ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 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 2 of 5
A client is admitted with the first exacerbation of Crohn's disease. The client wants to know why they can't 'just take out the diseased portion of bowel and get rid of this disease.' The nurse's response to this should be:
Correct Answer: A
Rationale: Crohn's disease can recur anywhere in the GI tract, so surgery is not curative. Other options misrepresent treatment or outcomes.
Question 3 of 5
The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?
Correct Answer: B
Rationale: Adequate hydration (2000 mL daily) prevents crystalluria and kidney stones, a side effect of sulfasalazine. Bruising, once-daily dosing, and stool assessment are not primary concerns.
Question 4 of 5
The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Withholding food/fluids prevents surgical complications, and prophylactic antibiotics reduce infection risk. Heating pads, enemas, and ambulation increase the risk of rupture or exacerbate pain.
Question 5 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.