ATI RN
ATI n200 Med Surg Exam 6 Questions
Question 1 of 5
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding. Urine specific gravity of 1.035 suggests dehydration, which is concerning but less urgent. Colicky pain is expected in bowel obstruction, and mild hyponatremia (serum sodium 132 mEq/L) is not immediately life-threatening.
Question 2 of 5
The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?
Correct Answer: D
Rationale: Increased restlessness can indicate pain, anxiety, or a worsening condition, such as hypoxia or bleeding, making it the most concerning finding requiring immediate attention. Hypoactive bowel sounds are common post-operatively, pain rated 7/10 is expected and manageable, and BP 110/70 with HR 86 are within normal limits.
Question 3 of 5
The nurse is caring for a client with chronic gastritis. Which clinical manifestation is LEAST LIKELY associated with this condition?
Correct Answer: A
Rationale: Weight gain is least likely as chronic gastritis typically causes weight loss due to decreased appetite, nausea, and malabsorption. Hiccups, epigastric pain, and nausea are common symptoms due to irritation and inflammation of the stomach lining.
Question 4 of 5
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container suggests serious complications like bowel ischemia or perforation, requiring urgent intervention. Dehydration (urine specific gravity 1.035), colicky pain (expected), and mild hyponatremia (serum sodium 132 mEq/L) are less immediately critical.
Question 5 of 5
The nurse assesses a client admitted 4 hours ago with a diagnosis of diverticulitis. Which assessment finding must be reported immediately to the healthcare provider?
Correct Answer: C
Rationale: A temperature of 102.6°F indicates a significant infection or abscess, requiring immediate reporting. Fecal incontinence and hematoma are concerning but not directly related to diverticulitis, and unchanged abdominal girth suggests no acute worsening.