ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?
Correct Answer: D
Rationale: Documenting output on the I&O sheet is within the scope of an unlicensed nursing assistant, as it involves recording measurements without clinical judgment. Adjusting IV fluids, assessing breath sounds, and checking dressings require nursing expertise.
Question 2 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 3 of 5
The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?
Correct Answer: C
Rationale: An enlarging abdominal girth indicates distension, a key sign of toxic megacolon due to colonic dilation. Tenesmus, hyperactive bowel sounds, and anal fissures are associated with ulcerative colitis or other conditions but are not specific to toxic megacolon.
Question 4 of 5
The nurse is caring for several clients on the med-surg unit. Who would be most at risk for development of gallstones?
Correct Answer: B
Rationale: Pregnancy and prolonged bedrest increase gallstone risk due to hormonal changes and bile stasis. Other clients have fewer or less immediate risk factors.
Question 5 of 5
The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?
Correct Answer: D
Rationale: Documenting output on the I&O sheet is within the scope of an unlicensed nursing assistant, as it involves recording measurements without clinical judgment. Adjusting IV fluids, assessing breath sounds, and checking dressings require nursing expertise.