ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is teaching student nurses about different types of medical conditions that affect the gastrointestinal system, when a student asks her about the cause of esophageal varices. What is an appropriate answer by the nurse when asked about a potential cause of esophageal varices?
Correct Answer: D
Rationale: Chronic liver disease, particularly cirrhosis, causes portal hypertension, leading to engorged esophageal veins and varices.
Question 2 of 5
A client comes to the clinic complaining of dysphagia and states that 'he feels like food is stuck in his throat.' The physician suspects esophageal cancer. Which of the following is a risk factor for esophageal cancer?
Correct Answer: A,D
Rationale: Family history and smoking tobacco are significant risk factors for esophageal cancer, increasing genetic and environmental risks.
Question 3 of 5
A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Wiping the perianal area with warm water and applying a barrier cream is an appropriate and effective intervention to protect the skin. The warm water is gentle, and the barrier cream provides a protective layer that helps prevent skin breakdown from frequent contact with stool.
Question 4 of 5
A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 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: C
Rationale: Drip rate (gtt/min) = (
Total volume (mL) × Drop factor (gtt/mL)) /
Total minutes = (1000 mL × 10 gtt/mL) / 360 minutes ‰ˆ 28 gtt/min.
Question 5 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.