ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A patient has a PRN prescription for ondansetron. For which condition would the nurse administer this medication?
Correct Answer: D
Rationale: Ondansetron does not treat GERD, which requires acid-reducing medications. It is not indicated for paralytic ileus, which focuses on resolving the cause. It does not treat diarrhea. Ondansetron is used for nausea and vomiting.
Question 4 of 5
The nurse is caring for a patient with suspected cholecystitis. Which of the following is not a manifestation of cholecystitis?
Correct Answer: C
Rationale: Epigastric pain is common in cholecystitis. Murphy's sign indicates gallbladder inflammation. Green stool is not typical for cholecystitis, which may cause pale stools if bile flow is obstructed. Nausea and vomiting are common symptoms.
Question 5 of 5
What manifestation is not present in dumping syndrome following a gastrectomy?
Correct Answer: D
Rationale: Borborygmi refers to the audible sounds produced by the movement of gas and fluid in the intestines. This can occur in dumping syndrome due to increased intestinal motility and rapid gastric emptying, making this a present manifestation. Nausea and vomiting can occur in dumping syndrome, particularly shortly after eating, due to the rapid movement of food into the small intestine, which can irritate the gut.
Therefore, this is a present manifestation. Dizziness can occur in dumping syndrome, often as a result of rapid shifts in blood volume and blood sugar levels after eating. This symptom can be attributed to the body's response to the sudden influx of food and fluid into the intestines, leading to symptoms like weakness and dizziness. Hence, this is a present manifestation. Hypertension is not typically associated with dumping syndrome. In fact, many individuals may experience hypotension (low blood pressure) due to the rapid shift of fluid to the intestines, which can reduce circulating blood volume.