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: Aspirin and ibuprofen irritate the stomach lining, and smoking impairs ulcer healing. Coffee and dairy increase acid production, worsening symptoms.
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: Describing a typical day's diet directly assesses nutritional intake, identifying deficiencies or risks for malnutrition. Other options are less direct.
Question 3 of 5
Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?
Correct Answer: A
Rationale: Frequent liquid, bloody stools are a hallmark of ulcerative colitis due to colon inflammation. A hard abdomen, low-grade fever, and urinary incontinence are less specific or unrelated.
Question 4 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 5 of 5
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: D
Rationale: Sudden, sharp abdominal pain indicates perforation due to leakage into the abdominal cavity. Other findings are not specific to perforation.