ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A client with a history of PUD is admitted to a medical-surgical unit with pyloric obstruction. The nurse caring for this client knows to monitor for the following symptoms: (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Abdominal pain relieved by belching, epigastric fullness, and nausea are typical due to stomach outflow blockage. Respiratory acidosis is unrelated to pyloric obstruction.
Question 2 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 3 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 4 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 8 hours. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 21
Rationale: Infusing 500 mL over 8 hours (480 minutes): (500 ÷ 480) × 20 = 20.83 gtt/min, rounded to 21 gtt/min.
Question 5 of 5
The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?
Correct Answer: D
Rationale: Increased restlessness can indicate pain, anxiety, or a worsening condition, such as hypoxia or bleeding, making it the most concerning finding requiring immediate attention. Hypoactive bowel sounds are common post-operatively, pain rated 7/10 is expected and manageable, and BP 110/70 with HR 86 are within normal limits.