ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?
Correct Answer: C
Rationale: An enlarging abdominal girth indicates distension, a key sign of toxic megacolon due to colonic dilation. Tenesmus, hyperactive bowel sounds, and anal fissures are associated with ulcerative colitis or other conditions but are not specific to toxic megacolon.
Question 2 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 3 of 5
The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Measuring girth monitors distension, IV saline maintains hydration, and morphine manages pain. A soft diet is inappropriate as patients should be NPO.
Question 4 of 5
The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?
Correct Answer: C
Rationale: An enlarging abdominal girth indicates distension, a key sign of toxic megacolon due to colonic dilation. Tenesmus, hyperactive bowel sounds, and anal fissures are associated with ulcerative colitis or other conditions but are not specific to toxic megacolon.
Question 5 of 5
A client is admitted with the first exacerbation of Crohn's disease. The client wants to know why they can't 'just take out the diseased portion of bowel and get rid of this disease.' The nurse's response to this should be:
Correct Answer: A
Rationale: Crohn's disease can recur anywhere in the GI tract, so surgery is not curative. Other options misrepresent treatment or outcomes.