ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 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 2 of 5
The occupational health nurse is completing an assessment on an employee who has a history of type 2 diabetes, coronary artery disease, unstable angina, and gastroesophageal reflux disease (GERD). Which statement(s) should prompt the nurse to refer the employee for PROMPT evaluation of their cardiac status? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Orthopnea, night sweats, and nocturnal chest pain suggest heart failure or angina, requiring urgent cardiac evaluation. Headaches and sleepiness post-eating are unrelated to cardiac issues.
Question 3 of 5
A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Fecal-smelling breath results from bacterial fermentation, severe distension from gas/fluid buildup, and high-pitched tinkling bowel sounds from increased peristalsis. Weakness, weight loss, anorexia, and intense thirst are less specific or chronic.
Question 4 of 5
The nurse is teaching a community group about successful strategies for weight loss. Which would the nurse include? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Recognizing satiety prevents overeating, and a food diary tracks intake for better choices. Eating quickly, frequent weighing, and alcohol increase overeating or weight gain risks.
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.