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: Adequate hydration (2000 mL daily) prevents crystalluria and kidney stones, a side effect of sulfasalazine. Bruising, once-daily dosing, and stool assessment are not primary concerns.
Question 2 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 3 of 5
The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?
Correct Answer: B
Rationale: Bowel obstruction risks gastrointestinal tissue perfusion due to potential ischemia. Fluid volume excess, infection, and pain are secondary concerns.
Question 4 of 5
A client asks a nurse about the use of vitamin C to prevent urinary tract infection. The nurse states that the function of vitamin C is to:
Correct Answer: B
Rationale: Vitamin C acidifies urine, creating an environment less favorable for bacteria, aiding UTI prevention. Other options are incorrect mechanisms.
Question 5 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.