ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse determines that dietary instructions for a client who had a partial gastrectomy were effective when the client states, 'I:
Correct Answer: A
Rationale: Avoiding beverages with meals prevents dumping syndrome, a common post-gastrectomy complication. Large meals, bread with every meal, and lying down (especially on the left side) can exacerbate symptoms and are not recommended.
Question 2 of 5
An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Walking promotes bowel function, stool softeners prevent straining, and increased fluids aid hydration and soft stools. Frequent enemas can irritate the rectal area and disrupt healing.
Question 3 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 8 hours. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 21
Rationale: Infusing 500 mL over 8 hours (480 minutes): (500 ÷ 480) × 20 = 20.83 gtt/min, rounded to 21 gtt/min.
Question 4 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 5 of 5
A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?
Correct Answer: C
Rationale: Omeprazole is most effective when taken 30 minutes before meals to inhibit acid production. It is not an antibiotic, should not be crushed, and treatment duration varies.