ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?
Correct Answer: B
Rationale: Leukocytosis is expected in severe peritonitis due to the immune response to infection or inflammation. Active bowel sounds, no pain, and an undistended abdomen are unlikely, as peritonitis typically causes reduced bowel sounds, significant pain, and abdominal distension.
Question 2 of 5
The nurse is caring for a client following an open (incisional) cholecystectomy. Which would be the PRIORITY nursing intervention?
Correct Answer: B
Rationale: Deep breathing exercises are the priority to prevent pulmonary complications like atelectasis post-cholecystectomy. Monitoring gag reflex, ambulation, and dietary discussions are important but secondary to respiratory management.
Question 3 of 5
The nurse evaluates that an obese client understands the need for a healthy weight loss pattern by indicating an intention to lose:
Correct Answer: C
Rationale: Aiming for 1 pound per week is a healthy, sustainable weight loss goal, reducing risks like muscle loss and nutritional deficiencies. Rapid weight loss (5 or 10 pounds per week, or 3 pounds every 5 days) is unsafe and unsustainable.
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: A
Rationale: Insulin aspart, a rapid-acting insulin, has an onset of 15-30 minutes, making 0830 the earliest time to assess for hypoglycemia. Later times (0930, 1030, 1130) are beyond the peak risk period for this insulin.
Question 5 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.