ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?
Correct Answer: D
Rationale: Documenting output on the I&O sheet is within the scope of an unlicensed nursing assistant, as it involves recording measurements without clinical judgment. Adjusting IV fluids, assessing breath sounds, and checking dressings require nursing expertise.
Question 4 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 5 of 5
An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Walking promotes bowel function, stool softeners prevent straining, and increased fluids aid hydration and soft stools. Frequent enemas can irritate the rectal area and disrupt healing.