Med/Surg Final: ATI questions & Module questions Updated 2023/2024

Med/Surg Final: ATI questions & Module questions Updated 2023/2024 What is the cause of a 'non-mechanical' bowel obstruction? A. A tumor or twisting of the bowel. B. Constipation. C. General anesthesia, narcotics, and handling of the bowel during surgery. D. Adhesions - CORRECT ANSWER-C What should the nurse advise a pt. who has diverticulosis to eat? A. High fiber foods. B. Low fiber foods. C. Low carb foods. D. High carb foods - CORRECT ANSWER-A What should the nurse advise a pt. who has diverticulitis to eat? A. High fiber foods. B. Low fiber foods. C .Low carb foods. D. High carb foods - CORRECT ANSWER-B Which of the following is an appropriate nursing intervention for a patient who has had an EGD? A. Give food and water as soon as the test is completed. B. Enemas until clear. C. Monitor for hemorrhage r/t organ perforation. D. Administer a sedative. - CORRECT ANSWER-C Which of the following is an appropriate nursing intervention for a pt. who has GERD? A. Advise pt. to remain upright after meals. B. Withhold fluids during meal time. C. Administer the appropriate immunoglobulin. D. Give the prescribed steroids with half a glass of milk. - CORRECT ANSWER-A Which of the following is a priority for a pt. who is hemorrhaging from a perforated duodenal ulcer? A. Administer the sedative prior to the PY test. B. Monitor for shock. C. Position the pt. on his back with a pillow under his right ribs and his right hand under his head. D. Guiac his stool. - CORRECT ANSWER-B Which of the following should the nurse advise a pt who has ulcerative colitis to call the doctor for? A. Occasional abdominal cramping B. Nine mucousy bloody stools per day. C. Signs of colon perforation and peritonitis. D. Diarrhea - CORRECT ANSWER-C Which of the following promotes rest and healing of the bowel in a pt. who has ulcerative colitis? A.High fiber diet B. Maintaining NPO status as ordered C. Low carb diet D. Avoiding licorice and caffeine - CORRECT ANSWER-B Which of the following nursing diagnosis might be appropriate for a pt with ulcerative colitis? A. Pain R/T the passage of stones. B. Risk for injury from falling R/T dizziness and low BP immediately after meals. C. Fatigue R/T blood loss caused by frequent bloody stools. D. Risk of injury R/T auto digestion of the pancreas. - CORRECT ANSWER-C A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should be included in the teaching? A. Eat three moderate-sized meals a day. B. Drink at least one glass of water with each meal. C. Eat a bedtime snack that contains a milk product. D. Increase protein in the diet - CORRECT ANSWER-D A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching? A. "I will continue my prescription for corticosteroids." B. "I will schedule a CT scan to monitor improvement." C. "I will take a combination of medications for treatment." D. "I will have my throat swabbed to recheck for this bacteria. - CORRECT ANSWER-C A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide (Amphojel). The nurse should advise the client to A. take the medication with food. B. monitor for diarrhea. C. wait 1 to 2 hr before taking other oral medications. D. maintain a low-fiber diet. - CORRECT ANSWER-C A nurse is planning care for a client who has a small bowel instruction and a nasogastric (NG) tube in place. Which of the following nursing interventions should be included in the plan of care? (Select all that apply.) A. Subtract the NG drainage from the client's output. B. Irrigate the NG tube every 8 hr. C. Assess bowel sounds. D. Provide oral hygiene every 2 hr. E. Clamp the NG tube during ambulation. - CORRECT ANSWER-C, D, E A nurse is providing discharge teaching to a client who is postoperative following open cholecystectomy with T-tube placement. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Take baths rather than showers. B. Clamp T-tube for 1 to 2 hr before and after meals. C. Keep the drainage system above the level of the gallbladder. D. Expect to have constipation. E. Empty drainage bag every 8 hr. - CORRECT ANSWER-B, E A nurse is reviewing nutrition teaching for a client who has cholecystitis. Which of the following food choices can trigger cholecystitis? A. Brownie with nuts B. Bowl of mixed fruit C. Grilled turkey D. Baked potato - CORRECT ANSWER-A A nurse is completing preoperative teaching for a client who will undergo a laparoscopic cholecystectomy. Which of the following should be included in the teaching? A. "The scope will be passed through your rectum." B. "You may have shoulder pain after surgery." C. "The T-tube will remain in place for 1 to 2 weeks." D. "You should limit how often you walk for 1 to 2 weeks." - CORRECT ANSWER-B A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following are expected findings? (Select all that apply.) A. Client reports pain relieved by eating. B. Client states that pain often occurs at night. C. Client reports a sensation of bloating. D. Client states that pain occurs 1⁄2 to 1 hr after a meal. E. Client experiences pain upon palpation of the epigastric region. - CORRECT ANSWER-C, D, E A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching? A. Decrease intake of calorie‐dense foods. B. Drink canned protein supplements. C. Increase intake of high fiber foods. D. Take a bulk‐forming laxative daily. - CORRECT ANSWER-B A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching? A. "I will plan to limit fiber in my diet." B. "I will restrict fluid intake during meals." C."I will switch to black tea instead of drinking coffee." D."I will try to eat three moderate to large meals a day." - CORRECT ANSWER-A A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the following findings is the priority to be reported to the provider? A. History of cholelithiasis B. Serum amylase levels three times greater than the expected value C. Client report of severe pain radiating to the back that is rated at an "8" D. Hand spasms present when blood pressure is checked - CORRECT ANSWER-D A nurse is preparing to administer pancrelipase (Viokase) to a client who has pancreatitis. Which of the following is an appropriate nursing action? A. Administer medication 30 min after a snack. B. Offer a glass of water following medication administration. C. Administer the medication 30 min before meals. D. Sprinkle the contents on peanut butter. - CORRECT ANSWER-B A nurse is completing an admission assessment of a client who has pancreatitis. Which of the following is an expected finding? A. Pain in right upper quadrant radiating to right shoulder B. Report of pain being worse when sitting upright C. Pain relieved with defecation D. Epigastric pain radiating to left shoulder - CORRECT ANSWER-D A nurse is reviewing the health record of a client who has pancreatitis. The physical exam report by the provider indicates the presence of Cullen's sign. Which of the