ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?
Correct Answer: B
Rationale: Hydration (2000 mL daily) prevents kidney complications from sulfasalazine. Bruising, once-daily dosing, and stool assessment are not primary administration concerns.
Question 2 of 5
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding. Urine specific gravity of 1.035 suggests dehydration, which is concerning but less urgent. Colicky pain is expected in bowel obstruction, and mild hyponatremia (serum sodium 132 mEq/L) is not immediately life-threatening.
Question 3 of 5
The nurse understands that the most complete explanation of obesity is that it is the result of:
Correct Answer: B
Rationale: Obesity results from a complex interplay of genetic, metabolic, behavioral, and environmental factors, not just one cause like genetics or energy imbalance.
Question 4 of 5
A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis. The healthcare practitioner prescribes the IV antibiotic ceftazidime. After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?
Correct Answer: B
Rationale: Ensuring IV patency is the next step to guarantee safe antibiotic delivery. Vital signs, white blood count, and stool specimens are important but not immediate priorities.
Question 5 of 5
The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute?
Correct Answer: 25
Rationale: Infusing 100 mL over 60 minutes with a 15 gtt/mL drip factor: (100 ÷ 60) × 15 = 1.6667 × 15 = 25 gtt/min.