ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
The nurse is assessing a patient prior to surgery for oral cancer. Which of the following would be considered a risk factor for the development of this disease?
Correct Answer: D
Rationale: Spicy foods may cause irritation but are not linked to oral cancer. NSAIDs are not a direct risk factor. Cholecystitis is unrelated. HPV is a significant risk factor for oral cancers.
Question 2 of 5
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: A
Rationale: Sudden abdominal pain is a classic sign of perforation, causing peritonitis. Bowel sounds may be diminished, not hyperactive. Tachycardia, not bradycardia, occurs due to pain or shock. Hypotension, not increased blood pressure, is typical.
Question 3 of 5
The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C
Rationale: Gloves protect against C. diff spores. Restricting restroom use prevents spread. A private room isolates the infection. Alcohol-based sanitizers are ineffective against C. diff; soap and water are required. Masks are unnecessary as C. diff is not airborne.
Question 4 of 5
The nurse is administering 40mg/10ml of pantoprazole IV over 4 minutes. How many ml per minute with the nurse administer?
Correct Answer: 2.5 ml/min
Rationale: Rate (ml/min) =
Total Volume (ml) / Time (min). The total volume of the pantoprazole IV is 10 ml, and the time frame for administration is 4 minutes.
Therefore, the calculation would be: Rate = 10 ml / 4 min, which equals 2.5 ml per minute. So, the nurse should administer 2.5 ml of pantoprazole IV per minute to deliver a total of 40 mg over the 4-minute period.
Question 5 of 5
The nurse is educating a patient about the different types of bariatric surgeries for weight loss. Which of the following statements indicate a need for further teaching?
Correct Answer: A
Rationale: Behavioral modifications are essential for long-term weight loss success post-surgery. Surgery improves comorbidities like hypertension and diabetes. Gastric sleeve is irreversible. Gastric bypass reduces stomach size to limit intake.