ATI RN
ATI Med-Surg 200 Questions
Extract:
Question 1 of 5
The nurse suspects that the client, hospitalized with severe ulcerative colitis, is experiencing the complication of toxic megacolon. Which assessment finding would support this suspicion?
Correct Answer: B
Rationale:
Toxic megacolon causes severe colonic dilation, leading to increased abdominal girth due to distension.
Question 2 of 5
The nurse is caring for a client newly diagnosed with gastroesophageal reflux disease (GERD). The client complains of severe burning in the esophagus. The provider orders magnesium hydroxide. What outcome should the nurse expect if the medication achieves the desired therapeutic effect?
Correct Answer: A
Rationale: Magnesium hydroxide, an antacid, neutralizes gastric acid, alleviating the burning sensation associated with GERD.
Question 3 of 5
The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?
Correct Answer: D
Rationale: Crampy, wavelike, colicky abdominal pain is the initial manifestation of a duodenal obstruction due to spasms from the blockage.
Question 4 of 5
The nurse is evaluating the medical prescription of carvedilol 6.25 mg PO daily for a client with a history of unstable angina. Which of the following reflects that the medication's action has been effective?
Correct Answer: B
Rationale: Carvedilol, a beta-blocker, reduces heart rate, which decreases myocardial oxygen demand, a key therapeutic effect in unstable angina.
Question 5 of 5
The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?
Correct Answer: B
Rationale: Changing IV tubing every 24 hours prevents bacterial accumulation, reducing infection risk in TPN patients.