ATI LPN
ATI LPN Med Surg Gastrointestinal Exam Questions
Extract:
Question 1 of 5
Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?
Correct Answer: A
Rationale: Psyllium, a bulk-forming laxative, requires sufficient hydration to prevent obstruction, making a full glass of water essential.
Question 2 of 5
The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?
Correct Answer: A
Rationale: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of both medications.
Question 3 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 4 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 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.