ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
Which patient should the nurse assess first after receiving a change-of-shift report?
Correct Answer: C
Rationale: Altered mental status and confusion indicate a potentially serious condition requiring immediate assessment to prevent complications.
Question 2 of 5
The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?
Correct Answer: D
Rationale: Some foods may cause blockages or discomfort post-ileostomy, requiring dietary modifications, indicating a need for further teaching.
Question 3 of 5
The nurse is caring for a client diagnosed with pneumonia. Which interventions should the nurse include in the plan of care? (Select All that Apply.)
Correct Answer: A,C
Rationale: Rest and oxygen saturation monitoring conserve energy and ensure adequate oxygenation; oxygen therapy supports respiratory function in pneumonia.
Question 4 of 5
A nurse is teaching student nurses about different types of medical conditions that affect the gastrointestinal system, when a student asks her about the cause of esophageal varices. What is an appropriate answer by the nurse when asked about a potential cause of esophageal varices?
Correct Answer: D
Rationale: Chronic liver disease, particularly cirrhosis, causes portal hypertension, leading to engorged esophageal veins and varices.
Question 5 of 5
A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of:
Correct Answer: B
Rationale: Esophageal perforation with fistula formation causes pain, fever, and dyspnea due to leakage into the pleural space or lungs.