ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care?
Correct Answer: D
Rationale: Splinting during deep breathing/coughing prevents atelectasis and protects the incision. Juices, frequent NGT irrigation, and PCA warnings are inappropriate or inaccurate.
Question 2 of 5
The nurse knows that which of the following routes is the SAFEST to infuse total parenteral nutrition (TPN)? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Central lines (subclavian catheter, PIC
C) are safest for TPN due to high osmolarity. Nasogastric tubes and peripheral IVs are unsuitable.
Question 3 of 5
The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.
Correct Answer: 688
Rationale: From 1400 to 1930 is 5.5 hours (330 minutes). At 125 mL/hour, the total volume infused is 125 × 5.5 = 687.5 mL, rounded to 688 mL.
Question 4 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 5 of 5
A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?
Correct Answer: B
Rationale: Insulin aspart peaks around 1-2 hours after administration, making 0930 (1.5 hours post-dose) the optimal time to assess for hypoglycemia. 0830 is too early, and 1030 or 1130 are beyond the peak risk period.