ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:
Correct Answer: B
Rationale: Bowel sounds are absent or hypoactive post-cholecystectomy due to anesthesia and surgical manipulation. Normoactive, hyperactive, or borborygmi are not expected.
Question 2 of 5
The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?
Correct Answer: C
Rationale: Asking about a typical day's diet provides the most direct insight into nutritional intake, critical for assessing malnutrition risk.
Question 3 of 5
Which of the following actions by the nurse would be a violation of the patient's right to privacy?
Correct Answer: D
Rationale: Accessing a neighbor's former spouse's lab results without a legitimate reason violates privacy. Other actions are standard care practices with patient consent or for education.
Question 4 of 5
A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?
Correct Answer: B
Rationale: Insulin aspart peaks around 1-2 hours after administration, making 0930 (1.5 hours post-dose) the optimal time to assess for hypoglycemia. 0830 is too early, and 1030 or 1130 are beyond the peak risk period.
Question 5 of 5
The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute?
Correct Answer: 25
Rationale: Infusing 100 mL over 60 minutes with a 15 gtt/mL drip factor: (100 ÷ 60) × 15 = 1.6667 × 15 = 25 gtt/min.