ATI PN ADULT MEDICAL SURGICAL 2023 WITH NGN ALL PRACTICE EXAM

ATI PN ADULT MEDICAL SURGICAL 2023 WITH NGN ALL PRACTICE EXAM A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the following actions should the nurse take? A. Minimize the time the head of the bed is elevated. B Apply a sterile gauze dressing to the site. C. Massage the site with moisturizing lotion. D. Place a donut-shaped cushion under the client's sacral area. - CORRECT ANSWER A. Minimize the time the head of the bed is elevated. Which of the following symptoms will a nurse observe most commonly in clients with pancreatitis? A. Severe, radiating abdominal pain B. Black, tarry stools and dark urine C. Increased and painful urination D. Increased appetite and weight gain - CORRECT ANSWER A. Severe, radiating abdominal pain A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct? A. Maintain a high-fat diet and drink at least 3 L of fluid a day. B. Maintain a high sodium, high-calorie diet C. Maintain a high carbohydrate, low-fat diet D. Maintain a high-fat, high-carbohydrate diet - CORRECT ANSWER C. Maintain a high carbohydrate, low-fat diet A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray? A. Fried chicken B. Mashed potatoes C. Dinner roll D. Tapioca pudding - CORRECT ANSWER A. Fried chicken A nurse is caring for a patient with liver failure and is performing an assessment in the knowledge of the patients increased risk of bleeding. The nurse recognizes that this risk is related to the patients inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of function? A. Alterations in glucose metabolism B. Retention of bile salts C. Inadequate production of albumin by hepatocytes D. Inability of the liver to use vitamin K - CORRECT ANSWER D. Inability of the liver to use vitamin K Which of the following is a true statement regarding regional enteritis (Crohn's disease)? A. It has a progressive disease pattern B. It is characterized by lower left quadrant abdominal pain. C. The clusters of ulcers take on a cobble stone appearance. D. The lesions are in continuous contact with one another. - CORRECT ANSWER C. The clusters of ulcers take on a cobble stone appearance. A nurse is preparing to provide care for a patient whose exacerbation of ulcerative colitis has required hospital admission. During an exacerbation of this health problem, the nurse would anticipate that the patients stools will have what characteristics? A. Watery with blood and mucus B. Hard and black or tarry C. Dry and streaked with blood D. Loose with visible fatty streaks - CORRECT ANSWER A. Watery with blood and mucus 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. General anesthesia, narcotics, and handling of the bowel during surgery. 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. High fiber foods. 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. Low fiber foods. 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. Monitor for hemorrhage r/t organ perforation. 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. Advise pt. to remain upright after meals. 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. Monitor for shock. Which of the following is an appropriate nursing intervention for a pt. who has gastritis? A. Lavage the NG tube with iced saline. B. Give sucralfate with meals and follow it with antacids. C. Advise the pt. to avoid irritating foods such as spicy foods. D. Advise the pt. to drink milk every two hours. - CORRECT ANSWER C. Advise the pt. to avoid irritating foods such as spicy foods. Which of the following is an appropriate nursing intervention for a pt. who has an inguinal hernia? A. Turn, cough, & deep breath every hour while awake to prevent pneumonia. B. Avoid prolonged standing. C. Decrease fiber intake to control diarrhea. D. Monitor your stools for occult blood. - CORRECT ANSWER B. Avoid prolonged standing. 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 mucous bloody stools per day. C. Signs of colon perforation and peritonitis. D. Diarrhea. - CORRECT ANSWER C. Signs of colon perforation and peritonitis