ATI RN
ATI n200 Med Surg Exam 6 Questions
Question 1 of 5
The nurse evaluates that an obese client understands the need for a healthy weight loss pattern by indicating an intention to lose:
Correct Answer: C
Rationale: Aiming for 1 pound per week is a healthy, sustainable weight loss goal, reducing risks like muscle loss and nutritional deficiencies. Rapid weight loss (5 or 10 pounds per week, or 3 pounds every 5 days) is unsafe and unsustainable.
Question 2 of 5
The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:
Correct Answer: D
Rationale: Pain 30 minutes after eating is typical for gastric ulcers due to acid and food irritation. Pain relief by eating is more common in duodenal ulcers.
Question 3 of 5
A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?
Correct Answer: C
Rationale: Pre-albumin in the expected range indicates improved nutritional status, reflecting TPN effectiveness. Other results are less specific to nutrition.
Question 4 of 5
The nurse is caring for a client following an open (incisional) cholecystectomy. Which would be the PRIORITY nursing intervention?
Correct Answer: B
Rationale: Deep breathing exercises are the priority to prevent pulmonary complications like atelectasis post-cholecystectomy. Monitoring gag reflex, ambulation, and dietary discussions are important but secondary to respiratory management.
Question 5 of 5
The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication can't be given orally. The nurse's best response would be:
Correct Answer: A
Rationale: Rectal mesalamine targets the inflamed colon directly, providing faster relief. Oral administration is possible but less effective for exacerbations.