ATI RN
ATI N120n122 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with iron deficiency anemia is prescribed ferrous sulfate. Which instruction by the nurse is most appropriate to include in the client's teaching plan?
Correct Answer: C
Rationale: Stools becoming darker in color is a common and expected side effect of ferrous sulfate due to the presence of unabsorbed iron. It is important for clients to know this to avoid unnecessary alarm. Decreasing intake of foods high in fiber is not necessary; in fact, fiber can help prevent constipation, a common side effect of iron supplements. Vitamin C enhances the absorption of iron; thus, avoiding it is incorrect. Taking the medication on a full stomach may decrease absorption.
Question 2 of 5
The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select three options that apply.
Correct Answer: A,E,F
Rationale: Ensuring comfortable seating at eye level establishes a non-intimidating environment. Setting the room temperature at a comfortable level ensures physical comfort. Removing distracting objects minimizes potential distractions. Facing a strong light may cause discomfort. A distance of 7 ft is too great for effective communication. Placing a chair across from the nurse's desk creates a formal, potentially intimidating setting.
Question 3 of 5
A nurse is providing education to a client with human immunodeficiency virus (HIV) who is experiencing wasting syndrome. Which of these suggestions is most appropriate?
Correct Answer: B
Rationale: Consuming high-calorie snacks between meals is the most appropriate suggestion as it helps increase overall caloric intake, which is essential for clients with wasting syndrome to help maintain weight and improve nutritional status. Legumes are a good source of protein but do not provide the high-calorie density needed. Using canola oil instead of butter may not significantly impact caloric intake. Adding celery adds volume but is low in calories.
Question 4 of 5
A nurse is monitoring a client receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: B
Rationale: Generalized urticaria, or hives, is a classic sign of an allergic transfusion reaction, presenting as an itchy rash or welts on the skin. Distended jugular veins may indicate fluid overload or congestive heart failure, not an allergic reaction. Bilateral flank pain is more indicative of a hemolytic reaction, particularly due to kidney involvement, rather than an allergic reaction. A blood pressure of 184/92 mm Hg may suggest hypertension or a reaction, but it is not specific to allergic transfusion reactions, which are characterized by skin symptoms like urticaria.
Question 5 of 5
A client with iron deficiency anemia is prescribed ferrous sulfate. Which instruction by the nurse is most appropriate to include in the client's teaching plan?
Correct Answer: C
Rationale: Stools becoming darker in color is a common and expected side effect of ferrous sulfate due to the presence of unabsorbed iron. It is important for clients to know this to avoid unnecessary alarm. Decreasing intake of foods high in fiber is not necessary; in fact, fiber can help prevent constipation, a common side effect of iron supplements. Vitamin C enhances the absorption of iron; thus, avoiding it is incorrect. Taking the medication on a full stomach may decrease absorption.