ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Avoiding aspirin and ibuprofen prevents gastrointestinal irritation, and smoking cessation aids healing. Coffee and dairy can worsen ulcer symptoms by increasing acid.
Question 2 of 5
The nurse teaches the client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed?
Correct Answer: A
Rationale: Tea, like coffee, contains caffeine, which can worsen GERD by relaxing the esophageal sphincter. Smaller meals, avoiding food before bed, and elevating the bed head are appropriate.
Question 3 of 5
Which of the following pieces of data is LEAST likely to support the nurse's suspicion that their client has acute appendicitis?
Correct Answer: C
Rationale: Rhinitis and myalgias suggest a viral infection, not appendicitis. Fetal position, localized pain, and anorexia are typical appendicitis symptoms.
Question 4 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 5 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.