ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 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 รท 15 mg/mL = 0.60492267 mL, rounded to 0.6 mL.
Question 2 of 5
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: A
Rationale: Sudden abdominal pain is a classic sign of perforation, causing peritonitis. Bowel sounds may be diminished, not hyperactive. Tachycardia, not bradycardia, occurs due to pain or shock. Hypotension, not increased blood pressure, is typical.
Question 3 of 5
A nurse is performing the initial history and physical examination of a patient diagnosed with a duodenal ulcer. Which type of pain does the nurse expect the patient to describe?
Correct Answer: C
Rationale: Antacids typically relieve ulcer pain. Pain worse after eating is typical of gastric ulcers. Duodenal ulcer pain is relieved with eating due to acid buffering. Pain relief with sleep is not characteristic.
Question 4 of 5
The nurse is educating a patient about the different types of bariatric surgeries for weight loss. Which of the following statements indicate a need for further teaching?
Correct Answer: A
Rationale: Behavioral modifications are essential for long-term weight loss success post-surgery. Surgery improves comorbidities like hypertension and diabetes. Gastric sleeve is irreversible. Gastric bypass reduces stomach size to limit intake.
Question 5 of 5
A client has symptoms associated with salmonellosis. Which data is most relevant for the nurse to obtain from the client's history?
Correct Answer: C
Rationale: Emotional stress is not directly related to salmonellosis. Smoking affects general health but not salmonellosis risk. Food history is crucial to identify contamination sources. Colon cancer is unrelated to salmonellosis diagnosis.