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ATI Med Surg N241 Exam
The nurse is admitting a client diagnosed with ascites. Which assessment finding would
the nurse anticipate?
A. Weight loss
B. Pedal edema
C. Flushed skin
D. Hematemesis
Answer and Explanation
Choice A:
Ascites, the accumulation of fluid in the abdominal cavity, typically presents with weight
gain rather than weight loss.
Choice B:
Ascites often accompanies peripheral edema, particularly in the lower extremities.
Choice C:
Ascites is not typically associated with flushed skin; rather, it may lead to pallor due to
anemia or jaundice due to liver dysfunction.
Choice D:
Ascites is not directly associated with vomiting blood; hematemesis may indicate
complications such as esophageal varices, which can occur in advanced liver disease.
,When planning care for a client receiving an enteral feeding via jejunostomy tube, which
intervention would the nurse include?
A. Monitor for hypertension
B. Measure residual every 24 hours
C. Check stools for diarrhea
D. Check blood glucose every 12 hours
Answer and Explanation
Choice A:
Monitoring for hypertension is not directly related to caring for a client with enteral
feeding via a jejunostomy tube.
Choice B:
Measuring residual volume is a nursing intervention for clients with gastric feeding tubes,
not jejunostomy tubes.
Choice C:
Diarrhea is a potential complication of enteral feeding, and monitoring stool output is
essential to assess for this complication and adjust feeding accordingly.
Choice D:
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.
, The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's
best response?
A. "Nutrients will be more easily absorbed from your bowel."
B. "Carbohydrate digestion will be improved with this medication."
C. "This medication will decrease gastric acid secretion."
D. "The risk of infection in your pancreas will be reduced."
Answer and Explanation
Choice A:
Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is
to reduce gastric acid secretion.
Choice B:
Omeprazole does not specifically affect carbohydrate digestion.
Choice C:
Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which
can help alleviate symptoms and promote healing in acute pancreatitis.
Choice D:
Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is
primarily used to decrease gastric acid production
ATI Med Surg N241 Exam
The nurse is admitting a client diagnosed with ascites. Which assessment finding would
the nurse anticipate?
A. Weight loss
B. Pedal edema
C. Flushed skin
D. Hematemesis
Answer and Explanation
Choice A:
Ascites, the accumulation of fluid in the abdominal cavity, typically presents with weight
gain rather than weight loss.
Choice B:
Ascites often accompanies peripheral edema, particularly in the lower extremities.
Choice C:
Ascites is not typically associated with flushed skin; rather, it may lead to pallor due to
anemia or jaundice due to liver dysfunction.
Choice D:
Ascites is not directly associated with vomiting blood; hematemesis may indicate
complications such as esophageal varices, which can occur in advanced liver disease.
,When planning care for a client receiving an enteral feeding via jejunostomy tube, which
intervention would the nurse include?
A. Monitor for hypertension
B. Measure residual every 24 hours
C. Check stools for diarrhea
D. Check blood glucose every 12 hours
Answer and Explanation
Choice A:
Monitoring for hypertension is not directly related to caring for a client with enteral
feeding via a jejunostomy tube.
Choice B:
Measuring residual volume is a nursing intervention for clients with gastric feeding tubes,
not jejunostomy tubes.
Choice C:
Diarrhea is a potential complication of enteral feeding, and monitoring stool output is
essential to assess for this complication and adjust feeding accordingly.
Choice D:
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.
, The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's
best response?
A. "Nutrients will be more easily absorbed from your bowel."
B. "Carbohydrate digestion will be improved with this medication."
C. "This medication will decrease gastric acid secretion."
D. "The risk of infection in your pancreas will be reduced."
Answer and Explanation
Choice A:
Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is
to reduce gastric acid secretion.
Choice B:
Omeprazole does not specifically affect carbohydrate digestion.
Choice C:
Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which
can help alleviate symptoms and promote healing in acute pancreatitis.
Choice D:
Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is
primarily used to decrease gastric acid production
