ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?
Correct Answer: D
Rationale: Acknowledging the client's emotions while setting clear boundaries promotes a safe environment. Confrontational, irrelevant, or defensive responses may escalate the situation or fail to address the behavior effectively.
Question 2 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 3 of 5
The client asks about the use of a T-tube following an open cholecystectomy. The nurse's best response is that a T-tube:
Correct Answer: C
Rationale: A T-tube maintains common bile duct patency by draining bile externally, preventing obstruction. It does not reroute bile, aid visualization, or primarily prevent skin leakage.
Question 4 of 5
The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?
Correct Answer: C
Rationale: Asking about a typical day's diet provides the most direct insight into nutritional intake, critical for assessing malnutrition risk.
Question 5 of 5
The nurse teaches the client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed?
Correct Answer: A
Rationale: Tea, like coffee, contains caffeine, which can worsen GERD by relaxing the esophageal sphincter. Smaller meals, avoiding food before bed, and elevating the bed head are appropriate.