ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?
Correct Answer: D
Rationale: Increased restlessness can indicate pain, anxiety, or a worsening condition, such as hypoxia or bleeding, making it the most concerning finding requiring immediate attention. Hypoactive bowel sounds are common post-operatively, pain rated 7/10 is expected and manageable, and BP 110/70 with HR 86 are within normal limits.
Question 2 of 5
The nurse knows that which of the following routes is the SAFEST to infuse total parenteral nutrition (TPN)? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Central lines (subclavian catheter, PIC
C) are safest for TPN due to high osmolarity. Nasogastric tubes and peripheral IVs are unsuitable.
Question 3 of 5
The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Avoiding aspirin and ibuprofen prevents gastrointestinal irritation, and smoking cessation aids healing. Coffee and dairy can worsen ulcer symptoms by increasing acid.
Question 4 of 5
Which of the following pieces of data is LEAST likely to support the nurse's suspicion that their client has acute appendicitis?
Correct Answer: C
Rationale: Rhinitis and myalgias suggest a viral infection, not appendicitis. Fetal position, localized pain, and anorexia are typical appendicitis symptoms.
Question 5 of 5
The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:
Correct Answer: D
Rationale: Pain 30 minutes after eating is typical for gastric ulcers due to acid and food irritation. Pain relief by eating is more common in duodenal ulcers.