ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Flushing, using crushed tablets or liquids, and avoiding formula mixing or combined drugs ensure effective and safe administration through the tube.
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: Non-pharmacological methods are first-line, and approved drugs work via absorption or appetite mechanisms. Other claims are false due to side effects, variable efficacy, and unrealistic weight loss goals.
Question 3 of 5
A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Fecal-smelling breath results from bacterial fermentation, severe distension from gas/fluid buildup, and high-pitched tinkling bowel sounds from increased peristalsis. Weakness, weight loss, anorexia, and intense thirst are less specific or chronic.
Question 4 of 5
The nurse evaluates that an obese client understands the need for a healthy weight loss pattern by indicating an intention to lose:
Correct Answer: C
Rationale: Aiming for 1 pound per week is a healthy, sustainable weight loss goal, reducing risks like muscle loss and nutritional deficiencies. Rapid weight loss (5 or 10 pounds per week, or 3 pounds every 5 days) is unsafe and unsustainable.
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.