ATI RN
ATI Med-Surg 200 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a peptic ulcer that is actively bleeding. Which finding would the nurse Immediately report to the physician?
Correct Answer: A
Rationale: A hemoglobin of 7.8 indicates significant blood loss from the bleeding ulcer, requiring immediate reporting to prevent complications like hypovolemic shock.
Question 2 of 5
The nurse is caring for a client who has acute gastritis due to food poisoning. The client is experiencing nausea and vomiting. The nurse would question which of the following medications, if ordered?
Correct Answer: B
Rationale: Aspirin, an NSAID, can irritate the gastric mucosa, worsening gastritis symptoms like nausea and vomiting.
Question 3 of 5
The nurse is writing a care plan for a client who was diagnosed with Crohn's disease a year ago and is now hospitalized with a fourth acute exacerbation. Which client problem should receive the highest priority?
Correct Answer: C
Rationale: Imbalanced nutrition due to malabsorption and diarrhea is the highest priority during a Crohn's exacerbation to support healing.
Question 4 of 5
The client has lived with ulcerative colitis for close to 15 years and has learned to manage it very well. At this point in time, the nurse's discussion with the client about this disease should have a primary focus on which question?
Correct Answer: C
Rationale: Medication adherence is vital for controlling inflammation and preventing flare-ups in ulcerative colitis, making it a primary focus of disease management.
Question 5 of 5
While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:
Correct Answer: D
Rationale: Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.