associated with chronic pancreatitis. Although it contributes to various health problems, it is not as directly linked to chronic pancreatitis as alcohol abuse.