ATI RN
ATI N120n122 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?
Correct Answer: C
Rationale: Chronic bloody diarrhea is a significant symptom of ulcerative colitis and leads to iron loss and depletion, contributing to the development of anemia due to the loss of blood and iron. Dietary iron restrictions may affect iron intake, but they are not a direct symptom of ulcerative colitis that contributes to anemia. Intestinal parasites can cause anemia but are not a common complication associated with ulcerative colitis. Intestinal malabsorption syndrome can lead to anemia; however, it is not a primary symptom of ulcerative colitis itself.
Question 2 of 5
A nurse is administering a unit of RBC 350 mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 117
Rationale: Infusion rate (mL/hr) = Volume to be infused (mL) / Time (hr). In this case: Volume to be infused = 350 mL, Time = 3 hours. Plugging the values into the formula: Infusion rate = 350 mL / 3 hours = 116.67 mL/hr. Rounding to the nearest whole number, the infusion rate is 117 mL/hr.
Question 3 of 5
Which of the following are components of the complete blood count (CBC)? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Hemoglobin level is a key component of the CBC, reflecting the oxygen-carrying capacity of the blood. White blood cell count is included in the CBC and is important for assessing the immune response. Platelet count is also part of the CBC and is essential for evaluating clotting function. Red blood cell count is included in the CBC and is crucial for assessing overall blood health and anemia status. Blood glucose level is not part of the CBC; it is typically measured separately in metabolic panels or glucose tests.
Question 4 of 5
A nurse is caring for a client with Acquired Immunodeficiency Syndrome (AIDS). Which client statement demonstrates a need for further education?
Correct Answer: B
Rationale: Eating raw fruits and vegetables can pose a risk for clients with compromised immune systems, as these foods may harbor pathogens that can lead to infections. This statement indicates a need for further education regarding safe food handling and preparation. The other statements reflect appropriate practices for clients with AIDS.
Question 5 of 5
A client with iron deficiency anemia is prescribed ferrous sulfate. Which instruction by the nurse is most appropriate to include in the client's teaching plan?
Correct Answer: C
Rationale: Stools becoming darker in color is a common and expected side effect of ferrous sulfate due to the presence of unabsorbed iron. It is important for clients to know this to avoid unnecessary alarm. Decreasing intake of foods high in fiber is not necessary; in fact, fiber can help prevent constipation, a common side effect of iron supplements. Vitamin C enhances the absorption of iron; thus, avoiding it is incorrect. Taking the medication on a full stomach may decrease absorption.