ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Question 1 of 5
The nurse is providing teaching to a patient following a gastric bypass. Which statement by the patient indicates an understanding of the need for lifelong monitoring and lifestyle changes?
Correct Answer: C
Rationale: Docusate may not be needed for all patients. Gastric bypass does not eliminate cholesterol risk. Regular electrolyte checks are necessary due to absorption changes. Daily blood sugar monitoring depends on individual risk factors.
Question 2 of 5
A 3-month-old is being treated for gastroesophageal reflux. The health care provider orders 2mg/kg of ranitidine to be administered every 12 hours. The client weighs 10 pounds. The elixir comes in a strength of 15mg/mL. How many mL of ranitidine should the nurse administer to this client per dose?
Correct Answer: 0.6 mL
Rationale: The infant weighs 10 pounds (4.53692 kg). The dose is 2 mg/kg, so 9.07384 mg per dose. The elixir is 15 mg/mL, so 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL, rounded to 0.6 mL.
Question 3 of 5
A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Constipation can be uncomfortable and may require management, but it is not typically a direct complication of peptic ulcer disease. While it is important to address, it does not pose an immediate threat to the client’s health. Epigastric discomfort is a common symptom of peptic ulcer disease and can indicate that the ulcer is active or that the patient is experiencing gastric distress. However, it does not indicate a severe or life-threatening condition and should be managed but is not a priority finding. Hematemesis, or vomiting blood, is a serious symptom that indicates possible bleeding from the ulcer. This is a potentially life-threatening condition that requires immediate medical intervention, as it can lead to significant blood loss and complications such as shock. Dyspepsia refers to general digestive discomfort, which may include symptoms like bloating, nausea, and heartburn. While it is a common symptom in peptic ulcer disease, it does not indicate an urgent medical condition.
Question 4 of 5
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about dietary and lifestyle modifications. Which of the following should the nurse include in the teaching plan?
Correct Answer: B,C,D
Rationale: Sodium reduction is not specific to GERD. Staying upright prevents reflux. Elevated bed position reduces nighttime reflux. A high-fiber, low-fat diet minimizes symptoms. Snacks may be tolerated and are not universally avoided.
Question 5 of 5
The patient who is morbidly obese has just undergone gastric bypass surgery. Which immediate post-operative intervention has the greatest priority?
Correct Answer: D
Rationale: Dressing changes are not the highest priority immediately post-op. Bowel sounds are assessed later. NG tube repositioning addresses nausea but is not primary. Elevating the head reduces aspiration risk and improves breathing.