ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse understands that the most complete explanation of obesity is that it is the result of:
Correct Answer: B
Rationale: Obesity results from a complex interplay of genetic, metabolic, behavioral, and environmental factors, not just one cause like genetics or energy imbalance.
Question 2 of 5
The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?
Correct Answer: B
Rationale: Bowel obstruction risks gastrointestinal tissue perfusion due to potential ischemia. Fluid volume excess, infection, and pain are secondary concerns.
Question 3 of 5
The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Withholding food/fluids prevents surgical complications, and prophylactic antibiotics reduce infection risk. Heating pads, enemas, and ambulation increase the risk of rupture or exacerbate pain.
Question 4 of 5
After having bariatric surgery, a client being discharged tells the nurse, 'I prefer to be independent. I'm not interested in joining a support group.' Which response by the nurse is best?
Correct Answer: A
Rationale: Highlighting the practical benefits of support groups encourages adherence to lifestyle changes without pressuring the client, respecting their autonomy.
Question 5 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.