ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: D
Rationale: Sudden, sharp abdominal pain indicates perforation due to leakage into the abdominal cavity. Other findings are not specific to perforation.
Question 2 of 5
Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?
Correct Answer: A
Rationale: Frequent liquid, bloody stools are a hallmark of ulcerative colitis due to colon inflammation. A hard abdomen, low-grade fever, and urinary incontinence are less specific or unrelated.
Question 3 of 5
The nurse knows that which of the following routes is the SAFEST to infuse total parenteral nutrition (TPN)? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Central lines (subclavian catheter, PIC
C) are safest for TPN due to high osmolarity. Nasogastric tubes and peripheral IVs are unsuitable.
Question 4 of 5
The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.
Correct Answer: 688
Rationale: From 1400 to 1930 is 5.5 hours (330 minutes). At 125 mL/hour, the total volume infused is 125 × 5.5 = 687.5 mL, rounded to 688 mL.
Question 5 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.