ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Maintaining a healthy weight, elevating the head of the bed, and avoiding caffeine and spicy foods reduce pressure and irritation, helping manage hiatal hernia symptoms.
Question 2 of 5
As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?
Correct Answer: C
Rationale: Rapid emptying of stomach contents into the small intestine causes dumping syndrome, leading to symptoms like nausea and diarrhea.
Question 3 of 5
A nurse is preparing to administer atenolol 25 mg PO every 12 hr. The amount available is atenolol 50 mg/tab. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: Number of tablets = Desired dose (mg) / Tablet strength (mg/tablet) = 25 mg / 50 mg/tablet = 0.5 tablets.
Question 4 of 5
The nurse understands that the primary symptoms of a sliding hiatal hernia are associated with reflux. Therefore, the nurse should assess the client with a hiatal hernia for which of the following symptoms?
Correct Answer: D
Rationale: Pyrosis (heartburn) is a primary symptom of a sliding hiatal hernia, caused by acid reflux into the esophagus.
Question 5 of 5
A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Reviewing electrolyte values is the first action to take, as clients with acute exacerbations of ulcerative colitis are at risk for electrolyte imbalances due to diarrhea and fluid loss. It is essential to correct any imbalances promptly to avoid complications like cardiac arrhythmias.