ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A client is admitted with the first exacerbation of Crohn's disease. The client wants to know why they can't 'just take out the diseased portion of bowel and get rid of this disease.' The nurse's response to this should be:
Correct Answer: A
Rationale: Crohn's disease can recur anywhere in the GI tract, so surgery is not curative. Other options misrepresent treatment or outcomes.
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: D
Rationale: Sudden, sharp abdominal pain indicates perforation due to leakage into the abdominal cavity. Other findings are not specific to perforation.
Question 3 of 5
A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?
Correct Answer: C
Rationale: Omeprazole is most effective when taken 30 minutes before meals to inhibit acid production. It is not an antibiotic, should not be crushed, and treatment duration varies.
Question 4 of 5
The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute?
Correct Answer: 25
Rationale: Infusing 100 mL over 60 minutes with a 15 gtt/mL drip factor: (100 ÷ 60) × 15 = 1.6667 × 15 = 25 gtt/min.
Question 5 of 5
Which of the following pieces of data is LEAST likely to support the nurse's suspicion that their client has acute appendicitis?
Correct Answer: C
Rationale: Rhinitis and myalgias suggest a viral infection, not appendicitis. Fetal position, localized pain, and anorexia are typical appendicitis symptoms.