ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
Which signs and symptoms would the nurse expect to find in the history of a patient that is going for a Nissen Fundoplication surgery?
Correct Answer: D
Rationale: Nausea and belching are not primary indications for Nissen Fundoplication; weight gain is unrelated. Reflux is relevant, but flatulence and cough are less specific. Epigastric pain, hoarseness, and diarrhea are not primary symptoms. Heartburn, reflux, and chest pain are classic GERD symptoms prompting surgery.
Question 2 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?
Correct Answer: D
Rationale: Bulimia involves episodes of binge eating followed by purging and can lead to a range of gastrointestinal issues, including esophageal damage and electrolyte imbalances. However, it is not a direct risk factor for the development of peptic ulcers. While it can affect the digestive system, it does not inherently increase the risk of ulcers. Green tea is generally considered to have health benefits and is not typically associated with an increased risk of peptic ulcers. In some cases, it may even provide protective effects against gastric ulcers due to its antioxidant properties. Moderate alcohol consumption can have varying effects on gastric mucosa. While excessive alcohol consumption is a risk factor for developing ulcers, moderate consumption, such as a glass of wine with dinner, is not typically considered a significant risk factor. Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gastric lining and inhibit the production of protective mucus, leading to an increased risk of developing ulcers.
Question 3 of 5
The nurse is educating a patient about the different types of bariatric surgeries for weight loss. Which of the following statements indicate a need for further teaching?
Correct Answer: A
Rationale: Behavioral modifications are essential for long-term weight loss success post-surgery. Surgery improves comorbidities like hypertension and diabetes. Gastric sleeve is irreversible. Gastric bypass reduces stomach size to limit intake.
Question 4 of 5
The patient who is morbidly obese has just undergone gastric bypass surgery. Which immediate post-operative intervention has the greatest priority?
Correct Answer: D
Rationale: Dressing changes are not the highest priority immediately post-op. Bowel sounds are assessed later. NG tube repositioning addresses nausea but is not primary. Elevating the head reduces aspiration risk and improves breathing.
Question 5 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: B
Rationale: Distended neck veins are typically associated with conditions that lead to increased central venous pressure, such as heart failure or fluid overload, not pyloric stenosis. Projectile vomiting is a classic symptom of pyloric stenosis due to the obstruction caused by the thickened pylorus, which prevents food from passing into the duodenum. A ridged abdomen can indicate underlying issues, such as peritonitis, but is not typical for pyloric stenosis. Red currant jelly stools are associated with intussusception, not pyloric stenosis.