ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?
Correct Answer: A
Rationale: Insulin aspart, a rapid-acting insulin, has an onset of 15-30 minutes, making 0830 the earliest time to assess for hypoglycemia. Later times (0930, 1030, 1130) are beyond the peak risk period for this insulin.
Question 2 of 5
The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)
Correct Answer: A,D
Rationale: Lifestyle changes should precede pharmacotherapy, and weight loss drugs typically affect absorption or appetite. Other statements are incorrect due to safety concerns, unrealistic expectations, or inappropriate duration.
Question 3 of 5
The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication can't be given orally. The nurse's best response would be:
Correct Answer: A
Rationale: Rectal mesalamine targets the inflamed colon directly, providing faster relief. Oral administration is possible but less effective for exacerbations.
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 finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding. Urine specific gravity of 1.035 suggests dehydration, which is concerning but less urgent. Colicky pain is expected in bowel obstruction, and mild hyponatremia (serum sodium 132 mEq/L) is not immediately life-threatening.