ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?
Correct Answer: C
Rationale: Omeprazole is most effective when taken 30 minutes before meals to inhibit acid production. It is not an antibiotic, should not be crushed, and treatment duration varies.
Question 2 of 5
The nurse is caring for several clients on the med-surg unit. Who would be most at risk for development of gallstones?
Correct Answer: B
Rationale: Pregnancy and prolonged bedrest increase gallstone risk due to hormonal changes and bile stasis. Other clients have fewer or less immediate risk factors.
Question 3 of 5
The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Withholding food/fluids prevents surgical complications, and prophylactic antibiotics reduce infection risk. Heating pads, enemas, and ambulation increase the risk of rupture or exacerbate pain.
Question 4 of 5
The occupational health nurse is completing an assessment on an employee who has a history of type 2 diabetes, coronary artery disease, unstable angina, and gastroesophageal reflux disease (GERD). Which statement(s) should prompt the nurse to refer the employee for PROMPT evaluation of their cardiac status? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Orthopnea, night sweats, and nocturnal chest pain suggest heart failure or angina, requiring urgent cardiac evaluation. Headaches and sleepiness post-eating are unrelated to cardiac issues.
Question 5 of 5
The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?
Correct Answer: B
Rationale: Leukocytosis is expected in severe peritonitis due to the immune response to infection or inflammation. Active bowel sounds, no pain, and an undistended abdomen are unlikely, as peritonitis typically causes reduced bowel sounds, significant pain, and abdominal distension.