ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 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 2 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 3 of 5
Which of the following actions by the nurse would be a violation of the patient's right to privacy?
Correct Answer: D
Rationale: Accessing a neighbor's former spouse's lab results without a legitimate reason violates privacy. Other actions are standard care practices with patient consent or for education.
Question 4 of 5
The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Measuring girth monitors distension, IV saline maintains hydration, and morphine manages pain. A soft diet is inappropriate as patients should be NPO.
Question 5 of 5
The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?
Correct Answer: B
Rationale: Bowel obstruction risks gastrointestinal tissue perfusion due to potential ischemia. Fluid volume excess, infection, and pain are secondary concerns.