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Practice Question

 A nurse is assessing a client admitted with recurrent gallstones (cholelithiasis). Which of the following findings should the nurse expect

Answer Choices:

Correct Answer:

Right upper quadrant pain that radiates to the right shoulder after a fatty meal

Rationale:

🟢 Cholelithiasis (gallstones) typically causes right upper quadrant (RUQ) pain that may radiate to the right shoulder or scapula, especially after eating fatty meals due to gallbladder contraction against obstructed bile flow.

🟢 This occurs because bile duct obstruction triggers inflammation (cholecystitis) and distension, leading to colicky, postprandial pain.

🟢 Associated findings may include nausea, vomiting, and fat intolerance.

🟢 The nurse should anticipate diagnostic tests like ultrasound and elevated bilirubin or alkaline phosphatase levels to confirm diagnosis.

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This question is from Ati Custom NSG2440 Med Surg 3 Exam 1 Fall 2025 which contains 44 questions.

More Questions from This Exam
 Which client statement demonstrates correct understanding of respiratory care following esophagectomy?

Answer Choices:

A. "Breathing exercises are only important if I feel short of breath."
B. "I should use an incentive spirometer regularly to keep my lungs clear."
C. "Since my lungs weren't operated on, I don't have to worry about deep breathing."
D. "I won't need to do coughing or deep breathing exercises because my surgery is for the esophagus."
A nurse is caring for a client with Crohn's disease who is admitted with severe abdominal pain and diarrhea. Which of the following findings should the nurse expect?

Answer Choices:

A. Bloody stools with mucus limited to the rectum and sigmoid colon
B. Rebound tenderness and rigidity in the left lower quadrant
C. Pain is relieved by eating frequent, high-fiber meals.
D. Right lower quadrant abdominal pain with weight loss and malabsorption
The nurse is evaluating teaching for a client with a newly diagnosed anal fistula. Which statement by the client requires further teaching?

Answer Choices:

A. "I should avoid all bowel movements for several days to allow healing."
B. "I can use sitz baths to promote comfort and healing."
C. "I will need to follow up with a surgeon for possible corrective surgery."
D. "I may need antibiotics if there are signs of infection."
 The nurse is teaching a client recovering from acute pancreatitis about lifestyle modifications. Which instructions should the nurse include? (Select All that Apply.)

Answer Choices:

A. "Increase caffeine to improve energy levels."
B. "Avoid alcohol completely."
C. "Report abdominal pain or vomiting to your provider."
D. "Eat small, frequent meals instead of large meals."
E. "Follow a low-fat diet."
The nurse is reviewing discharge teaching with a client following a liver transplant. Which statements by the client indicate correct understanding? (Select All that Apply.)

Answer Choices:

A. "I'll report yellowing of my eyes or dark urine to my provider."
B. "I don't need to worry if I miss a few doses of my anti-rejection medications."
C. "I should avoid people who are sick to reduce infection risk."
D. "I will need to take immune suppressants for the rest of my life."
E. "I will limit alcohol use to special occasions."
From Exam
Ati Custom NSG2440 Med Surg 3 Exam 1 Fall 2025

44 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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