ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:
Correct Answer: D
Rationale: Pain 30 minutes after eating is typical for gastric ulcers due to acid and food irritation. Pain relief by eating is more common in duodenal ulcers.
Question 2 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 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
The physician ordered cephalexin 4 mg/kg PO Q6 hours. The medication is available at 250 mg/5 mL. The client weighs 245 pounds. What is the correct dose to be administered every 6 hours? (Round the answer to the nearest whole number. Do not use a trailing zero.)
Correct Answer: 9
Rationale: Client weight: 245 lbs ÷ 2.2 = 111.36 kg. Dose: 4 mg/kg × 111.36 = 445.44 mg. Available: 250 mg/5 mL, so 445.44 ÷ (250/5) = 8.91 mL, rounded to 9 mL.
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.