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MedSurg II Exam II - ATI Exam 2024/2025 Questions With Completed & Verified Solutions.
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MedSurg II Exam II - ATI Exam 2024/2025 Questions With Completed & Verified Solutions.
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MedSurg II Exam II - ATI QuestionsA charge nurse is teaching a group of unit nurses about a client who has chronic gastritis and is
scheduled for a selective vagotomy. Which of the following statements by a unit nurse indicates
understanding of the purpose of the procedure?
a. "The client will have increased duodenal gastric emptying."
b. "The client will have a reduction of gastric acid secretions."
c. "The client will have an increase of gastric mucus secretion."
d. "The client will have an increased secretion of hydrogen/potassium ATPase enzymes." - ANS
- b. "The client will have a reduction of gastric acid secretions."
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing
three specimens. Which of the following statements by the client indicates understanding of the
teaching?
a. "I will continue taking my warfarin while I complete these tests."
b. "I'm glad I don't have to follow any special diet at this time."
c. "This test determines if I have parasites in my bowel."
d. "This is an easy way to screen for colon cancer." - ANS - d. "This is an easy way to screen for
colon cancer."
A nurse in a clinic is reviewing the laboratory reports of a client who has suspected
cholelithiasis. Which of the following is an expected finding?
a. Serum amylase 80 units/L
b. WBC 9,000/mm3
c. Direct bilirubin 2.1 mg/dL
d. Alkaline phosphatase 25 units/L - ANS - c. Direct bilirubin 2.1 mg/dL
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." - ANS - a. "I will plan to limit fiber in my
diet."
A nurse in the emergency department is completing an assessment of a client who has
suspected stomach perforation due to a peptic ulcer. Which of the following findings should the
nurse expect? (Select all that apply.)
a. Rigid abdomen
b. Tachycardia
c. Elevated blood pressure
d. Circumoral cyanosis
, e. Rebound tenderness - ANS - a. Rigid abdomen
b. Tachycardia
e. Rebound tenderness
A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate
a prescription for which of the following medications?
a. Propranolol
b. Metoclopramide
c. Ranitidine
d. Vasopressin - ANS - d. Vasopressin
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of
the following findings as indicators of hepatic encephalopathy? (Select all that apply.)
a. anorexia
b. change in orientation
c. asterixis
d. ascites
e. fetor hepaticus - ANS - b. change in orientation
c. asterixis
e. fetor hepaticus
A nurse is assessing a client who has been taking prednisone following an exacerbation of
inflammatory bowel disease. The nurse should recognize which of the following findings as the
priority?
a. client reports difficulty sleeping
b. the client's urine is positive for glucose
c. client reports having an elevated body temperature
d. client reports gaining 4 lb in the last 6 months - ANS - c. client reports having an elevated
body temperature
A nurse is assessing a client who has pancreatitis. Which of the following actions should the
nurse take to assess the presence of Cullen's sign.
a. tap lightly at the costovertebral margin on the client's back
b. palpate the right lower quadrant
c. inspect the skin around the umbilicus
d. auscultate the area below the scapula - ANS - c. inspect the skin around the umbilicus
A nurse is assessing an older adult client in an extended care facility. The nurse should
recognize which of the following findings is a manifestation of an obstruction of the large
intestine due to a fecal impaction?
a. the client reports he had a bowel movement yesterday
b. the client is having small, frequent liquid stools
c. the client is flatulent
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