ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse knows that which of the following routes is the SAFEST to infuse total parenteral nutrition (TPN)? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Central lines (subclavian catheter, PIC
C) are safest for TPN due to high osmolarity. Nasogastric tubes and peripheral IVs are unsuitable.
Question 2 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 3 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 4 of 5
The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication can't be given orally. The nurse's best response would be:
Correct Answer: A
Rationale: Rectal mesalamine targets the inflamed colon directly, providing faster relief. Oral administration is possible but less effective for exacerbations.
Question 5 of 5
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding. Urine specific gravity of 1.035 suggests dehydration, which is concerning but less urgent. Colicky pain is expected in bowel obstruction, and mild hyponatremia (serum sodium 132 mEq/L) is not immediately life-threatening.