ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?
Correct Answer: D
Rationale: Sleeping on the left side helps reduce the likelihood of acid reflux by preventing stomach contents from moving into the esophagus, making it the most effective position for GERD.
Question 2 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?
Correct Answer: C
Rationale: NSAID use is a well-established risk factor for peptic ulcers. NSAIDs inhibit the production of prostaglandins, which protect the stomach lining from acid damage. Chronic use of NSAIDs can lead to ulcer formation due to this inhibition.
Question 3 of 5
A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client?
Correct Answer: D
Rationale: Soymilk is lactose-free, making it the best choice for a low-lactose diet, avoiding discomfort from dairy products.
Question 4 of 5
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: A
Rationale: A decrease in the white blood cell count toward normal levels indicates that the infection is responding to antibiotic treatment. A WBC count of 6000/μL is within the normal range for adults (usually 4,000€“11,000/μL), suggesting the body is no longer fighting a significant infection.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition and develops refeeding syndrome. The nurse should expect which of the following laboratory findings?
Correct Answer: C
Rationale: Hypophosphatemia is a hallmark of refeeding syndrome, as phosphorus is rapidly used in cellular processes during refeeding, leading to low levels.